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Semen analysis report - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3479 Questions
User :   Hello Doctor

Doctor :  
Hi

Doctor :  

Doctor :  
How can I help you?
User :   Hi
User :   hope you remeber me
Doctor :   Go ahead with the query.
User :   You asked me to do semen analysis I have done that
Doctor :  
I do remember you.
Doctor :  
ok
Doctor :  
could you tell me the report?
User :   sure
User :   What details you you want doctor
Doctor :  
tell me the entire report
Doctor :  
with volume, ph, sperm quantity
Doctor :  
sperm motility
Doctor :  
everything
User :   Apperance: Milky white Volume: 2.0 Viscocity: Normal
User :   Sperm Count: 52 mMillion
Doctor :  
ok
User :   Nof sperms per Ejaculate 104 Million
User :   Motility: 48 %
Doctor :  
ok
User :   Tot No of Actively Motile Sperm in ejaculate: 49.92
Doctor :  
ok
User :   Tot No of Non Motile Sperms in an ejaculate 15.6 Milion
Doctor :  
ok
User :   Abnormality (200 Sperms Examined): 24%
Doctor :  
how is the motility graded? is it grade 1, 2, 3 or 4?
User :   It is not graded
Doctor :  
ok
User :   it is in %
User :   48 %
Doctor :  
fine, no problems, go ahead with telling the rest of the report
User :   what more is required docotor
User :   Give me the name
Doctor :   tell me about the morphology, vitality and presence or absence of white blood cells
Doctor :  
and also pH of the semen
User :   pH is alkaline
Doctor :  
is it between 7.2-8.0?
User :   Value not mentioned
Doctor :  
A pH value outside of the normal range is harmful to sperm. hence i asked that
User :   oh
Doctor :  
in acidic pH, may indicate one or both of the seminal vesicles are blocked
Doctor :   in alkaline pH more than the range, may indicate an infection
Doctor :   so it is important
Doctor :  
does the report mention about the liquefaction time?
User :   yes15 Min
Doctor :  
ok
Doctor :  
this is normal then , anything above 20 mins indicates infection or some problem in the accompanying proteins in semen
User :   ok
Doctor :  
the sperm motility should be 50% or more with forward progressing sperms
Doctor :  
and it should be graded into 1, 2,3, 4
Doctor :  
grade 4 and 3 are good
Doctor :  
Grade 4 motility indicates Sperm with progressive motility. These are the strongest and swim fast in a straight line. Sometimes it is also denoted motility 'a'
Doctor :   Grade 3 denotes sperms that move forward but tend to travel in a curved or crooked motion. Sometimes also denoted motility 'b'
Doctor :   so any of these two is acceptable for a normal semen
Doctor :  
grade 2 denotes non-progressive motility because they do not move forward despite the fact that they move their tails.
Doctor :   and Grade 1 denotes sperms that are immotile and fail to move at all.
Doctor :   that is why i asked you if the grades of motility are mentioned in the report
User :   So based on % what can we decide now
Doctor :  
did you follow what i said?
User :   This test was done at MED POINT
Doctor :  
ok
User :   Yes I got you
Doctor :  
is this a standard lab?
Doctor :  
based on the % it should be more than 50%
Doctor :  
yours is 48%
Doctor :  
and we do not know the grades, so it is difficult to tell
Doctor :  
if the 48% was with grade 4 or 3 it would ve been fine
Doctor :  
but if it is grade 2 or 3, then it is problematic
Doctor :  
average sperm count is around 60 million per milliliter . anything less than 20 is not acceptable for fertility purposes, your counts are fine.
Doctor :  
are you there ?
User :   yes
Doctor :  
ok
Doctor :  
the pH and the motility needs to be checked again i feel
Doctor :  
also the morphology is not clear to me with this report
User :   oh
Doctor :  
volume should be between 1 ml to 6.5 ml. yours is 2 ml so no problem
Doctor :  
were fructose levels done for you for the semen?
User :   Do I need to do this test again
Doctor :  
do have anything mentioned in the report?
Doctor :  
It seems you have moved out of the chat window. Please log in back if you have medical queries.
Doctor :   hi
User :   Hi
Doctor :  
are you back ?
User :   yes
Doctor :   shall we continue our discussion?
User :   sure
User :   Any medicine to Increase Motality
Doctor :  
i was telling you the importance of knowing few more things that are not mentioned in your report
Doctor :   i will come to it
User :   ok
Doctor :  
let us first dicuss what else is needed for you to know
User :   sure Doctor
Doctor :  
such that you can ask th elab for such details to look into
Doctor :  
when u do a repeat test
Doctor :  
were fructose levels done for you for the semen?
Doctor :  
if it is not normal then there might be ongoing silent infection
