Testicular Atorphy small testicles treatment - #30279
Im 34 i have maturity arrest in teenage i have married few years ago i face testicular growth arrest. Due to this i have zero sperm production and zero semen. I also face anejaculation. My morning erection are zero. From my childhood i never noticed my semen libido. I also suffer from fatigue all the time and I have gut problem due to constipation. I also can't wait more time when I want to go washroom Please advise medicine
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Doctors’ responses
HELLO HUSSAIN,
-Small testicles since teenage (maturity arrest-> growth stopped early) -zero pserm and semen (azoospermia, aspermia) -No ejaculation, no morning erection, low libido -fatigue and poor digestion - constipation , weak gut, urgency for urination/defecation)
In modern terms This points towards a hormonal problem where your testes (or pituitary gland that controls them) didn’t produce enough testosterone and dint mature properly, That’s why you never developed strong libido, semen production or normal erections
In Ayurveda terms -Your shukra dhatu (reproductive tissue) is underdeveloped/depleted -vata dosha is aggravated causing constipation, anejaculation, nervous weakness -Digestive fire is weak -> food isn’t nourishing the dhatus leading to fatigue -This condition is described as beeja- Shakti dushti and shukra dhatu kshaya
INTERNALLY STAR TWITH
1) ASHWAGANDHA CHURNA= 1 tsp with warm milk at night =rasayana, balance vata, improves strength, erections, and sleep
2) KAUNCH BEEJ CHURNA= 1 tsp with milk twice edialy =improves sperm production, increases testosterone, libido, ejaculation reflex
3)SHILAJIT (purified)= 500 mg with milk once daily in morning =resotres energy, improve stamina , supports urinary system, rasyaana
4) GOKSHURA EXTRACT= 3 gm twice daily with water =improves urinary health, semen quality, supports reproductive organs
5) SAFED MUSLI CHURNA= 5 gm with warm milk once daily =excellen aphrodisac , nourishes dhatus, boosts stamina
EXTERNAL THERAPY
1)WARM OIL MASSAGE-FOCUSED PELVIC MASSAGE- WITH SHATAVARI TAILA OR ASHWAGANDHABALA TAILA AREA- LOWER BACK,ABDOMEN,INNER THIGHS, AND GROIN AREA TIME- DAILY OR 3-4TIMES/WEEK DURATION- 15-20 MIN -ALWAYS WARM THE OIL BEFORE USE -USE GENTLE CIRCULAR STROKES OVER LOWER ABDOMEN AND GROIN -FINISH WITH A WARM TOWEL WIPE OR LUKEWARM SHOWER
2)LOCALISED HERBAL STEAM THERAPY -APPLIED AFTER OIL MASSAGE -HELPS IN VASODILATION-OPENS BLOOD VESSELS AND ENHANCES ERECTION -VERY USEFUL. IN NERVE RELATED ED OR WEAK SENSITIVITY -TAKE A BIG VESEEL OF HOT WATER WITH HERBS LIKE DASHMOOL,TRIPHALA,VACHA -COVER THE LOWER BODY WITH A CLOTH, LET THE HERBAL STEAM PASS ON THIGHS, LOWER ABDOMEN,BUTTOCKS DURATION= 10-12 MIN
3)SHUKRA TAILA- TAKE 2-3 DROPS AND APPLY OVER THE SHAFT OF PENIS(NO GLANS), GENTLY MASSAGE FOR 5 MIN BEFORE BED
4)SESAME OIL WITH CAMPHOR- WARM MIX 2 DROPS OF CAMPHOR OIL, APPLY ONLY ON SHAFT,MASSAGE LIGTLY=DAILY
