What Does My Semen Analysis Test Report Indicate?
Tablets are not required
Detailed Answer:
Hi,
I understand your concerns about infertility and saw attached report.
Following is my reply :
1) Your semen analysis is excellent. You don't need any treatment or medicines. Tablets you have been prescribed are called antioxidants.
2) Grade 1 varicocele is not to be worried given your semen parameters.
3) Your wife has normal reports. The tablets she has been prescribed are just supportive medicines and they don't help her in a great way to conceive.
4) Even she can stop the tablets as she does not need them.
5) Get HSG ( hysterosalpingogram) test done for her to assess patency of fallopian tubes.
Let me know if you need anymore help.
Regards,
Dr. XXXXXXX Koregol.
IVF and Infertility Specialist.
But for the 2nd child we have been trying from 2012 on wards.I observed complete absence of periods for my wife since after 1st child birth.We consulted the same doctor but this time the problem has aggravated and was seen small cysts in both ovaries during the scan(PCOS).My doctor tried for few months with clomipene citrate tablets.And the he started giving injections (gonodotropins) (FOLISURGE 75) followed by hcg shot during starting of every cycle for few days and done follicular study for almost 6 cycles.It is observed that out of 6 cycles, we got dominant follicule size(18 mm to 20 mm) for only 2 cycles and for remaining cycles required follicule size is not coming.Even during the above 2 cycles also she was not conceived.After that we took a break for 3 months and again we visited the same doctor and now he suggested ovarian drilling by laproscopy and he did it.Even after the surgery also no positive result for us and during the surgery they found that tubes are also normal.After he want us to try for 3 more cycles with injections but we fear of taking injections for more cycles as it has side effects.And now we recently went to the doctor in the XXXXXXX and he suggested us as per the above question and he wanted to do endometrial biopsy on the 1st day of next cycle and in the mean time he suggested above said medicines to both of us..This is our brief history sir.Now my questions are
1) How many XXXXXXX cycles can we try with gonodotropins injections and is it safe to do for anymore cycles as already we tried for 6 cycles?
2) What exactly for endometrial biopsy was done and what is the use?
3) What is normal morphology exact values sir as my doctor in the XXXXXXX told that my morphology has to be improved?
4) After taking ovares plus tablets my wife has vomiting sensation sir.Is it safe to take this as i have studied that it contradictory in PCOD patients?
5) pl suggest us if any sir?
Ovares can be stopped
Detailed Answer:
Hi,
1) Since you have tried 6 cycles you can try another 2 cycles maximum.
2) Endometrial biopsy will identify if there is any disease like tuberculosis of endometrium.I dont think this is necessary for you.
3) 4% normal morphology is more than enough.
4) Ovares can be stopped. Infact she can stop all medicines.
5) Please let me know which doctor you are seeing in Bangalore? If you wish you can see me in XXXXXXX
Regards