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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to interpret a semen analysis report ?

Hello Sir, my name is Raju. I am 28 years old unmarried guy and below are the particulars of my semen test report. Please have a look into this and interpret the results to me.. I am concerned whether I am sexually normal or do I need to consult a doctor for a baby. colour : colour less Volume: 2.0 ml Reaction: Alkaline Sperm Count: 60 million/ml liquifaction time : 30 minutes Motile: 40% Sluggish: 20% immotile: 40% Pus Cells: 8-10/HPF Morphology Normal: 90% they have given note : Asthenozoospermia with pyospermia. (i need meaning) and also my report are normal or not. i am getting marry by 29th of may. I am waiting for a quick reply. Thanks in advance for your support.
Wed, 11 Jan 2012
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General & Family Physician 's  Response
don't worry go to enjoy your happy life
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General & Family Physician Dr. Pragnesh Vachharajani's  Response
Hi,thanks for query.Asthenizoospermia means reduce motility of sperms.Pyospermia means pus in semen.Both the things are related at times.You need evaluation and treatment by urologist.Please visit one and take treatment as per his advise.this may affect your fertility if not treated.bye .
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Recent questions on  Asthenozoospermia

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Hi am 39 year old and married for 6 years Here is my seman analysis report. Total spems is 5.8 million and functional is 1.3 million .
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Volume (ml)     1.8 ml

Ph     8

Viscosity     Normal

Total sperm concentration     51.5 Mill/ml

Progressive motility (grades a+b)     14.50%

Non progressive motility (grade c)     9.00%

Immotile sperms (grade d)      76.50%

Semen Morphology (calculated normal morphology, WHO)     19.30%

Progressive motile sperm concentration      7.5 Mill/ml

Functional sperm concentration      2.9 Mill/ml

Sperm Velocity (average path velocity)      7.0 micron/sec

Sperm motility index     33

Total sperm number      92.7 Million

Total motile sperms     21.8 Million

Total functional sperm     5.2 Million

WBC (pus/epithelial cells) (June 14)     Present [+]

Agglutination (July 12)     


I am on medication taking C0Q 300mg & Tamoxofen cirrate. Unfortunately Progressive motility (grades a+b) decreased from 25 * to 14 % and Immotile sperms (grade d) increased from 55% to 76% after medication.

I am worried about motility. Suggestions please.

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dear doctor good night as it is night in my country Egypt .i made a semen exam & peroxidase & its result is colour greyish white
blood absent
volume 3 ml
reaction Alkaline ph 8
viscosity Normal
liquification time 30 min
total sperm count:/ml 78,000,000
sperm count/ejaculate 312,000,000
direct SMEAR motility
1st hour 65%
2nd hour 55%
3rd hour 45%
Type of motility
rapid progressive 20%
slow progressive 15%
Non progressive 30%
immotile 35%
Abnormal forms 35% Amorphous & pinpoint head

dear doctor my question is do i have Asthenospermia???/ tell now iam not married do u think that i have to be patient in takeing the desicsion of marriage tell i recieve some kind of treatment is there any hope if i married for my wife to be pregnant normally with no IVF or any other method
i had read that in an other site ---some men are infertile because of poor sperm motility. Normally, at least 50% of sperm should be motile; and this should be good quality progressive motility.--
-----The sad fact of the matter is that there is no method of increasing low sperm motility today-----
Muhammad Egypt