"Why?" was my puzzled question to him.
"My best friend told me to take this to increase my chances of having a child," he quickly replied.
"He told me to take one tablet before sleeping at night. Is this really effective?"
"Whoa! He told you that? Viagra is not a fertility drug. You must consult a doctor first before taking medications," I slowly said to him.
The rest of the conversation went on like a daily clinic consultation. I ended up interviewing him. I found out that he had no erection problems at all. His last medical consultation was when he was still a small boy. Like many others, he fears hospitals and doctors. He says I'm the only doctor he considers a friend.
My neighbor is a jeepney driver and has been married for more than ten years already, unblessed and worried why he and his wife has no children after so many years of trying. He said her wife had consulted a doctor once, was found to be normal, and it is his perennial problem how he can make up for his "inadequacy." He is tormented about this problem everyday, and is willing to jump at every opportunity which he thinks will lift this distressing burden from his shoulders.
I ended up referring him to my friend urologist for a complete work-up and consequent management. I assured him that only a thorough medical check-up can help see what's wrong with him. There is no need for fear because I said everything will be explained to him, and if the problem is minor (which I suspect), then there is a great chance that he will have a kid soon.
As I was surfing the net last night, I came across this article:
Sperm needs cool surroundings to develop best, which is why the testicles are outside the body.
Because of this, men who want to father a child are already advised not to wear tight clothing or underwear which causes too much heat to build up.
In a pilot study involving men with fertility problems, half of those who refrained from baths saw their sperm count rise by an average of 491 percent.
The others failed to respond but they were all smokers. Tobacco has long been recognised as a major factor in infertility.
[Daily Mail, 5 Mar 2007]
Wear boxers whenever possible. Take cold showers. Avoid tight pants. Quit smoking now. I will tell these to my troubled neighbor next time I see him.