Concluded Case

infertility

Male pt 28 c/o ( infertility ) Semen analysis --- count 50 million Active -- 40 % Dead ----50 % Sluggish ---10 % Plz suggest treatment?????

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infertility dueto change in life style

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Sperm count less than normal. Dead and sluggish sperms are 60% Rule out urogenital infection ( gonococcal, chlamydial , ) Varicocele Unhealthy life style , lack of exercise, junk food consumption, obesity . Prolonged use of laptop Tight underclothing History of epidydymo orchitis, mumps orchitis Hypogonadism Kartagener syndrome Investigations and treatment

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Sperm count less than 50%, Oligospermia Check other causative agents CBC, TFT, Urine r/m, USG Scrotum with pelvis for any deformity. Then start Levocarnitine 500 bd

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NEED'S.. HEMOGRAM.. URINE ROUTINE.. VDRL.. TRIDOT.. USG STUDY SCROTUM..TESTES..

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Normal semen parameters. No treatment.

As pet WH0.. chapter 5.. Count.. aboveI5% Motility... above 25% at 2hrs Normal forms.. above 14%... are considered normal.
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ADVISABLE.. RULE. OUT CHRONIC. INFECTION AND CHANGE. IN. LIFE. STYLE

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infertility dueto change in life style

Advice SHARBATE ANJBAR 30 ml BD for 1 months. SHAHI 5gram BD with milk for 1 month MAJON DABIDULWARD 10 gram BD for 1 month

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