I recently had a semen analysis showing a sperm concentration of 45 million/mL, progressive motility of 25%, and normal morphology of 1%. I would appreciate your advice on what these results mean and guidance on the next steps. What could be the possible reasons and solution
I have taut bands or taut muscle in pelvic floor
Mainly levator ani, puborectalis muscle. Left and right both. More towards 5 to 8 clock. Psyio not helping much. I hv pulled this muscle aggressively during my sons vaginal birth. I have problem in passing urine nd stools. Rest all test are normal. I feel something moving in pelvic. Muscles don't feel soft. It feels foreign like steel, metal. Folded. I just keeping pushing it down unconsciously nd releasing it. I am comfortable doing daily activities, wearing tight clothes or sit comfortably. Pelvic don't feel normal like before . Pls suggest whether I shuld go for dry needling, or botox or tpi as I don't hv much pain.
My opening of forskin looks a bit red and burns when i touch it or the clothes touch it, the retraction has become difficult too. The micro tears are visible in the inner skin.
1.Reduced ejaculatory pleasure:
For the past 6 months, ejaculation has felt less pleasurable than before.
2.Recent reduced libido and orgasm pleasure:
Recently experienced a sudden decrease in sexual desire on 16 oct and pleasure during masturbation.
3.Reduced erection firmness:
Erections became less firm after the recent episode. That is when I tried to test my sexual desire and erection today 17 Oct
4.Changes in bladder sensation:
Since last 6 months I sometimes feel little urge to urinate while sitting or lying down, but the urge increases when standing or walking.
5.Prolonged masturbation and edging:
For the past 6–12 months, I have often masturbated for 45–60 minutes or longer, repeatedly delaying ejaculation.
I am worried about these symptoms and would appreciate medical guidance on their possible causes and what I should do next to get back to normal sexual condition.
I have bladder spasm suddenly may i ask what medicine should i use to relief my pain immediately . Thank you