Dr. Sameer Kumar
MBBS., MS (OBS/GYNAE)., FMAS., DMAS., FELLOWSHIP IS ASSISTED REPRODUCTIVE TECHNIQUES
Infertility, Obstetrics And Gynaecology
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Your results suggest that there is a severe teratozoospermia (attachment removed to protect patient identity) with only 2 % sperms normal. However, fertilization with a defective sperm is possible but increases chances of birth defects. Ideally, treatment involves complete abstinence from alcohol and smoking firstly, with avoidance of wearing tight undergarments and trousers to allow increased natural blood flow to the organ and testis thereby reducing local temperature and allowing natural production of sperms.
A sperm cycle is 90 to 120 days, so a treatment started today shall give fresh mature sperms after three months, so medical treatment should be continued for three months at least, and then a repeat semen analysis should be done.
The treatment should involve Multivitamins and minerals (which you are taking as Eficent Plus tablets), Clomifene Citrate 50 mg daily. Paternia tablets are often a choice with infertility specialists, but in your case, Astaxanthin should also be incorporated along with CoenzymeQ, Lycopene, Levocarnitine.
So you should consider tablet Fertisure M once a day daily for the next three months. Also suggested is Nurokind gold sachet once a day for the next 45 days (this is better than Eficent Plus tablets as it has to be dissolved in water and hence has better absorption sublingually).
For erectile dysfunction, stress is always a major factor, and Penegra 50 is advised but should not be used daily and for extended periods. In fact should be started at low doses of 10 mg, an hour before intercourse and preferred alternate day for a week and they should be reassessed. The most important factor is adequate hydration status. A minimum of three to four liters of water intake is a must daily. This has to be followed for three months, and then a repeat semen analysis would be advised.