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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat The Abnormalities Found In Semen Analysis?

Hi Doctor,
My Name is Manikandan, I have completed 2 years of my marriage life. My wife got a miscarriage within 6months of our marriage life. We started trying for a baby after 3 months from the date of miscarriage and ended without any luck after tying for about 9+ months. Later she was tested and treated for her PCOS problem and she took glycomate and Letrozole to stimulate egg rapture for about 4 month. She had normal periods around this 2 years and she is noramal now without any PCOS issue. Later we thought to check me and consulted a urology. Doctor asked to do a Seman analysis and scrotum scan of my varicocele.
The results of Seman Analysis:
Volume: 2ml
Count: 14million/ml
Motility:
1/2hr---> Active:70% Sluggishly:20% Non-motile:10%
1 hr----> Active:65% Sluggishly:20% Non-motile:15%
2hr-----> Active:60% Sluggishly:20% Non-motile:20%
Morphology : 10% Normal and 90% Abnormal

Yet to do the scan...

Please advise on when can I recover from the problem. I am more worried about the morphology %. I had smoke and drinks habit for about 12 year and have quit more than 3 months back. Will we able to get a baby with natural intercourse.
Fri, 6 Dec 2013
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OBGYN 's  Response
Hello Manikandan
Thanks for writing to us with your health concern.
Your semen analysis report is showing definite problems.
The semen count is quite low ( normal is atleast 20 million / ml)
Also, the percentage of abnormal forms is quite high.
This could be due to - stress, anxiety, recent surgery or illness, alcohol, tobacco, heat exposure.
Genetic abnormalities, hormonal deficiency, structural changes, blockage of ducts, infections - all these are potential factors.
Your Urologist should conduct detailed tests - hormones, ultrasound of scrotum and testes etc, to know the real cause.
You should repeat the semen analysis 3 months after stopping tobacco and alcohol.
If natural intercourse fails, you can go for IUI ( intra uterine insemination ) which will yield good results.
Take care.
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How To Treat The Abnormalities Found In Semen Analysis?

Hello Manikandan Thanks for writing to us with your health concern. Your semen analysis report is showing definite problems. The semen count is quite low ( normal is atleast 20 million / ml) Also, the percentage of abnormal forms is quite high. This could be due to - stress, anxiety, recent surgery or illness, alcohol, tobacco, heat exposure. Genetic abnormalities, hormonal deficiency, structural changes, blockage of ducts, infections - all these are potential factors. Your Urologist should conduct detailed tests - hormones, ultrasound of scrotum and testes etc, to know the real cause. You should repeat the semen analysis 3 months after stopping tobacco and alcohol. If natural intercourse fails, you can go for IUI ( intra uterine insemination ) which will yield good results. Take care.