NOTE- USE HIGH QUALITY CERTIFIED AYURVEDIC BRANDS LIKE DOOTPAPESHWAR, BAIDYANATH, UNJHA OR DIVYA PHARMACY PRODUCTS ONLY
#SEMEN-NOURISHING DIET-VERY IMPORTANT EAT THESE DAILY - COW’S GHEE , MILK WITH DRY DATES OR CARDAMOM -WHITE ONION JUICE OR GARLIC MILK AT NIGHT -BLACK SESAME SEEDS, PUMPKIN SEEDS, SOAKED ALMONDS -BOILED EGG , BANANA, AVOCADO, FIGS, DATES -HERBAL TEA OF SAFED MUSLI+GOKSHURA+ASHWAGANDHA
#STRICTLY AVOID -FRIED, SOUR, OVER SPICY FOOD -EXCESS TEA, COFFEE, COLD DRINKS -SMOKING, ALCOHOL,PORN USE,FREQUENT MASTURBATION -LATE NIGHT FOOD OR MOBILE PHONE USE AT NIGHT
NOW COMES THE MOST IMPORTANT PART TO FOLLOW
1)KEGEL EXERCISES(MOOLA BANDHA IN YOGA) PURPOSE- STRENGTHEN PELVIC FLOOR MUSCLES THAT SUPPORT ERECTION AND SEMEN CONTROL
HOW TO DO- -SIT/LIE DOWN AND TIGTHEN THE MUSCLES YOU USE TO STOP URINE MID STREAM -HOLD FOR 5-10 SECONDS, THEN RELEASE -REPEAT 15-20 TIMES, 3 SETS DAILY-MORNING,AFTERNOON,NIGHT
ADVANCED- TRY KEGEL CONTRACTIONS SURING AROUSAL , FOREPLAY, OR URINATION CONTROL TO STRENGTHEN EJACULATION DELAY
2)PELVIC THRUST EXERCISE(BRIDGE POSE) -LIE ON BACK, BEND KNEES, FEET FLAT -RAISE HIPS UPWARDS WHILE SQUEEZING BUTTOCKS AND HOLDING CORE -HOLD FOR 10 SECONDS AND RELEASE -DO 15 REPS*3 SETS
3)YOGA ASANA FOR SEXUAL STRENGTH -BHUJANGASANA=BOOSTS PELVIC CIRCULATION -PASCHIMITTANASANA= INCREASES SEMEN QUALITY -VAJRASANA AFTER MEALS= IMPROVES DIGESTION AND SHUKRA DHATU -ASHWINI MUDRA(ANAL LOCK)=CONTROLS PREMATURE EJACULATION
#PRANAYAM-DO 10-15 MIN DAILY -ANULOM VILOM- NERVE BALANCING -BHRAMARI- CALMS MIND, REDUCES OVER EXCITEMENT -UDGEETH- CONFIDENCE+OJAS BOOSTING
#EMOTIONAL AND MENTAL BALANCE WHAT YOU MAY BE FACING- -FEAR OF DISAPPOINTING PARTNER -GUILT OVER PAST FAILED EXPERIENCES -OVERDEPENDENCE ON PORN/ARTIFICIAL TRIGGERS -TIREDNESS FROM LACK OF SLEEP/DIET
WHAT TO DO -ACCEPT IT- SEXUAL WEAKNESS IS REVERSIBLE , DONT PANIC -TALK- EMOTIONAL INTIMACY>PHYSICAL PERFORMANCE -ENJOY SLOW FOREPLAY-DON’T RUSH -PRACTICE BRAHMACHARYA-BASED DETOX- 10-15 DAYS ABSTINENCE(NO SEXUAL ACT, NO MASTURBATION,NO AROUSAL), THEN SLOW RETURN -SLEEP MINIMUM 7 HORS DAILY AT NIGHT -AVOID PORN, OVER MASTURBATION STRICTLY
FINAL ADVICE -START THIS PROTOCOL FOR 8-12 WEEKS AND SEE VISIBLE IMPROVEMENT IN 1 WEEK -AVOID PERFORMANCE STRESS -STAY NATURAL,GROUNDED, AND COMMITTED TO HEALING.
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
hello hussain ,
I understand your concerns, and it sounds like you’ve been dealing with this for a long time. First, I want to acknowledge that your experience is real and it’s okay to seek help you’re not alone in this. From what you describe, there are several things happening: testicular growth arrest, zero sperm production, anejaculation, low libido, fatigue, and constipation. These issues point to both reproductive and digestive imbalances, which Ayurveda can help manage by supporting hormonal health, improving digestive strength, and restoring overall vitality.
