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    AYURVEDIC CASE DISCUSSION
Sunday, May 19, 2013  
 
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SPERM COUNT AND MOTILITY

respected doctors

wishing you all happy deepawali

thanks for previous support

this time i have a case of male patient suffering from very low sperm count and even the motility is very less.
this patient was under treatment of a very good urologist in dehradun but had no relief.
his reports are as under


08/05/2009

volume 1 ml
sperm count 15 milliom/ml
motility 20%
normal morphology 17%
pus cells nil


17/07/2009

volume 1 ml
count 7 million/ml
motility 11%
normal morphology 15%
wbc 30-35

21/08/2009

volume 1ml
sperm count 11 million/ml
motility 16%
normal morphology 17%
wbc 40-50%

now he consulted me for ayurvedic treatment on 1/10/2009

i started with

1)kauncha pak 5 gm bd with milk
2)chandraprabha vati 1 tds
3)tab livam(to improve liver function) 1 bd
4)puspadhanva ras 1 tab bd with milk
5)tab fortege(alarsin) 1 bd


after 3 weeks stopped puspadhanva ras
rest was continued
results were fairly good enough

volume 1 ml
sperms count 35 million/ml
motility
sluggish 10%
non motile 90%
normal sperms 70%
abnormal 30%
pus cells 20-25


my question here is that why the motility reduced
although count improved and normal morphology improved very much

so what can be done to improve the motility or should i continue with same treatment and wait

about patient
age 23 yrs married 1 year back (no child yet)
diet veg and nonveg both previously he was consuming excess non veg but i have reduced it's intake due to tamasik nature .
occasional alcohol
weight 74 kg
height 5'3"


so kindly share is this line of treatment ok or some changes required




Posted By
Dr. Akhil Gupta
dehradun
Sunday, October 18, 2009
 
 

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Replies  : 23  /  Views : 4294
Saturday
Nov.21, 2009
12:14 PM
»
respected doctors

patient is responded very well to the treatment

thanks


Profile
Posted By
Dr. Akhil Gupta
dehradun


Sunday
Oct.25, 2009
9:37 PM
»
1.satavari ch + ashwagandh ch + konch wth milk
2.tab.enerjol

jai ayurveda


Profile
Posted By
Dr. Pankaj Kumar Pathak
delhi


Wednesday
Oct.21, 2009
7:44 PM
»
**A daily multivitamin can help your body to become a good environment for sperm production.Zinc and Folic Acid have been shown to help in sperm production and increase sperm count for a lot of men.Try eating lots of fruits and vegetableslean proteins and whole grains. Refrain from damaging recreations such as smoking,drinking alcoholic beverages and drugs.All of these things will hinder sperm production. *Shower often to help your body rid itself of toxins that could be in your system.Heat can hinder sperm production.Choose warm showers over hot baths. Avoid hot tubs. Changing your underwear from briefs to boxers will allow your testes to function as they were designed.It could be your environment, lifestyle,habits or an underlying medical condition.
*medication already given


Profile
Posted By
Dr. Munish Sood
hoshiarpur


Wednesday
Oct.21, 2009
2:38 PM
»
shukravardhak basti prepared in buffalo milk should be given daily ( yapan basti ) for 15 days . it will make him perfect . the increased pitta will decrease the motility of the sperms .


Profile
Posted By
Dr. Gandhi Sachin
ahmednagar


Tuesday
Oct.20, 2009
5:10 PM
»
first of all good case description,find out the hidden pathology which u are not seein.take the help pf dr dehal & dr sangeeta wordings for the same and rule out first the pathology.
after that u can select medicines advise by the pannel.
one formulation i m providing for oligospermia is:-
shtavaryadi churan 20 gms
ashwagandhadi churan 20 gms
chandraprabha vati 15 gms
pushpdhanwa ras 5 gms
basantkusumakar ras 1 gm
gokshur 10 gms
shudha konch beej 20 gms
saalampanja 6 gms
salam mishri 6 gms
shudha shilajeet 5 gms

mix all these drugs and finely mix together make 20 packets of equal quantity,this is a medicine for 10 days.u can similarly made more.
this is also a sure shot formulation for such cases.


