### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, First to let you know me problem. I am male 32 years and having fertility issue. I had been to all the doctors with all different opions but with no better result. I will discuss the issue ina bit details. couple years back i decided to have a baby so me and amy wife started this natural phenomenon of conciving a natural baby. However to our surprise we werent able to do so we decided to consult a gynec and he suggest for detailed siemen analysis. The report was low sperm count at that time 20 Millions .Gynec said we can go ahead and give it a try naturally but obviously we didnt succeed. We were asked to check my PH ,FSH, TH and Testotorne soon after that. The PH and FSH level was very high so my gynec suggested me to go for an MRI. Soon after the MRI i was diagnosed with a micro adenoma which in medical terminology is a Pitutary tumor. I was directed to a endocrinologist and he advised me to have Cabergoline. I was on Cabergoline for almost a year and a half and i had couple if blood test which revelad a PH of 0.6 to 0.6 and FSH was max till 11. I did a siemen anaysis in between as well and it went till 11 millions.i went an urologist as well and and a 3 doppler test done which revealed an 3 mm vericosile. Now my query is i had stopped Cabergoline for almost 3 months and did an siemen anaysis which revealed an count of 6 million. (just to mention my siemen volume also keeps on flactuatin from 0.8 ml to 2.00 ml 1- Does FSH and PH affects fertility. 2- if yes what is the best medicine for it. 3- i had been on Fertil M medication which has shown significant improvement. Any suggestion on this. 4-does Vericocile affects fertility. If yes what is the medical treatment. Lastly i am now very confused and dont know the future course of action and line of treatment. Can anyone suggest me a way out of this confusion please.

### output:

Hello, thanks for the query. I understand your confusion regarding the endocrine orchestra. Let's try to sort one by one. Firstly it would have been great and could have helped to Chat Doctor.  Duration of your married life. How long have you been trying. Your job nature. Your thyroid hormone, testosterone levels. Coming to your questions, I can suggest you these things based on the available information.1. Prolactin is an important hormone that affects fertility and fortunately this cause is easily correctable by 