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Dr. Andrew Rynne

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What does my semen analysis report indicate?

Answered by
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Dr. Gaurav Katiyar

General & Family Physician

Practicing since :2008

Answered : 641 Questions

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Posted on Mon, 25 Aug 2014 in Men's Health
Question: Hi,

I got my semen analysis done and got the report. Report is as follow:

Macroscopic Examination:
Color : Opaque Grey
Volume : 3.0 ml
Consistency : Viscous
Reaction: Alkaline
Viscosity: Liquefaction after 30 minutes

Microscopic Examination:
Motility:
Active sperms (Grade A) 60%
Sluggish Sperms (Grade B) 5%
Non motile sperms 35%
Morphology:
Normal sperms 60%
Abnormal sperms 40%
Other:
Pus cells : 3-4/HPF

Total Spermatozoa count : 65 millions cells/cumm

Chemical Examination:
pH : 8.5
Fructose: Negative

Is my report normal? Any suggestions?
doctor
Answered by Dr. Gaurav Katiyar 1 hour later
Brief Answer:
Normal

Detailed Answer:
Hi,

I have gone through your query and semen analysis report.
Sperm Motility, morphology and number all are within normal range.

Pus cells with this number don't have any importance.
pH is slightly high but can be excluded.

Hope i have answered your query. You can close the discussion and rate answer if you don't have any further query.

Wish you good health.
Regards
Dr. G.Katiyar
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Gaurav Katiyar 39 minutes later
what about fructose level? Is it normal?
doctor
Answered by Dr. Gaurav Katiyar 17 minutes later
Brief Answer:
Abnormal

Detailed Answer:
Hi,

I have gone through your query.

I haven't commented about fructose level, because it has been shown as negative.
Fructose level is shown in values. Absolute fructose concentration is inversely proportional to the number of spermatozoa.
As you have asked about it, i assume that your semen has zero fructose level. This is abnormal. The normal fructose value is found to be 1200 to 4500 μg/ml; values below 1200 μg/ml are considered to be pathological and due to inflammation of the seminal vesicles or to androgen deficiency. This can be the cause of infertility.

Now as report doesn't show enough pus cells so infection can be ruled out. And infertility due to androgen deficiency can be treated with methyltestosterone or chorionic gonadotrophin.

I suggest you to consult infertility expert for treatment considering NIL fructose level.

Hope i have answered your query.

Regards
Dr. G.Katiyar
Above answer was peer-reviewed by : Dr. Raju A.T
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