Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
174 Doctors are Online

Concerned about the semen analysis report - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hello dr
Doctor :   how can i help u ?
User :   i had a query regarding male fertility
Doctor :   please proceed
User :   i did my semen analysis and got the values
User :   wanted to know if they are normal
Doctor :   ok
Doctor :   please type in the details
User :   my sperm count is showing 24 to 25 million
User :   liquefaction time 30 min
User :   high motility 60 percent and normal morphology
User :   is this ok or do i need fertility treatment
Doctor :   may i know ur age, and the duration of marriage ?
Doctor :   your semen analysis is normal
User :   34 years and 2 and half years
Doctor :   there is no need for any fertility treatment
Doctor :   may i know the age of ur spouse ?
User :   i had the doubt because i was wondering that the normal is 20 mil and mine is just above that so
User :   spouse is 27 and she has also had all workups showing normal
Doctor :   ok
Doctor :   first let me tell u a few things
User :   sure doc
Doctor :   To achieve successful pregnancy, you need to know about fertile period of the menstrual cycle.
A pregnancy can be achieved, when you have intercourse from the 12th day to the 17th day of the menstrual cycle. This is the fertile period.
Intercourse during days 1-12 & 17-28 days of the cycle will be risk free and not result in pregnancy.
Doctor :   also, have u had any miscarriages or any abortions ?
Doctor :   any use of oral contraceptives, or injection pills ?
User :   ya doc second month of marriage she got preg
Doctor :   Is ur wife having regular periods ?
User :   so we had abotion and then pills
Doctor :   may i know, where u had the abortion and what pills did u have and how long ?
User :   it was a medical abortion
Doctor :   ok
User :   hey mom is a gynac so it was done well
Doctor :   is she been having regular periods since then ?
Doctor :   and is the ultrasound done or the Hysterosalpingogram done normal ?
User :   after pills there was a period of no ovulation and then after clomid 3 courses she started ovulating normally on her own and she now has a 35 to 40 day period
User :   us and hsg are normal
Doctor :   her period duration are very long
User :   so what can be done
Doctor :   does she bleed normally or have excess bleeding ?
User :   normal doc
Doctor :   you told me her mom, is a gynae
User :   that has been her period even before marriage
Doctor :   has she not examiend and prescribed meds to regularise the periods
User :   yes
Doctor :   oh ok, so her periods have been so, even beofre marriage
User :   yes doc
Doctor :   in that case, i would advice u to get her FSH, LH, Thyroid tests done to check for other causes of infertility
User :   all done doc and all are normal
User :   including tb and endometrial workup
Doctor :   also is she on nay meds currently ?
User :   no only folic acid and supplements vitamins
Doctor :   In that case, if all tests are normal, i think there shd not be any problem for conception
User :   basicaly i was concerned whehter my workup is normal or whether i need to see an andrologist
Doctor :   i would advice u to try with tab clomid as she has been prescribed earlier
Doctor :   for a few more months
User :   thanks doc that was my primary concern
Doctor :   You are welcome
User :   will try for a few more months and then see how it goes thanks
Doctor :   i think over time u will have a kid normally
User :   thanks again doc
Doctor :   there is no need to worry as of now
Doctor :   remember to leave ur feedbcakl as u log out
Question is related to
Diseases and Conditions
Medical Procedures
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor