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Suggest Treatment For Decreased Sperm Motility

Posted on Mon, 16 Feb 2015

Question: HI Doctor,

Attached is my CASA report. Please advice me, on the sperm motility and morphology issue, which im seeing from my report.

I had fathered a child, in 2012, unfortunately, did not survive , and we took a break for a year, since then we have tried for about 5-6 months with no positive result. Please advise me with the report attached

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Decreased motility

Detailed Answer:
Hi,

I read your query and I understand your concerns about CASA report attached..

Following is my reply:

1) Your semen analysis seems to be normal except for decreased motility ( especially rapid motility ). Morphology seems to be normal.

2) Since I already conceived once i dont think you should take this report of low motility seriously and this is unlikely to be a reason for infertility.

3) I think you should try for another 6 months under guidance of a fertility specialist and have sexual intercourse when your wife is ovulating.

4) As of now there is no other treatment is required.

5) Please do some life style modifications as follows: Do exercise regularly, lose weight if overweight, stop smoking and alcohol if you have habit.

Let me know if you have anymore questions.

Regards,
Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Mahesh Koregol (6 hours later)

Thanks Doctor for your kind reply.

I have some queries below

1. Is there a significance of the pus cells valus (04/hpf). FYI.. I saw a fertility specialist today, and have been advised an antibiotic ( 750 mg ) and an antioxidant tablet for 21 days and then repeat the CASA test.

2. What could be the cause for the decreased motility. Any foods / supplements that I should be starting with.

3. During the sample collection, was not very comfortable and may have been a bit strssed. Is it advisable to collect sample at home, assuming I can make it available to the lab within half an hour.

4. Where could I see you personally, for consultation.

Thanks and really sorry for too many questions.

Best Regards

Answered by Dr. Mahesh Koregol (11 hours later)

Brief Answer:
See me in XXXXXXX

Detailed Answer:
Hi

Few pus cells are normal and not a concern.

Anyway continue the antibiotics and antioxidants you have started.

Decreased motility may be temporary. No specific reasons. Collecting sample at home or lab is same. Makes no difference.

You can see me in XXXXXXX IVI Fertility at Sadashivanagar, Mekhri Circle, XXXXXXX between 2 PM to 5 PM on all weekdays. I am on holiday this monday and tuesday.

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