Poor seminal parameters of unknown etilogy

Poor seminal parameters of unknown etiology: How to treat ???  If there are no anatomical abnormality in scrotum, prostate and no definite cause could be substituted  for reputed Poor Count /motility what we can do?? If  Fructose is present, no Pus cells, L time –Nor, Endocrine & Karyotype are normal,  then one can empirically prescribe A) Natvie /Evion Forte 1 OD B) Co Q Forte 1 OD C) Carnivit  500 1 QDS(if affordable) E) Zincovit  1 tab od –all are promoters of sperm synthesis & improves motility, Imperial ?? Possibly yes.

OAT:- Gynaecologits himself/ Genl surgeon / Andrologist can clinically examine size, consistency                                                                                                                                                                                                                                      , of tetses, epididymis,. One has to look for any scrotal swelling, varicocele, hernia, hydrocele, retractile testis If no such abnormalities are detected in scrotum, prostate is to be evaluated (P/R examination)  then some drugs like may be empirically tried if no endocrine  metabolic marker to count for low density,