Infertility is the inability of a couple to procreate or bear children after one year of regular unprotected intercourse. Studies have revealed that the rate of infertility has been on the rise late and this is brought about by a wide range of physical and emotional factors. Men are often overlooked when it comes to the issue of infertility. Although men are often not as expressive about the impact of infertility unlike women, husbands contribute just as much to the causes of infertility as their wives. Male infertility is the inability of a man to fertilize a woman’s egg due to problems specially related to the man’s sperm, seminal fluid, or reproductive organs, and quite a number of couples are still expecting today because of the challenges coming from the man. In this report, BOLA AKINBOADE spoke with Dr Efena Efetie of Dove Fertility Centre, Abuja, who gave an overview on this problem plus the way out. Below are some of the causes of infertility.LOW SPERM COUNTS
Low Sperm Count is the commonest cause of infertility in men. Men with low sperm find it difficult to impregnate their wives. A sperm count of less than 20 million/ml is considered low sperm. Azoospermia refers to the complete absence of sperm cells in the ejaculate, and accounts for 10 - 15% of cases of male infertility. Partial obstruction anywhere in the long passages through which sperm pass can reduce sperm counts. Sperm count varies widely over time, and temporary low counts are common. It is caused by infections but a lot of people are also born that way. Some people inherit low sperm count. POOR SPERM MOTILITY (ASTHENOSPERMIA)
Sperm Motility is the sperm's ability to move. If movement is slow, not in a straight line, or both, the sperm have difficulty invading the cervical mucous or penetrating the hard outer shell of the egg. If 60% or more of sperm have normal motility, the sperm is at least average in quality. If less than 40% of sperm are able to move in a straight line, the condition is considered abnormal. Sperm that move sluggishly may have genetic or other defects that render them incapable of fertilizing the egg. Poor sperm motility may be associated with DNA fragmentation and may increase the risk for passing on genetic diseases. ABNORMAL SPERM MORPHOLOGY (TERATOSPERMIA)
Morphology refers to shape and structure. Abnormally shaped sperm cannot fertilize an egg. About 60% of the sperm should be normal in size and shape for adequate fertility. The perfect sperm structure is an oval head and long tail.RETROGRADE EJACULATION
Retrograde ejaculation occurs when the muscles of the bladder wall do not function properly during orgasm and sperm are forced backward into the bladder instead of forward out of the urethra. Retrograde ejaculation is sometimes referred to as a "dry orgasm." Retrograde ejaculation is not life threatening but is one cause of male infertility. Men often notice during masturbation that they do have an orgasm but there is no semen production. Another underlying cause for this phenomenon may be ejaculatory duct obstruction. Sperm quality is often impaired. Retrograde ejaculation can be the consequence of several conditions: Surgery to the lower part of the bladder or prostate (the most common cause of retrograde ejaculation) , Diseases such as diabetes and multiple sclerosis ,Spinal cord injury or surgery ,Medications such as tranquilizers, certain antipsychotic, or blood pressure medications also may cause temporary retrograde ejaculation, ageingTESTICULAR CANCER
Testicular cancer develops in the testicles, a part of the male reproductive system.It is most common among males aged 15–40 years. A man with one remaining testis can lead a normal life, because the remaining testis takes up the burden of testosterone production and will generally have adequate fertility. However, it is worth the (minor) expense of measuring hormone levels before removal of a testicle, and sperm banking may be appropriate for younger men who still plan to have children, since fertility may be lessened by removal of one testicle, and can be severely affected if extensive chemotherapy and/or radiotherapy is done.Less than five percent of those who have testicular cancer will have it again in the remaining testis. A man who loses both testicles will normally have to take hormone supplements (in particular, testosterone, which is created in the testicles), and will be infertile, but can lead an otherwise normal life.SEXUALLY TRANSMITTED DISEASES
Some Sexually Transmitted Diseases (STD) can have serious effects on the reproductive system, especially if they are left untreated. Unfortunately, because many STDs cause only minor symptoms, many infected men do not get the necessary treatment. As a result, a large number of people suffer the effects of STD-induced infertility. The majority of men who are infected with an STD exhibit symptoms soon after infection.
