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What Does The Following Semen Analysis Report Indicate?

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Posted on Thu, 1 Jun 2017
Question: Semen analysis
ph -8
liquefaction -- viscous 69%
pus cells -- 2

Concentration assessment
Total ejaculate 180 million/ml
sperm concentration 120 million/ml

motility assessment
total progressive 40%
non progressive 7%
immotile 53%

advance total progressive assessment
rapid profressive 0%
slow progressive 40%

Morphology assessment(kruger criteria)
normal forms 4%

osmotic swelling test 61%

acrosome reaction after ionosphere test 7 %

impression is Asthenozoospermia

is it mild or severe?
doctor
Answered by Dr. Mahesh Koregol (34 minutes later)
Brief Answer:
Reduced Motility

Detailed Answer:
Hi,

I understand your concerns.

Your semen analysis is normal except for reduced sperm motility.

Asthenospermia is severe.

However I don't recommend any treatment based on only one report. Please repeat semen analysis in another standard laboratory in your town before deciding further treatment.

Let me know if you need anymore help.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (34 minutes later)
Thanks for prompt reply...

before asking a follow up question...

my wife medical history:
my got done laparoscopic surgery in November 2015 for dermoid cyst(on both her ovaries)

as of today she still have small cysts ( about 2cms) on both of her ovaries
they are follicular cysts and small dermoid residuals

My wife got pregnant may 2016, however she miscarried in july 2016
My wife gynecologist suggested 3 months gap beofre trying for pregnency again...
we are trying again since November 2016 then, but no conception...

can reasons for Asthenospermia can be known?
is Asthenospermia could be probable reason for her previous miscarriage?
is Asthenospermia reason for no concepton?


doctor
Answered by Dr. Mahesh Koregol (16 hours later)
Brief Answer:
Asthenospermia is not a major problem

Detailed Answer:
Hi,

Thanks for additional information.

Asthenospermia is not a major problem. This problem is small. This is true as your wife had conceived with this motility earlier.

I think your wife needs more evaluation. Your semen is not reason for previous miscarriage or present infertility.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3830 Questions

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What Does The Following Semen Analysis Report Indicate?

Brief Answer: Reduced Motility Detailed Answer: Hi, I understand your concerns. Your semen analysis is normal except for reduced sperm motility. Asthenospermia is severe. However I don't recommend any treatment based on only one report. Please repeat semen analysis in another standard laboratory in your town before deciding further treatment. Let me know if you need anymore help. Regards