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Posted By
Dr. Rahul Jain
ludhiana


Tuesday
Oct.20, 2009
11:52 AM
»
respected doctors thanks for giving your valuable suggestions

i will keep you informed about the case


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Posted By
Dr. Akhil Gupta
dehradun


Tuesday
Oct.20, 2009
11:32 AM
»
Just advice lots and lots of fruits and water to patient with your treatment for 1 month and then get spem count nd motality done


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Posted By
Dr. Kamal Singh
delhi


Tuesday
Oct.20, 2009
11:32 AM
»
Just advice lots and lots of fruits and water to patient with your treatment for 1 month and then get spem count nd motality


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Posted By
Dr. Kamal Singh
delhi


Tuesday
Oct.20, 2009
9:34 AM
»
cap. addyzoa 2 bd,
pushpadhanva ras 2 bd,
shilajit vati,
virya shodhana vati.


Profile
Posted By
Dr. Ankur B. Khengar
surat


Tuesday
Oct.20, 2009
1:01 AM
»
dr gupta u got fantastic feed back from our colleagues already ..but i would like to suggest u to continue with pushap dhanva ras and add some yog with mushli+salampanja+ashawgandha too ...and persist for more time as some learned doctor advised u


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Posted By
Dr. Gurinder S. Bains
patiala


Monday
Oct.19, 2009
10:04 PM
»
dear doc,in my opinion the presence of pus cells is the matter of concern,its better to go for semen culture and act accordingly,as far as motility is concerned it can be easily cured with nitya virechana with swadista virechana choorna for 15 days,followed by amalaki rasayana with shilapravang rasa and makardhwaj vati and chandraprabhavati.this will surely give u good result.


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Posted By
Dr. Satender Dahiya
delhi


Monday
Oct.19, 2009
9:50 PM
»
congrats for the result u hav bought.kapikachchu chooran (self preparation is easy and reliable)1 tsp BD WITH MIL ALONG WITH OTHER VAJIKARANA DRAVYAS OR ALONE wld give wonderful results


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Posted By
Dr. V.sujatha
delhi


Monday
Oct.19, 2009
9:08 PM
»
In ayurveda healthy semen is described as-
“shukram shuklam guru snighdam madhuram bahalam bahul…..
Which clearly shows that the semen should be sufficient in large quantity.
Acc to W.H.O- Hypospermia is a semen volume lower than 2 mL on at least two semen analyses.
All of the four semen examination of ur patient shows 1ml of semen volume, which clearly indicates the Hypospermia along with Oligospermia & Oligospermaesthenia (Poor Sperm Motility).
The treatment you was giving working very good in Oligospermia only but there is no change in the volume of semen.So first you have to rule out the reason of hypospermia-there might be obstruction in seminal vesical and other uro-genital organs. Because there is presence of high levels of fructose in the normal semen and this comes almost entirely from the seminal vesicles. Obstruction of this accessory gland will result in low semen volumes since the seminal vesicles normally produce 70% of the seminal plasma. This is very much needed for normal motility of sperm.
Second thing, with medication there is presence of pus cells in the semen. So it becomes mandatory to rule out the pathology in the Urinary tract.
If there is no other pathology,then along with other medication better to add Gokshura. Gokshura is most often used for urinary genital support. it is also a potent herb for low libido and most importantly it used as uro-genital tonic.
Gokshura is one of Ayurveda’s best herbs for the kidneys,prostate and other uro-genital organs.It also has aphrodisiac properties as the herb is very well known to increase the quantity of semen and is useful in diseases of the genitourinary.simultaneously it increases the volume of semen and will also decrease the pus cells.




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Posted By
Dr. Gary Dehal
mandi


Monday
Oct.19, 2009
8:38 PM
»
1.vajitone powder 10gms + pushpadhanwa ras 2tab, bid, before food, with milk.
2.neo tabs 2 tid after food.
3. regular mridu virechana (2-3 times a week).


Profile
Posted By
Dr.abhishek Chandge
chikhli


Monday
Oct.19, 2009
7:52 PM
»
First treat the patient for wbc present in the semen. Give him Manjisthadi Churan 5gm bd after meal along ith Arogyawardhani 250mg BD and Sarivadi vati 500mg BD. When wbc becomes 0 then give him what ever u wish to increase his sperm count and motility. This is tested by me several times on my patients.