Gonorrhea and Chlamydia are the two most common causes of STD-related infertility.
Such infections can cause scarring and block sperm passage. Human papilloma viruses, the cause of genital warts, may also impair sperm function. Also Epididymitis causes inflammation in the one of the vessels which transports semen from the testicles. Epididymitis can result in the complete blockage of these vessels, causing male infertility.STRUCTURAL ABNORMALITIES
Any structural abnormalities that damage or block the testes, tubes, or other reproductive structures can have a profound effect on fertility. These include:
Cryptorchidism: Cryptorchidism is a condition usually seen in newborn infants in which the testicles fail to descend from the abdomen into the scrotum. Cryptorchidism is associated with mild to severe impairment of sperm production.
Hypospadias: This is a birth defect in which the urinary opening is on the underside of the penis, it can prevent sperm from reaching the cervix if not surgically corrected.
Blockage in the Tubes that Transport Sperm: Some men are born with a blockage in the epididymis or ejaculatory ducts or other problems that later affect fertility. Some men lack the vas deferens, the tube that carries sperm from the testicles out through the penis. Low semen levels in ejaculate may be associated with structural abnormalities in the tubes transporting the sperm. HORMONAL DEFICIENCES
Hypogonadism is the general name for a severe deficiency in gonadotropin-releasing hormone (GnRH), the primary hormone that signals the process leading to the release of testosterone and other important reproductive hormones. Low levels of testosterone from any cause may result in defective sperm production.
Hypogonadism is uncommon and is most often present at the time of birth, usually the result of rare genetic diseases affecting the pituitary gland that may include selective deficiencies of the hormones FSH and LH, Kallman syndrome, or panhypopituitarism, in which the pituitary gland fails to make almost all hormones. It can also develop later in life from brain or pituitary gland tumors or as a result of radiation treatments.VARICOCELE
Varicocele is an abnormally enlarged and twisted (varicose) vein in the spermatic cord that connects to the testicle. Varicoceles are found in about15% of all men and in about 40% of infertile men, although it is not clear how much they affect fertility or by what mechanisms. They can raise testicular temperature, which may have effects on sperm production, movement, and shape.AGE
Age-related sperm changes in men are not abrupt, but are a gradual process. Ageing can adversely affect sperm counts and sperm motility (the sperm's ability to swim quickly and move in a straight line). The genetic quality of sperm declines as a man ages. Semen quantity peaked between the ages of 30 and 35, while overall semen quantity was found to be lowest after age 55. They also found that sperm motility – in other words, how well the sperm swim – was best before age 25 and lowest after age 55. In fact, when comparing the number of “good swimming” sperm in men between the ages 30 to 35 with men over age 55, sperm motility decreased by 54%. Besides low-quality semen, age also affects the genetic quality of male sperm, genetic defects in the sperm increase with age in men, possibly leading to decreased fertility, increased chance of miscarriage and increased risk of some birth defects. STRESS
Physical as well as emotional stress are known to affect the fertility. Stress is like a runaway train that gathers momentum with time. Stress can make men less fertile by its effect on the hormones and reproductive organs. Sperm counts, motility, and structure are altered under stress. Problems such as impotence and difficulties with ejaculation are often caused by the emotional distress in men. Stress can Lead to Infertility – This, in turn can lead to increased stress leading to a vicious circleSMOKING AND DRINKING
There is no doubt that smoking and drinking can lead to infertility. This is because when you smoke and drink, your blood circulation decreases, your sperm count also decreases. Cigarette smoking also affects sperm quality. Also Substance Abuse such as Cocaine or heavy Marijuana use can temporarily reduce the number and quality of sperm. Sperm actually have receptors for certain compounds in marijuana that may impair the sperm's ability to swim and also inhibit their ability to penetrate the egg. Anabolic steroid use can shrink testicles and decrease sperm production. BEING OVERWEIGHT
When you are overweight, which obviously is due to lack of exercise and overfeeding not only causes various heart ailments, but also infertility. Being overweight can lower sperm count.EXPOSURE TO TOXINS AND CHEMICALS
Occupational or other long-term exposure to certain types of toxins and chemicals (such as herbicides and pesticides) may reduce sperm count by either affecting testicular function or altering hormone systems. Chronic exposure to heavy metals such as lead, cadmium, or arsenic may affect sperm quality. MEDICAL CONDITIONS
Medical conditions that can affect male fertility include any severe injury or major surgery, diabetes, HIV, thyroid disease, Cushing syndrome, heart attack, liver or kidney failure, and chronic anemia. Certain types of medications can impair sperm production.
Infections in the Urinary Tract or Genitals; infections that may affect fertility include prostatitis (inflammation in the prostate gland), orchitis (in the testicle), semino-vesculitis (in the glands that produce semen), or urethritis (in the urethra), perhaps by altering sperm motility. Even after successful antibiotic treatment, infections in the testes may leave scar tissue that blocks the epididymis.
Cancer and its treatments; birth rates among cancer survivors are only 40 - 85% of normal rates. Certain cancers, particularly testicular cancer, impair sperm production, often severely. Cancer treatments such as chemotherapy and radiation can damage sperm quality and quantity, causing infertility. The closer radiation treatments are to reproductive organs, the higher the risk for infertility.A DOCTOR VIEW
City People spoke to Dr Efena Efetie of Dove Fertility Centre, Abuja. Dr Efena Efetie is a renowned gynecologist and one of the leading fertility experts in the country. He also gave a very extensive overview on why many men cannot impregnate their wives plus the way out.THE GENERAL FACTORS
There are general factors responsible for men’s inability to impregnate their wives. And these factors affect sperm production, sperm release as well as sperm function. While talking generally, it is good to mention that there are elements of chance that there that the man will impregnate his wife each month. The chance for normal fertile couple is one in 6. So there maybe nothing wrong if the man is not able to impregnate his wife except if it’s over a long time. The other factors are the timing and frequency of intercourse; maybe he is not meeting the wife at the right time. Because of ovulation, the woman is more receptive to receive than a man. So the timing may not be at the right time, that is, meeting her at the wrong time of menstrual cycle.
The other reason is frequency of intercourse, maybe they are not meeting adequately. These 2 factors are quite important because ovulation occurs just once in a month and if they don’t catch the egg at the right time, that is it.LIFESTYLE FACTORS
Other reasons are lifestyle factors, like smoking, moderate and heavy alcohol consumption, because all these have negative effects on sperm and egg quality and affects fertility in general. Nicotine in Alcohol is not too good to the sperms and eggs.
Other lifestyle factors are being overweight and obesity; this may affect man’s ability to impregnate the wife, because they are more likely to have high blood pressure and diabetes.MEDICAL PROBLEMS
This is different from lifestyle. These include; High blood pressure, diabetes, thyroid disease. These affect the men either through the disease or through the medication.
Testicular infection can be a reason why men cannot impregnate their wives.
If he has viral infection like mumps, this will cause Orthipis, and this could destroy the sperm ducts that produce sperm in the testes.
If it is a bacteria, that can cause blockage of the main ducts, van deferens, and epididymis, then sperm will not be able to come out.
Then another class is surgical operation especially if they were done in childhood to correct hernias, or descended testes or torsion of the testes. These operations are okay but if they were done by inexperience or in the wrong hands, complication will arise and blood supplied to the tests will be compromised and the men will have very low sperm count or none.
Effect on some medication for men, e.g medication to treat blood pressure like ACE Inhibitors and others. There are other medications like extensive use of NSABS, it’s a group of drug for pain and arthritis, and can effect sperm count and function. Drug abuse that is use of anabolic steroids, abuse of marijuanaSPECIFIC PROBLEMS
This can be rated in terms of production, sperm release and sperm function
Production: any illness that causes severe prolong fever, and it is prolonged will affect production. Exposure to toxic substance or chemicals, as well as environment pollution, also affect sperm production. Exposure to recreational such as body building will affect sperm production.
Chromosomal disorder, that if a man has XYZ chromosomal abnormalities, you are very likely to have very little sperm or none at all. They are just born like that.
Sperm release: the number one problem that causes release of sperm is infection and the common ones are Gonorrhea, Syphilis, Chlamydia, anaerobic bacteria. It causes blockage of the block, so the tube that are suppose to carry the sperm and release into vagina are blocked.
