
Can An Online Doctor Explain The Semen Analysis Report?

Question: i uploaded my husband old semen analysis
and this is the new one after 4 months from varicocele repair and he is taking vit supp
Material status : 2 years
Sexual abstinence : 3 days
Time of collection : 5:50 pm
Time recevid : 5:56 pm
merhod of collection : masturbation
Physical examination
Volume : 2.9 ml
Ph : 8
Colour : grey - white
Viscosity : normal
Liquefaction : complete within 90 minutes
Microscopy examination :
Spermatogenic cells : 0-1 /HPF
Pus cell : 0-1 / HPF
Viabillity test : yellow eosin stain
Sperm concentration : 0000 / ml
Total count / ejaculate : 0000
Motilty :
Linear progressive
Time : GIV : high active 0%
: GIII : Active 40%
non linear 3%
Non progressive
Sluggish : 2%
Morphology
Normal : 23%
P in head : 14%
Abn . Head : 47%
Abn. Mid piece : 15%
Mixed abnormality : 1%
Sedimented cellular elemnts
neutrophilis few
Spermatocytes : +
Spermatides : ++
Comment & advice :
Moderate astheno terato zoospermia
fsh 7.9 mlU/ml
lh 4.3 mlU/ml
testosterone 17.18 nmol/l
prolactine 8 ng/ml
tsh 1.3 mlU/l
please comment for me on both results ( before and after ) with chances to get pregnant naturally
also explain to me changes in ( spermatogenic cells , spermatocytes , spermatides ) before and after
Brief Answer:
yes
Detailed Answer:
Hi
Spermatids are a stage in spermayocyte formation.
Unfortunately the report shows low motility and morphology means not good for normal conception.
Since the culture report shows infection he must take antibiotics no matter what your doctor feels. Taking antibiotics and treating infection itself might improve his semen analysis.
With this count you need to go for IUI treatment which can be tried for 3 cycles before deciding upon IVF.
Let me know if you have any more questions.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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