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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Trying For A Baby. Done Semen Analysis. What Does Clumping In Sperms Indicate? Causes Infertility?

hi, I am 28 years and iam attaching my semen analysis along with this one.We trying for a baby last one year.wife is ok in all tests.Please check my report and tel me any problems....Please tel me what is clumping in the sperm and whether it is cause to infertility . PARAMETER RESULT NORMAL RANGE Volume 4.5 1.5 – 6.0ml Appearance Opaque Grayish Opaque Grayish Consistency Homogenous Homogenous Liquefaction (Viscosity) Liquefied in 30min Liquefied within 30min pH (Reaction) 8.0 7.1 – 8.0 MICROSCOPY MOTILITY Grade 4 15 Progressive motility Grade 3 35 Non Linear motility Grade 2 15 Non progressive motility Grade 1 35 Non motile SPERM COUNT Sperm Count 84million 20 million/cu.cc (Average 60million) MORPHOLOGY Normal 80% 14 % normal* Immature 07% Abnormal 13% Sperm Agglutination Absent Absent Sperm Clumping Present Absent OTHERS Erythrocytes Nil Nil WBC’s Occasional Occasional Epithelial Cells Nil Nil Cellular debris Nil Not Observed CHEMICAL TEST Fructose Test Present Present REF:- • WHO criteria for semen analysis- WHO Manual-1999 • *Tygerberg Strict criteria for sperm morphology.
Thu, 7 Mar 2013
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General & Family Physician,  's  Response
Look, your semen analysis report indicates normal sperm count (normal is > 15 ml as per WHO 2010).
The motility is within normal limit (as per WHO 2010, grade a should be >25% or all total >50%).
The Normal sperm count is also within normal limit (as per WHO 2010, normal sperm should be > 04%).
The pus cells, RBCs are within normal limit.
So, overall, your report indicates no abnormality. You do not need anything to do. You are absolutely normal.
Regards.
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Trying For A Baby. Done Semen Analysis. What Does Clumping In Sperms Indicate? Causes Infertility?

Look, your semen analysis report indicates normal sperm count (normal is 15 ml as per WHO 2010). The motility is within normal limit (as per WHO 2010, grade a should be 25% or all total 50%). The Normal sperm count is also within normal limit (as per WHO 2010, normal sperm should be 04%). The pus cells, RBCs are within normal limit. So, overall, your report indicates no abnormality. You do not need anything to do. You are absolutely normal. Regards.