Before starting treatment, it’s important to understand your bowel patterns, appetite, sleep, and stress levels, as these will guide the choice of medicines and therapies. Once these are evaluated, a structured Ayurvedic plan can be implemented.
Treatment plan : 1. Ama Pachana (digestive cleansing) – first 3–5 days Triphala Churna – 3 g with warm water at night before sleep Purpose: Clears accumulated toxins, improves bowel motility, and strengthens digestion
2. Internal medicines (after Ama Pachana) – 20–30 days course Ashwagandha Churna – 5 g at night with warm milk Shilajit – 250–500 mg with warm water in morning Kapikacchu Churna (Mucuna pruriens) – 3 g twice daily with warm water Gokshura Churna – 3 g twice daily with warm water after meals Purpose: Improves testosterone levels, libido, sperm production, and overall stamina
3. External therapies (optional but supportive) Abhyanga (oil massage) – with Ksheerabala Tailam to support vitality and circulation Basti or Uttarbasti – as per practitioner guidance, to support reproductive organ nourishment
4. Diet & lifestyle Include warm, cooked, high-protein foods (milk, ghee, lentils, eggs if non-vegetarian, nuts) Avoid processed, cold, oily, or junk foods Drink plenty of warm water to support bowel movements Gentle exercise and yoga: Ashwini Mudra, Kegel exercises to improve pelvic circulation
5. Investigations to consider Hormonal profile: Testosterone, FSH, LH, TSH Semen analysis Ultrasound of testicles
6. Do’s & Don’ts Follow medicine timings consistently Track bowel movements, appetite, sleep, and energy Avoid excessive stress and late-night routines Avoid smoking, alcohol, and junk food
With consistent care and following this plan, it is possible to improve energy, digestive health, and sexual vitality. However, in cases of longstanding testicular development issues, natural sperm production may be limited, but Ayurveda can help optimize hormonal balance and sexual health, and sometimes improve semen and libido over time.
Review progress after completing the first 30-day course, adjust medicines and therapies as needed.
You are taking the right step by seeking guidance, and with patience and consistency, your overall health and vitality can improve.
Warm regards, Dr. Karthika
How my testis get function as allopathy doctor says you can’t conceive pregnancy possible only by IVF TESA or Micro TESA. Does ayurveda help in my condition
HELLO HUSSAIN JI, I UNDERSTAND YOUR CONCERN.DON’T WORRY, WE ARE HERE TO IMPROVE YOUR CONDITION. TREATMENT- Treatment - 1. Chandraprabha vati -2-0-2 after meal 2. Yauvanamrit vati-2-0-2 after meal 3. Shilajit sat- 2 drops in milk at bedtime 4. Medha vati-1-0-1 after meal 5. Baidyanath Vita EX oil - For local application and massage.
Diet- Eat dates, raisins, soaked and peeled almonds. Eat foods that increase Nitric oxide levels include: Green leafy vegetables Citrus fruits Nuts and seeds Pomegranates Garlic
Yoga- Ardha matasyendrasana , pavanmuktasan , bhujangasan, sarvangasan,pelvic floor exercises,kegel exercise. Lifestyle modifications - Strength training to boost testosterone. Stress management -Through meditation walking journaling gardening Developing better emotional bond with the partner through meaningful conversation and spending quality time. ED and other sexual problems usually have more than one cause including cardiovascular causes, psychological causes , unhealthy lifestyle. .I RECOMMEND TO VISIT PANCHKARMA CENTRE FOR UTTAR BASTI PROCEDURE WHICH WOULD BE VERY EFFECTIVE IN YOUR CASE. Don’t hesitate to reach out for any further query. Regards, Dr. Anupriya
Hello Hussain I can understand your concern about testicular atrophy but dont worry we are here to help you out 😊
✅From your description you are facing testicular atrophy with absence of semen, low libido, erectile weakness, and chronic constipation.
This shows a long-standing reproductive hormonal imbalance along with weak digestion and Vata imbalance.
