Semen parameters indicate probable chance of pregnancy Sexual problems are not the same. Your problem can solved

Do not panic sir.. Take herbal supplements.. To increase sperm count and motility .. To be sexually fit completely

Sperm count has nothing to do with time( or premature ejaculation )

do SEMEN ANALYSIS

Sperm count and sex problems are two separate issues. management of sperm count depends on how severe it is, the reason for this problem and the reports of your wife. Please read https://www.practo.com/healthfeed/sperms-abnormal-can-medicines-help-40892/post for sperm problems. Regarding the sexual issues, the treatment depends on the exact cause and nature. Avoid anxiety , alcohol and smoking. Do NOT take any medicine without consulting doctor.

✓ Follow these steps to help us arrive at the correct problem first, and provide more details for meaningful assessment. Before moving directly to any treatment follow the advice as given below. For further help you can consult online on practo. You are indeed developing signs of ED - erectile dysfunction and PME- premature ejaculation. We may need reports of following tests to rule out Physical causes of Erectile dysfunction & Pre-mature ejaculation. 1. CBC 2. T3, T4, TSH 3. HbA1c 4. Serum Testosterone 5. Serum Prolactin To rule out Psychological causes, Answer Following Questions 1. How is your mood? 2. How are your energy levels? 3. How is your appetite? 4. Do you have any sleep disturbances or do you oversleep? 5. Any past history of anxiety or Depression? 6. Any family members suffering from anxiety or Depression? Please respond to above questions and send me reports to enable me to make a complete assessment of your condition and advise treatment accordingly. Depression can cause ED, PME and Masturbation Guilt/Compulsive Masturbation. All that you may require is a proper consultation and treatment about your sexual problems. (ED - erectile dysfunction; PME - premature ejaculation) Dr Rahul Kansal MBBS (AIIMS New Delhi), MD CE (UCLA, USA) Neuro-psychiatrist Sexologist & De-addiction Expert Kansal Hospital : 120/238, Sector 12, Aggarwal Farm, Mansarovar, Jaipur. Regarding follow up: Follow up with Reports and answer to needed medical enquiry.