Sir, I am suffering from azoospermia .i have also problem in erection and pme .i have left with no desire of intercourse ?i am married for four years but have no baby?my all hormone tests are ok?every semen report show 2 or 3 million sperm count?i have no varicocele?even doctor say that this is unidentified reason for your problem of low sperm and erection?i have used many drugs including allopath, ayurved and homeopath but all in vein ?what to do? please help at least I want my erection back.

Dr. M S HaqueSexologist39yrs exp

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Consult with a specialist: Consider seeing a urologist or an andrologist who specializes in male reproductive health and sexual dysfunction. They can conduct a thorough evaluation, including a detailed medical history, physical examination, and additional tests if necessary, to identify any underlying causes contributing to your condition. Consider psychological factors: Psychological factors such as stress, anxiety, depression, and relationship issues can contribute to ED, PME, and a decreased desire for intercourse. A mental health professional, such as a therapist or counselor, can help address any psychological barriers and provide support. Explore advanced treatments: In cases of azoospermia where sperm production is severely impaired or absent, advanced reproductive techniques such as testicular sperm extraction (TESE) or microdissection TESE (micro-TESE) may be considered to retrieve sperm directly from the testes for use in assisted reproductive technologies like in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI). Address lifestyle factors: Certain lifestyle factors such as smoking, excessive alcohol consumption, poor diet, lack of exercise, and stress can contribute to ED, PME, and infertility. Making positive lifestyle changes, such as adopting a healthy diet, exercising regularly, getting adequate sleep, and practicing stress management techniques, can improve overall health and potentially alleviate some of your symptoms. Seek support: Dealing with fertility issues and sexual dysfunction can be emotionally challenging. It's essential to have a support system in place, whether it's your partner, family members, friends, or support groups for individuals coping with similar issues. REGARDS DR MS HAQUE  

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