In Ayurveda, both gut health and reproductive health are deeply connected – if digestion is poor, nourishment does not reach the reproductive tissues, leading to weakness, fatigue, and infertility.
✅Ayurvedic Approach
1. Improve digestion & gut health first – because chronic constipation and malabsorption are weakening your reproductive system.
2. Rejuvenate Shukra dhatu (semen forming tissue) with specific Rasayanas and Vajikarana medicines.
3. Strengthen nerves and circulation to improve erection and vitality.
✅AYURVEDIC MEDICATION
1 Chyawanprash – daily 1 spoon in morning for overall rejuvenation.
2 Ashwagandha Capsule 1-0-1 after food – for strength, stamina, and nerve support.
3 Shilajit Capsule 1-0-1 – improves energy, libido, and semen quality.
4.Narasimha rasyana 1 tsp – at night with warm milk ( enhances overall reproductive strength)
5 Triphala powder- 1/2 tsp with water after dinner ( for constipation)
✅ DIET AND LIFESTYLE
👉Take milk, ghee, soaked almonds, dates, pumpkin seeds, black gram (urad dal) – all help in semen nourishment.
👉Avoid excess spicy, sour, junk, alcohol, smoking, as they deplete Shukra dhatu.
👉Daily abhyanga (oil massage) with sesame oil or Bala Ashwagandhadi taila over lower abdomen and thighs improves circulation.
👉Practice deep breathing (pranayama), Vajrasana after meals, and gentle yoga – helpful in both digestion and reproductive strength.
👉Proper sleep is very important for hormonal health.
With regular use of remedies and reproductive Rasayanas, gradual improvement in vitality, energy, and reproductive health can be achieved.
Since this is a chronic issue with testicular atrophy, you should consult an experienced Ayurvedic Vaidya in person for detailed examination
Wish you a good health😊
Warm. regards Dr Snehal Vidhate
FOR DIGESTION AND CONSTIPATION -TRIPHALA CHURNA= 1 tsp at bedtime with warmwater-> for bowel cleansing
Start with Divya Cap. Ashwashila 1-0-1 after food with water and Divya youvanamrit gold 0-0-1 at bedtime with warm milk Chyavanprash 2tsp in the morning before breakfast with milk Apply ashwagandha bala oil / Shilajit oil on penis externally twice daily Triphala tablet 0-0-1 at bedtime. Do pranayam lom -vilom bhastrika kapalbhati brahmri daily for 5-10mins twice Do kegel exercises daily
No Need to worry,
First of all avoid excessive spicy,sour, salty,oily and fried food etc.
And start taking these medications, 1.Ashwagandha choorna 1tsf with lukewarm milk twice in a day. 2.Tab.Neo 1-0-1 3.Atamgumpta choorna 1tsf with lukewarm milk at bed time. 4.Tab.liv 52 1-0-1
Follow up after 45 days.
Take care😊
Kind Regards, Dr.Isha Ashok Bhardwaj.
After 7 days, Start taking shilajit gold cap.1-0-1 too. *Daily Massage your full body with Balaashwagandhadi oil.
Take care😊
Based on the symptoms you’ve described, here is a summary of the issues you are facing:
Reproductive/Sexual Health: Testicular Growth Arrest: Your testes did not develop fully, which is affecting their function. Zero Sperm Production and Anejaculation: This means your body is not producing sperm or semen, and you are unable to ejaculate. Erectile Dysfunction: You have a complete absence of morning erections. Low Libido: You’ve noted that you have never had a noticeable sex drive. General Health: Fatigue: You experience constant tiredness. Gastrointestinal Issues: You have a persistent problem with constipation. Urinary Urgency/Incontinence: You have trouble holding your urine and need to go to the washroom immediately.
Maturity Arrest in Teenage: This refers to a possible developmental or psychological issue that occurred during your teenage years.
