<s>[INST] Dear Dr,My Name is Mr Sharath Chandra.I would like to know that can i use fertyl-m for low count sperm with out drs advice.Recently i cheched my sperm count its 13 millions.Im also taking Lyco-Q past 6 Months as prescribed by one gynecologist.Pls suggest can i use fertyl-m generally for low sperm count.I also have mild varicose cell.Pls suggest and reply to my mail id    YYYY@YYYY [/INST] Hellothank you for trusting Chat Doctor Dear ferry -m is typically taken once a day, with a staring dose of 25 mg per day. However, the dosage often needs to be adjusted later on, as the individual response to the medication varies. It is essential to find a dosage that supports optimal hormone production, because too high testosterone levels can decrease sperm count and cause other serious side effects. Testosterone, LH and FSH levels are typically re-tested within a few weeks after the therapy is started, and the dosage of clomping citrate is adjusted accordingly. Please consult your doctor he will examine and treat you accordingly. I think I answered to your question if you have more questions feel free to ask. </s>