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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Planning For Baby. Done Follicular Study. Done Semen Analysis Of Husband. Can I Conceive Naturally?

hello doctor, i got married for 2 years. we are planning for a baby from past one year. i went for a follicular study for 3 to 4 cycles i will be having healthy follicle in right ovary but the follicle is not rupturing rather its becoming a cyst. then my doctor suggested to have hcg trigger then i ovulated. my husband also had semen analysis . his report is as follows. sperm count 50mil/ml total progressive 32% for 1hr and 15% for 2hr immotile 61% for 1 hr and 77% for 2 hr morphology normal forms 3% overall defects 97% final impression asthenoteratozoospermia now my doctor have told me for an hsg and she suggested for me to go for iui .. i am worries whether i can concieve naturally or need artificial incemination. and my hsg is also normal. Please help me with your kind suggestion
Mon, 19 Nov 2012
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Allergist and Immunologist 's  Response
Hello,
The answer is quite obvious that your husband's semen analysis is grossly ABNORMAL
According to the WHO 1992 criteria, the sperm count is normal (>20mil/ml), but grossly abnormal in morphology (>30% should be normally formed, 75% viable, 50% motile) and therefore these results should be reviewed by your infertility expert.
Hope that helps.
Best Wishes.
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General & Family Physician Dr. Das Arindam's  Response
Hello, Welcome to HCM,
Firstly, your follicular study is quite satisfactory.

But, the semen analysis report of your husband shows normal sperm count ( Normal is >20 millions / ml as per WHO 2009).
The motility is also lower than normal ( Normal total motility is >40% as per WHO 2009).
The sperm morphology is also lower than normal ( normal is >4% as per WHO 2009).

So, form this report, it can be said, with this report, it is hard to get pregnant normally.
I think IUI is the better option.
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Planning For Baby. Done Follicular Study. Done Semen Analysis Of Husband. Can I Conceive Naturally?

Hello, The answer is quite obvious that your husband s semen analysis is grossly ABNORMAL According to the WHO 1992 criteria, the sperm count is normal ( 20mil/ml), but grossly abnormal in morphology ( 30% should be normally formed, 75% viable, 50% motile) and therefore these results should be reviewed by your infertility expert. Hope that helps. Best Wishes.