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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done Semen Analysis Test And Hormone Test. Unable To Get Pregnant. What To Do?

As 6 month has passed of my marriage, but I am not getting pregnant. Please check my husband report and tell me is that normal? SEMEN ANALYSIS REPORT MASTERBATION SPECIMEN AT LAB ABSTINANCE PERIOD 1 DAY VOLUME 1.5 Ml REACTION ALKALINE COLOR CREMY WHITE TOTAL SPERM COUNT 96 Millions SPERM MOTILITY Active Sluggish Immotile After 30 Minutes 55% 15% 30% MORPHOLOGY Normal 80% Abnormal 20% ABNORMALITIES Head Piece Defect 8% Mid Piece Defect 7% Tail Piece Defect 5% Puss Cells 10-12 Gynecologist doctor suggested me some test and here are these reports result. HORMONES REPORTS TEST VALUE UNITS EXPECTED VALUE TSH 1.9 ul/mL 0.4 - 4.0 PROLACTIN 31.7 ng/ml Female : 3.8 – 23.2 Pregnency (3rd Timester) : 95 – 473 Male : 3.0 - 14.7 Please see these reports and suggest me what to do? Regards.
Mon, 5 Nov 2012
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General & Family Physician 's  Response
Hello, Welcome to HCM, I am Dr. Das
Firstly, abstinence period should be 3 days. Volume, reaction, color, all are normal.
Total sperm count is normal (normal sperm count is >20million/ml as per WHO1999).
Active sperm concentration is within normal limit. Normally, active and sluggishly motile sperm count is >50% as per WHO 1999).
Number of sperms with normal morphology is also within normal limit.
Pus cells are increased in number. It indicates an ongoing infection. Your husband should take antibiotics and after that repeat the test.
Your thyroid profile shows higher level of prolactin which is abnormal. TSH level is within normal limit. You should consult with endocrinologist for further management.
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Done Semen Analysis Test And Hormone Test. Unable To Get Pregnant. What To Do?

Hello, Welcome to HCM, I am Dr. Das Firstly, abstinence period should be 3 days. Volume, reaction, color, all are normal. Total sperm count is normal (normal sperm count is 20million/ml as per WHO1999). Active sperm concentration is within normal limit. Normally, active and sluggishly motile sperm count is 50% as per WHO 1999). Number of sperms with normal morphology is also within normal limit. Pus cells are increased in number. It indicates an ongoing infection. Your husband should take antibiotics and after that repeat the test. Your thyroid profile shows higher level of prolactin which is abnormal. TSH level is within normal limit. You should consult with endocrinologist for further management.