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I Would Like A Doctor To Explain The Comment In

Posted on Fri, 20 Sep 2019

Question: I would like a doctor to explain the comment in my semen analysis “ 1-2 spermatozoa per 7-8 high power fields with abnormal morphology and a few with sluggish motility “ . Should I be worried or is this normal?

Answered by Dr. Mahesh Koregol (12 hours later)

Brief Answer:
Difficult to conceive

Detailed Answer:
Hi,

I saw your semen analysis report.

Few sperms in a field that too abnormal ones means chances of conceiving normally are very low and almost impossible.

There are no effective medicines to improve these parameters.

You need to undergo procedure like ICSI ( Intracytoplasmic Sperm Injection) to conceive and have a healthy baby.

Let me know if you need any more help.

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Mahesh Koregol (1 hour later)

Thank you for your reply Dr. XXXXXXX

I am not familiar with ICSI but am familiar with IVF. What are the difference between them and do I need to do both? Also I wanted to know what are my chances of conceiving with ICSI with low sperms?

Answered by Dr. Mahesh Koregol (8 hours later)

Brief Answer:
Chances of pregnancy are good with ICSI

Detailed Answer:
Hi,

IVF is a procedure where in sperms are left around the egg and expected to fertilize egg by themselves. when Sperm counts are normal, this IVF can be done.

Egg is held and injected with good sperms in cases of ICSI. This procedure is for men with low sperm count.

ICSI will be helpful for you to get pregnant.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mahesh Koregol (12 hours later)

Thank you for clarifying Dr. XXXXXXX

So in my situation does it mean I do have sperms or does my analysis show no sperms?
I met my Dr. today and he said he wants to check my (FSH,LH,prolactin and testosterone levels) if levels are low this could mean my pituitary gland isn’t working very well and I need to take medication to balance it out so that I can produce more sperms. I was wondering if this could mean I will be able to have children on my own without ICSI.

Regards

Follow up: Dr. Mahesh Koregol (18 minutes later)

I would like to note that I don’t have any medical problems and don’t take any medications. My Dr. also examined my testicles today and said my left one is a bit smaller than normal but my right one is normal in size.

Answered by Dr. Mahesh Koregol (6 hours later)

Brief Answer:
No need of waiting for normal pregnancy

Detailed Answer:
Hi,

You can have your own baby with only ICSI procedure. normal pregnancy is not possible.

No need of further tests, surgeries or medicines. This won’t help

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Mahesh Koregol (1 hour later)

Thank you Dr. XXXXXXX

I just wanted to ask if I am suffering from azoospermia (no sperms) or I have very low count if sperms?

Best regards

Follow up: Dr. Mahesh Koregol (2 hours later)

Dear Dr. I uploaded my hormone levels. Please can you explain what may be causing my FSH to be high and also i noticed my testosterone levels are at the lower end.

Answered by Dr. Mahesh Koregol (35 hours later)

Brief Answer:
Oligospermia and high FSH

Detailed Answer:
Hi,

This report is severe oligospermia. Not azoospermia.

But the counts are so low that it might soon slip into azooapermia. Please go ahead with ICSI as soon as possible.

High FSH and low testosterone is because there is no production of sperms from majority of portion of testes.

If you live in XXXXXXX let me know where you live so that I can suggest a suitable doctor for the treatment.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Mahesh Koregol (9 hours later)

Unfortunately I don’t live in XXXXXXX I am trying to look up for a reason why my testosterone is very low and because my FSH is high, could this mean I have primary hypogonadism? And how can I rule out if it’s congenital or acquired? I looked into klinefelter syndrome but it was said that the testis are very small about 2 cm length and 1 cm width which is not my case however my left one is considered small but still bigger than 2cm. Do you still think I should rule out klinefelter syndrome with blood test?

Regards,

Answered by Dr. Mahesh Koregol (2 days later)

Brief Answer:
Rule our congenital causes by blood tests

Detailed Answer:
Hi,

This is likely to be primary hypogonadism.

You can undergo genetic tests like karyotyping and CYP gene microdeletion to understand if its congenital or acquired.

Better to rule out Klinefelter syndrome also.

Regards

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