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Erection problem, bisexual guy, sperm count is 50 millions, motile 20%, non motile 40% - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   i have an erection problem
Doctor :   Hi
User :   i want to connect
Doctor :   I ma Dr
Doctor :   How can I help you ?
User :   i already consult with
Doctor :   Ok, If you would like to discuss with me I can continue.
User :   he asked me to take seman analysis
User :   since i got erection problem
Doctor :   Ok.
Doctor :   What has the report stated ?
User :   can u tell me ur mail id, i will email my report
Doctor :   Ok, YYYY@YYYY
User :   i sent sir
User :   my name
Doctor :   Ok.
User :   i am bisexual guy
User :   i do sex sometimes with guys
Doctor :   Please wait for 2 mins. as i receive it
User :   got it sir
Doctor :   No,
Doctor :   I am awaiting
User :   ok sir my sperm count is 50 millions
Doctor :   Ok
User :   liquefication time is 2 hours
User :   actively motile is 40%
Doctor :   Your sperm count is excellent
Doctor :   not to worry.
User :   sluggishly motile is 20%
User :   but the report say 60 - 150 is normal sperm count sir
User :   non motile is 40%
User :   r u there sir
Doctor :   According to WHO-World Health Organisation norms,IT IS It is a matter of concern , if it is below 20 million
Doctor :   So please do not worry about that, You are not Oligozoospermic.
Doctor :   Total sperm count, or total sperm number, is the total number of spermatozoa in the entire ejaculate. By WHO, lower reference limit (2.5th percentile) is 39 million per ejaculate
User :   but in actively motile and non-motile terms
User :   i got some less and high percentage
Doctor :   That too, if we follow the World Health Organisation norms.
Doctor :   There are four classifications : User :   u got my report in mail
Doctor :   Yes I have got it
Doctor :   Let me go through it , 1 min.
User :   please check it and tell me sir
Doctor :   A more specified measure is motility grade, where the motility of sperm are divided into four different grades: *Grade 4: Sperm with progressive motility. These are the strongest and swim fast in a straight line. Sometimes it is also denoted motility a.
*Grade 3: (non-linear motility): These also move forward but tend to travel in a curved or crooked motion. Sometimes also denoted motility b.
*Grade 2: These have non-progressive motility because they do not move forward despite the fact that they move their tails.
*Grade 1: These are immotile and fail to move at all.
Doctor :   Now, What the WHO states is that,
Doctor :   I have gone through...let me explain : at least 8 million per ml have to be actively motile or Grade 4.
User :   ok
Doctor :   So if you have 40 million per ml and 40% are motile...then it would be 16 million per ml which is very good.
User :   so i have 20% is very good
User :   sorry i mean 20 millions
Doctor :   It i snot good but is eneough to have fertilisation done.
For eg. a person has only 20 million per ml sperms and he has 50% grade 4, then he would have 10 million grade 4 sperms, which is enough for fertlisation though he has low sperm count.
Doctor :   Hope you have understood the Physiological concept.
User :   how to increase that sir?
Doctor :   I shall let you know that, but what is concerning is the Liquefaction time which has to be a max. of one hour and though the normal time is half an hour.
Doctor :   It is two hours which might be an indication of some infection.
User :   oh
User :   wat i have to do sir?
Doctor :   Have you got done a Urine routine examination and a urine profile too ?
User :   no sir
Doctor :   I would recommend you to get a 1. Urine Routine & Culture.
Doctor :   2. Did you have any previous fungal infections ?
User :   no sir
Doctor :   like Candidiasis
Doctor :   or yeast ?
Doctor :   or anything else ?
User :   no sir i dont know
Doctor :   Ok.
User :   is it a serious problem sir?
Doctor :   No, but usually if the person is having low body fluids, or water intake, stress, anxiety, infections, this can happen, if it doesnt liquefy fast, the sperms cannot swim up...and fertlize the ovum.
Doctor :   And the sperm analysis report lacks one more study and that is the Sperm morphology.
Doctor :   How the head is ?
Doctor :   if the head is not arrow shaped , then it cannot pierce the ovum.
Doctor :   Can you ask the Laboratory who have done this test, if they do this study also ?
Doctor :   As this is very essential.
User :   ok sir i will ask them
Doctor :   If they do not have, I advise you to go to a better lab.
User :   ok sir
User :   overall view of report please sir
User :   can i able to father a child
User :   shall i get marry?
Doctor :   Yes, except for liquefaction everything else is fine and you will be able to father a child.You can get married,I would just like to say 'Excellent', once I see that the morphology of the sperm is also good.
Doctor :   Hope you have followed my advise ?
User :   s sir....
User :   and one more doubt sir
Doctor :   Thank you for consulting me, Take care.
Doctor :   Yes please go on..
User :   i am doing gym workouts
Doctor :   Ok.
User :   shall i take supplements to gain muscles
User :   will they affect me in fertilisation?
Doctor :   If you would want to you can have whey protein supplements
Doctor :   no they would not
Doctor :   have lots of dry fruits, nuts, anjur, dates, honey and sprouts, and green leaves and fruits
Doctor :   they are good for sperm enhancement
User :   some people says that is not good for health
Doctor :   have lots of water
User :   is they having any side effects
User :   s sure sir
Doctor :   Have whey protein , it is fine
Doctor :   u may have doaarheas
User :   not other ah sir?
Doctor :   then avoid it
Doctor :   no affect on sp[erm counts
Doctor :   Thankl you for consulting me
Doctor :   Take care
Doctor :   Bye for now
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