SAY ni DOK | Ano nga ba ang oligospermia at paano ito nakakaapekto sa isang lalaki? - video Dailymotion

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00:00Today, we are going to talk about a sensitive issue that has to do with the health of men.

00:07But this is an important topic.

00:09This is oligospermia, the condition where the number of sperm cells in their family is low.

00:15So, to give us a deeper knowledge about this, we will listen to the urologist, Dr. Joseph Lee.

00:22Sir, Doc, good morning and welcome back to Rising Shine Philippines.

00:26Yes, good morning Audrey and Diane.

00:28Thank you for inviting Rising Shine.

00:31Thank you again for joining us.

00:33We missed you.

00:34Now, we are going to wish you a Happy New Year.

00:35Happy New Year.

00:36Yes.

00:37It's been a while since we last saw you.

00:38Yes. Thank you.

00:39Alright.

00:40Tell us more about this condition, oligospermia.

00:42What is the cause of it?

00:44Are there many people who have experienced it and are concerned about it?

00:47Yes.

00:48Very well asked, Diane.

00:50Actually, oligospermia or oligosuospermia, as we call it,

00:55is due to the medical terminology that the sperm count is low.

01:00We always say this, right?

01:01This is said to be the cause of the production of our testicles.

01:08The spermatogenesis is low.

01:11The causes are age.

01:16There are some individuals who say medical conditions.

01:21Some say it's due to long-term maintenance of medicines,

01:27especially heart medicines, and CNS medicines.

01:31The other is due to obstruction.

01:34When we say obstruction, it's due to the fact that our sperm cells have problems

01:40like maricocele, spermatocele, or epivenomal cysts.

01:45Well, Doc, this is a major concern for men who want to start a family.

01:51Is that right?

01:52But is there also a factor when it comes to lifestyle,

01:55when there is something wrong with the lifestyle that affects the sperm count of a man?

01:59Actually, our lifestyle is one,

02:03one, food, right?

02:07Because nutrition is also important for our sperm cells.

02:14Vitamin C, vitamin E, vegetables, fruits, fish.

02:22Our sperm cells vary, right?

02:25We always say, Audrey,

02:27you have to at least produce 60 million.

02:32Why are you looking at me like that?

02:34I'm not counting my sperm, Doc.

02:37That's a lot.

02:38And we say, Dayan,

02:4060 million is a good number.

02:42It has a head, a neck, and a butt.

02:45Healthy.

02:46Healthy and moving.

02:48Okay.

02:49Maybe it's due to food.

02:51Some say it's due to physical activity.

02:55Physical activity may cause trauma to the path of our sperm cells.

03:03Okay.

03:04Is this disease curable?

03:06Yes.

03:07For those of us who are listening, it is curable.

03:10Of course, the history should be examined first.

03:13It's very, very important, right?

03:15Then we have a diagnostic laboratory exam,

03:19sperm analysis,

03:21and hormones are important.

03:23Because our hormones, especially testosterone,

03:26stimulate the spermatogenesis so that our sperm cells increase.

03:31If that's not enough, there's a problem.

03:34Then after that, production,

03:36where our sperm cells are manufactured.

03:39If we have enough hormones,

03:42even if our factory isn't good,

03:45there's nothing.

03:46So basically, that's what we should look at.

03:49We have to do the laboratory examination.

03:52Then, like what Diane said,

03:54once we see where our focus is,

03:58either hormones,

04:00either medications,

04:02because we have medications to produce,

04:05even stem cells can generate sperm cells.

04:10You won't know this unless you have it checked.

04:13Yes.

04:14Now, is there an effect,

04:16especially for those who want to have children,

04:19on vices like smoking?

04:22Yes.

04:23Especially for children,

04:25like what you said, Audrey,

04:27you never undergo a check unless you are starting a family.

04:32Then when you start a family,

04:34after 5 years,

04:36you haven't had a child yet.

04:37Then you have to think about it.

04:39You don't do it right away.

04:41You know that, right, Diane?

04:42You're 30, then you do a check.

04:44Then you say vices like smoking,

04:48alcohol,

04:50stress.

04:51That's our biggest vices, stress.

04:54But of course, we do have stress.

04:56But we need to learn how to handle stress.

04:59Because stress can also produce not very good sperm cells.

05:05Okay.

05:06If it's diagnosed that it has oligospermia,

05:09is there a chance for it to give birth naturally

05:13or does it need fertility treatments?

05:15Yes.

05:16We always do it medically.

05:19If we can increase the number, it's good.

05:23Sometimes if we increase the number,

05:25the structure, the morphology is still not good.

05:28So we can add a hormonal treatment to that.

05:31Now, if there are obstructions,

05:35like baricocel, roots that don't supply well,

05:40or there are obstructions,

05:42it can be operated on.

05:43Now, if you can fix those three,

05:45and you don't have a problem anymore,

05:47and you still can't give birth,

05:49then we can do the artificial insemination,

05:53like XC.

05:55So can you do that?

05:57Yes, you can.

05:58Then we will have to harvest your sperm cells.

06:01Are there age groups that should be concerned about this,

06:05especially those above 40 or 50,

06:09whose families are just starting out?

06:11Are there foods that can help make your sperm count healthy?

06:15Yes.

06:16Actually, Audrey,

06:17the nutrients that our sperm cells need are basic.

06:23Vegetables, fish,

06:25you can even eat meat,

06:26but not those that are very cholesterol-based.

06:30Then minerals that would have contained zinc,

06:34selenium, magnesium, vitamin E.

06:37Those are very, very essential for your sperm cells.

06:40What about fruits?

06:41Direct Cheetos, pineapple, jackfruit.

06:43Pomegranate is okay.

06:45Citrus food.

06:47That's okay.

06:49High vitamin C content.

06:52Why high vitamin C?

06:53Because vitamin C is needed in the production and the formation

06:57of your very nice sperm cells.

07:00It's great, right?

07:01And with exercise, it's also good.

07:03Yes.

07:04Exercise helps the blood to circulate.

07:09If our blood circulates in the body,

07:13it also circulates in our reproductive organ, the testicles.

07:17Okay.

07:18When you're going to treat your oligosperm,

07:20you mentioned earlier the different options.

07:22What is the timeline for your sperm count to improve?

07:27Because there might be people who are going to have a family.

07:29What is the timeline that they can look at?

07:31Okay.

07:32Just like what Audrey asked,

07:34when is the right time?

07:36Okay.

07:37Like what we're talking about,

07:39as early as before you make a family,

07:45you should check yourself.

07:46Ah, you should check yourself.

07:47Because after their marriage,

07:52there are years of waiting,

07:56and you should check yourself.

07:58Sometimes, it's too late.

08:00Actually, it's not too late.

08:02Let's say you're married, 50 years old.

08:05Yes.

08:06Of course, in production,

08:07there's not only depletion,

08:10but also weakness, right?

08:12So, what should we do?

08:14Are we asking the young individuals,

08:16in their 30s or 40s,

08:18if they're healthy?

08:22Actually, we have to be part of

08:25the male fertility workup,

08:29for those who are in preparatory for their married life.

08:33Just in case.

08:34Even the females,

08:36they go for an OB check,

08:39so that there's no problem.

08:41Because I have patients,

08:42after they go,

08:44they complain.

08:45The wife would say,

08:47why is your sperm count like that?

08:50We can do something about it.

08:52But it's not,

08:54it's part and parcel of that.

08:56So, it's better to go to your urologist

08:58as early as possible.

09:00Why is it part and parcel?

09:04Is there enough medical technology here in the Philippines

09:08for those who have this problem to be treated?

09:12Yes, we have.

09:14If it's medical, it's possible.

09:17If it's just production,

09:19there's no problem in the way.

09:22We have medicines.

09:24But if it's just hormones,

09:26it means there's not enough stimulation,

09:28we also have oral and injectable medicines.

09:31Now, if it's all of that,

09:35it's okay.

09:38But there's a problem with the number of counts.

09:42There are some that are congenitally very low,

09:47but normal,

09:48then we have no choice but to do harvesting.

09:52When you say harvesting,

09:53we will take them one by one,

09:56put them in a petri dish,

09:59then preserve them.

10:02That's how it is.

10:03Then we do the in vitro.

10:05It's called in vitro.

10:06There's also in vitro.

10:08But of course, for the fact,

10:10Audrey Diane, that's a bit expensive.

10:13And the percentage of success,

10:17of course, we can't say.

10:19It's not 100%.

