Metformin and phentermine are among the cheapest options
However, the medication should be paused until a medical professional confirms the cause of the pain
For the male partner, this would include 1,2 : Previous fertility and other reproductive issues Sexual activity, libido, and function Past and present medical conditions and medication usage Childhood conditions affecting the reproductive system, such as undescended testicle(s), mumps orchitis, and early puberty Physical or surgical trauma affecting the reproductive tract Alcohol, cigarette, and recreational drug use Occupation and other potential sources of environmental toxin exposure Family history of infertility or other medical conditions Physical examination A screening physical exam can be helpful in identifying lesions, cysts, tumors, varicoceles, and structural abnormalities related to the penis, vas deferens, epididymis, and testicles that may require further assessment
Clinicians should be aware of this & note that even unintentional weight loss (from cancer, bowel surgery, dementia etc.) could do this
10.1111/ijs.12073 Int