Hi, my concern is I had done my semen analysis report with total count 14 mili/ml and 40 % motility (progressive - 35% and non progressive 5%), after 5 months later I had repeat my semen analysis test report shows total count - 10 mili/ml and 25% motility (progressive motility - 15% and non progressive motility-10%). Why total sperm count and motility decreased? Please advised the treatment.

Dr. M S HaqueSexologist39yrs exp

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Lifestyle factors: habits such as smoking, excessive alcohol consumption, and drug use can negatively impact sperm quality. If there have been changes in your lifestyle, addressing these factors may be beneficial. Health conditions: certain health conditions, such as infections, hormonal imbalances, or varicocele (enlarged veins in the testicles), can affect sperm production and motility. Medications or treatments: some medications or medical treatments can impact sperm quality. If you've started or stopped any medications since your first semen analysis, discuss this with your healthcare provider. Temperature exposure: exposure to high temperatures, such as hot baths or saunas, can affect sperm production. Avoiding excessive heat to the genital area may be helpful. Nutritional factors: a balanced diet with essential nutrients, vitamins, and minerals is crucial for reproductive health. Nutritional deficiencies may influence sperm parameters. Regards Dr. Ms. haque.  

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