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    What does my semen analysis test report indicate?

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Posted on Wed, 5 Jul 2017 in Infertility Problem
Question: Dear Doctor,
My Age is 44 and My wife's age is 38
---------------------
My Semen Analysis
Abstinence period: 3 days
Appearance (semen): Greyish white
Volume: 2.5 ml
Liquefaction time: >120 mins
Viscosity: Highly viscous
PH (Semen): Alkaline
Fructose (Semen): Present
Total Spermatozoa Count: 50 million/mL
Progressive (PR) 60%
Non-Progressive: 20%
Immotile (IM): 20%
Normal: 80%
Abnormal forms: 20% (Pin.large & double head, double & coiled tail forms)
Comment: Swollen neck, kinked head forms seen
Pus Cell (Semen): 2-3/Hpf
Epithelial Cell: 1-2/Hpf
RBC (Semen): Nil
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Due to liquefaction >120 mins, I undergo Semen culture test and the report says:
Type of culture: Bacterial Aerobic Culture
Gramstain: Occasional pus cells and no bacteria seen
Final report: No growth in culture after 48 hours of incubation.
---------------
My Blood Test Report
BLOOD GROUP: B POSITIVE
IMMUNOLOGY:
HBs Ag (Method: CLIA): NON REACTIVE <0.10
HIV 1 AND 2: NON REACTIVE
ANTI HCV: NON REACTIVE
SEROLOGY: VDRL (RPR) NON REACTIVE
FSH: 1.40 mIU/mL
PROLACTIN: 7.38 ng/mL
LH: 2.29 mIU/mL
TESTOSTERONE: 3.84 ng/mL
----------------------------------------
USG - SCROTUM AND TESTICULAR DOPPLER
IMPRESSION - NORMAL STUDY
-----------------------------------------
MY WIFE'S BLOOD TEST REPORT
BLOOD GROUP: B NEGATIVE
HAEMATOLOGY:
Total WBC Count: 5460 Cells/Cumm
Total RBC Count: 4.35 millions/cumm
Haemoglobin: 11.5 gms%
Haematocrit/PCV 34.8%
MCV 80 fl
MCH 26.4 pg
MCHC 33.0 %
Platelet Cout: 2.75 Lakhs/cumm
DIFFERENTIAL COUNT:
Polymorphs 38.0%
Lymphocytes 44.9%
Monocytes 8.2%
Eosinophils 2.0%
Basophils 0.5%
BIOCHEMISTRY:
HBA1c 5.0%
Creatinine 0.7 mg/dl
Blood Urea Nitrogen 6.4 mg/dl
ENDOCRINOLOGY:
TSH 3rd Generation: 1.79 mlu/ml
FREE-T4 1.23 ng/dl
FSH: 7.39 mlu/ml
LH: 8.37 mlu/ml
Estradiol (eE2) 69.17 pg/ml
Prolactin: 6.83 ng/ml
IMMUNOLOGY:
HBs Ag: NON REACTIVE <0.10
HIV 1 AND 2: NON REACTIVE
ANTI HCV: NON REACTIVE, 0.08
SEROLOGY:
VDRL (RPR) NON REACTIVE
CLINICAL PATHOLOGY:
Urine Complete Analysis:
Colour: Pale Yellow
Appearance (Visual) Clear
pH (Double Indicator) 5.0
Specific Gravity (pka change PE) 1.000
Protein (Protein error of pH) - Nil
Glucose (R) (GOD/POD) - Nil
Billirubin (Diazo Reaction) Negative
Microscopy:
Pus Cells: 2-3/HPF
Epithelial Cells: 3-5/HPF
RBC's, Casts, Crystals, Bacteria's and Others - Not Seen
BLOOD - IMMUNOLOGY:
Anti Mullerian Hormone: 2.76 ng/ml: Specimen - Serum: Method - CLIA

We got married on 5th September 2017. Still there is no positive for baby.

Please guide me to get a baby as soon as and give me guidance to reduce the liqufaction time.

Regards
Erick
doctor
Answered by Dr. Prof. Kunal Saha 1 hour later
Brief Answer:
You have to have unprotected sex during her fertile period

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. I have carefully gone through the given reports and overall they seem fine. However, let me tell you that sometimes it can even take a couple of years for pregnancy to occur. You would have to let the tension go away and need to freely indulge in unprotected sex. The period between the 10th and 18th day of her cycle is the fertile period wherein pregnancy can occur. During this period I would insist on having sex every alternate day (if feasible) and that will increase the chances manifold. The suggestion for alternate day is to ensure that adequate number of sperms can get pooled before they finally get released. Stress is a major impediment and needs to be avoided. Proper and prolonged foreplay is also very important.

Try the mentioned methods and I hope that you would see an improvement.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4438 Questions

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