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Semen test showed Sperm Count per ml:42 Million, Total Sperm Count-168 Million and Viability: 60% spermatozoa alive. Suggestions?

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Practicing since : 2007
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Hi, I just did Semen test today and got the below results are mentioned below :

Age : 33 years

Fructose : Positive
Volume : 4 ML
PH : 7.5
Sperm Count per ml :42 Million
Total Sperm Count 168 Million
Viability : 60% spermatotozoa alive after at the end of 1/2 hour
Motility as under : After 30 mins After 2 hours
A. Rapid Linear Progression : 20 % 10%
B. Sluggish Linear Progression : 30 % 25%
(A + B) Total Forward Progressive 50% 35%
Non Progressive 5% 3%
Non Motile - -

Active sperms in the ejaculate after 1/2 hour : 84 Million

Ab. of Head
Giant Head :6%
Microsperms :2%
Pin Heads :6%
Round Heads :6%
Tapering :6%
Double Heads :4%

Ab. of Neck
Deformed :2%
Bent Neck :4%
Appendages :4%

Ab of Tail
Short Tail :4%
Double Tail :4%
Absent Tail :6%

Total number of Abnormal spermaatozoa : 54%

Epithelial Cells :Squamous type
Plus Cells : Occasional
Red Blood Cells : Nil
Macrophage Cells : Occasional
Trichomonads : Nil

Miscelleanous Character & Bacteriological Examination
Granular Debris : Present +
Agglutination of Sperms : -
Crystal : ---
Gram Stain : No Pathogen seen

Posted Wed, 7 Aug 2013 in Infertility Problem
Answered by Dr. Arif N Khan 39 minutes later
Thank you for choosing XXXXXXX
Your sperm count 42million is normal.
Motility is also normal.(total forward motility 50%, normal should be more than 38%).
Total number of Abnormal spermaatozoa : 54%, but the latest WHO(world health organization) recommendation says >30% of normal morphology sperms is considered normal. So even your sperm morphology is also considered normal.However, having a large percentage of misshapen sperm isn't uncommon; in fact, if your sperm sample contains only 4 percent "morphologically normal forms," it's considered normal.
So, according to me your both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it.
Thank you,
Wish you good health.
Dr Arif
You can consult me again directly through my profile
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