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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are The Findings Shown In The Following Report Normal?

Hi sir good morning.according to my semen analysis report ,my Active (progress)20% and sluggish 30%,(range =50),then total sperm count 15million\ml range( =20)and total EJACULATE SPERM count 23million\ml and range ( =40) Appearance-(Greay-white ,opaque),Reactiom( alkaline) ,pH- 8( range 7.2-8.9),visco city and Liquefaction-1 hour( range10-30 min) Non motile 50% ,RBCs 1-2HPF and( range0.5),pus cells 4-6 HPF( range 0.5) . There is not any yeast \bacteria and other cells also NIL.Then Normal forms 14, ( range 14),aggulutination of sperms also NIL. How is this report???I m married and my wife is not pregnant .she also checked her SEMEN ANALYSIS. .According to doctor she can pregnent but he told me i m wrong. Is he correct?
Wed, 20 Jul 2016
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
The following conclusions can be drawn based on the semen analysis report you have furnished.
1. Physical characteristics like appearance, and pH appears normal.
2. Viscosity and liquification time is more.
3. Microscopy is showing some cells, which could indicate the presence of infection.
4. Total sperm count is less than normal.
5. Sperm motility is also below normal.
6. Sperm morphology with normal forms are also less in number.
Hence, the fertility index seems to be very low by means of the above findings.
However, it could be tried for improvement by treating possibility of infection with a course of appropriate antibiotics. Also taking some of the nutrients along with like L-carnitine, Alpha lipoic acid, CoQ10, Vitamin E, Selenium, Lecithin and Zinc as supplements along with, which should help to regain sperm morphology features and its functioning capacity.
After a period of one month, semen analysis can be repeated to look for the response to the treatment as well as improvement.
Kindly consult Infertility specialist to review the report and administer the treatment accordingly.
Hope the information provided would be helpful.
All the best.
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Are The Findings Shown In The Following Report Normal?

Hi, Thanks for posting in HCM. I understand your concern. The following conclusions can be drawn based on the semen analysis report you have furnished. 1. Physical characteristics like appearance, and pH appears normal. 2. Viscosity and liquification time is more. 3. Microscopy is showing some cells, which could indicate the presence of infection. 4. Total sperm count is less than normal. 5. Sperm motility is also below normal. 6. Sperm morphology with normal forms are also less in number. Hence, the fertility index seems to be very low by means of the above findings. However, it could be tried for improvement by treating possibility of infection with a course of appropriate antibiotics. Also taking some of the nutrients along with like L-carnitine, Alpha lipoic acid, CoQ10, Vitamin E, Selenium, Lecithin and Zinc as supplements along with, which should help to regain sperm morphology features and its functioning capacity. After a period of one month, semen analysis can be repeated to look for the response to the treatment as well as improvement. Kindly consult Infertility specialist to review the report and administer the treatment accordingly. Hope the information provided would be helpful. All the best.