Get your Health question answered in 3 easy steps

159 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.

Semen analysis done. Can I impregnate my wife?

Answered by
Dr. P. T. Patil


Practicing since :1971

Answered : 9745 Questions

Posted on Wed, 6 Feb 2013 in Men's Health
Question: Hi, my husband got his semen analysis results and I want to know how bad this is :(
Count 85 million
Category a: 5%
Category b: 75%
Total progressive: 80%

Morphology: 5%

How bad are these results? My age is 24 and his age is 29. We have been trying for only 3 months, but got terrified by the results
Answered by Dr. P. T. Patil 1 hour later
Thanks for your query.

Based on the report of semen analysis of your husband, it is clear that he has what is called as Asthenospermia. It is essential that percentage of grade a motile sperm should be minimum 15% to result into fertilization of a female egg.

To be honest, there are no medicines that can increase the motility of sperms. There are many medicines in every faculty of medical science that claim to be effective to increase the sperm motility. However not a single drug has been proved scientifically to prove their claim.
Please repeat the Semen analysis in a renowned Andrology Lab where semen analysis is done by computerized technique and by well trained technicians.

If the results are same as it is now, then consult an Infertility Specialist for proper evaluation who may advise you to go for help of new assisted reproductive technology like IVF or ICSI.

Please feel free to ask if you have more questions. I shall be happy to help you.

Thanks with Regards.


Above answer was peer-reviewed by : Dr. Shanthi.E
Follow up: Dr. P. T. Patil 25 minutes later
Thanks for your response. I was reading online that the total progressive motility of the sperm should be >50%. In my husband's case it is 80% and although category a is low would he still be considered having a major problem?
What's our chances of getting pregnant naturally? :( we are so devastated. my Obg told me that is it possible but might take longer. What do you suggest?
Answered by Dr. P. T. Patil 1 hour later
Thanks for writing back.
It is the grade (a) sperms which move very fast forward in a straight line that are important as far as fertilization of female egg is concerned. Rest of the sperms, though motile are least important .

The reason that I have suggested you to repeat a semen analysis is that in a specialised andrology lab, semen analysis is done by highly sophisticated equipments where chances of human error are almost zero . A correct report helps us take the right decision.
I have explained you the realities and fallacies involved in this complex procedure. Also, I do not want him to be treated on an experimental basis time and money.
I personally think there is no harm in consulting a Infertility Specialist as results of treatment in male infertility are very precarious. So it is always advisable to take the help of a consultant specialised in this field. Given the research and the advances in this field, there is no reason why you should not conceive and have a baby .
Hope that helps

Above answer was peer-reviewed by : Dr. Aparna Kohli
Follow up: Dr. P. T. Patil 23 minutes later
Thanks a lot doctor. We actually have the test twice and the numbers were similar with a three months gap. However, I will try to look for an Andrology Lab here in Singapore as we are expats in Singapore. Last question is, does smoking really affect motility? what about stress? I would definitely seek help from an infertility specialist to get things clear and easy for us.

Thanks a lot for your quick response. you gave me hope :)
Answered by Dr. P. T. Patil 7 minutes later

Thanks for accepting my suggestions happily. Smoking and stress do not play role as far as motility of the sperm is concerned. Please feel free to ask any more queries. I shall be happy to know the report of recent Semen Analysis.

Thanks with Regards.

Above answer was peer-reviewed by : Dr. Shanthi.E

The User accepted the expert's answer

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

Recent questions on  Spermatozoon

doctor1 MD

Dear sir my sperm result is volume - 1.5, ph - 8.0, opalescent greyish white, liquefaction <30 min, vis - normal, fructose test- negative, viability - 40, sperm count - 10.0mil, per ejaculate - 15.0, rapid forward progression - 20, sluggish forward progression - 20 total progression - 40, non progre - 40, non motile - 20 , normal sperms - 50, ab nor head - 20, ab nor neck - 10, ab nr tail - 20 how can am increase my sperm count. am a sutiable for father

doctor1 MD

Hi doc, my query is regarding my low sperm count along with a poor motality. My report says, Volume 4.0 ml, 12 mn/ml, abnormal spermatozoa 54%, total forward progressive 20% after one and half hours, after 2 hours 10%. Active sperm in the ejaculate after one and half hours is 9.6 millions. Please let me know how to improve these things.

doctor1 MD

in my past when i was using my hand for enjoying myslef after dishcharge my cum i was imediatily wash my penis with water. so thats why my penis is not growing as well.
I got married one year ago during this period i was enjoying my married life peacefully. during this period there is no pregnancy. i feel some weknes. after the spirm examination there is some pus cells in sperim and some blood cells also in it. total qty or sperm are 25 million and normal sperms are 80 percent and some are dead some are to much poor or slagged. i feel some burning during enter course with my wife. suggest my some good medicine. and reply me on my e-mail id.

doctor1 MD

hi i got a semen analysis done the result is volume 2ml, color greyish white, viscosity viscous, Ph 8.0, sperm count 140 million, pus cells 5-6/hlf, epithelical 2-3/hpf, actively motile 50%, sluggishly 10%, dead sperms 40%, morphology normal 80%, abnormal head-05%, neck-10%, tail-05% pls advice on the report

doctor1 MD

hi, i am having Hypogonadotropic hypogonadism due to hormone deficiency , i am having nil sperm count due to this, i am taking HCG (5000) and FSH (75IU( injection for 2 times per week for sperm production, i not having any other sexual problem,...

doctor1 MD

Hi I am XXXX, 32 years old. We are trying to conceive from almost 1.5 years. All my reports are normal and my husband motile sperm count is 45%. So is that count is ok?

doctor1 MD

Hi, I am XXXXX, i have total of 70 million sperm count , with 40% this good enough for getting Pregnant