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Infertility due to low sperm motility - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I got my semen analysis done and it reads total motility 38%, normal morphology 28% with 115 million sperms/ml.. the impression is asthenospermia. The agglutionation is 30% but no WBC as occasional.. me and my wife are trying for a child. What does my report indicate? What are the options available to us?
Doctor :   Hi
Doctor :   please be patient I will lokk for the normal vlaures'
User :   ok
User :   are u an andrologist?
Doctor :   I am a General Practitioner, I believe I can help you within my expertise and If
required I shall recommend a specialist.
User :   ok
Doctor :   the average sperm count today is around 60 million per milliliter
User :   yes
Doctor :   normal motility as 60%
Doctor :   a sample is normal if 14% or more of the observed sperm have normal morphology
Doctor :   So there is one defect in motility
Doctor :   Poor motility is called Asthenospermia
User :   well the impression is asthenospermia which means that the andrologist feels that results are not satisfactory...
Doctor :   Yes
Doctor :   I agree
Doctor :   Normally, at least 50% of sperm should be motile
User :   couple of years ago i had high WBCs in the semen
Doctor :   That might be infection or normal
User :   now that concern seems to have got alleviated on its own but has definitely resulted in low motility and agglutination
Doctor :   sample error while collecting
Doctor :   Yes thre is a problem
Doctor :   Howlong are you trying to conceive
User :   well my wife had conceived in 2004 which she lost in 10th week
Doctor :   ok
User :   since then we have tried few cycles of IUI
Doctor :   then what happened?
User :   nothing happened
Doctor :   What was the result?
User :   IUIs did not result in pregnancy
Doctor :   ok
Doctor :   then what was advised?
User :   now we again started a new round of visits to doc and i got the semen analysis result today
Doctor :   OK
Doctor :   Are you planning for IVF if IUI fails?
User :   I am aware of options like IVF and ICSI
Doctor :   ok
Doctor :   Because you tried and failed by IUI
User :   we are debating still.. i am bit concerned about increased risk of genetic disorders with IVF or ICSI
User :   yes
Doctor :   I think IVF and ICSI are good options instead spending money again on IUF
Doctor :   *IUI
User :   seems like it but i am not finding any good articles in genetic risks
Doctor :   Genetic risks from the procedure?
User :   yes.. since sperms are not selected for fertilisation there is an increased risk of poor quality sperm being used for fertilization which could have some genetic defect
Doctor :   is it in IVF or ICSI
User :   ICSI
Doctor :   plz wait
Doctor :   In ICSI they will catch the motile sperms
Doctor :   WWW.WWWW.WW User :   yes, i am aware
Doctor :   So I think the normal sperm unite with egg and may not have complications
Doctor :   Even if there are , they are in the proportional to the general population
User :   the chances of abnormality are about 4% which about 3 times higher than normal cenception.. it is documented but there is not enough stats since this procedure has not been in use long enough
Doctor :   ok
User :   anyways thanks for talking doctor..
User :   i am logging off now
Doctor :   Thank you
Doctor :   Bye
Doctor :   I think expert consultation is the best for your questions
Doctor :   By Self search we may get facts but for practical purpose, experts will give valuable opinion
Doctor :   Are you with me?
Doctor :   I am sorry I think your question is beyond the scope of my expertise, I shall give
you a link to ask the concerned specialist who can answer by email
Question is related to
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