Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

183 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Repeated semen analysis done after taking carnitor and lycopene. Is there any improvement?

Answered by
Dr. Rajiv goel


Practicing since :1998

Answered : 577 Questions

Posted on Tue, 22 Jan 2013 in Men's Health
Question: Dear Doctor,

Greetings! Happy New Year. I hope you remember my case. Low sperm count & motility with liquefaction problem. My previous semen analysis report is as follows

Sperm Count - 29 million/ml, Sperm Morpholoy - 70%, Motility - 5%, Liquefaction - Partly liqufied after 2 hours. Impression - Asthenosprmia with Liqufaction problem

You had advised me to take one Tab. Carnitor 3 times a day & 2 cap. Lycopene 3 times a day,repeat semen analysis and get back to you. I have done the same. However due to an office trip, I could take the semen analysis at a local hospital here and not in Chennai. I don't know how reliable it is, so I intend to repeat it again as soon as I am in Chennai. The SA test report as follows

Liquefaction - 1 Hour (Improved a Lot)

Sperm Count - 31 million/ml

Sperm Concentration - 74.4 millions

Sperm Morphology - 75% (Improved by 5%)

Sperm Motility - GRADING

GRADE          DESCRIPTION                %

0          IMMOTILE                15%
1          TAIL MOVEMENT                25%
2          FORWARD MOVEMENT           50%
3          RAPID FORWARD MOVEMENT           10%
4          EXCELLENT FORWARD PROGRESSION      0% (Nothing in this category)

So these are the figures Doctor. Is there any improvement? The motlity figures are confusing in this report. What should be done further doctor?

Thanks for your time
Answered by Dr. Rajiv goel 1 hour later
Dear sir,

Your report is perfectly alright. The quality of your semen has improved a lot; the motility is excellent and it is good enough for your partner to conceive. You should continue the medications as before and follow the generalized precautions as previously advised.

Best of luck.


Rajiv Goel
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Rajiv goel 26 hours later
Dear Doctor,

Even the lab technician told me that it was a remarkable improvement over the previous report in just one month. I am glad I decided to consult with you. Thank you very much.

Doctor, in addition to what you prescribed can I add the following tablets

(1) Vitamin C - 1 mg twice daily - Morning & Night
(2) Fish (Cod) Oil - 2 capsules thrice daily
(3) COQ 10 - 1 capsule - Once at Night
(4) Zinc - 50 mg - once at Night

I read that all these help in improving sperm.

Doctor I also heard that a tablet called siphene-M improves sperm count. My Friend tells me that it doubled his sperm count in 2 months. Can I take it also?

And Finally, After 2 months of stressing over the report, I slept peacefully yesterday. So Thank you once again doctor for your terrific piece of advice. Grateful, I really am....

Answered by Dr. Rajiv goel 10 hours later
Dear Sir,

You are welcome. You can start the rest of medications but not siphene M. It gives good results in short term but in the long term it is not good.

All the best


Rajiv Goel
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Rajiv goel 2 days later
Thank you doctor. I will definitely do as you say.
Answered by Dr. Rajiv goel 39 minutes later
Dear Sir,

All the best


Rajiv goel
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Lab Tests ,  

Recent questions on  Azoospermia

doctor1 MD

i am a homoeopath. i am having small bilateral gynecomastia since10 yrs but i am not klinfilters patient. i am suggested to take evion 400 PO once a day with supradyn there any chances of having oligo/azoospermia with this gynecomastia.if it is there suggest me what should i do?

doctor1 MD

my husband has been diagnosed with azoospermia because of failure to correct undescending testicles.he has done TESE and no spermatozoid has shown. Is ther any hope for us to have our biological offsprings. I'm asking for bone marow transplant otherwise I don't see any hope. My husband is 41 an I'm 37 with regular periods.

Thank you in advance for your answer,

Devastated women

doctor1 MD


I am 28 years years old married boy. below is my semen repert. Kindly suggest me the reason & problem.

Semen Analysis


Quantity of Semen5 ml











Note: No any Active, Dead or sluggish sperms seen (Azoospermia)

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here...
Dear sir iam pradeep patil from surat since 14 years of marriage but we was no child due to my low sperm counts and azoosermia, pus cells present in my report sperm count-only a very fewnormally & abnormally developed,but all inactive sperm detected.fsh-6.09 miu/ml
serum prolactine -10.98 ng/ml
serum testosterone-6.98 ng /ml
severe oligoasthenoteratozoosermia
befor some month i had done IVF ICSI DONE USING LP but fail
PESA negative .TESA done.
Rt testes did not shows any tubule.Lttestes show tubules with no sperm found
pls advice me

doctor1 MD

I have testicular atrophy . No sperm count . 1.6 cms and 1.9 cms. Azoospermia . I'm taking now ayurvedic treatment for 3 years. Pls suggest me any medicine for recovery of testicular atrophy and to generate sperms production.

doctor1 MD

Hi Sir I had recently undergone Semen analysis . Twice I got NIL sperm count . I met an urologist . He ordered followig tests : USG scrotum TRUSS FSH/LH Testes FNAC USG Scrotum shows minor varicocele and TRUSS is normal.(Couldnt attach reports as...

doctor1 MD

Dear Doctor, I am planning to get pregnant.My husband is having very less count.We are trying from many days till now I couldnot conceive.I donot want to go for IVF.can u pls help me to cop with this situation. Thanks, XXXX