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What Doe The Following Sperm Ananlysis Report Indicate?

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Posted on Tue, 14 Oct 2014
Question: my sperm ananlysis report is: Is it good or bad

PHYSICAL EXAMINATION
Appearance : Milky white     Transparency : Translucent
Self Liquification : Occurred In 20 Minutes     Viscocity : Normal
Volume : 4 ml.

CHEMICAL EXAMINATION
Fructose : Positive     PH : 7.5

MICROSCOPIC EXAMINATION

Sperm Count : The number of spermatozoa per ml : 21 Millions.

Total number of sperms per ejaculate : 84 Millions.

Viability : 60 % spermatozoa alive at the end of 1/2 hours

Motility of spermatozoa :(at 37 C)
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Nature of motility (W.H.O.)     MacLeod     After     After
     Grade     1/2 hours     2 hours
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A Rapid Linear Progressive     IV & III     20 %     10 %
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B Sluggish Linear Progressive     II     30%     25 %
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A+B Total Forward Progressive          50 %     35 %
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C Non Progressive     I     5 %     3 %
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D Non Motile     O      - %     - %
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Active sperms in the ejaculate (at the end of 1/2 hour) : 42 millions

________________________________________________________________________________________

SPERMIOGRAM
Ab. of Head     Ab. of Neck               Ab. of Tail
Giant heads : 4 %     Bent neck : 4 %               Short tail : 4 %
Microsperms : 4 %      Thick neck : - %               Double tail : 4 %
Pin heads : 6 %     Cytoplasmic               Absent tail : 4 %
Round heads : 6 %     Appendages : 4 %               Curled tail : - %
Tapering : 6 %
Double head : 4 %     Miscellaneous
Ragged edges : - %     Immature : - %
Deformed : 4 %     Duplicate : - %
Multinucleated : - %     Terratoid : - %
Acrosome Absent : - %
Nucleus absent : - %
Attached
Cytoplasm : - %
Total number of abnormal spermatozoa : 54 %

CELLULAR ELEMENTS
Epithelial Cells : Squamous type          Macrophage Cells : Occassional
Pus cells : Occassional          Candida : Nil
Red Blood Cells : Nil          Trichomonads : Nil

Precursors : Approximate number per ml : Occassional
Spermatogonia : ----%     Spermatocytes : - %
Spermatids : - %     Cells in spermiogenesis : -%

MISCELLANEOUS CHARACTERS & BACTERIOLOGICAL EXAMINATION

Granular debris : Present +      Crystal : ----
Agglutination of sperms : -     Grams stain : No pathogen seen
doctor
Answered by Dr. Indu Kumar (54 minutes later)
Brief Answer:
Report suggests normal semen analysis.

Detailed Answer:
Hello XXXX

I have gone through your reports in detail.
Report suggests normal semen analysis.
Sperm count is normal. Normally it should be at least 20 millions/ml
Motility of sperms is also normal.Motility should be at least 55 %.
Morphology of sperm is also normal.At least 16 % sperms should have normal morphology for natural fertilization.
Other findings are also normal.
So,you have normal findings.

Your problem may be due to some other reasons.It is important to know reason for investigation.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Indu Kumar (10 minutes later)
We are trying from 4 months, My wife had irregular periods, now from 6 month she have regular period, but she is taking medicine from doctor, her blood report shows, she have something hormonal issue. can she get pregnant or not.My wife is 19 yrs old

we done sonography, she can also produce eggs per month, then why there is problem with us.
Please suggest something
doctor
Answered by Dr. Indu Kumar (13 hours later)
Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXX

Pregnancy is a very complex natural process and if there is any problem in either of the couple,infertility occurs.
As you stated that there is some hormonal imbalance related to your wife,it should be corrected.

Your findings are normal and we expect normal pregnancy after hormonal correction in your wife.
Producing egg every months is not a confirmation of normal hormone level.It may be altered.

Wish you all the best.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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What Doe The Following Sperm Ananlysis Report Indicate?

Brief Answer: Report suggests normal semen analysis. Detailed Answer: Hello XXXX I have gone through your reports in detail. Report suggests normal semen analysis. Sperm count is normal. Normally it should be at least 20 millions/ml Motility of sperms is also normal.Motility should be at least 55 %. Morphology of sperm is also normal.At least 16 % sperms should have normal morphology for natural fertilization. Other findings are also normal. So,you have normal findings. Your problem may be due to some other reasons.It is important to know reason for investigation. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX