An FSH level of 45 is high and typically indicates that your brain is sending strong signals to stimulate your testes, which may not be responding fully. Medications like Siphane M (clomiphene) can raise FSH levels, while combining them with Ayurvedic remedies like Addyzoa and supplements like Trazer M Forte can sometimes cause unexpected interactions that temporarily lower sperm count and motility. I highly recommend consulting a urologist or fertility specialist. They can safely evaluate your hormone levels, review all your medications, and help tailor a safe, effective plan for you.

A rapid change from 40 million to less than 1 million within a single month is often temporary. Since sperm production takes about 74 days, this drop is likely due to a recent acute event, such as a high fever, illness, severe stress, or even a laboratory variation, rather than the Addyzoa and Semento tablets suddenly failing. Herbal supplements may not address these sudden, acute underlying causes. I highly recommend repeating the semen analysis in a few weeks and consulting a urologist to help identify the root cause.

masturbating three times a week is completely healthy and not harmful. At 21, stress and performance anxiety are indeed the most common causes of weak erections and finishing quickly. Stress triggers hormones that restrict blood flow and speed up ejaculation. The herbal supplements you used, Addyzoa and Musli Plus, are not necessary for this. Focus on managing stress through relaxation and exercise. If symptoms persist, speaking with a doctor or therapist can offer great support.

It is generally recommended to take both Spemen and Addyzoa after your meals. Taking these supplements with warm water or milk after you eat helps ensure optimal absorption and minimizes the chance of any mild stomach discomfort. Please make sure to follow the specific dosage instructions provided by your healthcare professional, and feel free to reach out if you need any further guidance.

At 21, these issues are often highly treatable once we find the root cause. I suggest consulting a urologist. To help find answers, key medical tests to discuss with your doctor include a comprehensive hormone panel (checking testosterone, prolactin, and thyroid levels), a fasting blood sugar test, and a lipid profile to assess overall metabolic health. Sometimes, a simple urinalysis is also helpful to rule out minor infections.

Yes, while Addyzoa is an herbal supplement, certain ingredients can occasionally cause side effects like heart palpitations or a rapid heart rate (tachycardia) in sensitive individuals. If you experience these symptoms, please stop taking Addyzoa immediately. Sit or lie down in a quiet, cool place, take slow, deep breaths, and drink some water to help calm your system. These symptoms often subside once the supplement is stopped. However, if the palpitations persist, or if you experience dizziness, chest pain, or shortness of breath, please seek medical care right away.