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Sperm analysis interpretation - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Sexual Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Can you interurpt my semen results?
Doctor :   Hi
User :   Hello
Doctor :  
Please mention the reports.
User :   Are you qualified in reading them?
User :   whats ur qualification?
Doctor :   Alternatively you may scan the reports and send it to YYYY@YYYY
Doctor :  
I am a general physician, I believe i can help you within my expertise.
User :   okay, i'll email them now
Doctor :  
Ok.
User :   I have sent it now
User :   Please tell me when you receive my email
User :   full name
Doctor :  
That is my full name.
User :   Are you in India?
Doctor :   I have not recieved the email yet.
Doctor :  
Yes from India.
Doctor :  
Can you resend the reports again.
Doctor :  
The address is YYYY@YYYY
User :   yes yes
User :   I have sent it to that address
Doctor :   I have not yet received the mail yet.
User :   YYYY@YYYY
Doctor :  
Can you resend it again if that is ok with you. Or you may have to type the reports on the chat.
User :   from YYYY@YYYY
User :   you got it?
Doctor :  
Have you sent the reports again?
User :   yes
Doctor :  
Ok.
Doctor :   We have received it now.
Doctor :  
Let me check.
User :   okay
Doctor :  
May I know why the test was done?
Doctor :  
I mean do you have any symptoms?
User :   No
Doctor :  
May I know your age?
User :   30
User :   You have my details there right
Doctor :  
Do you smoke or consume alcohol?
User :   have you got the centres name, where i got the test done?
Doctor :  
Yes, we have got the name, it says London Bridge fertility, gynaecology and genetic centre.
Doctor :   Can I know few of the details about you, before I can comment on the reports.
User :   yes
Doctor :  
Do you smoke or consume alcohol?
User :   no
Doctor :   Do you have diabetes/hypertension?
User :   no
Doctor :  
Ok.
Doctor :   The reports are normal.
Doctor :   Infertility can happen if there is less than 20% rapid progression.
Doctor :  
Your reports says that you have 40% rapid progression, so you need not worry on that.
Doctor :  
Overall the reports are normal.
Doctor :  
Have you followed?
User :   yes
Doctor :  
Do you have any other query?
User :   I have 2 children
Doctor :  
Ok
User :   The third was an abortion
Doctor :  
Ok
User :   we have been trying for 1 year and no luck
User :   so i have been very worried
Doctor :  
Ok
User :   I thought you were going to tell me that I have a prob
Doctor :   No, your sperm reports are normal.
User :   How much sperm did i have
User :   ?
Doctor :   Usually the sperm count is checked for 1ml of semen.
Doctor :   For the volume of 1.5ml semen, that have been checked, the sperm count is 91million cells.
User :   and is the mobility for them to move okay
Doctor :  
51% of them are motile and out of these 50% the rapid progression is what is really needed for coneiving.
Doctor :  
You have 40% of the 51% that is about 45 to 46 million sperms are rapidly normal.
Doctor :  
That should not be responsible for the difficulty in conceiving though.
User :   And only one is needed right for preg?
Doctor :  
Yes only one of the rapid progression is need for pregnancy.
Doctor :  
The more the rapid progression is the better the survival of that one sperm.
User :   So how can i improve my sperm even more?
Doctor :  
So it is considered if there is more than 20% rapid progression, there are better chances for that 1 to survive and cause fertilisation.
Doctor :   You can improve the sperm count by
Doctor :  
1. Dietary means.
Doctor :  
That is by including good protein and vitamin rich food.
Doctor :  
and drinking sufficient amount of water.
User :   I have lots of chicken breast
Doctor :  
2. Restriction alcohol and smoking.
User :   I go o the gym 5 times a week
User :   and i eat lots of Tuna
Doctor :  
3. By means of medication which can be prescribed by your local doctor.
User :   But i dont need medication
Doctor :  
do you take steroids?
User :   No
Doctor :   Ok.
User :   would you say my sperm is above average?
Doctor :  
You do not need medications, I did mention that because you had asked for it.
User :   When I met my wife she got preg very fast two times
Doctor :  
Good nutrition alone is sufficient.
User :   now we are not successfull
Doctor :  
Your sperm reports are definitely above average.
User :   Her reports are normal too]
User :   every month we try, but no luck
Doctor :   I cannot comment on the cause for difficulty in conceiving based on the reports alone.
User :   Could it be because she is a little overweight
Doctor :  
Your doctor who has examined both of you and have spoken to you may be the person who can comment on that.
Doctor :  
Over weight is one of a cause but not the cause.
User :   I mastuarbate alot, is that fine?
Doctor :  
That is fine.
User :   is kegal exercise okay for me to do
User :   I have beendoing them for the past 2 months
Doctor :   Kegal exercise is used to treat premature ejaculation.
Doctor :  
If you do have the problem, you may practise it.
User :   Websites say its good for erections?
User :   My erections are weak
User :   I can get the erection but it goes down quick
Doctor :  
It is mainly used for premature ejaculation.
User :   Is exercise good for my sperm
User :   like running and weights
Doctor :  
Erection function of the penis is governed by various psychogenic and medical factors.
Doctor :  
Both have to be evaluated to know the cause for this.
User :   The prob is i do alot of night shifts
Doctor :   That may be one of the factors why you have erection problems.
User :   What foods can i have to maximise my sperm levels
Doctor :  
As I had mentioned psychogenic factors which includes stress plays a major role.
User :   yes your right
Doctor :   Foods which are rich in vitamins and minerals.
User :   like for example?
Doctor :   Green vegetables and fruits are the best example.
Doctor :  
Reduce the oil intake.
User :   ok
User :   what about Tea and coffee
User :   On my night shift I consume 4 cups of tea
User :   and tea once a day when not a work
Doctor :   You may have to cut down on the caffeine consumption.
User :   So more protein and vegetable, water
Doctor :   Tea once a while is ok, but cut down the coffee consumption as much as possible.
User :   Okay I wont put sugar too much
Doctor :  
You may alternatively use the herbal tea instead.
Doctor :  
Have you followed?
User :   yes
Doctor :  
Do you have any other query?
User :   I think bodybuilding is good
User :   for my health
Doctor :  
Body building with means of supplements is good.
User :   yes
Doctor :  
If you are using health supplements, a few may cause sexual problems.
Doctor :  
So if you are using natural means then it is fine.
User :   I take natural
Doctor :  
Then it is fine.
User :   are there any other improvements i should make looking at the report
Doctor :  
The report wise is fine.\
User :   13% are at slow progressoin
User :   thats not good
Doctor :   Slow progression is not useful
Doctor :  
as they are not the ones that can cause fertilisation.
Doctor :   So they are not important.
Doctor :  
Have you followed?
User :   yes, can i improve more
User :   Is it possible to have no slow progression
User :   is that possible
User :   I want to increase my rapid progression
Doctor :   If a sperm analysis is done on all you will definitely find some which are slow moving.
Doctor :  
These happens formation of premature sperms during spermatogenesis.
Doctor :  
the only means of improving these are by means of diet and lifestyle modification.
User :   please tell a food or something i can have that would increase my levels very high
Doctor :  
Life style modifications that include better stress management, restricting smoking and alcohol.
User :   Im very healthy oc
User :   doc
User :   My wife is bringing Sunova Spirulina for me
User :   from india
User :   I heard its very good
Doctor :   Any products that has vitamins and minerals are good.
User :   I used to take shalajit, do you recommend this?
Doctor :  
This is one such products which can be use.
Doctor :  
Shalajit is an ayurveda product.
Doctor :  
I am not the right person to comment on that as I do not practise ayurveda.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
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