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Discussion on semen analysis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 638 Questions

Doctor :   Hi
User :   hi
Doctor :  
How can i help you?
User :   i just wnt discuss my semen analysis report
User :   volume is 1 ML
Doctor :  
ok
User :   Sperm Count is 55 ml
User :   ph is 7.5
User :   vitality is 60%
User :   Fast Progrseive are 35%
User :   slow progressive are 12 %\
User :   local motile are 8%
User :   and immotile are 45 %
Doctor :  
ok
User :   agglutinaion is negative
User :   longevity i 3 hrs
User :   pus celss 3-4/hph
User :   red blood cells nil
Doctor :  
ok
User :   epithelia cells is +(in small numbers)
User :   mornography
User :   60 %
User :   abnormal 40%
User :   head defects 25%

User :   hi XXXXXXXX
Doctor :   hi
User :   i have written my semen analysis detail above
User :   here is the complete details
Doctor :  
ok
User :   Volume          1 mL
Appearance     Viscid opaque
Cloour          Whitish
Viscosity     Thick
pH          7.5


Total Sperm Concentration      58 million/mL
Percentage Motility          55%

Grade A          35% (Fast Progressive)
Grade B          12%     (Slow Progressive)
Grade C          8%     (Local Motile)
Grade D          45%     (Immotile)


Vitality          60%
Agglutination          Negative
Pus Cells          3 Hours
Red Blood Cells          3-4/hpf
Epithelial Cells     + (in small numbers)


Morphology

Normal Morphology          60%
Abnormal Morphology          40%
     (a) Head Defect          25%
     (b) Neck & Midpiece     10%
     (c) Tail defects     5%
User :   could you please read this and suggest if everything is OK with the report something need to be taken care
Doctor :   yes

Doctor :  
i am reading through your complete report
User :   it would be great
Doctor :  
please give me some time
User :   yups
Doctor :  
as per the report sent by you
Doctor :  
it is within normal limits
Doctor :  
only the volume looks little less
User :   and Vitality???
Doctor :  
motility is a little less
Doctor :  
it should be 60% and above
User :   and what could be the solution for that
Doctor :  
i will help you in this
User :   it would be great if you can
Doctor :   the sperm count and quality can be improved

User :   but i think sperm count is OK
User :   anyway wht are the solution for that
Doctor :  
yes, sperm count is fine
User :   and how much time it will take to come in good shape
Doctor :  
anything above 20 million sperm per milliliter is considered normal
Doctor :   you should take zinc containing multivitamins
Doctor :  
and also foods rich in zinc
User :   thank God , i think mine is 55 million
Doctor :  
as this helps to improve both quality and quantity of sperms
User :   what could be the food
User :   like???
Doctor :  
are you a vegetarian or a non vegetarian?
User :   vegeterian
Doctor :  
sea foods contain the maximum amount of zinc
Doctor :  
since you are a vegetarian
User :   wht could be the best for vegeterian
Doctor :  
taking lot of beans and vitamin E rich foods wil help
User :   i am having little knowledge on Vitamins
User :   so could you please specify wht to take and wht not to take
Doctor :  
yes i will give a list of food items
Doctor :  
that you can take based on your choice
User :   yups sure
Doctor :  
take a lot of dairy products like curd, yogurt and milk
User :   k
Doctor :  
wheatgerm, poppyseeds, sesame seeds (or paste), linseed, cocoa, are few more to mention
Doctor :  
cashews, walnuts or pecans, cheddar.
Doctor :   almonds, pistachios
Doctor :  
soy protein containing foods and drinks
Doctor :   all XXXXXXXX cereal, keloggs too is known to suplly ample amount of zinc
Doctor :  
foods made of oat XXXXXXXX
Doctor :  
if you are taking eggs, this too helps
Doctor :  
fresh fruits, potatoes, beans, canned vegetables, pumpkin seeds and seafood.
Doctor :   are you there?
User :   yups
User :   i m confused in this list
Doctor :  
have you followed what i have said?
User :   yups
Doctor :  
what is your confusion XXXXXXXX?
User :   i was thinking and planning what to take or not
Doctor :  
tell me
User :   :-)
Doctor :  
i will help you to resolve
Doctor :  
if you need a perXXXXXXXXized diet chart that comprises all of these
User :   nothing like confusion but i was surprised that these many things i can take
Doctor :  
you can go for diet charts
Doctor :  
which will help you to plan better
User :   i thoght there would be a little things only
Doctor :  
and stick to that
User :   any way could you please provide me diet chart please
User :   yups i will stick to that
Doctor :  
ok
Doctor :  
that is a good start, i really appreciate it
User :   my pleasure
Doctor :  
i will help you with the diet chart surely
Doctor :   We design PerXXXXXXXXized Weight Management Program with Diet Menus and Exercise

