Conversation: The conversation between human and AI assistant.
[|Human|] hi i used to masturbate from along time but recently i feel some tenderness in the loin or in the pubic region . and some times i feel some itching in the scrotum l feel some thing like that hair is pinning and in the loin too . from few day i feel sever pain occure suddenly in the right region of the loin as rupture of vessels . i always feel the tenderness in the right region of the loin the sperm count become low today i have musterbated and the sperm count was so low so i need to know wats the problem here or how i can manage my case
[|AI|]  Hi. First the pain in the loin region is suggestive of the urinary tract infection may be with symptoms of obstruction. You need an urgent Ultrasonography. It is difficult to relate low sperm count ; the possible reason being the infection of the urinary tract giving a blockage of the ducts of seminal vesicles (which stores the sperms). The one way to diagnose this is manual per-rectal examination done by a Surgeon (very much diagnostic). An MRI is he best investigation to diagnose further, to get the guideline for further management.