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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Surgery Needed For The Following Seminal Fluid Analysis?

Seminal Fluid Analysis Color: Normal PH :8.0 Liquefaction Time: 30 Min Viscosity: Normal Sperm Count: 17.0 Mill/ml Total Sperm Count: 102.0 Spermatocytes: 25 x10^6/L Agglutination: Negative RBC: 25 WBC: 150 Motility 30 Min (%) 3 Hrs. (%) 6 Hrs. (%) Rapid progressive motility 5 0 0 Slow or sluggish progressive motility 30 15 10 Twitching or shaking non-progressive 20 25 20 Immotile 45 60 70 Total Motility 55 40 30 Morphology Normal Forms: 40 % Abnormal Forms: 60 %. Small Heads 10 % Round Heads 5 % Tapered Heads 5 % Large Heads 5 % Amorphous Heads 5 % Duplicate Forms 10 % Neck Defect 10 % Cytoplasmic droplet 5 % Tail Defect 5 % my question is this Varicocele?and need surgery I am married since 6 months
Mon, 9 Mar 2020
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General Surgeon 's  Response
Hello,

You can go for an ultrasound scrotum to look for any varicocele. Varicocele is an ultrasound diagnosis and not to be diagnosed based on semen analysis.

If there is grade2 or above varicocele is there, surgical correction will be a better option. Consult a general surgeon and he will direct you accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Shinas Hussain, General & Family Physician
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Is Surgery Needed For The Following Seminal Fluid Analysis?

Hello, You can go for an ultrasound scrotum to look for any varicocele. Varicocele is an ultrasound diagnosis and not to be diagnosed based on semen analysis. If there is grade2 or above varicocele is there, surgical correction will be a better option. Consult a general surgeon and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician