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What Does My Semen Analysis Report Indicate?

Posted on Thu, 24 Jul 2014

Question: Hi,
I am married for 3 years now. Trying for a baby since 6 months.
Did my Semen analysis and got the reports today. Have some questions, please advice.
Voulme: 4 ml
Color: Opaquewhite
Viscocity: Increased
Liquefaction time: > 2Hrs
PH: 7.8
Fructose: Present
Sperm Count: 44 millions/ml
Motility: 70%
Morphology: 80%
Vitality: 80%
Immature sperm cells: NIL
White blood cells: 10-16 /hpf

Thanks,
XXXX

Answered by Dr. Mahesh Koregol (18 minutes later)

Brief Answer:
Infection

Detailed Answer:
Hi XXXXXXX

I read your query and I understand your concern s. Following is my reply

1. You have excellent parameters like Sperm count, morphology and motility.

2. Unfortunately there is increased liquefaction time and WBC presence both of which suggest infection.

3. Please get semen culture and sensitivity test done to check the organism growing and antibiotics sensitivity. You can take medicines accordingly.

Let me know if you have any more questions.

Regards
Dr. Mahesh Koregol
IVF and infertility Specialist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (6 minutes later)

Thank You Dr. XXXXXXX for your quick reply and compliments :)
Yes i do have questions..

The parameter which are hinting infections, are there any cause for these?
Are these hereditary in nature?
What are Semen culture and sensitivity tests? What kind of organism growth are we talking about, sound scary to me.

I really appreciate your quick and detailed reply.

Thanks again.

Regards,
XXXX

Answered by Dr. Mahesh Koregol (8 hours later)

Brief Answer:
Details

Detailed Answer:
Hi

1. White blood cells (WBC) in semen appear when there is infection.

2. This is supported by fact when viscosity is high. It should be normal not high.

3. Liquefaction time has to be less than one hour. But here its increased.

4. All above 3 parameters suggest presence of infection.

5. We have to find which organism responsible for this infection. Hence need to do test called culture and sensitivity.

6. This test shows which is organism causing this and what antibiotics will be effective to treat this.

7. This is not hereditary.

Regards
Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar