Question: Hi,
I am 34 yrs old (70.5 kg) married for about 6 yrs. My wife miscarried 4 times (around 13-14 weeks). Recently I did my CASA and following is the report.
1. Abstinence: 5 days, Liquefaction: complete, Appearance: Normal, Viscosity: Normal, Agglutinations: Normal, pH: 7.5, volume: 1.5 ml
2. count: 49.3 mill/ml
Motility Analysis
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1. Progressive: Fast progressive (25.3%), Slow progressive (42.9%), Non-progressive (22.9%), Immotile (8.8%)
2. Curvilinear Velocity (um/s): Total (35.9), Slow (12.4), Medium (27.5), Rapid (47.4)
3. StraightLine Velocity (um/s): Total (31.2), Slow (8.5), Medium (17.5), Rapid (26.8)
4. AveragePath Velocity (um/s): Total (26.8), Slow (10.6), Medium (21.2), Rapid (34.6)
5. Linearity: Total (59.1), Slow (68%), Medium (63.6%), Rapid (56.5%)
6. Straightness: Total (79.1), Slow (80%), Medium (82.5%), Rapid (77.2%)
7. Wobble: Total (74.8), Slow (85%), Medium (77.1%), Rapid (73.1%)
8. Head Displacement (um) - Total (8.6), Medium progr. (1.3), Rapid progr. (2.0)
9. BeatCross Frequency (Hz) - Total (7.6), Medium progr. (6.8), Rapid progr. (8.2)
10. Hyperactive: 1.4 mill/ml
Morphology
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1. Normal: 23%, Abnormal: 77%
2. Just one defect: head: 31%, midpiece:4%, tail: 0%
3. multi defect: head + midpiece: 22%, head + tail: 0%, midpiece + tail: 7%, head + mid + tail: 13%
I am awaiting semen culture report and
DNA Fragmentation Report.
I also did my routine
blood test. I not diabetic and most reports are normal except for low
HDL (37 mg/dl), low MCV (78.6 fl), MCH (24.5 pg), MCHC (31.2 g/dl).
RBC was reported high at 5.59 M/ul.
I want to understand whether there are any problems with above
semen analysis and any medication required. I dont smoke, no alcohol in past 4 years, now physically active.
-thanks in advance,
XXXXX