HOMEOPATHIC MARRIAGE COURSE , A NATURAL WAY TO GET SEXUAL FITNESS AND POWER

For Erectile Dysfunction, Premature Ejaculation, Loss of Libido, Low Sperm Count  Herbal Marriage Course for All Sexual Dysfunction of Men.

Equally Beneficial for Married and Unmarried Persons!

FOR INSTANT ORDER JUST SMS OR CALL US AT: 00923456900056/  03135058176

DR. AAMIR

www.amirclinic.com

www.supermedicine.blogspot.com

we give free home delivery within 24 hours in Pakistan and we provide medicine with complete privacy.

We challenge for those all persons who avoid marriage and feel some sexual weakness. What may be the cause of this disability, our hakims are fully capable to treat such patients up to desired level. The proof of this claim is based upon the long list of such patients who understand them selves as useless people and where afraid of the name of marriage. We treated them successfully with the help of our herbal formula HERBAL MARRIAGE COURSE. This is 100% safe herbal formula and no any side effect has been reported yet.

We provide treatment for Impotency, erection and ejaculatory problems in males at any age. We provide sex knowledge and consultation to people who seek guidance. Many people have myths & misconceptions about sex & sexuality. We try to remove these from their minds and provide correct guidance.

HERBAL MARRIAGE COURSE

• This is equally beneficial for married and unmarried persons.
• This course is effective in all ages, even on the same day of marriage.
• This course activates the slow nervous system for better communication and stimulation inside the body.
• This course has proved the better treatment of infertility through regulating the hormones.
• This course enhance the availability of more strong & active sperms.
• This is 100% safe treatment and can be repeated second time.

HERBAL MARRIAGE COURSE is complete solution for sexual misdeed. A vital gift to increase the male sex power. For complete treatment for bended, weak and small male organ. HERBAL MARRIAGE COURSE is the best formula in market. The most effective medicine to increase the size and thickness of male sex organ

We have an excellent formula which has the complete male sex solution. This straighten the sexual organ and muscles. This course has the complete treatment for the sexual disorder due to sexual misdeed. This not only the complete cure for male sex disorder but it also increase the sex power to a large extent. This is best to cure for excessive sexual acts. This also increases the rapid increase sexual excitement and blood circulation in penis.

Here Are Some of the Many Benefits of HERBAL MARRIAGE COURSE.

• Increased Blood Flow to Your Penis.
• Unleash and Stabilize Your Testosterone Levels.
• Calms Your Nerves to Stop Anxiety and Stress.
• Balances the Sex Hormones in Your Blood System.
• Delays Your Ejaculation.
• Shortens Your Recovery Time.
• Increases Your Energy, Stamina, and Endurance.
• You can have multiple orgasms without loosing erection.
• Calms Your Nerves to Stop Performance Anxiety.

Herbal Remedy for Erectile Dysfunction, Premature Ejaculation, Loss of Libido, Low Sperm Count.

The viagra has been in demand for quiet sometime but soon people found it to cause so many side effects especially on cardio vascular system. We have utilized the knowledge of Tib-e-Unani the ancient traditional healing system of Asia, to make some rare herbal remedies for erectile dysfunction, premature ejaculation, low sperm count, low energy levels, so we created HERBAL MARRIAGE COURSE which provides a herbal cure for erectile dysfunction, herbal cure for premature ejaculation, herbal cure low sperm count and herbal cure for low energy levels.

HERBAL MARRIAGE COURSE is surely an alternative to Viagra and truly called, with this course you can deal with Erectile dysfunction, Premature ejaculation, Low sperm count, Low energy levels.

The continued use of HERBAL MARRIAGE COURSE helps to build Natural sexual stamina even in persons of old age. HERBAL MARRIAGE COURSE offers extraordinary energy to its users to the full brink of their satisfaction and extreme pleasure. The time-tested herbs and minerals present in HERBAL MARRIAGE COURSE neither restrain the production of sperm nor stimulate any sort of cancerous growth. HERBAL MARRIAGE COURSE do not cause any side effects like blood pressure or flushing. The ingredients are purely Herbal and Natural.

HERBAL MARRIAGE COURSE is a unique product made from the world's most erotic herbs to enhance stamina, pleasure, confidence and strength of a man. It contains heat and energy generating herbs which increases blood circulation in the tissues of the penis, adds to its Erectile strength and gives strength to whole body.

This is the only HERBAL MARRIAGE COURSE which deals with problems like Erectile Dysfunction, Premature ejaculation naturally. The ingredients are purely herbal and natural. The many centuries old traditional knowledge of Tib-e-Unani has been used to make this extremely effective natural herbal Male Enhancement Product, which actually works as Alternative to Viagra.

The Ingredients of HERBAL MARRIAGE COURSE have shown that these herbs have the ability to improve peripheral and systemic blood flow and to act as vasodilators, leading to increased blood flow to the penis and erectile tissue and therefore heightened sexual pleasure and enhanced performance. These have also been shown to stimulate adrenal glands, regulate hormone release, improve endocrine and male hormonal functioning, boost stamina and vitality, increase libido and improve the health and functioning of the sexual organs, especially the prostate, penis and urethral systems. Thus HERBAL MARRIAGE COURSE is also beneficial in people suffering from diabetic neuropathy, prostate enlargement, urinary tract obstructions as it clears the path and nourishes the male reproductive system.

With this excellent sex enhancer, you can enjoy numerous benefits such as:

• Erection can last for hours with the same strength and strain.
• You won't worry any more about early or premature ejaculation.
• Sperm density will be increased to more than 500% than your regular volume.
• You can enjoy multiple sex in the same day; this could last to 20 times per day.
• You won't remember any previous embarrassments for your new sex efficiency will turn your companion's head over.
• You will feel the true meaning of satisfaction, and you shall enjoy seeing the happy look in your partner's eyes.

Forget About Your Late Disappointments, and Start Using This Amazing Formula.

Wouldn't it be great if you can experience a complete erotic control of your partner. If you aim to have this great sex life, then don't let your fears control you, avoid any disruption in your love flow, and take an action now.

In addition to all wonderful sensations that we promise you, you won't have to endure any painful injections or prescribed drugs with unknown or known side effects. The formula is completely natural, with no petrochemical byproducts, or side effects.

Get ready to increase your sperm density up to 500% with the extra unique blend of all natural ingredients that will magnify the intensity of testosterone produced, that will consequently increase the amount of sperms produced, that will provide healthy and strong, ejaculation when you needed.

This increase in sperm density and volume will be visible after few days of usage. You can experience the maximum increase in volume, gradually as the time goes on.

FOR INSTANT ORDER JUST SMS OR CALL US AT: 00923456900056/  03135058176

DR. AAMIR

www.amirclinic.com

www.supermedicine.blogspot.com

we give free home delivery within 24 hours in Pakistan and we provide medicine with complete privacy.

