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What Does My Sperm Analysis Test Report Indicate?

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Posted on Tue, 13 Jan 2015
Question: Hello.

I have had a sperm analysis performed. I do not clearly understand the results as they were explained to me. I understand that i do not produce the "normal" size sample. I do not produce enough sperm. And that many of the soerm are not shaped correctedly.

I am waitng for the resukts of a tubular analysis but i would like to understand the initial results better. The aspects of the analysis that i would like to understand better are:

- Semen volume
- Total sperm number
- Sperm concentration
- Vitality of sperm
- Motility of soerm
- Morphology of sperm

I would also like to understand, based on these results, the probability of being able to impregnant a woman through intercourse.

I have written down the test results at the end of this note.

Please let me know if you have any questions.

Thank you,

XXXX

TEST RESULTS:

Age: 49 year old male
Series: 92
Abstinense: 5 days

INITIAL ANALYSIS

Volume: 0.7 ml
Concentration: 37.5 (x 10^6/ml)
Motility: 42%
- Absent d: 58.0
- In place c: 5.0
- Slow b: [blank]
- Rapid a: 37.0

Viscosity: 1
Chymotrypsin: No

Morphology:
- Normal: 2%
- Head defect: 89%
- Neck: 7%
- Tail: 2%

WBC: No
Agglutination: No

SPERM SELECTION:

Method: Density Gradient, 600g x 10 mins)
Volume: 0.5ml
Concentration: 26.0 (x 10^6/ml)

Motility: 89%
- Absent d: 11
- In place c: 3
- Slow b: [blank]
- Rapid a: 86

Morphology:
- Normal: 2%
doctor
Answered by Dr. Naveen Poola (4 hours later)
Brief Answer:
Motile sperms should be at least 50% normally.

Detailed Answer:
Semen volume is just the amount of semen that has been taken to test.

Sperm concentration is the amount of sperms accumulated in semen.

Vitality is the ability of sperm to impregnate.

Motile sperms should be at least 50% normally. Men with low sperm motility might have difficulties in achieving a pregnancy but not impossible.

Stress, anxiety, recent illness, surgery or fever, improper eating habits and sleeping habits, junk food, smoking, tobacco consumption, alcohol, hot tubs or hot sauna baths etc contribute to decreased sperm motility. If any of these are present try to avoid them.

Morphology of sperms shows defects in the structure of sperm like defects in head or tail of sperms which effect motility.

Your results are little unclear to read. Kindly attach the scanned reports.

Thanks!
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Naveen Poola (1 hour later)
Hello Doctor,

I've attached the report to this note.

I am also on medication for a mood disorder.

The medications are Cymbalta, Depakote, Geodon and Valium. I also take Propecia.

Could these medications affect my sperm oroduction, in terms of concentration, volume, etc.?

Thank you,
XXXX
doctor
Answered by Dr. Naveen Poola (6 hours later)
Brief Answer:
Please recheck if attached or not.

Detailed Answer:
Hi,

i cannot find the attachment. Please recheck if attached or not.

Thanks
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Naveen Poola (14 hours later)
Hi. Im using my iPad to send you this information. Because of this, I had to convert the report from PDF to a series of four pics. The information I sent in the first note is exactly what is on the report. Nonetheless, i have atrached the 4 files again. Please let me know if you received them. If you have a fax number, i could fax the report to you directly. Thank you, XXXX.
doctor
Answered by Dr. Naveen Poola (11 hours later)
Brief Answer:
defects in morphology

Detailed Answer:
Hi,

I have gone through the medications you are taking. There is no clinical research evidence that these drugs effect your sperm production and I have not seen any such case in my practice. But, Valium is rarely associated with some effects sperms but in very rare cases. However, as I can see from your reports attached- concentration and sperm count are not problems in your case. But, there are defects in morphology which usually occur in head of sperm.

This needs to be seriously considered with help of an infertility Specialist.

Thanks!

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Naveen Poola

Urologist

Practicing since :2002

Answered : 421 Questions

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What Does My Sperm Analysis Test Report Indicate?

Brief Answer: Motile sperms should be at least 50% normally. Detailed Answer: Semen volume is just the amount of semen that has been taken to test. Sperm concentration is the amount of sperms accumulated in semen. Vitality is the ability of sperm to impregnate. Motile sperms should be at least 50% normally. Men with low sperm motility might have difficulties in achieving a pregnancy but not impossible. Stress, anxiety, recent illness, surgery or fever, improper eating habits and sleeping habits, junk food, smoking, tobacco consumption, alcohol, hot tubs or hot sauna baths etc contribute to decreased sperm motility. If any of these are present try to avoid them. Morphology of sperms shows defects in the structure of sperm like defects in head or tail of sperms which effect motility. Your results are little unclear to read. Kindly attach the scanned reports. Thanks!