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What Does My Semen Analysis Test Report Indicate?

Posted on Wed, 11 Mar 2015

Question: I AM MARRIED WITH 2 CHILDREN 8 AND 6 YEARS OLD RESPECTIVELY. ME AND MY WIFE HAD A BREAK BECAUSE OF HER STUDIES,AFTER COMPLETION 2012, SHE TOOK IN A HAD MISCARRIAGE AFTER 6 MONTHS IN 2012 ,SINCE THEN IT HAD BEEN DIFFICULT TO GET HER PREGNANT AGAIN. I RAN A SEMEN ANALYSIS THE FOLLOW RESULTS WAS DEDUCED:

VOLUME (ML). 1.5.
TOTAL MOTILITY(%) 43.
RAPID FORWARD PROGRESSION (%). 6.
SLOW FORWARD PROGRESSION (%) 25
NON PROGRESSIVE MOTILITY (%) 11.
NON MOTILE SPERMATOZOA 57.
SPERM COUNT (MILLION/EJACULATION) 129.
TOTAL SPERM COUNT (MILLION/EJACULATION) 194.
SPERM MORPHOLOGY (NORMAL FORMS) % 19
WHITE BLOOD CELLS(HPF) 0-2

COMMENTS: ASTHENOTERATOZOOSPERMIA.

WHAT ARE MY CHANCES OF GETTING MY WIFE PREGNANT AGAIN.

Answered by Dr. Mahesh Koregol (59 minutes later)

Brief Answer:
Normal semen analysis

Detailed Answer:
Hello

I understand your concerns about semen analysis.

Your semen analysis report is normal. There are >40% motile sperms. This is absolutely normal semen parameters but reported wrong as asthenoteratospermia.

Please add more details about your wife so that I am better able to help you.

What is her age? Has she got any hormonal, ultrasound or HSG tests done? If so please attach reports.

Thanks

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Mahesh Koregol (16 hours later)

GOOD MORNING DR,
THIS IS MY WIFE'S HORMONE ASSAY RESULTS.
AGE : 42 YEARS OLD.
CLINICAL DIAGNOSIS : SECONDARY INFERTILITY.

LH = 2.0 MlUml
FSH =1.3 MlUml
PROLACTIN =8.2 ng/ml

Comments : Reduced FSH level.

Thanks.

Answered by Dr. Mahesh Koregol (4 minutes later)

Brief Answer:
Increased age

Detailed Answer:
Hello,

Thank you for additional information.

FSH is reduced which is good. Increased FSH is a concern.

Please get AMH hormone tested along with antral follicular count during transvaginal ultrasound scan on day 2 of her cycle. These tests are to assess her ovarian reserve as her age is more ( 42 years) which could be reason for not getting pregnant.

I dont see anything wrong from your side.

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

Follow up: Dr. Mahesh Koregol (13 hours later)

HELLO DR,
FOR OVER 3 MONTH MY WIFE HAD BEEN HAVING DELAYED MENSTRAL CIRCLE. WHICH MAKES HER THINK A TIME IF SHE IS PREGNANT. WHAT COULD BE THE CAUSE DOC.
THANKS.

Answered by Dr. Mahesh Koregol (5 hours later)

Brief Answer:
Delayed periods

Detailed Answer:
Hello

Delayed periods could be due to perimenopausal changes.

Decreased ovarian reserve leads to delayed periods.

Please get her ovarian reserve tested

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

Follow up: Dr. Mahesh Koregol (2 days later)

Good morning doc,
I have completely loss libido, i make love to my wife at times twice or 3 times a month after serious pressure from her. I have completely lost it and what do i need to do? That what kind of medication do i take to bring back my urge of love making.
Thanks.

Answered by Dr. Mahesh Koregol (22 minutes later)

Brief Answer:
Lead stress free relaxed life with more rest

Detailed Answer:
Hello,

Loss of libido at your age is not related to physical problems.

It is generally due to exhaustion from work and stress due to profession or any other reason. These factors need to be corrected. Please get these factors corrected by removing stress related issues.

Try to take more rest in work and after work. Medicines are not required for you. All you need is stress free and relaxed life. If possible take a month off from work and see if it makes difference.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju