Brief Answer: Semen absolutely fine. Detailed Answer: Hi Mr. XXXXX, Welcome to XXXXXXX Your semen analysis report is absolutely fine & there is no need to bother about slow linear progression. Important thing is to quit smoking. If you continue to smoke, even with normal semen it will be difficult to conceive as smoking has effect on sperm quality & DNA integrity which can't be seen by routine semen analysis. Coming to problem of conception, for pregnancy to occur, apart from normal semen, wife's regular ovulation (egg formation & rupture) & patent tubes are required. If both of these are not checked, kindly get your wife evaluated. If these two things are already known to be normal, your case falls into the definition of unexplained infertility (meaning no obvious cause for infertility). In that case you might need superovulation with IUI. Regarding charge for IUI, it varies from hospital to hospital & can be between Rs2000/- & Rs10000/-. Regarding need for medicines, you probably need not take any medicine. Just remember to quit smoking, eat healthy with plenty of fruits & green leafy vegetables, avoid oily spicy food & exercise at least 20 minutes daily. Regarding need for blood & urine tests, those tests are generally done for your health & not for fertility. If any condition like diabetes is discovered in tests, it can be treated. For exact advice for conception kindly provide answer to following points. 1. How are wife's menstrual cycle: Regular/irregular. What is the date of last menses. 2. Did wife anytime in past suffered from fever associated with foul smelling vaginal discharge? If yes, what treatment was taken. 3. Whether wife's tubes are checked? If yes, what was report. 3. Any other tests already done. 4. What treatment you have taken for conception till now? Awaiting reply. Regards.

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Brief Answer: Wife's tests necessary. Detailed Answer: Hi, Welcome back. For wife, you need basic tests for fertility evaluation & few tests for general health. For fertility evaluation, she needs to undergo tubal patency testing with either sonosalpingography/hysterosalpingography/laparoscopy. In these tests XXXXXXX is injected through mouth of uterus & spill through tubes seen through ultrasound/X-Ray/through laparoscope respectively. Which test is best for her? It depends on availability of tests & her baseline ultrasound findings. You can start from one baseline scan which is normally done on 3rd day of menses (the day flow starts is counted as day one), but can be done anytime. Today is her seventh day. If possible, you can do one baseline scan today & tubal patency test can be done till 11th day of cycle (that is upto 21st of November). Regarding other basic tests: Minimal tests recommended for both husband & wife are: Hemoglobin, Random sugar, HIV/HbsAg/VDRL/HCV. In addition to that wife needs testing for immunity to two viral infections which can harm during pregnancy: Tests required: Rubella IgG & Varicella IgG. Cost of tests varies from hospital to hospital & also is different in different cities. So I can't give exact estimate. You can consult local physician for that. Regarding sex, whatever you have described is normal & there is nothing to worry. One general advice for conception is to have sex two to three times a week irrespective of cycle day (except during menses). You can have it daily between day 8 & 18 of menstrual cycle to maximize chance of conception. Hope this helps. Let me know if you have other concerns. If not, you can close the discussion & rate the answer. Wish you good health. Regards.

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Brief Answer: Relax. Detailed Answer: Hi, Welcome back. It takes at least 3 months for sperm quality to improve after quitting smoking. But it doesn't mean that you should not try for pregnancy in those 3 months. Sperms have various types of motility, some are fast, some slow. The slower ones are labelled to have slow linear progression. Itching on penis can be due to allergy OR infection. You need to get examined by doctor to find & treat cause. If wife's height is less than 6 feet, weight appears to be more. She can do jogging, skipping OR swimming to reduce weight. Abortion should not create trouble in conception unless it was complicated by infection. If it was done at good hospital & was not followed by fever, you need not worry. Bleeding pattern during menses is OK, no need to worry for that. You both can do any sweat inducing exercise (jogging, brisk walking, swimming, running) for at least 20 minutes per day. You need not put on weight for conception. Conception doesn't depend on husband's weight. The problem you described during drink days is insignificant for conception, but it can affect your general health. If you don't eat anything, there is risk of your blood sugar going down & it might harm you. For reducing stress, you can try yoga/meditation. Regards.

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