This Unique One of a Kind, Sexual Enhancer is Specially Formulated to Increase the Power of Your Erection to Extents you Never Experienced Before.

Don't worry about prescribed medications, for HERBAL MARRIAGE COURSE doesn't need any. Give your wife the love she never thought exists before, and enjoy the magical atmosphere of powerful and long lasting sex. Intense and multiple orgasms will be normal pattern of your love making process.

The best part is, all this can happen with no risk at all, the product is completely safe, for it is composed of totally natural ingredients.

HERBAL MARRIAGE COURSE can help you enhance your sperm production and will maintain testosterone in its optimum level. In as short as few days, you will be ready experience sex as if you never tried it before.

The ingredients target penis cells directly to enhance its power, to guarantee the intensity, of every action.

Get Your Mate Stronger and Longer Orgasms.

Studies conducted on sexual orgasms have shown a deep relation between the intensity of the orgasm and the strength of the penis. The more semen the male organ can produce the better and intense orgasm you can achieve. The timing of orgasm also depends on the amount of semen produced, the more semen ejaculated the longer orgasm can last. WithHERBAL MARRIAGE COURSE, you can join people who managed to keep orgasm for 45 seconds.

This all age produce is safe and natural, with nutritional value for men at any stage of life. Oriental civilizations have used HERBAL MARRIAGE COURSE for centuries to enhance sexual potency in men. HERBAL MARRIAGE COURSE is worldwide known to be a strong enhancer for sexual strength and desire.

HERBAL MARRIAGE COURSE stimulates the sexual desire. It enhances and improves the physical stamina, sperm density, and sexual potency. HERBAL MARRIAGE COURSE has been used as general aphrodisiac, this is related to its capability in strengthening and balancing the required hormones that regulates the sex process and reach its peak.

There are dozens of research studies that have been conducted to prove the role of theHERBAL MARRIAGE COURSE in enhancing the sexual desire and functionality, these studies were conducted in countries like Russia, Korea and Japan.

Don't worry about getting old, or losing your sexual potency and libido, you can now get your body to function just as good as it was in the good old days.

You can as well improve not only sexual functionality but also strengthen kidney and heart, improve your blood circulation, and even enhance your central nervous system, to a better self-esteem, happy mood and happy marriage.

Sex Potency/Fitness Checkup

Sexual potency fitness checkup before or after marriage is also provided at our centre by detailed history, examination, few blood tests as male sex hormones, penile blood supply tests, nerves of penis so that they can go for marriage with confidence. They are explained in detail every aspect of sexuality. We provide detail sex education, sex counseling, & sex therapy so that they don't fail & perform coitus with confidence.

We tell the patient about female sexual organ as vulva, clitoris, vaginal opening. Then we also teach the correct technique of penile insertion for the first time with a virgin wife. We also tell the G spot in the vagina. This is an approximately one-centimeter size spot on front wall of vagina. This is a very sensitive part of female body. When this part of female body is stimulated, then women get highly aroused & get multiple orgasms. Thus all the men must know these highly erogenous areas of female. After learning these techniques you'll become an expert lover & your partner will always crave for your company.

Male Performance Enhancer, Herbal Remedy for Erectile Dysfunction, Premature Ejaculation, Loss of Libido, Low Sperm Count.

Sexual Weakness Due to Old Age

The desire for sexual activity decreases with advancing age. The reasons can be physical problems, fatigue, depression, stress, emotional conditions , overweight and hormonal imbalance. HERBAL MARRIAGE COURSE brings the joy of young life back to you. It gives so much energy and stamina that a man can perform indulge in sexual activity again and again.

Increase of Libido by Herbal Marriage Course

Libido means desire to indulge into sexual activity. Libido is decreased by many factors. Stress plays a major role in disturbing the libido. Decrease in level of testosterone is also a major cause of decreased libido. HERBAL MARRIAGE COURSE increases the interest in sexual activity naturally and very useful HERBAL MARRIAGE COURSE for loss of libido.

Premature Ejaculation Cure

Premature Ejaculation can be very much embarrasing as it decreases the moments of intimacy and can be the reason for damaged relations. The man starts suffering from guilt and the female feels sexually dissatisfied, as the couple cannot achieve full orgasm. It is a kind of sexual weakness. HERBAL MARRIAGE COURSE increases vigor, stamina and natural strength in a very natural way. It is one of the best natural herbal supplements to enhance male performance.

Best Herbal Supplement for Erectile Dysfunction

The natural herbs present in HERBAL MARRIAGE COURSE helps to Cure Erectile Dysfunction naturally. The herbs increase power, stamina, enhance performance and produce firmer and longer lasting hard erections, increasing overall sexual performanceHERBAL MARRIAGE COURSE enables many men with ED (Erectile Dysfunction) to respond to sexual stimulation. When a man is sexually aroused, the arteries in the penis relax and widen, allowing more blood to flow into the penis. As the arteries in the penis expand and harden, the veins that normally carry blood away from the penis become compressed, restricting the blood flow out of the penis. With more blood flowing in and less flowing out, the penis enlarges, resulting in an erection.

Emotional Stability

Worried about work stress, home affairs, financial matters and disturbed relations and many other emotional factors, which can cause emotional instability and disturbed sexual performance and interest. Feeling bad about how we look or how we might perform sexually kills the sex drive. HERBAL MARRIAGE COURSE stabilizes mood and is nature's best stress buster. HERBAL MARRIAGE COURSE increases stamina, enhances performance, increase energy, confidence and maintains sex drive.

Herbal Cure for Impotence

Unable to achieve or maintain an erection adequate enough for normal sexual intercourse is called impotence. Impotence can be very damaging in relationships. It deases confidence and morale of the person and also affects life not only in sexual matters but also in many ways. Inability to perform in bed can give birth to a lot of complexes in one's mind.HERBAL MARRIAGE COURSE helps achieve full and harder erection for longer duration of time. Relieves stress and anxiety. It is nature's best remedy to treat impotence naturally.

Natural Penis Enlargement

"The bigger- the better" is not at all a false statement. More and more research has shown that a larger penis does give more pleasure to a woman especially the girth of the penis . A man with a large penis has the confidence that he can satisfy any woman and after all making love for the man is all about confidence. HERBAL MARRIAGE COURSE helps to improve circulation to the penis and increases the volume of blood held within the erectile tissue. The theory behind this is that if the erectile tissue can be encouraged to hold a greater volume of blood than it could otherwise naturally accommodate, then this will in turn result in a larger penis size both when erect and flaccid.

Loss of Seminal Fluid

The involuntary loss of the seminal fluid is extremely debilitating in some cases; in others they may be more alarming than injurious, and detrimental chiefly through their mental effect upon the victim. Loss of seminal fluid is so common among young men. The primary cause of too many seminal loss is mainly the stimulating influence of our artificial civilized life and excessive access to porn material. The mind is indulged in such acts and the most common cause in nine cases out of ten is undoubtedly masturbation.