1) narsimha rasayan - 1 tsf before food 2 times with warm milk
2) Musali Churna-1gm Kapikacchu choorna-1gm Pippali choorna-500mg Shataputi Abhraka Bh.-125mg Makaradhwaja-125mg Shuddha Shilajatu-250mg Vanga bhasma-50mg - 1/2 hr before food 2 times with ghee and honey
3) Ashwagandharishta+ Draksharishta 10 ml each - after food with water 2 times
Yoga and Pranayama
Kundalini yoga
Moola Bandha
Yogasana
Couples yoga: involves completing postures with the help of a partner
Padahastasanam
Virabandhasanam
Gomukhasanam
Janu shirshasanam
Bhadrasanam
Shalabhasanam
Navasanam
Sarvangasana
Siddhasana
Setubandhasana
Sarpasana
Sarvangasanam
Ardha Pawanamuktasanam
Pranayama: Anuloma-Viloma, Nadishuddhi, Bhastrika.
Meditation
Diet and Lifestyle
Pathya: Sweet, delicious, pleasant diet, milk, ghee, green vegetables, carrot, apple, mango, cashew, almond, dates.
Apathya: Salt, astringent, spicy diet, smoking, alcohol, hot water bath and tight underwear.
Keeping mobile in the pant (trouser) pocket.
Testicular growth arrest and related concerns such as zero sperm production, zero semen, anejaculation, and lack of morning erections often need a multi-faceted approach. In Ayurveda, these conditions are generally linked to imbalances in Vata and Kapha doshas, impacting the reproductive dhatu (tissues) and Agni (digestive fire).
To nurture reproductive health and vigor, consider Ayurvedic herbs like Ashwagandha and Shatavari, known for their rejuvenating and balancing effects. Ashwagandha can aid in improving energy levels and boosting reproductive health, while Shatavari helps in maintaining hormonal balance. You might consume these in powdered form, about a teaspoon each mixed with warm milk, before bed.
For digestive issues and constipation, including Triphala could be beneficial. Triphala aids in digestion, cleanses the bowels, and helps regulate the Agni. Take one teaspoon of Triphala churna with warm water at night, daily.
Diet-wise, focus on nourishing foods that pacify Vata and support Kapha, such as whole grains, nuts, dairy, and warm, well-cooked meals. Avoid heavy, greasy, and processed foods which could further disturb digestion. Timing your meals regularly will support both digestion and energy levels.
Incorporate regular physical activity that is not overexerting, like walking or yoga, which can help with energy and mood balance. Avoid smoking and excess caffeine.
It’s crucial to consult with a healthcare provider or an Ayurvedic expert as more investigations may be needed to provide more targeted treatment and to ensure there are no underlying health issues contributing to your symptoms. Since your condition involves intricate hormonal and possibly neurological components, a coordinated effort with allopathic treatments may be necessary.
Testicular atrophy and associated reproductive issues, as you’ve described, can be deeply linked to imbalances in your body’s doshas, especially Vata, which governs movement and elimination processes. It seems there may also be a Kapha imbalance affecting growth and reproduction functions. Alongside, the gut problems and fatigue suggest issues with Agni (digestive fire) and likely a Vata-Pitta imbalance in the digestive system.
For a holistic Siddha-Ayurvedic approach, you may consider these steps. Firstly, for enhancing sperm production and rejuvenating the testes, Ashwagandha (Withania somnifera) can be beneficial. Taking an Ashwagandha churna or capsule: 1 teaspoon or two caps with warm milk, twice daily, can help tonify reproductive tissues.
You might also look at Shilajit, which is known to improve vigor and vitality. Consuming 500 mg of purified Shilajit with warm milk or water, once a day may support overall reproductive health. Balancing your Vata and Pitta through diet becomes important. Avoid cold, dry, and excessively spicy foods – instead focus on warm, nourishing meals, rich in ghee and well-cooked vegetables to support Agni and digestive processes.
Abhyanga, or self-massage with warmed sesame oil, can calm Vata dosha. For your digestive issues, adopting Triphala powder at night can help regulate bowel movements. Try half a teaspoon with warm water before bed.
Patience and consistency are vital in Ayurvedic practices. It’s crucial to consult with a qualified Siddha-Ayurvedic practitioner or healthcare provider to monitor your progress and adjust treatments. If symptoms persist or worsen or there’s no improvement in your condition, it is critical to seek immediate medical evaluation to rule out serious underlying conditions.

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