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What does the sperm test report indicate?

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Posted on Sat, 23 May 2015
Question: Hello Sir,
I am 36 years old and my wife is 29. We are trying to have baby for past 6 months. My semen tests were done and found to have low motility.
Sperm Count - 44 million/ml
Motility
Active motile: 5%, Sluggish motile 15%, Non-motile 80%
Morphology
Normal - 60%
Abnormal - 40%
Others
Pus Cells - 1-2 /HPF
RBC - 1-2 /HPF
Epithelial Cells - Occassional
Doctor have advised me to take the following medicines for 3 months. Could you please provide your suggestion if it is fine to take the below medicines for 3 months:
1) Fertisure M (Twice daily)
2) Clome 25 (once daily)
3) Tentax Royale (Twice Daily to be continued for more than 3 months)
4) Hucog HP 5000 injection (Weekly once for 3 months)
Suddenly for past 1 week , I am having erection problems and doctor suggested below:
Penegra 50 mg (when required).
Kindly request your valuable suggestion.
doctor
Answered by Dr. Saatiish Jhuntrraa (46 minutes later)
Brief Answer:
GET THE FOLLOWING TESTS DONE

Detailed Answer:
Hello
Thanks for query
I am sorry to differ on treatment given. You have reduced motility called Asthenospermia. This can be due to infection , presence of antibodies and varicocele. In such cases, I wish to determine the cause first before prescribing medications. Therefore my suggestions will be
1- Please get a second semen analysis from a different good pathology lab after 2 days abstinence.
2- Please get a sperm antibodies test
3- Get a colour doppler of scrotum from a good pathologist to fing the diameter of vein in Pampiniform plexus.

These type of problems are treatable most of the times.

Dr Saatiish Jhuntrraa
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Saatiish Jhuntrraa (8 minutes later)
Thank you sir, will perform the tests and get back.
doctor
Answered by Dr. Saatiish Jhuntrraa (56 minutes later)
Brief Answer:
welcome

Detailed Answer:
Hello
You are welcome.
DR SAATIISH JHUNTRRAA
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
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Dr. Saatiish Jhuntrraa

Sexologist

Practicing since :1983

Answered : 1525 Questions

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What does the sperm test report indicate?

Brief Answer: GET THE FOLLOWING TESTS DONE Detailed Answer: Hello Thanks for query I am sorry to differ on treatment given. You have reduced motility called Asthenospermia. This can be due to infection , presence of antibodies and varicocele. In such cases, I wish to determine the cause first before prescribing medications. Therefore my suggestions will be 1- Please get a second semen analysis from a different good pathology lab after 2 days abstinence. 2- Please get a sperm antibodies test 3- Get a colour doppler of scrotum from a good pathologist to fing the diameter of vein in Pampiniform plexus. These type of problems are treatable most of the times. Dr Saatiish Jhuntrraa