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Done semen analysis. Wife not getting pregnant. Abnormality?

hi I am 25 years old and this are the results of my semen analysis i am wondering if this results are good or bad considering my age also i am married for a year and still my wife not pregnant colour: greyish white volume:2.5 method of production:masturbation reaction:alkaline ph8 viscous count:16million/ml total count:40million liquified after 30 minutes type of motility A:rapid progressive: 40% B:sluggish : 20% C:nonprogressive: 15% D:immotile: 25% motility after 30 minutes :75% after 1 hour :70% after 2 hours :65% after 3 hours :60% abnormal forms: 35% (abnormal head forms:10% , abnormal tail forms :10%, abnormal mid portions:15%) spermatogenic : 1-2 /HPF Pus cells: 1-2 /HPF red blood cells :0-1/HPF and is their a relation between sexual ability and the ability to conceive
Asked On : Mon, 10 Sep 2012
Answers:  2 Views:  82
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General & Family Physician 's  Response
Hi, welcome to healthcare magic

It is important to remember that the characterisitics reviewed by semen analysis only look at some of the factors in semen quality, 30% of men with normal analysis may have abnormal sperm function and those with abnormal sperm may father children.

The normal results of a sperm analysis is ph normal range is 7.2 to 7.8 according to the WHO. A higher level may occur in some instances of infection which can usually be treated.

Normal count is at least 20 million per ml so 16 mill/ml is slightly below this
At least 50% should be mobile- 40% of yours were rapidly moving and 20% sluggish but moving
35% abnormal forms is good, it implies that 85% were normal which is a good figure.
Presence of pus cells may indicate an infection.

I hope this information helps
Answered: Mon, 10 Sep 2012
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General & Family Physician Dr. Das Arindam's  Response
Sep 2012
Hi, Welcome to HCM, I am Dr. Das
First of all, the color, pH are normal. The sperm count per ml is lower than normal ( normal - >20 million /ml as per WHO 1999). Liquefaction time is ok.Motility is also very good (rapidly progressive and sluggish are total >50%). But there is increased number of abnormal sperm which may cause ineffectivity.Others are within normal limit.
So, overall, there is mildly lower sperm count and abnormal forms. I suggest you to do a special study of morphology of sperm.
Answered: Tue, 11 Sep 2012
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