Low Progressive Motility (10%) High Non-Motile Sperm (70%) Delayed Liquefaction (>1 hour) Slightly Alkaline pH (8.0) - #9180

It's good to hear that your erectile dysfunction (ED) has improved, but I understand your concern about sperm health. The medications you're taking—Supravac (likely containing antioxidants or multivitamins), Evikem LC (L-carnitine, which supports sperm motility), and Speman Himalaya (an herbal supplement aimed at improving sperm count and quality)—are commonly used to enhance male fertility. However, it can take two to three months of consistent treatment to see noticeable improvements in sperm count and motility, as it takes around 74 days for new sperm to be produced. Should You Continue the Current Medicines? Yes, you can continue the prescribed medications for at least two to three months unless you experience side effects. These supplements are generally safe and often recommended for long-term use to support sperm health. However, if you still don't see improvement after three months, consult your doctor for further evaluation or consider advanced treatments. Additional Suggestions to Boost Sperm Quality 1. Dietary Adjustments: Include walnuts, pumpkin seeds, and fish in your diet for their omega-3 content. Eat foods rich in zinc, folate, and antioxidants (spinach, citrus fruits, and berries). 2. Lifestyle Changes: Avoid prolonged heat exposure (hot baths, laptops on your lap). Stay physically active but avoid overtraining. Manage stress through relaxation techniques or yoga. 3. Medical Evaluation: If your sperm parameters remain low, consider getting a semen analysis done every few months to track progress. If there is no improvement, your doctor may recommend hormonal therapy or assisted reproductive techniques (ART) like ICSI or IVF.

It sounds like you're on a course of treatment for erectile dysfunction (ED) and potential sperm quality issues, and it's great that you're seeking advice about your treatment. Supravac, Evikem LC, and Speman are commonly used in treating conditions related to male fertility and sexual health. Here's a brief look at each: 1. **Supravac**: Often prescribed for improving sperm quality, especially in cases of oligospermia (low sperm count) and other male fertility issues. It can take time to notice improvements in sperm quality, as sperm production can take around 3 months, so a month may not be enough to see significant changes. 2. **Evikem LC**: A supplement commonly used for addressing erectile dysfunction and promoting general sexual health. It has ingredients that support circulation and sexual function. 3. **Speman (Himalaya)**: A herbal supplement that can improve sperm count, motility, and overall sperm quality. Like the other treatments, the effects might take time to manifest. Since you mentioned that you’ve been on these medicines for about a month without feeling significant changes in your sperm, it’s important to remember that sperm health and quality can take 2-3 months to improve fully. Your doctor might also want to monitor your sperm count or do additional tests to check your progress. ### Things you can consider: 1. **Consistency**: Continue the medicines as prescribed, but give it more time (2-3 months) to evaluate the effectiveness, as sperm health takes time to improve. 2. **Lifestyle Factors**: In addition to medications, consider lifestyle changes like: - Eating a healthy diet rich in antioxidants (fruits, vegetables, nuts) - Reducing alcohol consumption - Avoiding smoking - Managing stress levels - Exercising regularly (but avoid excessive heat exposure, like hot tubs, which can negatively affect sperm count) 3. **Consult your doctor**: If you don't notice improvements or if you feel concerned about your progress, it’s important to follow up with your doctor. They might consider adjusting your treatment plan or recommend further tests to ensure there are no underlying conditions. 4. **Sperm Analysis**: If you haven't already, a follow-up semen analysis after a few months of treatment can give you and your doctor a clearer picture of how your sperm is improving. In conclusion, you can continue the treatment for now and keep monitoring your progress, but a follow-up with your doctor after a few months would be wise to ensure the medication is still suitable for your needs. If you're still not seeing improvements, your doctor might adjust your plan accordingly.