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respected doctors thanks for previous support this time i want to refer back to my previous case discussion"sperm count and motility" sperm analysis reports on 25/11/2009 suggests volume 2 ml count 1-2sperms/hpf non motile 100% normal 70% abnormal 30% pus cells 5-6/hpf during this time patient was on 1)kauncha pak 5 gm bd vang bhasma 30 mg praval bhasma 100 mg 2)chandraprabha vati 1 bd 3)tab neo 1 bd 4)puspadhanva ras 120 mg(dhootpapeswar ) 1 bd i want to ask what could be the reason of sudden drop in sperm count and motility i strongly need your views if any other information needed i would be glad to provide the same regards
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    Thursday, November 26 2009, 10:57 PM - #Permalink
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    respected doctor the reason in my opinion is most likely some infection (pus cells,100% non motile). you may try ashtamoorti rasayan,veerya shodhan choorna. continue this treatment for 2-3 months. hopefully we'll get good results. chetan

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    Thursday, November 26 2009, 11:50 PM - #Permalink
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    dear doctor, in the last month you posted about this case and within 1 month the picture is changed for the both motility and count. also earlier reports of the patient are also variables.... patient is not following proper regimens... once again i stress upon check for smoking , alcoholism , his dietary habits, any work stress... apart from all these the abstinence should be followed during the treatment. . go for the swarna preparations with above...

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    Friday, November 27 2009, 08:49 AM - #Permalink
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    there is lot of difference in two reports of one pt. sir, in this case pt. must take alcohol, tobacco, cigarrates, etc. and there is o decipline in diet also. you find out the reason on of this. in diet he takes amla aahar this is also effect on his count and motility. one of my pt. reach 2million to 19 million within 2 months but he takes only mangoes thus why suddenfall of count to 3 million. pls advised him take 2-4 amla daily. 1) siddha makardwaj vati sp. 1 bd. 2) cap. addyzoa 2 bd. 3) virya shodhan vati 2 bd. 4) shilajit vati 2 bd with milk. advised udad dal 3 times in a week. avoid spicy, amlapittaj aahar, stress free life.
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    Friday, November 27 2009, 10:10 AM - #Permalink
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    Urinary tract infection may be the cause in this case. Go with urine microscopic examination. 1. Tab. Bangsheel 2 bd 2. Tab. Chandraprabhavati 2 bd 3. Vit-c rich diet

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    Friday, November 27 2009, 10:52 AM - #Permalink
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    please do following investigations 1)serum LH 2)serum FSH 3)serum Testerone 4)serum TSH 5)sonography of scrotum 6)Testicular biopsy sos Then only we can get the cause. 1-2 sperms /hpf is as good as azoospermia and you have to investigate accordingly. regards, Dr.Aniruddha Deshpande
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    Friday, November 27 2009, 11:40 AM - #Permalink
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    the most probable reason should be the increase in the temperature level of the scrotum . we can term this as pitta vruddhi . there is some cause for this . u will have to find out this in his physical or mental state .
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    Friday, November 27 2009, 04:43 PM - #Permalink
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    dr.akhil, this case should be symptomatically evaluated. go through proper history. presentation shows clear infection.....clinically evaluate for epididymitis / orchitis / std....associated with varicocele. ofcourse, patient must abstain from addictions as they have considerable effect on quality of sperms. 1.'ashtamurthi rasayan' is the drug of choice as first line treatment....2bid, before food. 2.add chandanadi vati, 2tid after food. 3.chandraprabhavati and pushpadhanwaras can be continued. 4.go for virechana with hingutriguna tailam 5.consider vit-c, e, b12 for nutritional supplementation.
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    Friday, November 27 2009, 05:32 PM - #Permalink
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    agree with dr. gandhi,i think first we should treat the infections..

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    Friday, November 27 2009, 10:14 PM - #Permalink
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    agree with suggestions of dr.sangeeta.add ashtamurti rasayan,veerya shodan churan as advised by dr.chetan.
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    Saturday, November 28 2009, 12:10 PM - #Permalink
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    As other panel doctors said please check for his habits, addictions,diet intake, profession which have direct effect over sperm count.Evaluate for any infections.continue with your treatment and add count plus granules.Ask him to consume sweet and nutritious food.Check for any psychological tensions etc.and counsel him.
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  • Accepted Answer

    Saturday, November 28 2009, 08:12 PM - #Permalink
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    **may be the cause. Smoking,excessive drinking,obesity,and even tight fitting trousers have all been proposed as potential culprits. . 1.The most common reason which affects the amount of semen is infections of the male sexual organs: varicocele,Infections in the prostate gland are in fact the most common 2.even tight underpants and the overheating of the testicles under several layers of clothes might result in a decrease in the production of semen.Thus,in order to produce more semen,you should avoid overheating your testicles by wearing cool,loose-fitting underwear.This is probably why boxers are becoming increasingly popular. 3.The presence of toxins of all kinds - such as caffeine, alcohol or nicotine, amongst others-in the body equally negatively affects the output of semen.Hence,in order to increase semen production,quit all forms of substance abuse such as smoking, drinking alcohol or coffee excessively. 4.It has been scientifically proven that zinc deficiency also reduces the level of semen production. try to begin with having zinc-enriched food and/or dietary supplements. ..Tribestan,an extract of gokshura, administered to males with reduced sperm count of unknown cause or with sperm disturbances due to varicocele,has been shown to result in increased concentration of sperm,increased percentage of motile sperm and,in some cases,an increase in the volume of ejaculate by 1-2ml. ..Asian ginseng per day improved sperm count and motility. [Panmineva Med 1996;38: pp.249-54]

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    Sunday, November 29 2009, 04:11 PM - #Permalink
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    THIS REPORT IS VAGUE WHY DONT YOU ASK HIM ONE MORE TEST DONE ALSO HE MIGHT HAVE THE REASONS WHAT THE DOCTORS SAID ABOVE KEEP HIM ON ADDYZOA TWO TABLETS, SPEMAN OR TENTEX FORTE TWO BD WITH PUSHPADHANVA RAS ONE BD
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    Sunday, November 29 2009, 05:14 PM - #Permalink
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    dear doc, ask the patient about the sample how ha has given & how it collected ? ask about the mean while medication if he has taken .
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  • Accepted Answer

    Monday, December 28 2009, 08:02 PM - #Permalink
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    1.chandr prabha vati 2.enerzole of maharishi 3,satavari + konch + pusva dhanva ras jai ayurveda

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