I want more sperms

Jan 23, 2007

Dear Doctor,<br>I am a 55-year-old with a high libido and very active sexually. I am quite healthy and have two children. My problem is the amount of my ejaculate is little. How can I increase it?

I want more sperms
Dear Doctor,
I am a 55-year-old with a high libido and very active sexually. I am quite healthy and have two children. My problem is the amount of my ejaculate is little. How can I increase it?
Freddie


Dear Freddie,
The amount of ejaculated sperm varies from half a teaspoon to about one table spoon. It varies with age and frequency of having sex. It decreases if you are having sex or ejaculating frequently.

Your ejaculate may be small because you are having lots of sex. The amount of sperm ejaculated each time is lower but the total may be high. It also decreases with age.

Increasing the amount may only help psychologically. You are 55 and have proven yourself fertile. If you want more children, it is the quality of sperms which matters, not the quantity. Your virility and enjoyment of sex is not affected by the amount you ejaculate. So there may be no medical reason to increase it. All drugs do have side effects so it is unwise to take any drugs without a good reason.

I think I have HIV
Dear Doctor,
I have all the signs of HIV: TB, fever and weight loss. I think I have the virus, which I might have got 10 months ago. I need medicine, but my tests post negative results. What can I do?
Gabriel


Dear Gabriel,
I believe you have done enough tests to trust the negative result and know that you do not have HIV.

Only a positive HIV test confirms that you have the virus. Even if you slept with someone who was positive, this does not mean that you got it. And that was 10 months ago, the test would have been positive by now. One can have TB, weight loss and fever without having HIV. TB is a curable disease and all these symptoms improve with treatment.

Gabriel, I think it is best that you see a doctor and talk about all your fears. You do not need HIV drugs if the test is negative. The doctor will find out what the real problem is, and advise you on treatment. It does not help you to convince yourself that you have a disease which you do not have.

How can I live with hepatitis B?
Dear Doctor,
I was diagnosed with hepatitis B virus 10 months ago. I am worried about my liver. What can I do to keep it safe? I was told that there is no cure.
Martin


Dear Martin,
Our bodies control the Hepatitis B virus most of the time (90% of infections in adults). It is only in a few cases that the virus is not controlled by your immune system. The body heals itself within eight to 12 months. During this time, you should not take any drugs; wait for your body to control it. Steps to protect the liver include;

  • Avoid alcohol


  • Avoid drugs without your doctor’s advice.


  • Follow a low protein diet


  • Your doctor will follow you up with lab tests. After this time, if the virus is still active, you may need to start drugs. It is important to be under the care of a physician.

    In your case Martin, you need to know whether or not the virus is still active then you should consult a physician.

    Dr. Paul Semugoma
    semugoma@hotmail.com

    Write to Ask The Doctor,
    Box 9815, Kampala or health@newvision.co.ug

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