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What does this semen analysis report inspite of trying to conceive indicate?

Answered by
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3768 Questions

Posted on Thu, 7 Aug 2014 in Infertility Problem
Question: Hi,

We are trying to have a baby since last 1 year but no success. Done Semen test and stats are as follows:

--------------------------------------------------------------------------------------------------- XXXXXXX 2014 Report:
Volume : 2.5 ml
Total Count: 25 Million/ml

Active: 25
Sluggish: 15
Non Motile: 60

Normal: 60
Anbormal: 40

Doctor prescribed me for 2 months in January 2014:
1) LYCOMEGA twice a day.
2) COQ 300 - once a day
3) CARNISURE 500- Thrice a day

I am taking Tab LYCOMEGA once a day since last 6 months as prescribed by the doctor.

Latest semen test report is as given below:

--------------------------------------------------------------------------------------------------- XXXXXXX 2014 Report:
Time of collection: 9:35 AM
Time of receiving: 9:55 AM


Volume : 3 ml
pH: 8.5
Total Count: 38 Million/ml

Active: 20
Sluggish: 11
Non Motile: 70

Normal: 80
Abnormal: 20

All tests reports of my wife are positive and good. Any suggestions/treatment to have a baby?
Answered by Dr. Mahesh Koregol 41 minutes later
Brief Answer:
Details of wife's report needed.

Detailed Answer:

I read your query and I understand your concerns.

Following is my reply:

1) Your semen report shows decreased motility probably related to decreased liquefaction time suggesting infection of semen.

2) Please get semen culture and sensitivity test done which will suggest suitable antibiotics to treat this infection and you can take the same to cure infection.

3) You can continue the medicines as prescribed by your doctor.

4) I wish to know investigations reports of you wife: HSG, Hormonal blood tests like FSH or AMH, Antral follicle count.

5) Please scan and attach all the report you have along with this query which will help me in identifying the cause of infertility.

6) I dont think your semen is the reason for infertility.

Let me know if you have anymore questions.

Dr. Mahesh Koregol
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Mahesh Koregol 1 hour later
Thanks for your prompt and detailed answer. I have just now uploaded additional last 3 semen analysis report. Do let me know whether you are able to see it.

I will upload other reports of mine and my wife tomorrow.
Answered by Dr. Mahesh Koregol 13 hours later
Brief Answer:

Detailed Answer:

I can see the reports. Please upload all reports do that I can comment

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Mahesh Koregol 9 hours later
Hello Doctor,

I have uploaded all the reports of myself and my wife. Files starting with prefix "AA-" are my reports. Whereas, my wife's reports are files starting with prefix "SM_".

My tests include:
1) 3 Semen test reports conducted in last 6 months.
2) Testosterone test - free & total
3) FSH & LH test
4) Ultrasound - Testis Doppler

My wife's reports include:
1) Sonograpy of pelvis & abdomen area
2) TSH test
3) Ultrasound Pelis + Follicular study
4) Doctor prescription and suggested medicine for her in April 2014.

Kindly take a look at the reports and suggest next steps.

Thanks a lot.
Answered by Dr. Mahesh Koregol 8 minutes later
Brief Answer:

Detailed Answer:

Your as well as your wife's report seem to be fine.

Please get hysterosalpingography ( HSG ) test for your wife to know fallopian tube patency.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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