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What Does The Following Semen Analysis Report Indicate?

Posted on Wed, 14 Dec 2016

Question: Hi. My husband got his semen analysis done. The result is as follows:
Liquifaction at 37degree - 30 minutes
Volume - 1 ml
Ph - 5
Total sperm concentration - No sperms seen
Semen fructose qualitative - Negative

What does this report mean for us? Is there an infertility issue? Is it treatable?

Thank you

Answered by Dr. Mahesh Koregol (13 minutes later)

Brief Answer:
Azoospermia

Detailed Answer:
Hi,

I saw the attached semen analysis report.

This shows no sperms. This condition is called azoospermia. He can never make you pregnant as there are no sperms.

Please repeat semen analysis in another standard laboratory in your town.

If you don't see sperms again please see XXXXXXX in your town immediately.

Please attach scanned copy of semen analysis with this query.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mahesh Koregol (23 minutes later)

What is the cause of Azoospermia?Is there any way we can have a family? Any surgery or medication?

Answered by Dr. Mahesh Koregol (18 hours later)

Brief Answer:
Need evaluation

Detailed Answer:
Hi,

It is difficult to say without testing.

You need to be examined for testicular size.

Need Doppler ultrasound scan.

Need blood tests FSH, testosterone.

With these tests we can decide if surgery like testicular Aspiration is required to get sperms out.

Let me know if you need anymore help

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

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

Hi. We consulted an XXXXXXX He also pointed to Azoospermia but did not advise any ultrasound and testosterone test. FSH has been done which is fine. I am attaching his consultancy document. P

Answered by Dr. Mahesh Koregol (7 hours later)

Brief Answer:
What's next step

Detailed Answer:
Hi,

I think he has suggested repeat semen analysis. What's next step after that he said?

Testicular biopsy?

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

Follow up: Dr. Mahesh Koregol (42 minutes later)

He said we can repeat semen analysis if we want to. In the second page, he has advised CFTR Gene test for me and then IVF. He has not suggested any other test

Answered by Dr. Mahesh Koregol (3 hours later)

Brief Answer:
Testicular biopsy required

Detailed Answer:
Hi,

First Get semen analysis done. Let him do testicular biopsy directly. Freeze if he finds sperms.

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