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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
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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