Yes, undergoing medical tests is a very wise and important next step. Since sexual health is complex, I highly recommend consulting a specialist to identify the root cause. Key tests often include comprehensive hormone panels (checking estrogen, progesterone, thyroid, and prolactin levels) and routine blood tests to rule out metabolic issues. Please be reassured that finding the exact cause is the best way to choose a safe, effective, and lasting treatment.

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.

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.

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.

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.

Both Addyzoa and Maxoza-L are designed to support sperm quality, but they work differently. Addyzoa is an herbal formulation, whereas Maxoza-L is a nutritional supplement containing antioxidants like L-carnitine and Coenzyme Q10. Neither option is universally 'better' than the other; the right choice depends entirely on your specific semen analysis results and overall health. I highly recommend discussing your goals with a urologist or fertility specialist. They can evaluate your unique profile and safely guide you toward the most effective option.