Doctor :  
and if it is absent then it will indicate problem with the seminal vesicle
User :   ok
Doctor :  
which will be one of cause for infertility
Doctor :  
also the morphology of the forward progressing sperms ot Grade 4 or 3 motility sperms should be noted. and it should be more than 30 %
Doctor :  
and next comes the vitality of the sperms
Doctor :  
this should be 75% of the grade 4 or 3 sperms after 60 minutes
Doctor :  
if this is less than 75% after 60 mins or more, then this also will indicate infertilty
Doctor :  
have you followed what i have said ?
User :   yes
Doctor :  
now coming to how to increase sperm count
Doctor :  
there is no medicine to increase sperm count as such
User :   ok
Doctor :  
but there are tips that help to increase the count
Doctor :  
i will help you with those tips
User :   sure
Doctor :  
what diet do you take? are you a vegetarian/semi veg/non vegetarian?
Doctor :   as there are certain foods that can be taken to increase the count/motility
User :   ok
User :   I take Non veg rarely
Doctor :  
ok
Doctor :  
among foods that can help you are shellfish, oysters, wheat germ, wheat AAAAAAA all cereals, pine nuts, liver, cashew nuts, parmesan cheese
Doctor :  
fish, eggs, crabmeat, turkey, chicken, lobster, clams and salmon
Doctor :   peanuts, beans, and dairy products
Doctor :  
other than these
Doctor :  
folow these steps
User :   ok
Doctor :  
1) do not wear tight underwears
Doctor :  
2) do not masturbate often
User :   ok
Doctor :  
3) check the fertile period of your wife and avoid intercourse for 2-3 days before her egg release time such that the concentration of sperms increase when you have the intercourse at the right time
User :   ok
Doctor :  
4) Keep a pillow or 2 pillows under your wifes buttocks to aid forward going of sperms
User :   ok
Doctor :  
5) release your sperms when she is having an orgasm, it will help you to deposit it at the time when cervix is open, and the sperms can go into uterus
Doctor :   6) ejaculate deep inside, with deep penetration. practice deep penetration positions while having intercourse
Doctor :  
6) tell your wife not to move for atleast half an hour after such intercourse
User :   ok
Doctor :  
7) make sure to give cold splashes of water and showers to your private parts often
Doctor :  
as sperms develop well in lower temperatures
User :   ok
Doctor :  
8) stop smoking and alcohol if you consume them
User :   Will beer has adverse effect
Doctor :  
9) practice yoga and meditation and avoid stressful situations during the fertile period of your wife
Doctor :  
and also generally truy and avoid stressful situations
User :   My work will be hevaly stressfull
Doctor :  
10) avoid exposure to heat or radiation, avoid long working hours
Doctor :  
take rest in between
User :   ok
Doctor :  
and also sleep 6-8 hours at night
User :   ok
Doctor :  
11) having intercourse in the early morning also is good as the sperm count and motility are the highest at that time
User :   ok
Doctor :  
did you follow what i have said?
User :   yes I got you doctor
Doctor :  
there are certain herbal preparations that claim to increase sperm motility and count
Doctor :  
these contain aswagandha in them
User :   ok
Doctor :  
you can go for a consult with them and take those suplliments and follow the tips i have suggested
User :   sure Doctor
Doctor :  
and do not use very hot water during taking bath
Doctor :  
let it be lukewarm
User :   ok
Doctor :  
get a repeat semen analysis with a reputed standard lab
Doctor :  
and ask for the above characteristics to be checked
User :   like for eg?
Doctor :  
that i have mentioned earlier
User :   No Lab name
User :   repureted one
Doctor :  
do you want me to repeat the characteristics?
Doctor :  
which city do you live in?
User :   No I am ok with that
User :   Hyd
Doctor :  
fine then
Doctor :  
ok
User :   I want to know lab name
User :   well known
Doctor :  
just give me a moment
User :   sure
Doctor :  
try in Thyrocare or Ranbaxy labs are good and follow standard protocols
Doctor :  
you can also ask them telling what details do you need specifically
Doctor :  
to be checked
User :   ok
Doctor :  
Is there any thing else I can help you with?
User :   as of now ok doctor I will get back to you after retest.
User :   what are your working time
Doctor :   sure
Doctor :  
Please fill the feedback form and the comment box, and say done when done.
Doctor :  
you can come to discuss the report between 9am to 9 pm anytime
Doctor :  
and ask for me
User :   ok
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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