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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Varicocele at the left testis, semen analysis says normal morphology 62%. Any treatments ?

Dear Sir I am a 32 years old unmarried male. I have a varicocele at the left testis. Accordingly, I did a semen analysis and the results were: Volume: 4 ml pH: 7.8 Liquefaction time: 30 min WBC: 11 – 12 /hpf RBC: 1 – 2 /hpf Epithelial cells: 0 – 1 /hpf Germ cells: 2 – 4 /hpf Sperm count: 105 million G5 (very fast movement): 15% G4 (rapid movement): 30% G3 (straight slow movement): 15% G2 (slow yawing movement): 10% G1 (no forward movement): 10% G0 (non motile): 20% Normal morphology: 62% What type of treatments and cautions should I take? Thank you!
Sat, 18 May 2013
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General Surgeon 's  Response
Hi,
Welcome to Hcm'
Your report shows plenty wbc .It is indicative of infections.A detailed history and clinical exam with other investigations like semen culture and sensitivity /smear examination required for diagnosis and treatment .
Abnormal morphology is very high. It should have been below 20%.
motility is within normal limits.
Varicocoel is known to cause poor motility.
6th hour motility is to be looked for .Normal semen will have 60% active motility in 6 hrs.
Please get a check up with surgeon and get tests done as advised for proper treatment
hope your problems be over .
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