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

### input:
I am 35 yrs old and had undergone a Microsurgical bilateral variocele ligation procedure 4 months back. For the 3 months following that i was on the below medication:Tamoxifen citrate 10mg; 1---0---1Mixogen; 1---0---0Testoviron Depot 250mg; 1 IV shot monthly There was a consistent improvement in my sperm parameters for the 3 months. But in the recent test (after the 4th month), there was a drastic degradation and i have been prescribed the following medication for a month and asked to repeat the test after that: Penegra 50mg; 1/2---0---1/2Wysolone 5mg; 0---0---1/2Tamoxifen citrate 10mg; 1---0---0I would like to understand how the above would help in improving my sperm parameters. Thank you.PS: The main reason for my query is that I came to understand that Penegra is a medication for erectile dysfunction and is not related to sperm count/ quality.

### output:

Hi Dear!! Thanks for your query to Chat Doctor. Read your query and understood your health concern. Based on facts of you query, you seem to suffer from-Testicular fatigue with Suppression from Testoviron-over dosage. Stop Testoviron. Continue with Tamoxifen Prolactin. Consult Urologist to review your treatment. Use of these Chat Doctor. You seem to be recovering your testes function well, but the prolonged and high use of Testoviron lead to suppression of this upcoming testes functional recovery. In this the review of treatment on suggested lines would improve sperm quality and quantity over next 2-3 myths time. Let the testes functional recovery build up on its own, as microvascular Varicocelectomy would help in this testicular functional recovery. Hope this reply would help you to plan further treatment with your doctors there. Welcome for further query in this regard if any. Good Day!!