The other reasons are that when some undergo operation around their groin, they can have complication either testicular or scrotum. If there is complication and they are infected, they can have blockage of duct and problem with sperm release
Sperm function: infection and lifestyle affects sperm function.WAY OUT
• Seek help from your gynecologist
• The treatment is directed to the cause, for simple things like lifestyle, you just need to adjust the negative lifestyle in terms of alcohol, tobacco. You reduce their consumption.
• If it’s a medical problem like high blood pressure, diabetes, you may just need to stabilize the high blood pressure and sugar level. Adjusting your medication to address this issue.
• if its infection, treat with appropriate antibiotics
• If its sperm function, there is some treatment that men can get to help the movement or the abnormal shape; there are some treatments in terms of drugs that will help the morphology apart from count.
• Some men who has low sperm count , they may not be able to impregnate their wives, that is when assisted conception comes in, that is, intra uterine insemination
• And in very severe abnormalities, the best treatment is IVF.
MEDNERD USA | 11/19/2010 10:51:50 AM
For anywhere in Africa, this Doctor must be very good. I was watching if he would mention the condition called VARICOCELE and he did. This troublesome condition is very tricky. Few men may be born with large blood vessels around the sperm producing tissues which is a disadvantage. Due to such large vessels, sperms that already produced feel more of body temprature through their neighbour vessels and blood supplies. The big issue is sperm have a very small marging range of temperature changes which they can only tolerate. Too high or too low, the sperms will die or go enabled.
GOOD NEWS: As troublesome as Varicocele is, in men, problem can be solved. It's surgical correction is simple and inexpensive compared to other surgery of reproductive areas. For men who are not burn with it, activities may be the causes.
Men with profession that required sitting all the time, like TAXI and TRUCK Drivers MUST not wear too tight under pants and tight trousers. They need oversized under briefs and baggy trousers. Let me say even men without the condition may still have their sperms efficiency affected if they wear such tight clothing all the time.
While fequent sex may not promote varicocele, Men who masturbate too frequently in the absence of their wives should either tame it down or abstain totally from such habits since some technique of masturbation that are enabled with hands may enlarge muscles and blood vessels when frequently practiced. Frequent here means more than once a week to everyday. However, the factor of masturbation takes years to kick in, but for men who had started to masturbate too frequently in their teen years may ad on Varicocele as a factor by the time they are over 35 years of age, and when that is added to the natural factor of aging in sperm production, things may go wacky.
Finally, men who want to eliminate varicocele as one reason out in vertility diagnosis should keep to moderate or short exercise; they should definitely stay away from the areas of bodybuilding and weight lifting.
DEEP, this doctor is deep and knowledgeable, and with the right Clinic setup and medical equipments, he should well be the best Fertility Doctor in Africa..... Good Job. Reply this thread
Dr. Jolly Dallas | 11/19/2010 11:13:09 AM
Good job Mednerd. I'm really surprised that they have such knowledgeable Fertility Doctor in Nigeria. He's uptodate, I mean, Our Medical Journals & Comferences are only a slight pace ahead of him. Such doctors are the kind of investments the Nigerian Government should be making when it comes to spending since Fertility treatment are expensive for couples even in advanced countries.
Let me ad that as you said, surgical proceedures are simple in Varicocele treatment. The caution is that surgeons should always look into the amount of fats in the whole Testicule region. If excess fats can be scraped out, there may not even be the need to deal with reduction of those blood vessels. This is because fats are too efficeint in transmitting temperature by storage and release. Fats think they are there to do that while it's an adverse effect. If the cure is attained by removal of excess fats in the testical region, then patient needed to be educated about fat intake in terms of diet to prevent post surgical reoccurence. I think you've touched the most important area of additional contribution.... This is exciting. Reply this thread
OY | 11/19/2010 11:35:29 AM
@Mednerd and Dr Jolly, is there any other treatment for varicocele asides surgical treatment? Reply this thread
Dr. Jolly Dallas | 11/21/2010 7:37:54 PM |
Oy, Yes as prescribed by a blood vessels directed to a particular, that would be inform of an injection. Because of the fragillity of Testicule ares, this druct are still in the experimental stage.