10:20The predictability is also difficult.

10:25We're just real docs.

10:27How much is the range of such docs?

10:30It's also high,

10:32around 70-80%.

10:35Because sometimes,

10:36even if you harvest them,

10:38they die on the process.

10:41So in the beginning, Audrey Diane,

10:44they're weak.

10:45That's why they were harvested.

10:47It's like we're just going to preserve them.

10:51But at the end of the day,

10:53even if you do the procedure in vitro,

10:56they might still not be able to do it.

10:58So really,

10:59if you're going to say,

11:00the sperm cells for fertilization are all wrong.

11:06I have a question.

11:07I read something about collagen.

11:10Once it's taken,

11:11does the sperm count increase?

11:15No, I think

11:16maybe we have to do some research more on that.

11:20I think collagen has its own aspect of usage.

11:25It's more of the skin preservation.

11:29Maybe your collagen gets its protein effect.

11:35But I think it's more,

11:37if you really want it to be good,

11:40zinc, selenium, magnesium, vitamin E.

11:44Those are the ones you can buy.

11:48If you go to the market,

11:50the health store,

11:51you get a label,

11:55the units.

11:56If there's a lot of zinc,

11:57selenium, magnesium, vitamin E.

12:00I've repeated it three times.

12:02That's good.

12:03That's very, very good for the sperm.

12:05Okay.

12:06You mentioned earlier,

12:07Doc, that it's a bit pricey,

12:08a bit expensive.

12:10When it comes to the option

12:11that you have to harvest,

12:12how much is that, Doc?

12:15It depends on the institution you're going to.

12:17Usually, they'll say,

12:19we do it here.

12:21But you know us,

12:23our fellow countrymen,

12:25when we're whispering,

12:27it's not successful.

12:29Most of them go abroad to have it done.

12:32Okay.

12:33Right?

12:34Because you'll be asked,

12:36if it's not successful here.

12:39But we have specialists doing that.

12:42We do that.

12:43But sometimes they tend to go abroad

12:45and have it done.

12:46So your price will range in very high.

12:51It's a good thing it's a million.

12:53Yes.

12:54It's expensive.

12:55I have a phone-in question.

12:57COQ10.

12:59There.

13:00Does that help?

13:01It's a medicine.

13:02Yes.

13:03Coenzyme Q.

13:04Yes, it can.

13:05Actually, COQ10 is for the heart.

13:08So when you have that vascularization,

13:12the blood flow is better.

13:15Of course, that's important.

13:17Paricocil is part and parcel

13:19of the production of our sperm cells.

13:22So if that's okay,

13:24you drink it,

13:25it has COQ10,

13:26that's a go.

13:27It's important because

13:28we always remember

13:30to prevent that oligospermia,

13:33it's good production,

13:34good blood supply,

13:36no external trauma,

13:38and your food lifestyle.

13:40When I say food lifestyle,

13:41it's eating properly.

13:43And of course,

13:44as Diane said, physical.

13:45And you're going to be alright.

13:47And no stress.

13:48Sleep.

13:49Get some sleep.

13:50Yes.

13:51Is it connected?

13:53If a man has a low sperm count

13:57or weak sperm cells,

13:59does that have a connection

14:00to his health?

14:03Libido.

14:05It depends.

14:07Sometimes you have low sperm count,

14:11but your levels of hormones are okay.

14:15There are two aspects of that.

14:18Now, there's production.

14:23Now, if you have an immune system,

14:25you have congenital diseases,

14:27and all those stuff,

14:28I think it might contribute

14:31and be a risk factor later on

14:34to the production of sperm.

14:36But at the end of the day,

14:37we always say

14:39that it has its own function.

14:43That's why it is sacred.

14:45You know, Audrey,

14:46it's placed under a sacred structure.

14:51It has its own mechanism.

14:54But if it's totally sick,

14:57it might affect the sperm.

15:00We've learned a lot from Dr. Joseph Lee.

15:03And maybe one key takeaway

15:05for us adults,

15:06it's better to go to a urologist

15:08to talk to an urologist.

15:11Thank you, Dr. Joseph Lee,

15:13for sharing with us

15:15about the condition of oligospermia.

SAY ni DOK | Ano nga ba ang oligospermia at paano ito nakakaapekto sa isang lalaki?

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