Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
133 Doctors are Online

Information about infertility,test results,treatment - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
Doctor :   Hi,
User :   Hi,
Doctor :   yes, proceed with your query
User :   I was looking for opinion regarding Infertility
Doctor :   yes,
Doctor :   please proceed
User :   I was diagnosed with a low sperm count and after having medicines, it came up to about 20 million/ml
User :   with 40% motility
Doctor :   ok,
User :   I got myself checked n PSG Hospital, Coimbatore and i was told that it would be difficult for my wife to conceive normally
User :   These are the results from the test
Doctor :   ok,
User :   Testosterone: 2.64 ng/ml
User :   Antisperm Antibody: 55.2 U/mL
Doctor :   ok,
User :   FSH(Serum)6.45 mIU/ml
User :   I was told that since i have a very high Antisperm Antibody its complicated and difficult for me to have a baby without medical assistance
User :   However, i was advise Wysolene table to see if that helps to lower the Antisperm Antibody..
Doctor :   ok,
User :   Now, I would like to know, is there any possiblity for my wife to conceive naturally?
Doctor :   The sperm count is though optimal but is surely favourable for conception
Doctor :   the motility is near normal and it is not a prob
Doctor :   yes, the antibodies are more that is the problem but with the wysolone the chances are expected to rise
User :   I've trie looking into internet regarding this but couldnt get an exact info like what are effects of high Antisperm Antibody
Doctor :   Antisperm antibody production is not normal in al
User :   Also, am right now having Afrodet Plus to increase my count. (The reports mentioned above are while i had Afrodet Plus and another capsule called Rathi)
Doctor :   it the defence of the body to the sperms produced by itself
Doctor :   autoimmune disease
Doctor :   sperms are often considered by our body as foriegn
Doctor :   hence producing antibodies to kill them , bringing the count lower
Doctor :   i may be more in you
Doctor :   it*
User :   So the Wysolene treatment i;m following is that expected to reduce the Antibody levels or what is it intended to.. i heard that its a steroid
Doctor :   the exact cause of it cannot be made
User :   Below is how am prescribed.
User :   Wysolene 2.5 mg initially daily for 2 weeks
Doctor :   yes, it is a steroid and it decreases the immunity ie the production of the antibodies and prevent the killing of the sperms and bring up the count and chances of conception
User :   On third and fourth week one every alternate day
User :   5th and sixth week once in 3 days and then stop wysolene and repeat semen analysis
Doctor :   yes the dosage is good
Doctor :   it is of low dose and tapering course
User :   I'm slightly confused and am looking for a clear i've read in internet that ifertility is unpredictable and treatments might always not produce results
User :   I was informed that after the completion of this procedure if the results are not OK then, i should consider going for sperm wash or IVF or Iscsi depending on doctor's advise
Doctor :   please do not be mislead by the myths in the net , i m sure those articles are not always written by a experienced professional
User :   Well that is why am here to clear the misconceptions :)
User :   and seek right directions of course
Doctor :   yes, you can go for any of the above assisted reproduction tech,
User :   You've had my reports above. What do you recommend and which is the best IVF
Doctor :   first finish the course of wysolone , you may need two such courses with a gap of 2 or 3 months , it takes time for the drug to bring down the autoimmunity
Doctor :   there is a good center
Doctor :   results are good in that institute
Doctor :   now i suggest you to complete the course of wysolone and repeat the sperm count and the antibody levels
User :   Ok.
Doctor :   if the counts are not good , then repeat the course of the wysolone after a gap of 2 or 3 months
Doctor :   if still no sucess then go for assisted tech
Doctor :   since the count is ranging around 20 million the best one for you would be artificial in utero insemination of your sperms after wash and concentration
User :   Ok. Just one final question. i know there is no definite answer for this but still asking... what are the chances that i can have a baby.. Is my case so complicated or i should be easily able to have it via medical assistance
User :   Ok
Doctor :   with the count you mentioned and the antibody levels , i consider the fertility may range from 30 to 40 % of normal in you
User :   Ok Doctor
Doctor :   is there anything i can help you with ?
User :   Well that should be it for now.
User :   Thanks a lot for your explanation and directions
Doctor :   thanks for consultation ,
User :   Bye
Doctor :   kindly provide your feedback
Doctor :   bye for nw
User :   Sure
Doctor :   take care
Question is related to
Diseases and Conditions
Lab Tests
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor