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

187 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 showed sperm morphology 70%, sperm motility 5% and agglutination niL. Any advice?

Answered by
Dr. Rajiv goel


Practicing since :1998

Answered : 577 Questions

Posted on Wed, 19 Dec 2012 in Men's Health
Question: Doctor My semen analysis report reads as follows
(1) Sperm Count - 29 million
(2) Sperm Morphology - 70%
(3) Sperm Motility - 5%
(4) Agglutination - NiL
(5) Liquefaction - Delayed - Partly Liquefied after 2 Hours
(6) Semen Culture - NiL

I consulted a urologist. I was checked for varicoceles and the doctor said I did not have any. After examination, he said I was clinically alright. I also consulted a infertility specialist. I was given a elementary course of antibiotics (Clindamycin) for 5 days. I retested again but there was not much difference.

Please tell me

(1) With my semen parameters will I be able to father a child?
(2) There is liquefaction problem. After treatment with antibiotics also it is not resolved. What is the solution for this delayed liquefaction?
(3) What can be the cause of poor sperm motility? Can low testosterone / harmonal problems be the cause of this poor sperm motility?
(4) Is Liquefaction the MAIN cause of poor sperm motility? If the liquefaction problem is resolved will my motility improve?
(5) What is the next step I should take? I am lost. PLEASE help me.
Answered by Dr. Rajiv goel 10 hours later

Thanks for the query.

I have gone through the details submitted. I am concerned more about the poor motility of sperms rather than delayed liquefaction. My comments are as follows:

The poor motility of the sperms is certainly a matter of concern. With this motility it shall be very difficult for you to father a child. I am not hugely concerned about the delayed liquefaction; but still shall like to know what your prostate was like on examination.
Although your examination has been normal, I shall still like you to get ultrasound Doppler study of the scrotum to rule out varicocele.

Meanwhile I am suggesting some generalized measures for daily life.

1. Wear loose cotton underwears; boxers
2. Discard jeans
3. No underwear while sleeping
4. No smoking
5. Plenty of fresh fruits and vegetables (Especially carrots, papaya, mango)
6. Laptop to be kept only on table; not to be kept in lap
7. Mobile phone to be kept in shirt trouser; not to be kept in trouser pocket
8. Take either cold water or lukewarm water bath

In addition, I shall like you to start yourself on T. Lycored 2 tablets thrice daily and T. Carnitor one tablet thrice daily for 4 weeks. Repeat your semen analysis after 4 weeks and get back to me. If the liquefaction time of your semen does not improve then I may consider starting yourself on some antibiotics.

Good luck.


Rajiv Goel

Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. Rajiv goel 13 hours later
Dear Doctor,

Thanks for your reply. As you have advised, I am scheduled to get a scrotal ultrasound doppler. I have not yet got a prostate examination. But I was prescribed the anti-biotic CLINDAMYCIN for 5 days. But no improvement seen

I have also decided to get my harmonal pattern evaluated - Thyroid, FSH, LH, Testosterone (Free & Total) & prolactin. This is just in case if anything is out of place, it will be evaluated in the beginning itself. I will upload the reports tomorrow. Is there any other test I have to take?

Doctor One thing I would like to make sure is whether this delayed liquefaction is causing the poor sperm motility? If the motility is assessed after complete liquefaction. i.e after 3 hours or so will there not be poor motility of sperm?

Also If the liquefaction problem is corrected, will the sperm motility improve. Thanks

Answered by Dr. Rajiv goel 10 hours later
Thanks for writing back.
The poor motility of the sperms is not because of delayed liquefaction. With the treatment i have suggested most (95%) of the patients shall experience better motility and hence greater chance of conception. your partner can conceive even now but with better motility the chances shall be better.

You really don't need the hormonal evaluation but you can get it done nevertheless. You don't need to get the prostate examination done at this point of time but we shall get it examined at a later date if required. 5 days of clindamycin is not good enough for prostate infection.

Hoping to hear from you soon with scrotal doppler and other hormonal evaluation.


Rajiv Goel
Above answer was peer-reviewed by : Dr. Aparna Kohli
Follow up: Dr. Rajiv goel 15 hours later
Dear Doctor,

Thanks once again for your response. I couldnt get the Doppler done 'coz there was a lady doctor at the Scan centre. I have rescheduled the scan for tomorrow.

Meanwhile I have received my harmone test report. I have uploaded it. I think the testosterone is on the low side. Doctor Please tell me the dosage strength of Lycored. I am going to start on the medications tomorrow.

Lycored - 2 tablets in the morning afternoon & night and
Carnitor - 1 tablet in the morning afternoon & night

Is that right Doctor? Should I take it with food or before food or after food ?

Thank you Once again Doctor.
Answered by Dr. Rajiv goel 54 minutes later

I have reviewed the reports and serum testosterone is within normal limits and nothing needs to be done on this front.

Lycored softgel (2000 ug)comes in only one strength and you have to take both the medications after food.


Rajiv Goel

Above answer was peer-reviewed by : Dr. Aparna Kohli
Follow up: Dr. Rajiv goel 22 hours later
Dear Doctor,

I have done the scrotal doppler as suggested by you and I have attached the report. Though I have no varicocele, it seems there is a cyst in the right epididymis. To date I have not had any pain and never even noticed it.

I am totally devastated by the news of the cyst. What effect will it have on my fertility? Will my right testicle lose function altogether? What should I do to get it gone? Please advice at the earliest.

What should I do now? Thanks for your time.
Answered by Dr. Rajiv goel 32 minutes later

Stop worrying about the cyst. Its presence shall not affect your fertility and a large population shall have them without causing any problems.


Rajiv Goel

Above answer was peer-reviewed by : Dr. Prasad

The User accepted the expert's answer

Share on
Question is related to
Lab Tests ,  
Medical Topics ,   ,  

Recent questions on  Spermatozoon

doctor1 MD

i have done urine routine checking and result is as Color : pale yellow, appearance : clear , ph : 6.0, albumin : nil, sugar : nil , pus cell : 0-2 , RBC : 0-1 , epithelial cells: occasional , mucus : occasional strands bacteria : nil , cast : nil, crystals : nil , and finally mentioned in the report spermatozoa present .. is it good for my health . i m 32 and married , is it effect my sex life , please suggest

doctor1 MD

hi doc sir i have notioce when i pee and i finished i feel somthing in penis tube like i duid,nt done totaly so when i try to do it again i can see my sperms come out like glue,pls tell me is it effect on ur health like u lossing essenstial sperms? and how to stop with wich medeecine or what elkse to do cz i have done my irine test every thing was normal but it shows that sperms r coming out wid urine

doctor1 MD

hi i m 33 yr old my problem is that i got very less intrest for sex and when do sex it not longs for long

and my sperm count is 12 billions only kindly suggest me medicinesreports says that my left testis is small due to which less sperms are produced

doctor1 MD

Dear sir following is my semen analysis report in order to ask that whether i am normal or not

Seminal Fluid Examination

Volume 2.0 mL

Consistency Liquid

Color White Gray

Liquefaction Time 25 Minute .

Sperm Count 123 mill/mL

Sperm Motility 70 %

* Activity Grade 3+

Sperm morphology 20 % Normal

Pus cells 2-3 /HPF

Pathologists Comments:

Sperm count and motility is within normal limits. Many sperms with

multiple cervical & cephalic abnormalities seen.* Very fast forward


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