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Treatment options apart from artificial insemination - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1721 Questions
Doctor :   Hi
Doctor :   How can I help you XXXXXXXX .
User :   Hi
User :   AM 28 year old male
User :   Iam married and trying for a kid past 1 year
Doctor :   ok.
User :   recently i took a semen analysis
Doctor :   Any contraceptives that you have been using so far
User :   no
User :   it says sperms are constricted head an d tailess
Doctor :   For Administrative and health purposes, Please provide these details - Occupation: Location: Dependents: Yes/ No.
User :   and dead cells are: 55%
Doctor :   ok.
User :   Occupation:xxxxx, location:india
Doctor :   Then you will have to go in for Artificial Insemination.
User :   Is this a problem why iam unsucessful?
Doctor :   Does he smoke or have any habits
User :   No
Doctor :   Certainly the problem is with your Husband
User :   Instead of artificial insemination is there any other ways to improve the sperm quality?
Doctor :   could u type in the sperm analysis report
User :   yes
User :   volume: 2 ml
User :   viscosity:normal
Doctor :   ok
User :   actively motile: 30%
User :   sluggishly motile: 15%
User :   dead sperm: 55%
Doctor :   ok
User :   count : 23 millions
User :   pus cells: numereous
Doctor :   ok
Doctor :   volume is good
User :   Morphology: some sperms are constricted head and tailess and numereous granules are seen
Doctor :   ok
Doctor :   all u need to become is one sperm and egg
Doctor :   u need not worry
User :   Fructose:present
Doctor :   ok
Doctor :   count is good
User :   ok
Doctor :   within normal limits
User :   ok
Doctor :   At least 60% of the sperm show normal forward movement.
Doctor :   normally
User :   ok
Doctor :   how long u have trying for baby
User :   1 year
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/ No.
Doctor :   ok
Doctor :   have u consulted any fertility expert
Doctor :   as of now
User :   no nt yet
Doctor :   is ur periods regular
User :   yes
Doctor :   once in how many days ur having ur periods
User :   28 days
Doctor :   u need have intercourse in fertile days
Doctor :   to increase the chances of having baby
Doctor :   day 8 to 18 is the fertile phase
User :   Ok we are also following that
Doctor :   u need to have intercourse in these days
User :   ok
Doctor :   from day 8 to day 18
Doctor :   first day being the first day of menstrual bleed
Doctor :   r u able to follow
User :   ok my husband sperm analysis is normal?
Doctor :   any doubts please ak
Doctor :   sperm motility is less
User :   the report also says pus cells are numerious
User :   Any treatments for improving the mortility?
Doctor :   a low sperm count does not always mean that a man cannot father a child. Men with sperm counts below 1 million have fathered children.
Doctor :   it can be due to infection
Doctor :   pus cells or a large number of white blood cells are present, which may indicate an infection.
Doctor :   it needs to be investigated
User :   what type of investigation do they generally do?
Doctor :   testosterone levels, LH, follicle stimulating hormone or prolactin levels and also sample of testicels or biopsy is needed
Doctor :   may be needed for further evaluation if the sperm count or motility is extremely low.
Doctor :   r u able to folow
Doctor :   u can have kids
Doctor :   be positive
User :   ok
Doctor :   please do consult a gynecologist
User :   what specialist should we consult for this problem?
Doctor :   to rule any problems in you
Doctor :   like tube patency
User :   a sex specilist or uroligist
Doctor :   since ur periods are regular
Doctor :   urologist
Doctor :   anything else u would like to know about
User :   ok
Doctor :   YYYY@YYYY Mobile : 0000
User :   thanks bye
Doctor :   ideally u need to see a fertility expert
User :   ok
Doctor :   bye for now
Doctor :   u can write to us
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