Get CBC, Semen analysis, ESR done. Diet and Nutrition 1. Balanced diet: Focus on whole, unprocessed foods like fruits, vegetables, whole grains, lean proteins, and healthy fats. 2. Foods rich in antioxidants: Include foods high in antioxidants like berries, leafy greens, and nuts to help reduce oxidative stress. 3. Omega-3 fatty acids: Find omega-3 rich foods like fatty fish, flaxseeds, and walnuts to support heart health. Exercise and Physical Activites 1. Regular exercise: Engage in moderate-intensity exercise, like brisk walking, cycling, or swimming, for at least 30 minutes a day. 2. Pelvic floor exercises: Practice Kegel exercises to strengthen pelvic floor muscles. Follow this lifestyle to have healthy sexual health. Stress Management 1. Mindfulness and relaxation: Try techniques like meditation, deep breathing, or yoga to reduce stress and anxiety. 2. Get enough sleep: Aim for 7-8 hours of sleep per night to help regulate hormones and reduce stress. 3. Practise yogasan: Molband, setu bandhasan, chakrasan, veer bhadrasan, halasan, gomukhasan. Other Lifestyle changes 1. Quit smoking 2. Limit alcohol consumption 3. Maintain a healthy weight 💊Medication💊 Cap. Boostex Forte 2 caps twice a day before food. Tab. Kapikachu Ghana Vati 2 tabs twice a day before food. Tab. Makardwaj ras 2 tabs twice a day before food. Shilajit Gold gum 1 small spoon (the one that comes in the pack) with one cup of hot milk early in the morning. Shwet Musli Pak 1 tsp with a cup of hot cow milk in the morning
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1000+ verified doctorsWhat tests should a 45-year-old man with low libido, no sperm count, and erectile dysfunction get before marriage? - #52981
What are the tests to be made by a male lean personality, aged around 45, 56 kgs., before going for marriage. Feeling low libido, no sperm count, having premature ejaculation and Erectile dysfunction for building a good personality (body mass index) and to have a happy married life, before going for marriage.
How long have you been experiencing low libido and erectile dysfunction?:
- More than 1 yearHave you noticed any changes in your weight or appetite recently?:
- No changesDo you have any other symptoms such as fatigue, stress, or mood changes?:
- Yes, mild stress or mood changesHave you had any previous medical conditions or surgeries related to sexual health?:
- No, nothing relevantWhat is your current lifestyle like in terms of diet and exercise?:
- Poor diet and little exerciseHave you tried any treatments or supplements for your symptoms before?:
- No, this is the first time seeking helpIs there a family history of sexual health issues or hormonal imbalances?:
- No known historyDoctors' responses
before marriage, do these basic tests tests semen analysis (most important) blood sugar (FBS / HbA1c) testosterone level thyroid (TSH) liver function (LFT) Vitamin D & B12 ayurvedic support (for libido + strength) ashwagandha 1tab 2times after food shilajit 1tab 2times after food Kaunch Beej 1tab 2times after food gokshura 1tab 2times after food diet milk + soaked almonds ghee, dates avoid junk, alcohol
At 45, with low libido, erectile dysfunction, premature ejaculation, and absent sperm count, a full evaluation is important before marriage to identify underlying causes and guide treatment. Start with hormonal and reproductive tests: total and free testosterone, FSH, LH, prolactin, estradiol, and TSH to check thyroid function. For fertility, do a semen analysis (at least two tests on different days). Include blood sugar, lipid profile, and liver/kidney function tests, as metabolic health affects sexual function. If needed, ultrasound of testes and scrotum or pituitary MRI can be done to rule out structural or glandular causes. Lifestyle optimization is essential: balanced protein-rich diet, regular exercise to improve muscle mass and BMI, stress management, and proper sleep. Ayurvedic support with Ashwagandha ½–1 tsp with warm milk twice daily and Shilajit 250 mg once daily can help improve strength, stamina, and hormonal balance. With these investigations and lifestyle modifications, underlying causes can be addressed, and sexual and reproductive health can improve, supporting a healthy married life.
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