What does my semen analysis test report indicate?

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Posted on Wed, 17 Jun 2015 in X-ray, Lab tests and Scans
Question: Hi doctor´╝î
I had my semen analysis test done today.
The results are as follows.
Abstinence days-5 days
Volume-1.0 ml
Appearance-opaque white
Liquefaction- >45mts
Viscosity-high
Ph-8
Sperm concentration-34 million/ml
Total sperm count-34m/ejac
Debris- 2+
Epithilial cells- occ
Leucocytes - 3-5/hpf
Round cells- 2+
Bacteria/protozoa- nil
Clumping of sperms- nil
Rapid progressive-00%
Slow progressive-50%
Non progressive-26%
Immotile-24%
Normal forms- 2-3%

We have been trying for a baby since 2013 august. My wife is diagnosed with fallopian tube block on both tubes. Last year My semen test showed 63 million. Kindly suggest us what to do. And please tell me what the about results indicate ?
XXXXXXX XXXXXXX
doctor
Answered by Dr. Indu Kumar 3 hours later
Brief Answer:
Your semen analysis findings may indicate semen infection.

Detailed Answer:
Hello

Your semen analysis findings may indicate semen infection with excess abnormal morphology of sperms.
Infection is indicated due to presence of few leukocytes in semen.Normally semen shouldn't contain any leukocyte.

You may need investigations like routine hemogram,random blood sugar,semen culture and sensitivity,ultrasound of scrotum.
You may need to take antibiotics based on culture and sensitivity report.

Normal morphology sperms are also decreased.At least 16 % sperms should have normal morphology.Your findings suggests 2-3 % normal sperms.

Liquefaction time is also increased,it may be due to infection.

Motility is also borderline low.Active motility should be at least 55 %.

Sperm count is normal.It should be at least 20 millions/ml.

Your wife also need proper evaluation and treatment as both fallopian tubes are blocked.

Fertility is expected to increase with control of infection.If infertility persists then you may need assisted fertilization techniques.

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. Yogesh D
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6727 Questions

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