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Query about semen analysis and PCOS - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi
Doctor :   Hi
Doctor :   I am Dr.... How can I help you?
User :   Hi Dr... I am XXXXXXXX . I have a query regarding our problems in having a baby
Doctor :   Go ahead please
User :   My wife has a PCOS and she is undergoing treatment for the same
Doctor :   ok
User :   we visited the ,,,,Fertility Centre and they advised me as well to undertake a Semen Analysis and a blood test for hormonal check
Doctor :   ok
User :   after the test they verbally told me that they have not found sperm in my semen sample
User :   They have not handed over the report to me and have asked me to come for a retest
Doctor :   Yes that is right
User :   I do not know what the readings of the report look like since i was not given the report physically but just verbally told that there is no sperm present in my semen sample
Doctor :   The sample may be wrongly collected
Doctor :   It may be technical errors
User :   ok what is the best time to give a semen analysis test.
User :   As far as i know mornings and afternoon they say are good times for giving the sample
Doctor :   Zero sperms is an unusual finding. so they want to repeat the test before giving bthe correct results.
Doctor :   regarding collection of sper ms: User :   but zero sperms can be a possibility ?
Doctor :   Only when there is vasectomy
User :   do you suggest going to a different center for the same test
Doctor :   Right I assures you that it is a lab error
User :   I had urine infection a couple of years back. Can that be one of the reasons for these issues ?
Doctor :   ok
Doctor :   Go to the same lab.
Doctor :   Repeating the same test in the same lab will increase the test sensitivity
User :   As far as i know the sample has to be tested in an hours time after giving the sample. Is that right ?
Doctor :   that means reliability of results will be higher
Doctor :   Ok let us discuss
User :   sure
User :   abstinence of 5 days or more should also increase chances of sperm count ?
Doctor :   Abstain from ejaculation for 2-5 days prior to the day of the semen analysis. Do not abstain for longer than 5 days.
User :   ok
Doctor :   It is best that semen samples are collected at lab
User :   Sure
Doctor :   Do not use lubricants or ointments as they may interfere with the function of the sperm
User :   They had given me liquid paraffin to clean the area
Doctor :   that is to sterilize
Doctor :   in can u masturbate at home
the specimen should be brought to the laboratory not more than one hour after ejaculatio
User :   We have been married for 1 year and 3 months now. In the beginning we had used cold cream and moisturizer as lubricant
User :   can that be a reason for these issues ?
Doctor :   yes
Doctor :   it could be
Doctor :   Go thru this link
Doctor :   WWW.WWWW.WW
User :   but its been a long time since we have used any such lubricants
Doctor :   I am sorry
Doctor :   That is not the reasin
User :   what ?
User :   I dint get u
Doctor :   What I mean introduction of an chemical into the sample might kill the sperms
Doctor :   Using moisturizers and lubricants long time ago will not cause reduction in spree count
Doctor :   They should not be usd at the time of collection
User :   ok
Doctor :   because introductuion of nay chimical into the sample will cause harm to the sperms
User :   sure
Doctor :   Just keep the area clean
Doctor :   apply the lotion what they gave
User :   sure
Doctor :   wash the hands
Doctor :   And collect the samlle in the lab
Doctor :   and run the test immediately
User :   I have to go for the test on saturday. do you advise any foods that i should have during these 2 3 days
Doctor :   If you find any thing abnomal, I suggest repeat the test one more time
User :   ok
Doctor :   There is no speficic foods
Doctor :   But eat balance food
User :   ok
Doctor :   Did they tell you any particular timing?
User :   no they have not told me the timing
Doctor :   I dont think it matters
Doctor :   Sleep for 8-10 hours
User :   but i will be going at 9 AM on saturday
Doctor :   OK
Doctor :   Sleep for 8-10 hours in the night for 2-5 days
Doctor :   Relax
User :   ok sure
Doctor :   i
Doctor :   and be ready for test
User :   absolutely
Doctor :   I think the previous test is lab error
User :   ok
Doctor :   or sample collection mistakes
Doctor :   Do you have any other Qs
User :   i was also thinking of the same but was not sure
User :   not right now
User :   Thank you so much for your advise
Doctor :   Be on positive side
Doctor :   How can you think there are zero sperms in a normal person'
Doctor :   Let us say if the samen is completely dried up they dont see any sperms
User :   exactly even i was surprised when she said that and they never showed me the report
Doctor :   I have seen such gross mistakes in my clinical prac5tice
User :   I dont even know when they conducted a test on my sample since there was a diwali break the next day and i had gone for the test a day before diwali in the evening
Doctor :   *practice
Doctor :   OK
Doctor :   Insist them to do it on the spot
User :   I am just assuming that they might have done it a day after
User :   Can i insist on them doing it on the spot ?
Doctor :   May be
Doctor :   Yes
Doctor :   Tell me their call was worrisome
Doctor :   Tell u concerns
User :   sure
Doctor :   They can do it
Doctor :   and it is fertility clinic
Doctor :   they give preference to these kind of concerns
Doctor :   Do you have querries?
User :   Not right now. You have been kind enough to answer all my queries
Doctor :   If you want to anlyse any abnmla test results you can again
Doctor :   No problem
Doctor :   God blss you
User :   Thank you so much Dr....
Doctor :   Bye
User :   Bye
Doctor :   Take care
Doctor :   Thank you for consulting
User :   Thanks
Doctor :   What treatment she getting for PCOS
Doctor :   Is she taken care of
Question is related to
Lab Tests
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