lineline uche | 11/19/2010 5:39:59 PM
please talk about women and infertility and give some congrate solutions, because women are more affected than men. In any couple, even if it is the man, they will only say it is the women who is infertile.
so please give solutions and the kind of doctors to contact to women, and as u do so God is shawering you with his above blessings. Reply this thread
Akins4rl | 5/1/2013 3:02:35 AM |
My name is Ak i am in my l8t 30s i av sex wit my wife in her ovulation time i ejaculate bt she did nt, pls can she pregnan?t
Donor | 7/6/2013 11:00:20 AM |
DO sex with your wife after her 7th day of mencize till 15th day of mencize
in case problem chat at 3sumguyfrcouple at g m ai l
Platinum | 11/19/2010 6:25:11 PM
I did not know that we have such learned people in the house,and doctors too. Reply this thread
bb | 11/19/2010 6:28:25 PM
@Doctor pls what is the best drugs for infection....mean the best antibiotics
for it? Reply this thread
Mednerd USA | 11/21/2010 7:41:20 PM |
bb, What kind of infection, and what's the sympton or symptons? Most diseases are caused by infections, so we must have got thousands of infection types.
bb | 11/22/2010 5:45:27 PM |
hv some rashes and i hv use some infection drugs...steal no cure...pls what else can i do?
Mednerd Usa | 11/23/2010 9:12:02 PM |
Rashes that won't go away despite drug application may be due to skin Herpes .... it's a type of Sexual transmitted problem. It requires their specific medicine. Remember herpes rashes are the same coplex type "B" that appears as cold sore around the lips, only on the skin, they have rooms and space to spread.
First, stay away from spending too much time under direct Flourescent light or any Ultraviolent light, such may promote Skin Bacteria multiplication at a faster rate than curing.
It happens Nigeria is a country blessed with some great local medicines people are unaware of.
1. Try and find out what a penicillin producing mushrooms are, ask zoologists in your area, or from herbal market place. Grind this with some green onion leaves, and apply to area for about five nights. It should bring the itching down after the first night and the rash should start to dry out in the 5 to 6 days after.
2. Take a bath with epson salt dissolved in warm water, dry area, clean area with Hyrogen peroxide, after dying, rub with shea butter (ORI in yoruba). 2 to 3 repitition should do it.
3. During the above treatment, adhere to vitamin D in capsule or in Food like fresh cowmilk and other Dairy Foods.Drink plenty of water to promote frequent urination.
4. At worst, get Anti-Herpes Antibiotics from the drug store or a Doctor. If it's available in Nigeria, get Camphophenic ointment, they are never more than $2.00-$3.00.
This is NOT the kind of problems you take to a prayer house while it spreads ..... Don't fast .... Fasting makes skin itching of any type worse. You definitely will get a cure between 1 or 2 or combination of 2 of the above treatment.
bb | 11/24/2010 8:48:02 PM |
thank u very much for the help may God continue to bless u.i have never see kind hearted Doctor like u...keep ur good work up....pls can i have ur email Address?
Opia | 11/19/2010 6:53:19 PM
What a brilliant information by a knowledgeable doctor. thanks for educating us we appreciate it.
What a brilliant Reply this thread
Ateji Kayode | 11/20/2010 2:47:47 AM
You have said it all. Nothing more Reply this thread
prinsca | 11/21/2010 1:26:49 AM
what is that, p***s or giant p***s it looks nice, how are wish all men have that size it would have been better. Reply this thread
prinsca | 11/21/2010 1:27:18 AM
what is that, p***s or giant p***s it looks nice, how are wish all men have that size it would have been better. Reply this thread
prinsca | 11/21/2010 1:31:58 AM
waao, what is that, p***s or giant p***s it looks nice, how i wish lots of men have that it would have been better, but few, what a failure. Reply this thread
Sweetbrother | 11/22/2010 4:54:43 PM |
Hi Prinsca, my p***s is very much bigger than what you are seeing in the pix.The bad news is that I'm married.I made a marital vow to my wife three years ago to always be faithful to her.
Mckay | 12/2/2010 9:54:23 PM
Pls kindly assist in advising me cos i am truly scared that o might not father a child..... Every tiime i ejaculate my sperm comes out with large portion of blood tinking it was an infection i have spent so much even as a bricklayer all to no avail.... D last test i ran i was told dat i had no live sperm ... It was only today i was told dat it is varicocele and dat i nid to undago sugery....... I tell d dr. Say make him no tink am dat only recently i watched my mum died bcos of d careless of a Dr. How do i solve dis problem without goin for surgery and can my sperm count go back to normal living sperm and how do i go abt it........pls help a dying man. Reply this thread
Beejay | 3/4/2011 7:42:03 AM
Please someone should help me out, i am having serious infertility issue,
1. Some years back i contacted staph which to the best of knowledge was treated wih drugs and herbs till i feel the symptoms no more
2. few years later i developed high BP and Peptic ulcer which i can`t really trace the source, a doctor recommeded a drug calle Antenolol, Aspirin etc to me which i was taken. I took these drugs for along time with no effect on the BP, though reading the drug leaflet indicates that the drug can cause sterility/infertility and even impotence, but i dont have choice thn as the effect of the BP was so severe on me. i wat back to the doc who later apologise that he though i have given birth to children, reason for prescribibg the drug o me.
3. recently test conducted shows that i am Azospermia, Low testostorone level.
4. Now i can touch rough swell on the sperm duct on my two testicles.
Now i am 40 years old please what can i do to boost my chances of being a father. Reply this thread
Sani dahiru. | 4/12/2013 10:45:14 PM |
I have read your aparm problem, bp etc, which your are troubling with, i will help you with prayer!
Kgomotso | 6/19/2011 12:00:10 AM
Wat can i do 2 get my period every month,plz help,i wnt a child one day? Reply this thread
S.D | 4/12/2013 11:00:59 PM |
Keept praying everything is with god.
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samuel olateju | 2/1/2012 2:33:46 PM
why do some boys masturbate and can they impregnate a lady Reply this thread
Mike | 3/6/2012 10:12:31 AM
Got married last October,and since then i have not been able to impregnate my wife.Someone tells me that someone living with staph infection will be unable to impregnate a woman.What do i do now? Reply this thread
Sam | 3/9/2012 11:26:39 PM
Does mastubation cause infertility in man. Reply this thread
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Daniel | 5/10/2012 2:43:27 PM
Thank God i found this site,pls am a nigeria and i suffering from low testosterone level,pls i need an ative testosterone supplement prescription that i can get in nigeria,the name can be sent to my email which is firstname.lastname@example.org pls i need your help thanks for your responce. Reply this thread
Alli Rahman | 6/21/2012 4:23:59 AM
trying to make my partner pregnant for 8yrs after visiting all hospitals, all to no avail. I was recently diagnosed of varicocele and that sugery is the way out. Is there any other way to correct this than surgery? I do not have all the signs and synptom people complains about varicoceles. The volume of the sperm count is ok, but 80% of it died instantly. Need advice pls. Reply this thread
Doug | 9/15/2012 1:38:55 PM
How will i treat this chronic lead exposure on my body? Reply this thread
LAMI | 11/1/2012 7:33:23 AM
My husband is HIV positive and I am negative. We want to have child. PLS WHAT DO I DO TO STILL STAY NEGATIVE? Reply this thread
Sani dahiru | 4/12/2013 10:57:06 PM |
Safiyanu mu'azu | 1/17/2013 7:31:05 AM
What are solution to the premature ejaculation? Reply this thread
JOSEPH NOPHAS | 6/3/2013 9:34:57 PM |
The only thing i can inspire you is to take a full breath in before reaching orgasm this helps you to exprience long orgasm.
