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Low sperm count. Done semen analysis. Suggestion?

hi doctor, we r trying to conceive since past 1 yr, but due to low sperm count i could not conceive. bt in dec semen analysis my hubby s report got normal with 55mill/ml sperm count. bt when in last semen analysis his sperm count dropped by 33mill/ml n the sample was 15days old, bt jst after 3-4 days he gave another sample n the result was 16mill/ does it is happning...can u plz suggest
Asked On : Sun, 3 Feb 2013
Answers:  2 Views:  119
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General & Family Physician 's  Response
Sep 2012
Hello, welcome to HCM, I am Dr. Das

Look, for a semen analysis test, you have to follow some instructions. Abstinence from sex is necessary for minimum 3 days.

Semen should be given after masturbation at laboratory, which should be examined immediately followed by at 1hr and at 2nd and 3rd hour.

So, tell your husband not to have sex for 3 days. Then give the sample.

But, for your information, your husbands sperm count is within normal limit. Because as per WHO 2010, normal semen contains sperms > 15 million/ml.

SO, do not worry.

It is not a problem at all.

Answered: Sun, 3 Feb 2013
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OBGYN Dr. Nilofer AR's  Response
Hello, Thanks for the query.

Your husband is suffering from oligospermia.

Cause of oligospermia need to be assessed.
Most of the time cause is idiopathic.

I recommend
1 Repeat semen analysis after 2 months.
2 Meanwhile get a karyotyping done to rule out genetic abnormality.
3 Hormonal profile like FSH.
4 avoid smoking and alcohol.
5 Reduce weight if overweight.
6 nutritious diet and moderate exercise.

Hope this helps,
Dr Nilofer

Answered: Mon, 4 Feb 2013
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