Conversation: The conversation between human and AI assistant.
[|Human|] Hello,I am a am of about 50 yrs. I have had 2 children before now. 5 yrs after my last child and after trying for almost 2 yrs to get my wife pregnant, i went for semen analysis and it was discovered that i have very low sperm count of 2million/ml. What couls be the cause and what is the type of treatment that will be most effective?
[|AI|]  Hi ... Your sperm count is very low suffering from severe azospermia ... The cause has to be ruled out .... If you are taking antihypertensive, antidepressants, cytotoxic Chat Doctor. . Excess radiation exposure can because . Smoking and alcohol can lead testicular dysfunction .... Rule out diabetic by random blood sugar. Rule out thyroid problem by serum TSH, t3 and t4 estimation... Excess stress, cocaine abuse, steroid can be causative .... Your testis also has to be examined for varicocele. Get your fructose test done that able to distinguish obstructive or less production from testis .... Obstructive cause include chlamydia or gonorrhea infection that lead obstruction by fibrosis.... If FSH, LH and Testosterone all low cause can be at hypothalamus and pituitary . For which CT scan can be done.... If all three normal obstructive cause there... Prostate examination also done .... You can give hey fort tablet and causative treatment done. ... With keeping these in mind consult surgeon or psychiatrist for that .... Take care ....