Mary | 2/12/2013 3:09:32 AM
My husband is B - Positive and am also B-Positive. can we make babies with the same blood group. Reply this thread
Beauty | 4/7/2013 2:28:43 AM
Dr pls since my husband is diabetic and does not have organism how can we now make babies pls help thax Reply this thread
chris | 4/22/2013 8:27:43 AM
pls sir i can not releases sperm while having sex,pls help out Reply this thread
Jim | 5/11/2013 7:25:25 AM
Pls sir help out for 4yrs now i cannot impregnate my wife due to azoospermia and my wife is losing out of patience. Pls i to father my a child. Reply this thread
anonymous | 5/12/2013 3:35:41 PM
Hi my bf and I r trying to have a child but the problem he smoke not regular but he does and I don't know wat to do .. Reply this thread
do smoking prevent pregnacy | 3/5/2014 12:12:23 AM |
sale bala | 6/4/2013 3:58:57 PM
dr.i have these problems.i always have itching in my privaye part and whenever i bath my body wil be also itchinng me everywhere in mybody til i robe vasiline or i wear my clothe and also when i sleep in the night my body will be veryweak and its alway diffficult for me to wakeup nextday please tell me the problem. Reply this thread
Jennifer | 7/17/2013 6:42:53 PM
Hi Mt fiancé has stage 4 prostate cancer. Us it possible for me to get pregnant? Reply this thread
adebayo | 7/19/2013 12:41:06 PM
pls doctor am d only my dad and mum have and i can ntt inpregnat wife please when i release no egg in the sperm please waterysperm what to use Reply this thread
Nancy | 7/24/2013 6:15:22 PM
My husband have been suffering for scrotrum & low sperm. Reply this thread
racchy girl | 9/13/2013 10:21:24 AM
Pls there is a blood in my husband semen,and we have went to hospital Fř????? treatment,i dont no if i canstill pregnant with dis blood in his semen.we need a ?????y seriously pls i need a reply fast. Reply this thread
lukhona | 9/20/2013 7:24:32 PM
can i make my wife pregnant if i have drop(weak one) Reply this thread
Ola | 10/27/2013 1:34:34 PM
What do i need to do to get rid of dis bloody semen, nd wat to do to boast my sperm count Reply this thread
Olatunji | 10/28/2013 9:36:37 AM
Does it mean a low sperm count person cannt inpregnate any other lady apart from his wife. Reply this thread
Summy s | 11/2/2013 7:05:53 AM
Hi Doc! Why is it that anytime i had sex with my wife & ejaculation take place we always notice semen coming out of her prvt part in large volume? Is that y she can't concieve. Though concieved once. Reply this thread
olaferanmi | 11/16/2013 4:12:22 PM
hi please kindly help me out, i got marry for almost 9 month now but unable to impregnate my wife, initially i do find it difficult to release spam, though i do masturbate before,though i do have pains at the tip of my man organ like pep-perish things, but have gone to th hospital to do some medical test like MCS ( of urine test) if i got in infection but it read not yeald to growth, i did sperm count test(seminal spam fluid test) 80% life, while 20% dead please what do i do i beg for your help am confused .people have been seen me & my wife as an infertile couple please help me out of this issues Reply this thread
Alfred | 12/4/2013 9:06:20 PM
Pls,is there any hope of impregnanting a woman after varicoceles surgery? Reply this thread
judith | 12/15/2013 5:05:06 PM
I married to my wife since april dis year.no issue of pregnancy.so i need drugs that i can take to get her pregnant.and drug that can still cleans my system if any thing like infection.pls Dr. Help me. Reply this thread
daboy young | 12/26/2013 2:23:08 AM
where and how can one contact this doctor Reply this thread
steeve paul | 12/30/2013 6:06:25 AM
Pls dr,I have impregranate my wife some month after our wedding but the pregnance came down,now I found it difficuilt to impregnate her again I was dignose to be oligospermia how possible is this having impregnate my wife before and even try other lady outside and I impregnate her too but I found out that each time I have sex with my wife the sperm will come out which is not soo with other lady outside kindly help out Reply this thread
dave | 12/30/2013 9:58:47 PM
I have some painless growth on my p***s, what can I do doctor Reply this thread
dave | 12/30/2013 10:18:23 PM
I have some painless growth on my p***s, what can I do doctor Reply this thread
zaif | 1/24/2014 5:57:21 PM
I can't able to impregnate my wife since long bcoz of low sperm motility percentage.Suggest me how can i enhence my motility %age upto 60%. Reply this thread
candy | 4/10/2014 12:17:28 PM
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ade bb | 4/16/2014 9:49:12 AM
Can too much masturbation cause infertility in men Reply this thread