According to Tib-e-Unani - Masturbation is an unnatural act and should not be done. The semen must be kept preserved at any cost. As this is the elixir male strength. Tib-e-Unani explains that male looses it's strength, if he looses his semen. Through this habit of masturbation the secretions become a continuous process, thus affecting the overall health of a person. The habit of self abuse ( Masturbation) causes the weakness of male organs involved in sexual activity. Excessive masturbation forces the body to make the semen immediately as the accumulated semen is being wasted through masturbation. The body utilizes its whole energy again to make precious semen and this rapidly accumulating secretion naturally finds and outlet through these emissions, at various intervals due to weakness of genital organs.

Oligospermia

Low sperm count is a reason for Male infertility many times. A large number of sperms are not motile, viable or exhibit morphological abnormalities. HERBAL MARRIAGE COURSEimproves the sperm count as well as quality of the sperms including their movement as well as shape.

FOR INSTANT ORDER JUST SMS OR CALL US AT: 00923456900056/  03135058176

DR. AAMIR

www.amirclinic.com

www.supermedicine.blogspot.com

we give free home delivery within 24 hours in Pakistan and we provide medicine with complete privacy.

FOR INSTANT ORDER JUST SMS OR CALL US AT: 00923456900056/  03135058176

DR. AAMIR

www.amirclinic.com

www.supermedicine.blogspot.com

we give free home delivery within 24 hours in Pakistan and we provide medicine with complete privacy.

ARTHRITIS AND PAIN KILLER COURSE FOR ALL KINDS OF JOINT PAIN

FOR ANY INFO OR QUICK ORDER BOOKING JUST SMS OR CALL US AT

00923416516001

03135058176

DR. AAMIR

www.amirclinic.com

www.supermedicine.blogspot.com

Arthritis means inflammation of a joint. There are over a hundred different forms of arthritis which can be subdivided into the following three major categories: Rheumatoid Arthritis, Osteoarthritis, and Gout. However, they all have the following common symptoms at the joint: redness, stiffness, swelling, and pain.

• Rheumatoid Arthritis typically affects the small finger joints, wrists, knees and toes. All joints of the body, however, are potential targets.
• Osteoarthritis can affect any joint, but commonly occurs in the hips, knees, feet and spine.
• Gout symptoms typically occur in lower limbs and first target the big toes. Pain can become so severe that even the weight of socks or bed sheets could be unbearable.

Arthritis can affect both women and men of almost all age groups and of all races. However, women are three times more vulnerable to arthritis than men. About 80 percent of patients of Rheumatoid Arthritisare between the ages of 35 and 50 but 65 to 85 percent of patients with Osteoarthritis are over the age of 65.

treatment

we have wonderful combination of homeopathic and herbal medicines for Gout , joint pains, backache, Neck pain 

our course is for all types of join inflammation and pain 

there is no side effect

it is pure homeopathic and herbal product

it is best for men and women equally

free home delivery is available 

FOR ANY INFO OR QUICK ORDER BOOKING JUST SMS OR CALL US AT

00923416516001

03135058176

DR. AAMIR

www.amirclinic.com

www.supermedicine.blogspot.com

DIABETES TREATMENT COMPLETE COURSE

Diabetes cure course is our one of special products for Diabetic Patients.

we treat only type two non insulin dependent Diabetes.
if you are using oral medications
feeling weakness
suffering from extreme hunger urination at night and thirst and sexual weakness
Nervous pains.
delay healing of wounds
or any problem occurring due to Diabetes
you must use our formula for the cure of all diabetes related problems.

it is pure homeopathic and Herbal mix formula
no side effect
German imported medicines
Free home delivery at any place
for any info or instant order just call or sms us at
00923416516001.
03135058176
dr. Aamir

www.amirclinic.com
www.supermedicine.blogspot.com

Diabetes
Our body needs glucose to fuel metabolic processes, but too much of it in the blood over a long period of
time—a condition called hyperglycemia—is the mark of diabetes mellitus. The body normally controls
blood sugar levels with the hormone insulin, which the pancreas produces. In the disorder of diabetes,
however, abnormal levels of glucose accumulate in the blood because the pancreas does not produce
sufficient insulin.

The Types and Causes of Diabetes
Diabetes is not a single disease—it occurs in two major patterns that require different kinds of treatment
and may have somewhat different causes. The two forms of diabetes are:
Type 1 diabetes (sometimes called insulin dependent diabetes mellitus) typically develops in child hood or
adolescence and accounts for only 5 to 10% of diabetes cases. In this form of diabetes, autoimmune
processes have destroyed cells of the pancreas that normally produce insulin, and people afflicted with it
require insulin injections to prevent acute and very serious complications. An acute complication that occurs
without insulin in type 1 diabetes is called ketoacidosis, in which high levels of fatty acids in the blood lead
to kidney malfunction thereby causing wastes to accumulate and poison the body. The symptoms of
ketoacidosis generally begin with chronic thirst and urination, followed by an acute episode of nausea,
vomiting, abdominal pain, and labored breathing. About one-third of type 1 cases are diagnosed after these
symptoms appear. If left untreated, Ketoacidosis can lead to coma and death in a matter of days or weeks.
Type 2 diabetes (sometimes called non-insulin dependent diabetes mellitus) is very prevalent, accounting for
the vast majority of diabetes cases. In this form of diabetes, the pancreas produces at least some insulin, and
treatment often does not require insulin injections. Most, but not all, people with type 2 diabetes can
manage their glucose levels by carefully following special diets and taking medication. Although type2
diabetes can develop at any age, it usually appears after the age of 40. Most type 2 patients are very
overweight, and many produce substantial amounts of insulin—sometimes more than normal—but their
bodies seem to resist the glucose-controlling action of insulin. Normal- weight type 2 patients seem to
produce reduced levels of insulin. In either case, hyperglycemia results.

META SLIM SUPER PRODUCT FOR FAST FAT REDUCING TO GET SMART SLIM AND BEAUTIFUL BODY

MetaSlim

FOR URGENT ORDER JUST SMS OR CALL US AT

00923456900056

03135058176

DR. AAMIR

WWW.AMIRCLINIC.COM

WWW.SUPERMEDICINE.BLOGSPOT.COM

MetaSlim is Ayurvadic proven weight loss treatment which causes  the most essential of naturals extract to combat this deadly problem. By using this regularly the excess of fat/weight can be reduced and the body can gain the attractive and  desired shape. This also helps in keeping in controlling on ailments such as High Blood Pressure and diabetes and also gives strength to your mind impulses.you will feel relaxed ,active and smart.

This is purely a herbal fat loss & slimming formula. This slim

ming powder when consumed with the lukewarm water melts & wash away the acclimated fat from the body & whereas the Meta slim Slimming Oil.you can use it without any side effect.

This is works competently with your body's physiology.

