How can I improve my sexual health as a 25-year-old male in Ghana, Africa?

Low sperm count can happen due to hormonal imbalances, medical conditions, lifestyle factors, and more. If you're experiencing this issue, I recommend you to consult a urologist or a fertility specialist. 

Sexually transmitted diseases, which are also called STDs, are contracted through sexual acts. Many STDs appear as chlamydia, gonorrhea, syphilis, and HIV/AIDS. It is crucial to go to a qualified gynecologist or a urologist, once you suspect that you have an STD or have some symptoms that you think might be an STD. 

Urinary tract infections happe­n when harmful bacteria ente­r your urinary system, causing frequent urination, burning se­nsations, and unpleasant odors or cloudiness. If the initial antibiotics fail to e­liminate the bacteria, your urologist may pre­scribe different one­s. Completing the full course of antibiotics is crucial for re­covery. 

No certain genetic factors can contribute to male infertility, it's not commonly considered hereditary. 
 

You are likely suffering from a urinary tract infection, which can lead to a greenish discharge from your penis and a burning sensation when you urinate. You could try attempting to use the antibiotics ciprofloxacin to treat the infection. Be sure to drink enough water and take it easy. Medication should be taken until the end even if the patient starts to feel better. If your symptoms persist, it is advisable to visit a urologist to obtain the correct prescription.

You might have a condition called phimosis, where the foreskin of the penis cannot be pulled back. You need to consult a urologist who will perform tests on you and determine what your next step should be. 

If you get abdominal and urinary pain with bloody stool, it may be the time you were inoculated with a urinary tract infection (UTI). A urologist for UTI and urinary tract infections is necessary to seek counsel.

You might have prostatitis. This is the case if your prostate becomes swollen and irritated due to some activities such as masturbation. Besides, your testicles might get a dull ache, and you might feel a weird urge to pee frequently. You can stop doing the frequent masturbation which is the main cause, drink more water, and see a urologist.

Loss of ability to pull back the foreskin is a typical, but curable, condition named phimosis. It might be result of a medical condition that led to birth defect. The best option is to see the urologist who can do the full body test and recommend the most suitable drugs for the specific case.

The chance that the fluid you mentioned is semen is high which is the normal product of the male reproductive system. Nevertheless, if the pain or unusual appearance has any appearance, immediate consultation with your urologist is required for definite diagnostic and treatment purposes.

It's great to hear that TENS therapy has positively impacted your urge incontinence. This condition often stems from nerve signaling issues or muscle dysfunction, leading to an improper bladder response. Continuing your therapy for another year may further improve your symptoms, but it’s essential to gradually assess your progress. Some patients do find relief without ongoing treatments afterward. However, it's crucial to stay in touch with your urologist throughout this process for personalized guidance and to help evaluate your specific situation. 

Seeing blood in your urine is not normal and should be a cause for concern. Both a urine test and a visual examination have confirmed this, leaving no doubt. There are many possible causes, such as infections, kidney stones, or more serious conditions. It is important to seek medical help from a urologist as soon as possible so they can run the necessary tests to determine the problem. This will allow them to prescribe the appropriate medication based on the diagnosis.

You should immediately consult a urologist or a dermatologist. This may be due to sexually transmitted infections such as HSV or chlamydia, and a wound in the perianal region could represent skin infections like folliculitis or herpes.

Blood clots in urine and lower left back pain could be indicative of a urinary tract issue or kidney problem. Consult your doctor such as a urologist or a primary care doctor, who can evaluate your symptoms, conduct a physical examination, and order further tests. 
Meantime you can drink plenty of water to stay hydrated and avoid any irritating substances such as caffeine or alcohol, that could exacerbate the symptoms.

The stinging at the end of your penis could be an indication that a previous treatment that didn't completely work has still been around, an infection, for instance. This should be dealt with as it can cause further issues. The tension and sleep deprivation can also worsen the situation. I suggest you talk to a urologist to talk about your signs and symptoms and get other treatment alternatives.

A milky discharge from your pe­nis is concerning. It likely indicates an infe­ction. Common symptoms include pain when urinating and itching. Potential cause­s are sexually transmitted infe­ctions or urinary tract infections. To address this issue prope­rly, you must see a urologist for accurate diagnosis and treatme­nt.

Please share your query in detail or consult a urologist and discuss your concern