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Problems about semen analysis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi. I have a query about Semen Analysis
Doctor :   Hi
Doctor :   Please proceed.
User :   I got my semen analysis done last week and i was told that it negative. I mean there are no sperm in my semen sample.
User :   Does this mean that i am infertile ?
User :   I have done a retest today and awaiting results on monday
User :   I have the report in front of me. Please tell me what details would you like to know from it.
Doctor :   May I know the reason why semen analysis was done?
User :   My wife has got a PCOS and is finding it difficult to conceive. She is not getting her periods until she has some medicines.
Doctor :   Ok
User :   I work in Pune and my family and wife's family is based in hyderabad and we keep going there often since we do not have any relatives here in pune
User :   so we were consulting the doctors in hyderabad. But since i am in pune and heard of a Pune Fertility Centre, I went there with my wife and they suggested some blood test and semen analysis for me
Doctor :   Ok
Doctor :   Let me brief you.
User :   sure
Doctor :   Absence of sperm refers to absence of sperms in the given sample.
User :   ok
Doctor :   It is one of the factors that can cause reduction of fertility.
Doctor :   But infertility is a term that is given only if after repeated trials there is no conceivement.
Doctor :   Let me put it across in simple terms.
User :   sure
Doctor :   though there is absence of sperms in the sample that is given by you, it does not indicate that you are not producing any sperms.
Doctor :   you will need further tests to know what exactly is the cause for this.
User :   I have done a test today late afternoon and awaiting results
Doctor :   I would suggest you to wait for the results of the second sample.
User :   sure
User :   what if the results are the same ?
Doctor :   Of the various causes that can cause absence of sperms, few are not treatable.
Doctor :   and some can be reversed by the use of medications and few life style modifications.
User :   ok who in your view do you suggest i consult ? I have heard a lot about Dr. Malpani in Mumbai
Doctor :   If the cause is one of the reversible ones, then with proper medications and life style modifications, the sperm quantity can be improved.
User :   because i am getting to hear different things from different doctors
Doctor :   Infertility is a term used only if there is no successful pregnancy even after repeated trial.
Doctor :   Hence I wouldn't call you infertile.
Doctor :   I would suggest you to get the results of the second sample.
User :   Sure
Doctor :   And if needed you will need further evaluations.
Doctor :   Treatment plans can be decided based on those reports.
Doctor :   Hence do not consider yourself infertile.
Doctor :   Have you followed what I have suggested you.
User :   absolutely
Doctor :   Do you have any other query?
User :   not right now doc
User :   Thanks a lot for your suggestions
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   Have a good day
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