Most Effective On:

1. Stomach Ache

2. Indigestion

3. High Blood Pressure

4. Constipation

5. Obesity

6. Gastric problems etc.

There are no special pre-requisites for taking this medicine, for maximum results however, take simple and easily digestible food. Avoid fried or junk foods and try to exercise or walk regularly.

MetaSlim work in three ways:

1. MetaSlim will suppress the untimely and extra appetite and will regulate the digestive system, turning food into energy and not into fat.

2. With the special components used in it, the body loose the tendency to make fat and will result in controlling obesity problem.

3. Regular use of MetaSlim breaks down the complex parts into smaller and melts the fat accumulated in your body rapidly.

FAIR LOOK FOR WHITENING AND FAIRNESS PRODUCT

WHY PURCHASE Fair look Cream ?

Fair Look Cream - 100% Herbal - No Side Effects.

Fair Look Cream is a revolutionary product to get Fairer Looking Skin.

Get 10 Tones Fairer with Fair Look.

Helps Re-gain your Lost Confidence.

Your Purchase is covered with our 100% Money Back Guarantee.

FOR ANY INFO OR INSTANT ORDER BOOKING PLZ CALL OR SMS US AT

00923456900056

03135058176

DR. AAMIR

www.amirclinic.com

www.supermedicine.blogspot.com

MORE ABOUT Fair Look Cream

Fair Look Cream is an Ayurvedic Preparation for Fair and Beautiful skin. Fair Look is an anti marks fairness cream.The younger generation is facing an array of skin troubles and all that they are looking for are some good solutions to their problem. Beauty is one concept that crosses over the mind of young and old always and everybody wants to have that perfect look irrespective of their age and appearance. One of the major problems of the skin that are faced by people is related to appearance of dark patches and spots on their faces and according to the opinion of the experts, it is related to a slow procedure of skin damage.

If you are facing a similar trouble,Fair Look Cream is the best face whitening cream for you. The best solution to the above mentioned problem is to use Fair Look Cream so that the results are achieved within time and you are able to get the perfect look. Furthermore, you should also try to acquire knowledge about the possible causes of sagging or patchy skin. One of the most significant causes of the same that has been identified by the skin experts are exposure to the UV rays of the sun.

Although, the effects are not to be seen immediately, the results may start showing at a later age and you might develop wrinkles at a much younger age than expected. Fair Look Cream for face should therefore be chosen with care and concern particularly because the skin starts to age along with the physical age and the development of skin cells are reduced to a large extent after a certain age.

HAIR BUILDER FIBER PRODUCT IN PAKISTAN

Hair Building Fiber

This product is made of all natural organic keratin protein, the same protein that hair is made of.Its the secret weapon used by millions of men and women around the world for deep nourishing the hair roots and hair follicles,helping to reduce excessive hair fall and strengthen the hair.

HOW TO USE

Use that areas where there is a hair loss doing gentle light massage with your fingers, to facilitate liquid penetration

for any info or instant order just sms or call us at

03456900056

03135058176

dr. aamir

www.amirclinic.com

www.supermedicine.blogspot.com

sexual weakness control course homeopathic and herbal formula

جنسی کمزوریاں/Sexual Esthenia
ایزی ٹی وی شاپ نے یہ پروڈکٹ مر دوں کے مسائل کو مد نظر رکھتے ہوئے پا کستا ن میں پہلی بار متعا رف کروائی ہے جو کہ کہ جرمنی سے دوآمد کی جا تی ہے،یہ ایک ہو میو پیتھک دوائی ہے جس کا کو ئی سائیڈ ایفیکٹ نہیں ہے۔
یہ جنسی کمزوری اور نا مردی کی مکمل دوا ہے
جنسی کمزوری اور نا مردی ایک جا مع اصطلا ح ہے جس کی مکمل تشریح اور وضاحت کے بغیر اس دوا کی افا دیت کا اندازہ نہیں ہو سکتا۔ جنسی نا مردی سے مراد وہ کیفیت ہے جس میں عضو ڈھیلا ہو کر نا قابل دخول ہو جا تا ہے۔ اس کی بہت ساری وجوہات میں سے چند مندرجہ ذیل ہیں۔
خو د لذتی کی عا دت، کثر ت مجا سعت، اغلا م با زی، ذیا بیطس ، نشہ آور ادویات کا استعمال ، مجرک ادویا ت کا غیر ضروری استعمال وغیرہ
مکمل یا جزوی نا مردی کے علاوہ منی کے قطروں کااخراج پیشاب سے قبل یا بعد
کثرت احتلام
خود لذتی کی وجہ سے عضو کا جزوی یا مکمل ٹیڑھا پن
قو ت با ہ میں کمی یا مکمل خاتمہ
سرعت انزال

خیا لات کی پر گند گی
وقت خا س عضو کا ڈھیلا ہو جانا
داخل کر نے سے پہلے ہی انزال یا عضو کے مس ہو نے یا دخول کے ساتھ انزال
صدمات کی وجہ سے نفیساتی طو ر پر کمزوری محسو س کر نا
بار بار کو شش کے با وجو د استادگی کا نہ ہو نا یا نا مکمل ہو نا
شر مندگی یا شرمساری کی وجہ سے جزوی یا مکمل نا مردی
بلا وجہ منی کا اخراج
گزشتہ زندگی کی بے راہ روی کی وجہ سے جنسی کمزوری اور منی کا ٹپکتے رہنا
عمر کی زیادتی کی وجہ سے جنسی کمزوری اور خستگی جو جنس مقا بل کی خواہشات کو نا مکمل چھودے وغیرہ اس دوا کے دائرہ اثر میں آتے ہیں۔
یہ دوا ایسی تحقیقی ادویات پر مشتمل ہے جن کی افا دیت جنسی کمزوری دور کرنے کے لئے حتمی درجہ رکھتی ہے ۔ یہ دوا جنسی کمزوری کی اعلی ترین ادویا ت میں شمار کی جاتی ہے۔
نوٹ  یہ دوا کم از کم ایک سے دو ما ہ تک استعمال کی جا ئے تو اس مرض سے مکمل اور مستقل نجات حاصل کی جا سکتی ہے۔    
FOR ANY DIRECT INFO OR INSTANT ORDER JUST CALL OR SMS US AT
00923456900056
03135058176

POWER PHRASH HERBAL SEX POWER ULTIMATE FORMULA A GIFT FOR MEN AVAILABLE IN PAKISTAN

Power Prash is a wonderful Ayurvedic health tonic. It boosts the energy levels and strengthens the immune system of the body. it is truly an elixir of life, as it helps to prolong the longevity of life.

FOR ANY INFO OR URGENT ORDER AND FREE HOME DELIVERY WITH COMPLETE PRIVACY JUST SMS OR CALL US AT

0092-345-6900056
03135058176
DR. AAMIR
www.amirclinic.com
www.supermedicine.blogspot.com


Ayurveda Power parsh is not a drug but a natural male enhancement herbal supplement. It is effective in igniting lost desire with its potent combination of herbs and other 100% herbal products. It does not contain any harmful chemical drugs and the only ingredients in dr Ayurveda Power purush are those mentioned on the label.

It is a herbal sexual health supplement that has got all that a man and women want from a sex supplement. It is a successful and unique formulation of rare and precious herbs that works as a natural sex enhancer. It basically increases luteinizing hormone (LH) levels in the human body. LH is naturally produced by the pituitary gland that plays a significant role in stimulating testosterone production inside. Studies have proven that a good level of LH helps improve your sex life from within safely. Power Prash resolves all of your sex related problems and makes your married and sex life more enjoyable and fulfilled.
It basically increases luteinizing hormone (LH) levels in the human body. LH is naturally produced by the pituitary gland that plays a significant role in stimulating testosterone production inside. Studies have proven that a good level of LH helps improve your sex life from within safely.
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FEMALE INFERTILITY CURE COURSE IN PAKISTAN

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Infertility is the failure of a couple to become pregnant after one year of regular, unprotected intercourse. In both men and women the fertility process is complex.

About 10% of couples who wish to have a baby are still unable to after a year of unprotected sex. About half of these couples can achieve pregnancy within 2 years after appropriate treatment of the woman, the man, or both. Even under ideal circumstances, the probability that a woman will get pregnant during a single menstrual cycle is only about 30%. And, when conception does occur, only 50 - 60% of pregnancies advance beyond the 20th week. (The inability of a woman to produce a live birth because of abnormalities that cause miscarriages is called infecundity and is not discussed in detail in this report.)

Males and females each account for 40% of infertility. In the remaining 20%, either both partners are responsible or the cause is unclear. Although this report specifically addresses infertility in women, it is equally important for the male partner to be tested at the same time.

Causes of Female Infertility

Causes of infertility can be found in about 90% of infertility cases but, despite extensive tests, about 10% of couples will never know why they cannot conceive. Between 10 - 30% of cases of infertility have more than one cause. Male or female infertility each account for about 30 - 40% of cases. In men, sperm defects (their quality and quantity) are usually responsible. Female infertility is more complex.

Pelvic Inflammatory Disease



Pelvic inflammatory disease (PID) is the major cause of female infertility worldwide. PID comprises a variety of infections caused by different bacteria that affect the reproductive organs, appendix, and parts of the intestine that lie in the pelvic area. The sites of infection most often implicated in infertility are in the fallopian tubes, a specific condition referred to as salpingitis.

Causes of PID. PID may result from many different conditions that cause infections. Among them are:

Sexually transmitted diseases (cause of most PIDs). Chlamydia trachomatis is an infectious organism that causes 75% of infertility in the fallopian tubes. Gonorrhea is responsible for most of the remaining cases.

Pelvic tuberculosis (a growing global problem as tuberculosis cases increase)

Nonsterile abortions

Ruptured appendix

Herpesvirus (suggested for some cases, but not confirmed as a cause)



Symptoms of PID. The infection may be subclinical (occurring without any symptoms), or there may be fever, chills, or pelvic pain indicating inflammation of the entire pelvic area.

Effects of PID. Severe or frequent attacks of PID can eventually cause scarring, abscess formation, and tubal damage that result in infertility. About 20% of women who develop symptomatic PID become infertile. PID also significantly increases the risk of ectopic pregnancy (fertilization in the fallopian tubes). The severity of the infection, not the number of the infections, appears to pose the greater risk for infertility.

Endometriosis



Endometriosis may account for as many as 30% of infertility cases. Some evidence suggests that between 30 - 50% of women with endometriosis are infertile. Often, however, it is difficult to determine if endometriosis is the primary cause of infertility, particularly in women who have mild endometriosis. Endometriosis rarely causes an absolute inability to conceive, but, nevertheless, it can contribute to it both directly and indirectly.

Endometriosis is the condition in which the tissue that normally lines the uterus (endometrium) grows on other areas of the body causing pain and irregular bleeding.

Direct Effect of Endometrial Cysts. Endometrial cysts may directly cause infertility in several ways:

If implants occur in the fallopian tubes, they may block the egg's passage.

Implants that occur in the ovaries prevent the release of the egg.

Severe endometriosis can eventually form rigid webs of scar tissue (adhesions) between the uterus, ovaries, and fallopian tubes, thereby preventing the transfer of the egg to the tube.

Immune Factors and the Inflammatory Response. Researchers are focusing on defects in the immune system that not only may be responsible for endometriosis in the first place but may also cause the infertility associated with endometriosis. Even in early stage endometriosis, investigators have observed increased immune system activity.

Other Conditions Linking Endometriosis and Infertility. Researchers have sometimes noted unusually low levels of specific substances that enable a fertilized egg to adhere to the uterine lining. (Such abnormalities are more often a factor in infertility in women with mild to moderate endometriosis than in those with severe cases.)

One study found that the eggs in women with endometriosis appeared to have more genetic abnormalities than those in women without the disorder.

Polycystic Ovarian Syndrome



Polycystic ovarian syndrome (PCOS) is a condition in which the ovaries produce high amounts of androgens (male hormones), particularly testosterone. PCOS occurs in about 6% of women, and amenorrhea or oligomenorrhea (infrequent menses) is quite common. According to a 2002 study, nearly 30% of obese women with PCOS had amenorrhea. (The rate was lower -- 4.7% -- in women with normal weight.)

In PCOS, increased androgen production produces high LH levels and low FSH levels, so that follicles are prevented from producing a mature egg. Without egg production, the follicles swell with fluid and form into cysts. Every time an egg is trapped within the follicle, another cyst forms, so the ovary swells, sometimes reaching the size of a grapefruit. Without ovulation, progesterone is no longer produced, whereas estrogen levels remain normal.

The elevated levels of androgens (hyperandrogenism) can cause obesity, facial hair, and acne, although not all women with PCOS have such symptoms. Other male characteristics, such as deepening voice and clitoral enlargement, are rare.

PCOS also poses a high risk for insulin resistance, particularly in women who are also obese. Insulin resistance is associated with diabetes type 2, in which insulin levels are normal or high but the body cannot use this hormone efficiently. About half of PCOS patients, in fact, also have diabetes.

Premature Ovarian Failure (Early Menopause)



Premature ovarian failure (POF) is the early depletion of follicles before age 40, which, in most cases, leads to premature menopause. It affects about 1% of women and is typically preceded by irregular periods, which might continue for years. In this condition, follicle-stimulating hormone (FSH) levels are elevated, as they are during per menopause. Premature ovarian failure is a significant cause of infertility, and women who have this condition have only a 5 - 10% chance to conceive without fertility treatments.

Causes of Premature Ovarian Failure. There are numerous causes of POF. Often the cause of this disorder or other causes of POF is unknown. In some cases, POF may represent an acceleration of the aging process.

