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Can an online doctor explain the semen analysis report?

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Infertility Specialist
Practicing since : 2000
Answered : 3577 Questions
i uploaded my husband old semen analysis and this is the new one after 4 months from varicocele repair and he is taking vit supp Material status : 2 years Sexual abstinence : 3 days Time of collection : 5:50 pm Time recevid : 5:56 pm merhod of collection : masturbation Physical examination Volume : 2.9 ml Ph : 8 Colour : grey - white Viscosity : normal Liquefaction : complete within 90 minutes Microscopy examination : Spermatogenic cells : 0-1 /HPF Pus cell : 0-1 / HPF Viabillity test : yellow eosin stain Sperm concentration : 0000 / ml Total count / ejaculate : 0000 Motilty : Linear progressive Time : GIV : high active 0% : GIII : Active 40% non linear 3% Non progressive Sluggish : 2% Morphology Normal : 23% P in head : 14% Abn . Head : 47% Abn. Mid piece : 15% Mixed abnormality : 1% Sedimented cellular elemnts neutrophilis few Spermatocytes : + Spermatides : ++ Comment & advice : Moderate astheno terato zoospermia fsh 7.9 mlU/ml lh 4.3 mlU/ml testosterone 17.18 nmol/l prolactine 8 ng/ml tsh 1.3 mlU/l please comment for me on both results ( before and after ) with chances to get pregnant naturally also explain to me changes in ( spermatogenic cells , spermatocytes , spermatides ) before and after
Posted Sun, 19 Jan 2014 in Infertility Problem
Answered by Dr. Mahesh Koregol 8 hours later
Brief Answer: yes Detailed Answer: Hi Spermatids are a stage in spermayocyte formation. Unfortunately the report shows low motility and morphology means not good for normal conception. Since the culture report shows infection he must take antibiotics no matter what your doctor feels. Taking antibiotics and treating infection itself might improve his semen analysis. With this count you need to go for IUI treatment which can be tried for 3 cycles before deciding upon IVF. Let me know if you have any more questions. Regards
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