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What Does This Semen Analysis Report Indicate?
Question: My semen analysis report is as below
Time of liquefaction more than 4 hours
Coagulum :delayed
Quantity: 2ml
Consistency: normal
Fructose: present
PH: alkaline
Sperm count :126 million/ml
Abnormal forms: 10%
Total motility: 40%
Grade A :10% Grade B: 10% Grade C: 20% Grade D(immotile): 60%
Pus cells :occasional
Macrophages: occasional
Suggested: Follow up and repeat analysis
Please suggest me related to motility and liquefaction.
What could be the cause and what kind of life style changes might be needed.
I am slightly overweight with desk job and no physical exercise.
The sample was collected after 2.5 days of abstinence.
Time of liquefaction more than 4 hours
Coagulum :delayed
Quantity: 2ml
Consistency: normal
Fructose: present
PH: alkaline
Sperm count :126 million/ml
Abnormal forms: 10%
Total motility: 40%
Grade A :10% Grade B: 10% Grade C: 20% Grade D(immotile): 60%
Pus cells :occasional
Macrophages: occasional
Suggested: Follow up and repeat analysis
Please suggest me related to motility and liquefaction.
What could be the cause and what kind of life style changes might be needed.
I am slightly overweight with desk job and no physical exercise.
The sample was collected after 2.5 days of abstinence.
Brief Answer:
Possible infection.Scrotal ultrasound is indicated.
Detailed Answer:
Hello, Sir.
I understand your concern.
Normal liquefication is around 20 min.Abnormally prolonged time indicates prostate gland defect or ejaculatory duct obstruction.
Motility is also grossly affected as reflected in increased Grade D sperms.
Occasional pus cells and macrophages largely indicate an unresolved infection in the genital tract.For this I advise you to have a scrotal ultrasound doppler and a complete urine analysis with culture and sensitivity testing.
These tests have accuracy in establishing the cause for low sperm motility and high liquefaction time.
Once the test results are out suitable antibiotics may be indicated to clear the infection.Only after this intervention, a repeat follow-up of Seminal analysis is indicated.
Yes, lifestyle changes have a huge impact on seminal parameters particularly motility.
Avoid a sedentary lifestyle.Regular physical exercise for 20 min/day is mandatory.
Avoid smoking and alcohol.Alcohol can grossly impair sperm motility.
Consume protein rich foods like soy, egg and fish on a regular basis.
Pomegranate and Apples are required on a daily basis.
Weight reduction can improve seminal parameters.
Avoid junk, fried and fatty foodstuff.
Drink 3-4 liters of water a day.
Post your further queries if any.
Thank you.
Possible infection.Scrotal ultrasound is indicated.
Detailed Answer:
Hello, Sir.
I understand your concern.
Normal liquefication is around 20 min.Abnormally prolonged time indicates prostate gland defect or ejaculatory duct obstruction.
Motility is also grossly affected as reflected in increased Grade D sperms.
Occasional pus cells and macrophages largely indicate an unresolved infection in the genital tract.For this I advise you to have a scrotal ultrasound doppler and a complete urine analysis with culture and sensitivity testing.
These tests have accuracy in establishing the cause for low sperm motility and high liquefaction time.
Once the test results are out suitable antibiotics may be indicated to clear the infection.Only after this intervention, a repeat follow-up of Seminal analysis is indicated.
Yes, lifestyle changes have a huge impact on seminal parameters particularly motility.
Avoid a sedentary lifestyle.Regular physical exercise for 20 min/day is mandatory.
Avoid smoking and alcohol.Alcohol can grossly impair sperm motility.
Consume protein rich foods like soy, egg and fish on a regular basis.
Pomegranate and Apples are required on a daily basis.
Weight reduction can improve seminal parameters.
Avoid junk, fried and fatty foodstuff.
Drink 3-4 liters of water a day.
Post your further queries if any.
Thank you.
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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