The following conditions may produce POF:

Adrenal, pituitary, or thyroid gland deficiencies.

Genetic factors related to the X chromosome. A woman needs two functioning X chromosomes for normal reproduction. When one is abnormal, ovarian function fails. The most severe example is Turner's syndrome, a genetic condition, in which one of the two X-chromosomes is missing or malfunctioning. Milder cases of ovarian failure can occur in fragile X syndrome and other rare inherited conditions that cause partial X-chromosome abnormalities.

Cancer treatments (radiation, chemotherapy, or both). Women who are undergoing cancer treatments and who want to become pregnant should see a reproductive specialist to discuss their options. According to the American Society of Clinical Oncology’s 2006 guidelines, the fertility preservation method with the best chance of success is embryo cryopreservation. This procedure involves harvesting a woman’s eggs (oocytes), followed by in vitro fertilization and freezing of embryos for later use. Other treatments under investigation include egg preservation, collecting and freezing unfertilized eggs, removing and freezing a part of the ovary for later reimplantation, and using hormone therapy to protect the ovaries during chemotherapy. Women may be able to access these investigational approaches through enrolling in clinical trials.

Autoimmunity. Autoimmune diseases, including diabetes type 1, systemic lupus erythematosus, autoimmune hypothyroidism, and autoimmune Addison's disease, are associated with a higher risk for early menopause. Autoimmunity, however, may also play a role in some cases of POF without the presence of specific autoimmune diseases. In such cases, antibodies specifically attack the cells that secrete reproductive hormones thus causing ovarian failure.

Other causes of POF include sarcoidosis, mumps, some sexually transmitted diseases, and tuberculosis. Women with epilepsy are at higher risk for POF.

Idiopathic Hypogonadotropic Hypogonadism



Idiopathic hypogonadotropic hypogonadism is a rare condition in which follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are underproduced and prevent the development of functional ovaries. There are no other abnormalities in the hypothalamus-pituitary axis (such as tumors or abnormal stress hormones or prolactin). In most cases, the causes of hypergonadotropic hypogonadism are unknown. Genetic factors, including Kallman's syndrome, have been identified in about 20% of these cases.

Functional Hypothalamic Amenorrhea (FHA) and Eating Disorders



Functional hypothalamic amenorrhea (FHA) is the absence of menstruation due to disturbances in the thyroid gland and hypothalamus-pituitary-adrenal (HPA) system, which regulates reproduction and other important functions. The eating disorders anorexia and bulimia are most often associated with FHA. FHA may be due to other different factors, most unknown.

Luteal Phase Defect (Implantation Failure)



Luteal phase defect is a general term referring to problems in the corpus luteum that result in inadequate production of progesterone. Because progesterone is necessary for thickening and preparing the uterine lining, the ovum fails to successfully implant in the endometrium. Between 25 - 60% of women who experience recurrent miscarriages may have a luteal phase defect. A luteal phase defect, however, can also occur in fertile women, so other factors may be responsible for implantation failure.

Benign Uterine Fibroids



Benign fibroid tumors in the uterus are extremely common in women in their 30s. The effect of fibroids on fertility is controversial. A 2002 analysis suggested that they may account for infertility in only 1 - 2.4% of women who are having trouble conceiving.

Large fibroids may cause infertility impairing the uterine lining, by blocking the fallopian tube, or by distorting the shape of the uterine cavity or altering the position of the cervix.

Some evidence suggests that even small fibroids may reduce the chances of pregnancy in women who are undergoing assisted reproductive techniques. Treatments to reduce fibroids may be helpful in such women, although there has been little research on this subject.

Elevated Prolactin Levels (Hyperprolactinemia)



Prolactin is a hormone produced in the pituitary gland that stimulates breast development and milk production in association with pregnancy. High levels of prolactin (hyperprolactinemia) reduce gonadotropin hormones and inhibit ovulation. Hyperprolactinemia in women who are not pregnant or nursing can be caused by hypothyroidism or pituitary adenomas. (These are benign tumors that secrete prolactin. They can cause headache and visual problems as well as breast secretions.) Some drugs, including oral contraceptives and some antipsychotic drugs, can also elevate levels of prolactin.

Secretions from the breast not related to pregnancy or nursing (called galactorrhea ) is a telltale symptom of high prolactin levels and should be investigated.

Structural Problems Causing Obstruction



Inborn Abnormalities. Inborn genital tract abnormalities may cause infertility. Mullerian agenesis is a specific malformation in which no vagina or uterus develops. Even in these cases, some women can become mothers by undergoing in vitro fertilization and having the fertilized egg implanted in another woman who is willing and able to carry the pregnancy (a surrogate mother).

Uterine or Abdominal Scarring. Bands of scar tissue that bind together after abdominal or pelvic surgery or infection (called adhesions) can restrict the movement of ovaries and fallopian tubes and may cause infertility. Asherman's syndrome, for example, is scarring in the uterus that can cause obstructions and secondary amenorrhea. It may be caused by surgery, repeated injury, or unknown factors. Laparoscopic surgery is less likely to cause adhesions than standard open surgery.

In some of these cases, surgery may be helpful. One technique, called pressure lavage under ultrasound guidance (PLUG), may prove to be useful for treating some cases of mild scarring in the uterus (intrauterine adhesions). This technique is based on transvaginal sonohysterography, which uses ultrasound along with saline infused into the uterus to enhance visualization. Continuous accumulation of saline in the procedure is used to break up the scars.

Other Causes of Infertility

Ectopic Pregnancies. Ectopic pregnancies increase the risk for infertility, although subsequent pregnancy rates are quite variable. Ectopic pregnancies that terminate without treatment appear to pose a lower risk for future infertility. Even a ruptured tube does not appear to reduce the chance for a future pregnancy in most women. Such an event however can be dangerous and even life threatening for the woman. Laparoscopic surgery to remove a fallopian tube affected by an ectopic pregnancy may preserve fertility better than traditional abdominal surgery.



Medications. Among the medications that can cause temporary infertility are those used to treat chronic disorders, as well as antidepressants, hormones, pain killers, and antipsychotic drugs.

Inflammatory Bowel Disease. Inflammatory bowel disease (particularly Crohn's disease or surgery for ulcerative colitis) can affect fertility.



Celiac Sprue. Celiac sprue is a disease in which the patient cannot tolerate gluten, a common food chemical. The disorder is also highly associated with infertility in men and women, possibly through multiple effects on nutrition, immune factors, and hormones. The mechanisms are not altogether clear, but infertility is usually reversible with strict dietary control.



Epilepsy. In one study of women with epilepsy, fertility rates were 33% lower than among women in the general population, perhaps due to certain antiepileptic drugs that increase the risk for birth defects. The social effects of epilepsy may also lead to marriage at an older age, which can be associated with delayed attempts to get pregnant and thereby affect fertility.

Thyroid Problems. Thyroid problems, either too much thyroid hormone (hyperthyroidism) or too little (hypothyroidism), can interrupt cycles.



Metabolic Syndrome (also Called Syndrome X). Doctors diagnose this condition when at least three of the the following abnormalities are present:

Abdominal obesity

Low HDL (good) cholesterol levels

High triglyceride levels

High blood pressure

Insulin resistance

Metabolic syndrome is a pre-diabetic condition that is significantly associated with heart disease. A 2002 study reported that, as with PCOS, women with metabolic syndrome have higher levels of male hormones and are therefore at risk for infertility. A 2002 study estimated that 24% of the population now has this condition.

Other Medical Conditions. Medical conditions associated with delayed puberty and amenorrhea (absence of periods) include Cushing's disease, sickle cell disease, HIV, kidney disease, and diabetes. Genetic mutations that affect luteinizing hormone may also be responsible for some cases of light or absent menstruation. Other rare genetic disorders, such as Kallman syndrome, cause abnormalities in the hypothalamus of the brain.

Risk Factors

In the U.S., an estimated 10.2% of women between the ages of 15 - 44, or about 6.1 million women, have impaired fertility, and the incidence is increasing. About 25% of women experience some period of infertility during their reproductive years.

Age

As a woman ages, her chances for fertility decline. Infertility in older women appears to be mostly due to a higher risk for chromosomal abnormalities that occur in her eggs as they age. Older women are also more likely to have health problems that may interfere with fertility. If fertilization occurs, older, healthy women can usually successfully bear a fetus to term, although they have a higher risk for miscarriage. Using population studies, experts have come up with estimated odds for pregnancy at different ages, given no fertility intervention. A 2002 analysis of pregnancy rates based on conception on the day of ovulation suggested that women between ages 19 - 26 have twice the pregnancy rates as those between 35 - 39.

Chances for Pregnancy by Age

Age Fertility %
Up until age 34 90%
By age 40 Declining to 67%
By age 45 Declining to 15%
Weight Factors and Excessive Exercise

Although most of a woman's estrogen is manufactured in her ovaries, 30% is produced in fat cells by a process that transforms circulating adrenal male hormones into estrogen. Because a normal hormonal balance is essential for the process of conception, it is not surprising that extreme weight levels, either high or low, can contribute to infertility.



Being Overweight. Being overweight or obese (fat levels that are 10 - 15% above normal) can contribute to infertility in various ways. Obesity is highly associated with polycystic ovarian syndrome (PCOS), which is the cause of infertility in some cases. In one 2003 study, overweight women without PCOS were classified in one of five grades, depending on the severity of the obesity. The risk for irregular or absent periods increased two-fold by each increase in grade. In this group, amenorrhea (absent periods) was also highly associated with type 2 diabetes and blood sugar abnormalities.

Being Underweight. Body fat levels 10 - 15% below normal can completely shut down the reproductive process. Women at risk include:

Women with eating disorders, such as anorexia or bulimia.



Women on very low-calorie or restrictive diets are at risk, especially if their periods are irregular.

Strict vegetarians might have difficulties if they lack important nutrients, such as vitamin B12, zinc, iron, and folic acid.

Marathon runners, dancers, and others who exercise very intensely. (Lower body fat contributes to menstrual irregularities in competitive athletes, but other mechanisms are also involved.)

Environmental Risks

Exposure to environmental hazards (herbicides, pesticides, industrial solvents) may affect fertility. Estrogen-like hormone-disrupting chemicals are of particular concern for infertility in men and for effects on offspring of women.

Phthalates, chemicals used to soften plastics, are under particular scrutiny for their ability to disrupt hormones. Specific phthalates of special concern include dibutyl phthalate (DBP) and others found in many products, including cosmetics and clay products sold to children (Fimo, Sculpey). Animals exposed to phthalates have significantly impaired sperm count and abnormalities in reproductive structures, such as the testes. In addition, there is some concern that exposure in pregnant women may affect the offspring.

Stress and Fertility



Neurotransmitters (chemical messengers) act in the hypothalamus gland, which controls both reproductive and stress hormones. Severely elevated levels of stress hormone can, in fact, shut down menstruation. Whether stress has any significant effect on fertility or fertility treatments is unclear. One 2005 study found that psychological stress does not affect the success or failure of in vitro fertilization.

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Azoospermia, Oligospermia cure course in Pakistan( male infertility problem)

Azoospermia


If you and your partner are finding it difficult to get pregnant, it may be a good idea to visit your local fertility clinic for a physical workup. Here, your reproductive endocrinologist will analyze both male and female factors in order to find out exactly what is going on with your fertility. Sometimes, male factor infertility can play a large role in pregnancy difficulties. Azoospermia can cause serious problems with sperm production and transfer, preventing a man’s sperm from entering his ejaculate. This can make pregnancy very difficult, if not impossible. However, new techniques are now being performed to help men with azoospermia father biological children.

What is Azoospermia?

       

Azoospermia is one of the most severe forms of male factor infertility. It is a condition in which a man has no sperm in his ejaculate. In order to transport sperm outside of the body, it mixes with ejaculate (semen) at certain places throughout the male reproductive system. Sometimes, due to blockages or sperm production problems, sperm does not mix with ejaculate, and therefore cannot leave the body. This is why so many men with azoospermia find it difficult to have children.

There are actually two types of Azoospermia

Obstructive Azoospermia: Obstructive Azoospermia - The result of obstruction in either the upper or lower male reproductive tract (epididymis, vas deferens, seminal vesicles or ejaculatory ducts). Sperm production may be normal (which may be verified through testicular biopsy or aspiration), but the obstruction is preventing the sperm from being ejaculated. Some causes of obstructive azoospermia are vasectomy, congenital absence of vas deferens, scarring from past infections, and hernia operations, or some genetic conditions such as Cystic Fibrosis. Some sperm may be found and extracted directly from the testicles.

Non-obstructive Azoospermia: Severely impaired or non-existent sperm production in the testicle.  The function of the testicle is twofold.  One is production of male hormones, and the other is production of sperm.  Insufficiency of one or the other is frequently congenital, but in some situations can be acquired during one’s life.  If the system of the testicle which produces hormones is impaired, the hormones could be substituted by numerous preparations readily available.  Unfortunately, if the system producing sperm is impaired or missing, the only substitute is donor/surrogate semen.  Many couples in similar situations prefer using semen form a properly screened donor under a physician’s supervision, compared to adoption.  Sometimes the genetic and biological information about the adopted child are not available; sometimes care of the child after birth has been deficient and improper, leading to the acquisition of various diseases, for example HIV/AIDS and many others.

How Common is Azoospermia?


Azoospermia affects only about 2% of the general male population; however, it does account for a large percentage of those men actively seeking fertility treatments. It is thought that between 10% and 20% of men undergoing fertility treatments suffer from azoospermia. Most of these men have little or no sperm present in their ejaculate.

Symptoms of Azoospermia

Unfortunately, it is very difficult to recognize azoospermia without undergoing fertility testing. This is because there are no symptoms that occur along with the condition. You will likely have semen of a normal color and texture, and will encounter few difficulties with ejaculation. Only a sperm count can diagnose the condition.

Causes of Azoospermia


The are typically two main causes of azoospermia: a problem with sperm production or a problem with sperm transport. There are a variety of factors that may contribute to either of these causes.

Sperm Production Problems

Sometimes, azoospermia is the result of a dysfunction within the testes themselves, making it impossible for your body to produce enough viable sperm. In order to produce sperm, the proper cells need to be present in the testes and the proper hormones need to trigger sperm production. Failed sperm production is often the result of:

Hormonal Abnormalities


Sometimes your body may not produce enough of certain hormones involved in the sperm-making process, causing azoospermia. Hormonal imbalances caused by anabolic steroid use or particular disorders, like Cushing’s Syndrome, can contribute to azoospermia.

Cryptorchidism


Cryptorchidism, or undescended testicles, is a condition in which your testes have not descended properly. It is generally corrected in childhood, however, if it isn’t corrected, your testicles will be unable to produce sperm properly.

Vascular Trauma

Trauma to the testes or to the blood vessels within the testes can also prevent your body from producing sperm. Varicocele causes veins in the testes to enlarge and become swollen. As a result, blood pools in the testes, impairing sperm production.

Sperm Transport Problems


In order for sperm to leave your body, it must be transported from your testes to your urethra. Sperm travels through a series of ducts inside of your reproductive system, until it eventually mixes with your ejaculate and exits your body. Sometimes, blockages can occur inside of these ducts preventing sperm from mixing with your ejaculate. Sperm transport problems are often caused by:

Vasectomy: The vasectomy procedure introduces a cut or blockage into your vas deferens, preventing sperm from mixing with your ejaculate.

Congenital Absence of Vans Deferens: Some men are born without the vas deferens, which are tiny tubes that carry sperm to the urethra for ejaculation.

Infection: Certain infections, including STDS, can cause blockages in the epididymis or vas deferens, preventing sperm from mixing with your semen.

Causes of Obstructive Azoospermia

Genetic

You may have been born with genes that may cause infertility. A gene is a piece of DNA that tells your body what to do or what to make. Genes may affect sperm transport, such as in congenital bilateral absence of the vas deferens.

Infections

Infections of the male reproductive system, such as in the testicles or prostate, may affect male fertility.

Trauma

Previous injury or surgery to the spine, pelvis, lower abdomen (stomach), or male sex organs may cause damage to the male reproductive system. This may include surgery on an inguinal (groin) hernia. Trauma may affect sperm production or cause an obstruction in the flow or transport of sperm.

Varicocele


A varicocele is a condition where the veins (blood vessels) in the scrotum are enlarged and dilated (widened). Ask your caregiver for information about varicocele.

Vasectomy


A vasectomy is a surgical procedure that is done on males as a method of birth control. The vas deferens (tubes that carry sperm from the testicles to the seminal vesicles) are cut, tied, or burned. The semen that is ejaculated no longer contains sperm.

Nonobstructive Azoospermia

Drugs

Certain drugs, such as steroids, antibiotics, and drugs to treat inflammation or cancer may affect male fertility. Smoking, drinking alcohol, and using illegal drugs may also cause problems with sperm production.


You may have been born with genes that may affect sperm production, such as Klinefelter's syndrome. These genes may also affect the formation of your reproductive (sex) organs, such as Kallmann's syndrome.

Hormones



Disorders of the testicles may produce abnormal levels of hormones that may affect the production of sperm.

Radiation

Radiation, such as that used to treat cancer, may affect sperm production.

Retrograde Ejaculation

Retrograde ejaculation is when semen travels into the bladder instead of outside the body. It is usually caused by a problem with the neck of the bladder and may be due to spinal cord injuries, medicines, or diabetes.

Other Factors

Pesticides, heavy metals, heat, and undescended testes (testicles that did move from the abdomen into the scrotum) may affect sperm production.

What are the signs and symptoms of Azoospermia?

You may have any of the following:

Inability to get your partner pregnant.

Increased body fat, body hair, and breast tissue.

Clear, watery, or whitish discharge from the penis.

Presence of a mass or swelling on the scrotum that feels like a bag of worms (varicocele).

Stress or emotional pressure from not being able to conceive a child.

Testicles that are small, soft, or non-palpable (cannot be felt).

Veins that are enlarged, twisted, and may be seen in the scrotum (varicocele).

How is Azoospermia diagnosed?

Your caregiver will take a complete medical, reproductive, and sexual health history from you. He may need to know how long you have been trying to have a baby. The timing and frequency of your sexual activities, and problems with sexual urges and functions are also important. You will also be asked about your lifestyle, including alcohol intake and smoking, medications taken, and past diseases. You may need any of the following:

Physical Examination

Your caregiver will look for signs of any imbalance in your hormones, such as increased body fat, body hair, and breast tissue. The size and shape of your testicles will also be examined. Your caregiver may also do a digital rectal exam (DRE) to check your prostate and other parts of your reproductive system.

Biopsy

A sample of your testicle is taken by a needle or through a small incision (cut) in the scrotum. The sample is sent to a lab for tests. This will help determine the ability of the testicles to produce normal sperm.

Blood Tests

You may need blood taken for tests. The blood can be taken from a blood vessel in your hand, arm, or the bend in your elbow. It is tested to see how your body is doing. It can give your caregivers more information about your health condition. You may need to have blood drawn more than once.

Genetic Screening

Genetic testing may be done to look for abnormal genes. Abnormal genes may cause problems with sperm production, sperm transport, or formation of the male reproductive organs.

Imaging Tests

Dye may be used in certain tests to make pictures show up better. Tell your caregiver if you are allergic to shellfish (lobster, crab, or shrimp), as you may also be allergic to this dye. Imaging tests may include the following:

Magnetic Resonance Imaging Scan

This test is also called an MRI. An MRI uses magnetic waves to take pictures of your pituitary gland to check for other causes of your infertility. You will need to lie still during an MRI. Never enter the MRI room with an oxygen tank, watch, or any other metal objects. This may cause serious injury.

Spermatic Venography

This test will examine and show the position of the veins in the scrotum. It may be used to check for a varicocele.

Ultrasonography

A scrotal or transrectal ultrasound uses sound waves to find lumps and other changes in your testicles and scrotum. These tests may be used to check for a varicocele or any missing parts of the reproductive system.

Semen Analysis

A semen analysis is a test to check a man's fertility. It is done by taking a semen sample. You may need to talk with your caregiver about the method of sample collection.

Urinalysis

Post-ejaculatory urinalysis is a test that is done on your urine after you have ejaculated. This test looks for the presence of sperm in the urine, which may suggest an obstruction or problems with ejaculation.

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