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Posted By
Vaidya Alok Kumar
deoghar


Monday
Oct.19, 2009
7:23 PM
»
hello doctor...u jst add kukuutandatwak bhasma,bala arista and chandana asava


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Posted By
Vaidya Karun Vashisht
una


Monday
Oct.19, 2009
5:57 PM
»
hello doctor,same to you for diwali wishes,,,your treatment is perfect,,i want to add kukutanda twak bhasma and mash prayog more...and wait for some time..


Profile
Posted By
Dr. (mrs.)pooja Mishra
dhar


Monday
Oct.19, 2009
3:13 PM
»
dear doctor this is the area where ayurveda can show miraculous results. the point to remember while treating the patients with shukra vikaras (seminal problems) is that one should always prescribe medicines for a period minimum of 3-6 months compulsarily for the best results (it takes 72 days for a spermatozoa to get matured with increased quality, quantity and motility). i would advise you to continue pushpadhanwa ras 2 bd before food and compulsarily add kukkutanda twak bhasma 250 mg bd with luke warm milk after food for sure shot results.


Profile
Posted By
Dr. Kranthi R Vardhan
hyderabad


Monday
Oct.19, 2009
1:22 PM
»
DR.AKHIL,
CONGRATS FOR THE RESULTS OBTAINED IN THIS CASE.
IN SUCH CASES WITH LEAST LEVELS ON INVESTIGATION AND RULING OUT CONGENITAL ANAMOLIES AND MALIGNANCIES ETC., I REGULARLY PRESCRIBE A COMBINATION OF:
1.VAJITONE POWDER 10GMS + PUSHPADHANWA RAS 2TAB, BID, BEFORE FOOD, WITH MILK.
2.NEO TABS 2 TID AFTER FOOD.
3. REGULAR MRIDU VIRECHANA (2-3 TIMES A WEEK).

THIS WAS THE STANDARD PRESCRIPTION IN ALMOST 70CASES. THE RESULTS ARE SIMPLY STUPENDOUS. HIGHEST COUNT SO FAR WITH THESE MEDICINES IS 135MIL, MORPHOLOGY IS 95%, MOTILITY IS 85%. RESULTS WERE OBTAINED AFTER 3-6MONTHS OF MEDICATION.

I SUGGEST YOU TO CONTINUE PUSHPADHANWA RAS FOR ATLEAST 6 MONTHS..THIS IS A BEST RASAYANA TO INCREASE MORPHOLOGY AND MOTILITY OF SPERM IN MALES AND INDUCTION OF OVULATION IN FEMALES.


Profile
Posted By
Dr. K.v.n.raju
jaipur


Monday
Oct.19, 2009
12:59 PM
»
use makardhwaj,shivlingi beej,manmathabhra ras,pushhpadhanwa ras


Profile
Posted By
Dr. Ayurvedacharya Deepak
ahmednagar


Monday
Oct.19, 2009
12:44 PM
»
Dear Dr.Gupta, just two things in addition of your treatment.1. Add Raupya Bhasma in any form and2. try to use combination of available herbs as described by charak under Shukrashodhan and shukravardhan kashyay.
Thanks


Profile
Posted By
Dr. Surendra Chaudhary
greater noida


Monday
Oct.19, 2009
10:56 AM
»
hello, doctor happy new year ..
I am agree with dr sangeeta's diet and treatment..
* shweta mushali + bala moola churna + aswagandha with milk .. its improve motility..


Profile
Posted By
Vaidyaa Meghavi Shah
surat


Monday
Oct.19, 2009
7:58 AM
»


dear doctor....
even though all the parameters are normal for fertile sperm analysis...
but decrease in sperm motility may be the cause for infertility.

the cause should be ruled out for....

1)decreased supplements of esp. vitamin-c ,zinc ,and folate levels.
vit b12 and vit -e are very much necessary.

fruits rich with vit-c , germinated seeds and full gram cereals are helpful.

2) smoking

3) chronic alcoholism.

4) dietary habits

carbonated drinks and junks don't have proper nourishing elements . so better to have organic rich healthy food.

5) Testicular over heating - work pattern of long hours sitting before computers or any mechanical works.

6) continuous driving and vigorous exercises..

7) using anabolic steroid applicants / oral steroid to increase the performance.

8) varicocele

9) rule out std's

10) anxiety and excessive stress....

. i suggest some swarna kalpas

. swarna malini vasanta

. shweta mushali + bala moola churna with milk




Profile
Posted By
Dr. Sangeeta
belgaum


 
 
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