Doctor :   but right now, this available only for users who subscribe for a Monthly/Yearly paid package with us.
Doctor :   so if you need one
User :   Doctor, is my report is too bad or normal but to take care type of???
Doctor :  
then go to the products tab on the home page
Doctor :  
and you can order one
Doctor :  
mentioning the condition for which you need it
Doctor :  
your report in borderline normal
Doctor :  
so with improved diet, this too can be improved
User :   does with this report i can have a baby
Doctor :  
yes you should be able to have a baby
Doctor :  
as your count, pH, are normal
User :   but i dont know why i m getting problem to having a baby
Doctor :  
only morphology and motility are a problem
Doctor :  
which will improve over sometime say about a month and a half
Doctor :  
is will not happen fast
Doctor :  
it will take sometime
User :   exactly you are right
User :   should i need to take some medicine sort of thing also
User :   or diet can resolve the problem
Doctor :  
you can just take multivitamin suppliments that contain zinc, magnesium and copper, apart from the usuall ones
Doctor :  
diet and medications both together work hand in hand
User :   could you please specify the multivitamins
Doctor :  
are you taking alcohol? do you smoke?
User :   not any
Doctor :  
take Tab. Supractiv or Tab A-to-Z one tab daily at bedtime
Doctor :  
and also having intercouse during early hours of the day helps
Doctor :  
the chances of pregnancy is more with this
User :   k
Doctor :  
as the sperm count and motility are very high during the morning hours
User :   any other thing which i need to be taken care
Doctor :   just confirm your wife's menstrual cycles
User :   i think she is normal
Doctor :  
and i wil tell you when she will be releasing eggs
User :   ohhh ok
Doctor :   such that the intercouse done at that time is fruitful
User :   2nd day of the month
Doctor :  
as women tend to have something called 'fertile period'
Doctor :  
which comes in between the two periods
Doctor :  
in how many days once does she get her periods? is it 28 days, 30 days, or more?
User :   27-28 days
Doctor :  
ok
Doctor :  
for a 28 day cycle,
Doctor :  
the egg release form the ovary
Doctor :  
will happen betwen 8th to 14th day of the period cycle
Doctor :  
taking day 1 as the day she starts bleeding
Doctor :   so during this time of her period cycle and intercourse during early morning will increase chances of pregnancy
Doctor :  
have you followed what i have said?
User :   yups
Doctor :  
please get back to me in case of doubts
Doctor :  
i will explain
User :   what could be possbile chance not to have pregnency when everything is fine
Doctor :   if by following all these, still you are not able to have a baby,

