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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Semen analysis done. What does it indicate? Is there any complication?

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Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 9783 Questions

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Posted on Fri, 18 Jan 2013 in Men's Health
Question: I am wondering what my husband semen analysis means? And what will it mean terms of achieving pregnancy? what count be his possible problem or obstacles? Is this semen analysis correctable? His morphology is 20; WBC count semen is Abnormal; Semen volume is 3.0ml, Sperm Count says: rare sperm/hpf (no number given); Immotile % is 99 - with a comment that says Decreased motility may be due to either non-viable sperm or non-motile sperm; Sperm 1+, 2+, 3+, 4+ is 0.
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Answered by Dr. P. T. Patil 51 minutes later
Hello,
Thanks for your query.

Report of Semen analysis of your husband that you have posted indicates almost what is called as Azospermia (Absence of sperms). This could be due to following reasons.

1) There may be no spermatogenesis at all, meaning no production of sperms by the seminiferous tubules of the Testis.
2) There may be production of sperm but the passage of the sperm from Testis to Ejaculatory duct may be blocked.

You may have to first get Testicular Biopsy done to confirm that there is spermatogenesis (Sperms are produced.) If the result is negative, there is nothing much can be done.

If spermatogenesis is there then you have to consult some Urologist to find out the level of blockage and potency of vase by doing some ideological test called a Vasogram.

All further management outcomes and depends upon the diagnosis. Please consult a skilled Urologist for proper evaluation and assessment.

Please feel free to ask if any more questions. I shall be pleased to help you.

Thanks with Regards.
Dr. Patil

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doctor1 MD

Dear Drs. , This is Ahmed, I am 30 years old and married from 8 months now but we could not conceive so we decided to do the tests and I found I have infertility problem (kindly check the tests results) p.s - I did Undescended Testicles operation on the two testes when i was one year old. - I repeated the semen analysis tests four times after the first two but the count result is Zero. I did the testicular biopsy and they found sperm, thank God. They took 7 samples from the right testes only 4 of which contained 300,000 sperms and 2 of which contained 1 million sperms but the motility is 1% the 7th sample was sent to the pathology to be examined and the following was concluded from the test: Microscopic Picture: Serial sections examined from the testicular biopsy revealed within normal size seminiferous tubules. The tubules were populated by germ cells. Most of the tubules showed spermatozoa. Sertoli cells lining was intact and showed no abnormality. The basement membrane was thickened. Leydig cell population was within normal. No evidence of granuloma, specific infection or neoplasia in the specimen received. Diagnosis: Within normal Spermatogenesis I really need ur advice in something vip. We ve tried one cycle of ivf but unforunately after a positive test both trials failed. 2 class A embryos were transferred at each time. and the doctors said that my wife has no problem.. Q1 Is there any explanation for the case or how could it be cured..? Q2 one of the doctors told me that due to the obstruction or blockage the sperms age and die and their motility and vitality is affected. Is this a fact? And how could we solve this problem if it really a fact? Q3 Does taking some vitamins and working with a fresh sample better or working with the freezed samples? Q4 Where does the sperm go when they age and die in my case?? Q5 Shall we continue with IVF trials in the first place? Is there a good chance it would work in our case? Q6 In my case as you see it now how can we increase our chances in IVF? Thanks and sorry for the trouble.. Ahmed

doctor1 MD

I am AAAAA, age34, 9years since marrige under tretment FSH 11.9, hormone (LH)8.20,testosterone 5.40,
histopathology report is (A) Right side, (B) Left side
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(B) Left side: Recieved two yellowish bits together measuring 0.2cms. All tissue processed
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There is no evidence of malegnacy.
(A)&(B) Features are suggestive of bilateral spermatocytic arrest
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doctor1 MD

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