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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is The Sperm Count According To Semen Report Low?

sir, my husband semen count details mentioned below
PH - 7.5
Rapid progressive motility: 31%
Slow/sluggish Progressive: 38%
non Progressive motility: 6%
Immotile: 25%
Viability Test : 83%
Sperm Morphology:
Normal 49%, Head Defects 20%, Neck and Midpiece Defects: 7%, Tail defects: 5%, Cytoplasmic Droplet: 19%.
Cellular Contents: 4-5/HPF

I have problem in pregnancy so the doctors advised to take the above test for him and my previous doctor said its absolutely fine and after few yrs now i have seen a new doctors she said my husband has 31% of count its too low for getting pregnant. Pls. advice me whether she is right/wrong about this diagnosis. My husband is little upset.
Mon, 24 Feb 2014
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HIV AIDS Specialist 's  Response
Hi,
Welcome to HCM.
First of all, the seminal report was not a complete one. It lacks the total quantity of the ejaculate, liquefaction time, viscosity, color and total sperm count etc. Regarding the total cellular count whether it is white blood cells or something else was not mentioned. How many days abstinence was observed before collection of semen. That is also very important.
With the available data, if the rapid progressive motility of the sperm is more than 60%, it will be a good quality one to make you conceive earlier.
Similarly the normal sperms must be 70-80% and not less than that.
By a detailed examination of your husband and with other investigations we can find the reasons for this mild defects.
Repeat the semen examination in another good laboratory with 3-4 days of abstinence.
Wish you an earlier pregnancy...
Dr S.Murugan
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Is The Sperm Count According To Semen Report Low?

Hi, Welcome to HCM. First of all, the seminal report was not a complete one. It lacks the total quantity of the ejaculate, liquefaction time, viscosity, color and total sperm count etc. Regarding the total cellular count whether it is white blood cells or something else was not mentioned. How many days abstinence was observed before collection of semen. That is also very important. With the available data, if the rapid progressive motility of the sperm is more than 60%, it will be a good quality one to make you conceive earlier. Similarly the normal sperms must be 70-80% and not less than that. By a detailed examination of your husband and with other investigations we can find the reasons for this mild defects. Repeat the semen examination in another good laboratory with 3-4 days of abstinence. Wish you an earlier pregnancy... Dr S.Murugan