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Concerned about the semen analysis report - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hello dr
Doctor :   how can i help u ?
User :   i had a query regarding male fertility
Doctor :   please proceed
User :   i did my semen analysis and got the values
User :   wanted to know if they are normal
Doctor :   ok
Doctor :   please type in the details
User :   my sperm count is showing 24 to 25 million
User :   liquefaction time 30 min
User :   high motility 60 percent and normal morphology
User :   is this ok or do i need fertility treatment
Doctor :   may i know ur age, and the duration of marriage ?
Doctor :   your semen analysis is normal
User :   34 years and 2 and half years
Doctor :   there is no need for any fertility treatment
Doctor :   may i know the age of ur spouse ?
User :   i had the doubt because i was wondering that the normal is 20 mil and mine is just above that so
User :   spouse is 27 and she has also had all workups showing normal
Doctor :   ok
Doctor :   first let me tell u a few things
User :   sure doc
Doctor :   To achieve successful pregnancy, you need to know about fertile period of the menstrual cycle.
A pregnancy can be achieved, when you have intercourse from the 12th day to the 17th day of the menstrual cycle. This is the fertile period.
Intercourse during days 1-12 & 17-28 days of the cycle will be risk free and not result in pregnancy.
Doctor :   also, have u had any miscarriages or any abortions ?
Doctor :   any use of oral contraceptives, or injection pills ?
User :   ya doc second month of marriage she got preg
Doctor :   Is ur wife having regular periods ?
User :   so we had abotion and then pills
Doctor :   may i know, where u had the abortion and what pills did u have and how long ?
User :   it was a medical abortion
Doctor :   ok
User :   hey mom is a gynac so it was done well
Doctor :   is she been having regular periods since then ?
Doctor :   and is the ultrasound done or the Hysterosalpingogram done normal ?
User :   after pills there was a period of no ovulation and then after clomid 3 courses she started ovulating normally on her own and she now has a 35 to 40 day period
User :   us and hsg are normal
Doctor :   her period duration are very long
User :   so what can be done
Doctor :   does she bleed normally or have excess bleeding ?
User :   normal doc
Doctor :   you told me her mom, is a gynae
User :   that has been her period even before marriage
Doctor :   has she not examiend and prescribed meds to regularise the periods
User :   yes
Doctor :   oh ok, so her periods have been so, even beofre marriage
User :   yes doc
Doctor :   in that case, i would advice u to get her FSH, LH, Thyroid tests done to check for other causes of infertility
User :   all done doc and all are normal
User :   including tb and endometrial workup
Doctor :   also is she on nay meds currently ?
User :   no only folic acid and supplements vitamins
Doctor :   In that case, if all tests are normal, i think there shd not be any problem for conception
User :   basicaly i was concerned whehter my workup is normal or whether i need to see an andrologist
Doctor :   i would advice u to try with tab clomid as she has been prescribed earlier
Doctor :   for a few more months
User :   thanks doc that was my primary concern
Doctor :   You are welcome
User :   will try for a few more months and then see how it goes thanks
Doctor :   i think over time u will have a kid normally
User :   thanks again doc
Doctor :   there is no need to worry as of now
Doctor :   remember to leave ur feedbcakl as u log out
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