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Semen analysis done. Normal? Recommendations?

Hello Doctor,

My age is 31 Years, married. Yesterday I have done the Semen Analysis and the reporting details are mentioned below:
COLOUR: Greyish White
QUANTITY: 2.0 ml
REACTION: Alkaline
CONCENTRATION: 11.84 millions
TOTAL COUNT: 23.68 millions

(A) Rapid Progressive Motility: 22%
(B) Progressive Motility :18%
(C) Slow & Sluggish Motility : 35%
(D) Immotile : 25%

Request you to kindly clarify that the above report seems normal to become a father, incase if any issues please let me know that and the remedial action for the same, please.
Asked On : Sat, 27 Apr 2013
Answers:  1 Views:  16
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

The semen analysis report is as follows:

1.The physical characters like volume, viscosity, pH and liquefaction time are within normal limits.
2. The sperm concentration / sperm count is below normal. The normal sperm concentration is at least 20 million sperms/ ml. The minimum volume of semen should be 2 ml so the sperm count should be at least 40 million/ ejaculate.
3. The motility of at least 50% sperms should be rapid progressive. In your case it is only 22%.
4. There is no comment on the morphology of the sperms. This is also an important parameter. At least 50% sperms should have a normal morphology

So, the sperm counts are low and the motility is also low.
A repeat semen analysis is required to confirm the values.
The management of this condition is to have a healthy life style, take healthy food, exercise and avoid smoking & alcohol.
You can consult your doctor for further work up.

Thanks and take care.
Dr Shailja P Wahal
Answered: Sat, 27 Apr 2013
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