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

Infertility due to low sperm motility - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I got my semen analysis done and it reads total motility 38%, normal morphology 28% with 115 million sperms/ml.. the impression is asthenospermia. The agglutionation is 30% but no WBC as occasional.. me and my wife are trying for a child. What does my report indicate? What are the options available to us?
Doctor :   Hi
Doctor :   please be patient I will lokk for the normal vlaures'
User :   ok
User :   are u an andrologist?
Doctor :   I am a General Practitioner, I believe I can help you within my expertise and If
required I shall recommend a specialist.
User :   ok
Doctor :   the average sperm count today is around 60 million per milliliter
User :   yes
Doctor :   normal motility as 60%
Doctor :   a sample is normal if 14% or more of the observed sperm have normal morphology
Doctor :   So there is one defect in motility
Doctor :   Poor motility is called Asthenospermia
User :   well the impression is asthenospermia which means that the andrologist feels that results are not satisfactory...
Doctor :   Yes
Doctor :   I agree
Doctor :   Normally, at least 50% of sperm should be motile
User :   couple of years ago i had high WBCs in the semen
Doctor :   That might be infection or normal
User :   now that concern seems to have got alleviated on its own but has definitely resulted in low motility and agglutination
Doctor :   sample error while collecting
Doctor :   Yes thre is a problem
Doctor :   Howlong are you trying to conceive
User :   well my wife had conceived in 2004 which she lost in 10th week
Doctor :   ok
User :   since then we have tried few cycles of IUI
Doctor :   then what happened?
User :   nothing happened
Doctor :   What was the result?
User :   IUIs did not result in pregnancy
Doctor :   ok
Doctor :   then what was advised?
User :   now we again started a new round of visits to doc and i got the semen analysis result today
Doctor :   OK
Doctor :   Are you planning for IVF if IUI fails?
User :   I am aware of options like IVF and ICSI
Doctor :   ok
Doctor :   Because you tried and failed by IUI
User :   we are debating still.. i am bit concerned about increased risk of genetic disorders with IVF or ICSI
User :   yes
Doctor :   I think IVF and ICSI are good options instead spending money again on IUF
Doctor :   *IUI
User :   seems like it but i am not finding any good articles in genetic risks
Doctor :   Genetic risks from the procedure?
User :   yes.. since sperms are not selected for fertilisation there is an increased risk of poor quality sperm being used for fertilization which could have some genetic defect
Doctor :   is it in IVF or ICSI
User :   ICSI
Doctor :   plz wait
Doctor :   In ICSI they will catch the motile sperms
Doctor :   WWW.WWWW.WW User :   yes, i am aware
Doctor :   So I think the normal sperm unite with egg and may not have complications
Doctor :   Even if there are , they are in the proportional to the general population
User :   the chances of abnormality are about 4% which about 3 times higher than normal cenception.. it is documented but there is not enough stats since this procedure has not been in use long enough
Doctor :   ok
User :   anyways thanks for talking doctor..
User :   i am logging off now
Doctor :   Thank you
Doctor :   Bye
Doctor :   I think expert consultation is the best for your questions
Doctor :   By Self search we may get facts but for practical purpose, experts will give valuable opinion
Doctor :   Are you with me?
Doctor :   I am sorry I think your question is beyond the scope of my expertise, I shall give
you a link to ask the concerned specialist who can answer by email
Question is related to
Diseases and Conditions
Lab Tests
© 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