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What Does My Sperm Report Indicate?

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Posted on Wed, 24 Sep 2014
Question: Hello Doctor, I am 27 years old. My semen analysis shows the following -
Colour - Greyish white
Volume-3ml
Liquefaction Time - 20min
pH - 6.5
Fructose Test - Positive
Total Sperm count - 32 mil/ cumm
Active Motility - 30%
Sluggishly motile - 15%
Non motile - 55%
Pus cells - Absent
Epithelial Cells - 0-1hpf
RBCs - Absent

Is this count sufficient for my wife to get pregnant? Do i need surgery?
doctor
Answered by Dr. Dr. P. T. Patil (49 minutes later)
Brief Answer:
Your total sperm count is low.(Oligospermia).

Detailed Answer:
Hello
Thanks for your query,based on the report of your semen analysis that you have posted it appears that your total sperm count is slightly lower than accepted normal range as per WHO standards and Ph of your semen(6.5) is also lower than normal Ph (7.1 to 7-8)of a semen.

Normal sperm count for effective fertilization of female eggs should be 20millions per millilitre of semen and Ph of semen should be between the range of 7.2 to 7.8 (Alkaline ) so that sperms can survive in vagina having secretions acidic in nature.

Following measure will help you to increase the sperm count and increase the Ph of your semen .
1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3)Take anti oxidants like Almonds 5-6 everyday..
4) Avoid alcohol and smoking..

Rest of the other parameters like motility ,morphology of the sperm is within normal range.

Repeat your semen analysis after three months .

Please consult qualified infertility specialist for detail evaluation and further treatment if required.

Hope I have answered your query ,please feel free to ask if you have more questions ,
I shall be happy to help you
Thanks and Regards.
Dr.Patil.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (47 hours later)
Dear Doctor,

Thank you so much for your feedback.

I have also done the sonography the report of which i have attached. Is there any further diagnosis based on this sonography report. The sonography report says Variocele. Is it something to worry about?

I showed the report to my family physician who suggested we wait for 3 months and do the test again and that i may need surgery if the problem persists.

Actually i am scared of surgery. Is there any special care that i have to take so that i can avoid surgery. Kindly advise.

Thanks & Regards
XXXX
doctor
Answered by Dr. Dr. P. T. Patil (54 minutes later)
Brief Answer:
Grade one Varicocele.does not require treatment

Detailed Answer:
Hello
Thanks for follow up. Grade one Varicocele does not require any treatment. It just needs scrotal support.

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10582 Questions

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What Does My Sperm Report Indicate?

Brief Answer: Your total sperm count is low.(Oligospermia). Detailed Answer: Hello Thanks for your query,based on the report of your semen analysis that you have posted it appears that your total sperm count is slightly lower than accepted normal range as per WHO standards and Ph of your semen(6.5) is also lower than normal Ph (7.1 to 7-8)of a semen. Normal sperm count for effective fertilization of female eggs should be 20millions per millilitre of semen and Ph of semen should be between the range of 7.2 to 7.8 (Alkaline ) so that sperms can survive in vagina having secretions acidic in nature. Following measure will help you to increase the sperm count and increase the Ph of your semen . 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday.. 4) Avoid alcohol and smoking.. Rest of the other parameters like motility ,morphology of the sperm is within normal range. Repeat your semen analysis after three months . Please consult qualified infertility specialist for detail evaluation and further treatment if required. Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you Thanks and Regards. Dr.Patil.