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Male infertility and suggestion of IVF - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 507 Questions
Doctor :   Hi
User :   Hi
User :   ok
Doctor :   If not you can go ahead with me.
User :   May be I will start it all over
Doctor :   Ok
User :   We have been trying for a baby for about 2 years now
User :   I am 32
Doctor :   Ok
User :   asked me to get a semen analysis before we go to the doctor
User :   looks like I have got some serious isues
User :   issues*
Doctor :   Ok What are they ?
User :   So, I need some guidance
Doctor :   Please go on.
User :   The impression is OLIGOASTHENOZOOSPERMIA
Doctor :   Ok
User :   MOTILITY is L 35
User :   VIABILITY is L35
Doctor :   And..
User :   I am sorry what else you may need?
Doctor :   What I would say is that your condition is not too bad and need not worry much.
User :   OK, how do you say that?
User :   So, how do I go about this?
Doctor :   It has to be a min. 40 for Motility
Doctor :   but it is 35 so I feel not very bad.
User :   This is my report
Doctor :   pH IS GOOD.
User :   Oh sorry, this would confuse
User :   you
User :   is there anyway I can send you the report to have a look at it
User :   PH is alkaline
Doctor :   Can you mail it with the attachments.
Doctor :   I will look into it and get back to you.
Doctor :   Is it fine.
User :   I will send it right away
Doctor :   Ok.
User :   I need to get this out of asap
Doctor :   Sure , Please send across and leave your phone no. and I shall get back to you today evening.
User :   I have sent it already
Doctor :   1. Volume is good.
Doctor :   2. pH is good.
User :   you already got the report?
Doctor :   3. Liquefaction time is good.
Doctor :   Yes I have got it.
Doctor :   4. Motility is low
User :   You have got the original report I sent thru email?
Doctor :   Yes please.
User :   oh ok, thanks fo having a look at it.
User :   ok go ahead doc
Doctor :   5. Grade 3&4 which are actively & sluggishly motile is only 35% which has to be greater than 50%.
User :   ok
Doctor :   The grading that this grading report is not according to World Health Organisation criteria.
User :   ok
Doctor :   So non-motile & only motile at tail are 65% which are Grade 1&2 which have to be less than 40%.
User :   ok
Doctor :   Which actually are classified as A,B,C,D which are in 0,1,2,3,4 in this report.
User :   I did not get this 0,1,2,3,4?
Doctor :   The count is 8 million per ml which has to be 20 million.
User :   ok
Doctor :   Out of which 35% are motile which is roughly 3 million .
User :   ok
Doctor :   Out of which there are again two categories for motile sperms which they have not mentioned and called 3 & 4 are together 35% .
User :   ok
Doctor :   Which actually has Sperms which go up straight are called early swimmers and some of them travel in zig-zag manner which together are 3 million, so Grade 4 according to your Lab or Grade A or Progressively Motile are 1 -1.5 million actively motile sperms.
User :   ok
Doctor :   Which has to be at least 7-8 million for fertlization.
User :   very intresting doc!
User :   So is it something far below the normal?
Doctor :   So Your Genitalia are producing low sperm count and also sluggish sperms.
Doctor :   The one lucky thing is you dont have Anti-sperm antibodies , or Teratospermia or abnormal morphology of your sperms.
Doctor :   So I would suggest you to go ahead with IVF - In Vitro Fertlisation for ICSI .
Doctor :   IntraCytoplasmic Sperm Injection.
User :   Ok doc
Doctor :   And absolutely best way to go ahead.
User :   Does that really help?
Doctor :   Nothing to worry at all.
User :   may be this is a desperate question
Doctor :   Yes you would be the genetic father and absolutely no problem today in modern medicine.
User :   how is this ICSI done?
Doctor :   May I know you are based at which place ?
User :   Bangalore
Doctor :   Ok
Doctor :   I will try to suggest you the best place for ICSI & also a repeat Sperm Analysis for a finer analysis if it is fine with you.
User :   Please doc, suggest
Doctor :   ICSI IS an artificial way of fertilisation where your Sperms are extracted form your Semen and your wife's Egg is extracted form the Fallopian Tubes and they are fertlised outside in atest tube and once it matures to a morula stage it is again implanted into your wife's Uterus or Womb in common language.
Doctor :   So nothing to worry absolutely.
User :   ok, that sounds great
User :   How is it normally charged?
Doctor :   If it is a very good centre , they charge Rs.60k to 70k .
Doctor :   All depends on the experience, skill and the best technology they use.
Doctor :   Hope you have followed and I have answered your query ?
User :   ok
Doctor :   1.The best food would be lot of honey for improving Fructose levels
Doctor :   2. Zinc rich foods like legumes, sprouts.
User :   ok
Doctor :   3. Nuts and Dry fruits for Zinc and molybdenum.
Doctor :   4. Fresh fruits and veggies for anti-oxidants.
Doctor :   Lots of water and juices is very important.
Doctor :   We have a facility which you can avail called Appointment with the doctor where our Customer care Team can help you.
User :   ok
User :   you are absolutely right!
User :   Thanks for that info
Doctor :   Shall I intimate the Customer care team to take an appointment for you ?
Doctor :   Thank you for consulting me.
User :   Yes, sure, If I get an appointment in a week time, nothing like it
User :   one final question! Do you want me to go to the doc as soon as possible
Doctor :   Ok, will try to help you out. Take care , bye for now.
Doctor :   Ok.
Doctor :   Go Ahead.
User :   or take a break of a week or two and relax and then go
Doctor :   Yes, As it has been already 2 yrs since you have got married If I am right ?
Doctor :   Or since you have been trying .
Doctor :   So I would suggest you to go for IVF, and it would be the best if you can relax and go after a week.
User :   yes 2.4
User :   OK Doc, I will speak to your customer care reps and then fix an appointment in a week time
Doctor :   But best would be to consult the doctor and take her opinion and I feel she they would give the exact time when you have to come as it has to match with the ovulation of your wife
Doctor :   Take care, Bye.
Question is related to
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