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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
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  • Accepted Answer

    Monday, October 19 2009, 07:58 AM - #Permalink
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    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
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    Monday, October 19 2009, 10:56 AM - #Permalink
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    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..
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  • Accepted Answer

    Monday, October 19 2009, 12:44 PM - #Permalink
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    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
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    Monday, October 19 2009, 12:59 PM - #Permalink
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    use makardhwaj,shivlingi beej,manmathabhra ras,pushhpadhanwa ras
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  • Accepted Answer

    Monday, October 19 2009, 01:22 PM - #Permalink
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    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.
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    Monday, October 19 2009, 03:13 PM - #Permalink
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    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.
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  • Accepted Answer

    Monday, October 19 2009, 05:57 PM - #Permalink
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    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..
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  • Accepted Answer

    Monday, October 19 2009, 07:23 PM - #Permalink
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    hello doctor...u jst add kukuutandatwak bhasma,bala arista and chandana asava
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  • Accepted Answer

    Monday, October 19 2009, 07:52 PM - #Permalink
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    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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  • Accepted Answer

    Monday, October 19 2009, 08:38 PM - #Permalink
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    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).
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  • Accepted Answer

    Monday, October 19 2009, 09:08 PM - #Permalink
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    In ayurveda healthy semen is described as-
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    Monday, October 19 2009, 09:50 PM - #Permalink
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    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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  • Accepted Answer

    Monday, October 19 2009, 10:04 PM - #Permalink
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    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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  • Accepted Answer

    Tuesday, October 20 2009, 01:01 AM - #Permalink
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    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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  • Accepted Answer

    Tuesday, October 20 2009, 09:34 AM - #Permalink
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    cap. addyzoa 2 bd, pushpadhanva ras 2 bd, shilajit vati, virya shodhana vati.
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  • Accepted Answer

    Tuesday, October 20 2009, 11:32 AM - #Permalink
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    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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  • Accepted Answer

    Tuesday, October 20 2009, 11:32 AM - #Permalink
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    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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  • Accepted Answer

    Tuesday, October 20 2009, 11:52 AM - #Permalink
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    respected doctors thanks for giving your valuable suggestions i will keep you informed about the case
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    Tuesday, October 20 2009, 05:10 PM - #Permalink
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    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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  • Accepted Answer

    Wednesday, October 21 2009, 02:38 PM - #Permalink
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    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 .

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  • Accepted Answer

    Wednesday, October 21 2009, 07:44 PM - #Permalink
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    **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
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  • Accepted Answer

    Sunday, October 25 2009, 09:37 PM - #Permalink
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    1.satavari ch + ashwagandh ch + konch wth milk 2.tab.enerjol jai ayurveda

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  • Accepted Answer

    Saturday, November 21 2009, 12:14 PM - #Permalink
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    respected doctors patient is responded very well to the treatment thanks
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