Doctor :  
then there is another procedure that can be followed
Doctor :  
and this gives excellent results
User :   as i am having normal reports and my wife is having normal reports
Doctor :   could tell me your wife's reports too?
User :   then you should tell me excellent proceudre at first time :-)
User :   i am not having that reports now
Doctor :  
ok
User :   as i am out of station now
User :   but as per the doctors the reports are normal
Doctor :  
you can get them discussed with me later when you have them with you
User :   then only her doctor suggested for Semen test for me
Doctor :  
your wife too will need hormone analysis
Doctor :  
consisting of TSH, LH, FSH, Prolactin levels along with complete blood counts
User :   first of all i want to make sure that i am 100% fit then only i will think about her test
Doctor :  
as the egg release will happen on basis of these hormones' concentration in the body
Doctor :  
your report is a borderline normal report
User :   any other test which could be done on me
Doctor :  
so you will not be having so much of problems
User :   borderline means only ar par
Doctor :  
however if your wifes hormone reports are normal
Doctor :  
it is the borderline between normal and abnormal
User :   anything carelessness could lead to problems
Doctor :  
so if your wifes reports come back normal
Doctor :  
and your sperm count is more than 20
Doctor :  
20 million
User :   yups
Doctor :  
then the egg will be taken from your wife and sperms form you
Doctor :  
and the fertilization will be made outside the body
Doctor :  
and the mechanism can be observed
Doctor :  
sometimes the sperm count and everything will be normal
Doctor :  
but on trying for this in-vitro fertization
Doctor :  
we see that sperm is not able to penetrate the egg to fertilize it
Doctor :  
this happend when the sperms lack
User :   k
Doctor :  
a protien called as 'Acrosomal protien"
Doctor :  
which helps sperm to drill through the egg and get inside and unite with the nucleus of egg
Doctor :  
producing a baby
User :   should i take that protein or not??
Doctor :  
and this 'acrosomal protien' can be tested only by in-vitro fertilization
Doctor :   you will need to take the vitamin suppliment that i mentioned
Doctor :  
take foods rich in protien and zinc
User :   Supractive and AtoZ
User :   both u need to take or i can take anyone
Doctor :  
proteins can be taken by consuming soy based foods, beans and lentils
Doctor :  
you have to take only one of that
Doctor :  
not both
Doctor :  
i suggested two manes, to help yu
User :   best among two???
Doctor :  
if one is not available , then you can go for the next
Doctor :  
both are equally good
User :   k
Doctor :   Is there any thing else I can help you with?
User :   as of now , not any querry
User :   but i just want to ask one thing
User :   does you people have perXXXXXXXX hospital or clininc
Doctor :   yes, please proceed
Doctor :  
no we dont have perXXXXXXXX clinics
Doctor :  
we are available online 24/7
User :   then ???
Doctor :  
Please fill the feedback form while i answer your next query, say done when done.
User :   but suppose you were saying that if nothing help in my case then you will take egg from my wife ovary and my sperm for some test
User :   then how will you do that
User :   or how can i contact you doctor
Doctor :   yes, this will be done at a infertility clinic
Doctor :  
where special lab facilities are available
Doctor :  
this cannot be done in small labs
User :   and how much will be the cost for that
Doctor :  
you can contact me here in this live chat
Doctor :   and ask for me
Doctor :  
i will help you with the cost
Doctor :  
it is quite high
User :   approx???
Doctor :  
ranging from
Doctor :  
9000 US dollars to 0000 US dolars
User :   ohhhk
User :   thanks for you help
Doctor :  
Is there any thing else I can help you with?
User :   not as of now
Doctor :   ok
Doctor :  
Have you filled the feedback form?
User :   but i'll contact you if i am having any query
User :   yups
Doctor :   you can get back to me with your wife's reports too
User :   i have filled the form
User :   ya sure
Doctor :  
surely at anytime
User :   i'll
Doctor :  
thanks for filling the form
User :   you were XXXXXXXX verma, right
Doctor :  
follow the diet and medical advice
Doctor :  
yes
User :   gr8
User :   thank XXXXXXXX
Doctor :  
in case i am not available, you can also ask for Dr. XXXXXXXX
User :   i'll definitely follw the diet and medicinines
User :   ya sure
Doctor :  
she too takes care of infertility cases
User :   but anyway when you will be available
Doctor :  
if you need a perXXXXXXXXized diet chart
User :   most probably i'll contact you on monday
Doctor :   i am available between 8-5 in the daytime
Doctor :  
surely
User :   with my wife's report
User :   gr8
Doctor :  
it will be my pleasure to help you out
User :   i'll contact youon that time
Doctor :  
sure XXXXXXXX
User :   wht are you saying abt diet chart
Doctor :  
i wil give you a link
Doctor :  
where you can opt for diet chart
User :   i think u were saying something
User :   ohhh great
User :   please gimme
Doctor :  
WWW.WWWW.WW Doctor :   go to this link and choose the diet and nutrition option
Doctor :  
Is there any thing else I can help you with XXXXXXXX?
User :   no thanks XXXXXXXX
User :   thanks a lot
User :   Sonal*
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
Doctor :   Please chat with our doctors 24/7 for medical queries.
User :   yups sure, i'll
Doctor :   wish you both speedy recovery and parenthood
Doctor :  
bye for now
User :   bye
User :   thanks
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. We are there to help you 24/7
Doctor :  
have a good day ahead
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