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Interpretation of semen analysis test?

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Psychiatrist
Practicing since : 2004
Answered : 1712 Questions
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Im male 32 years married, done my semen analysis two days before. I need to know the details in the report clearly.
Posted Sun, 6 May 2012 in Infertility Problem
 
 
Answered by Dr. Ashish Mittal 27 minutes later
Hello,
Thanks for your query.

I appreciate your efforts for medical consultation in so much distress.

Important aspects of your query are:
•     32 year old male
•     worry related to semen analysis

For your reference
Normal Values Of Semen Variables are

Standard Tests Volume >2.0 ml.
Sperm Concentration >20 million sperm/ml.
Sperm Motility >50% with forward movement
Sperm Morphology >15% normal forms
Sperm Antibodies (Immunobead Tests) <50% sperm with adherent particles

You can attach your report here, so that we can help you better. You are welcome to write specific concern related to report.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Regards,
Above answer was peer-reviewed by
 
Follow-up: Interpretation of semen analysis test? 7 hours later
In my previous query i have attached my report but i don't know how it is missed any how have provided my report details below, please brief the report in terms of problem and remedies

Volume      3 ml
Liquefaction 10min
Color       Normal
Viscosity       Normal
Odour       Normal
pH       7.4
Sperm Concentration(millions/ml)     40 millions
Total Motility (%)      30%
Grade IV      5%          
Grade III       5%                    
Grade II       10%                    
Grade I      10%
Morphology           - Abnormal (%)                70%
Pus cells           15-20 hpf
Agglutination      --
Viability      ---
Live (%)                     40%
Dead(%)       60%
Comment: Normo astheno teratro spermia
 
 
Answered by Dr. Ashish Mittal 14 hours later
Hello ,
Thanks for the follow up.

From your report abnormal findings are:

-Total Motility (%) 30% : it should be >50% (astheno)

-Pus cells: 15-20 /hpf : it should be 0-5 only: indicate some infection and need short course of anti biotics after your physician advice.

-Morphology: appear to normal in 30% sperm: which is in normal range


The sperm life cycle is about 71 days.
That means that changes you make today will take about two and one half months to show up in a semen analysis.
Here are some facts and tips to improve sperm quality and quantity.

Some of the do's and the don'ts for improving sperm health.

Don't::::

•     Don't Sit in hot tubs – Your testicles hang outside your body because sperm like it cooler than 98.6°F. Body temperature and above can kill sperm.

•     Smoke – Smoking is associated with low sperm counts, decreased motility, and a higher incidence of miscarriages. The toxic reactive oxygen species from smoking do damage sperm.

•     Drinks – Most experts recommend that you avoid excessive alcohol consumption. You probably do not need to completely abstain but you should drink moderately.

•     Exercise too strenuously – Strenuous exercise may increase the temperature of your testicles. It may also cause changes in testosterone levels that lead to decreased production of sperm.


Do:::::

•     Do Take Nutritional Supplements – The following supplements have been recommended to enhance sperm production:
Vitamin C
Vitamin E
Selenium
Zinc
Coenzyme Q-10
L–Carnitine
B-Complex
Folic Acid 400mg

•     You might also consider adding some lean read meat to your diet.
Red meat is good source of L-Carnitine, thus the name.
Some suggest eating two or three servings of red meat per week to improve sperm health and sperm production.

•     Stay Healthy and Fit – Moderate exercise will always help.
Anything that improves a man's general health is good for his sperm.
Get plenty of rest.
Drink plenty of liquids.
Minimize stress.


•     Ejaculate frequently – Try to ejaculate every 24 to 48 hours. Sperm production is similar to breast milk production. The more you use the more you produce.

Wish you good health.
Regards,
Above answer was peer-reviewed by
 
Follow-up: Interpretation of semen analysis test? 49 minutes later
Hi XXXXXXX
Thx for your reply. have one more clarification... What would be affecting % of getting my wife pregnancy in my case.
 
 
Answered by Dr. Ashish Mittal 1 hour later
Hello,
Thanks for the follow up.

It is difficult to tell.

Depend on many factors: Like your wife's condition too.

But many people have success with semen report, like you have.

Following above measures will help you definitely.

Wishing you good health.

Take care and best of luck.
Above answer was peer-reviewed by
 
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