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Semen analysis showed oligoathenozoospermia, bilateral hydrocele. Treatment?

Hi doctor .. i m safy from egypt . married one year ago but no luck of getting pregnant .. i m 29 years . i went for consultation and my doctor told me every thing is normal and she asked to see me at time of ovulation . and every thing was just good .. my husband was asked for semen analysis and the results he got was : count : concentration 8.18 million .. grade a ( rapid progression ) : is 12.5% .... morphology : 24% so the diagnosis was ; oligoathenozoospermia .. by us: no varicocele but with mild bilateral hydrocele i m very worry please answer me what is the most suitable way to treat such cases .. i m dying to have a baby of my own .. i wish you can help me sir plz
Asked On : Tue, 29 Jan 2013
Answers:  2 Views:  243
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OBGYN 's  Response
Hello. Thanks for the query,

Oligospermia refers to semen with a low concentration of sperm which is a common finding in male infertility.
Asthenozoospermia refers to reduced sperm motility.

Hydrocele needs operative corrections.
Clomiphene citrate in oligospermia.
Combination of tamoxifen plus testosterone.
IUI-intrauterine inseminations can be performed.
In more severe cases IVF, or IVF - ICSI is done and is often the best option.

Hope this helps
Good luck
Dr Nilofer
Answered: Tue, 29 Jan 2013
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General & Family Physician Dr. Das Arindam's  Response
Sep 2012
Hello, Welcome to HCM, I am Dr. Das

Look, sperm count is lower than required ( normal is >15 million as per WHO 2010).

Sperm motility is also lower than required ( normal is >50% as per WHO 2010).

Sperm morphology is also within normal limit ( normal is 04% as per WHO 2010).

So, overall, there is abnormality in only count and motility.

Consult with your treating doctor for starting Coenzyme Q and vitamin E group of drugs.

Answered: Wed, 30 Jan 2013
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