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Suggest Treatment For Low Sperm Count

Posted on Tue, 7 Oct 2014

Question: HI I HAVE A LOW SPERM COUNT OF 10 MILLION AS TODAY
5 MONTHS BACK I HAD 77 MILLION
PLS PROVIDE ME SOLUTION FOR THIS. AS I ME AND MY WIFE ARE UNABLE TO COINCEIVE

Answered by Dr. Mahesh Koregol (19 minutes later)

Brief Answer:
Wrong report

Detailed Answer:
Hi

I read your query and I understand your concerns.

Following is my reply

1. It is not possible that the sperm count reduce so drastically.

2. One of the reports is wrong.

3. I suggest get the semen analysis done in another standard laboratory to know which report is right.

Let me know if you have any more questions.

Regards
Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Mahesh Koregol (20 minutes later)

i am attaching the3 reoports in march then august and september. please see the difference in report.
MARCH-Volume 0.8 mL
Colour Greyish white
pH 7.5 7.1 - 7.7
Viscosity Normal
Liquefaction Time within 30 minutes.
Contd. ...2
____________________________________________________________________________________________
Page :2
Report of XXXXXXX GOEL dated Mar. 7,2014 (Contd.)
INVESTIGATION RESULTS UNITS BIO.REF.INT
SEMINAL FLUID EXAMINATION REPORT (Contd.)
PARAMETERS By SQA IIC :
Total Sperm Count 77 mill/mL 60 - 150
Motility 51 % > 50
Sperm Morphology-Normal 35 % > 30
Functional Sperm Conc. 21.5 mill/mL > 13
Motile Sperm Conc-MSC 37.2 mill/mL > 26
Sperm Motility Index 206 . > 160
GRADING-Sperm Quality GOOD
Pus cells 5-8/HPF*
Erythrocytes NIL
Agglutination PRESENT
SEMEN FRUCTOSE LEVEL 252 mg/dL 100 - 300
AUGUST-
Volume 1.5 mL
Colour Greyish white
pH 7.5 7.1 - 7.7
Viscosity Normal
Liquefaction Time within 30 minutes.
PARAMETERS By SQA IIC :
Total Sperm Count 09 mill/mL > 20
Progressive Motility 14 % > 50
Sperm Morphology-Normal 16 % > 30
Functional Sperm Conc.* 0.9 mill/mL > 07
Motile Sperm Conc-MSC * 1.2 mill/mL > 10
Sperm Motility Index * 37 . > 80
GRADING-Sperm Quality POOR
Pus cells 10-15/HPF*
Erythrocytes NIL
Agglutination ABSENT
SEMEN FRUCTOSE LEVEL 204 mg/dL 100 - 300
SEPTEMBER-
Volume 1.5 mL
Colour Greyish white
pH 7.5 7.1 - 7.7
Viscosity Normal
Liquefaction Time 40 minutes.
PARAMETERS By SQA IIC :
Total Sperm Count 10 mill/mL > 20
Progressive Motility 15 % > 50
Sperm Morphology-Normal 16 % > 30
Functional Sperm Conc.* 1.0 mill/mL > 07
Motile Sperm Conc-MSC * 1.5 mill/mL > 10
Sperm Motility Index * 39 . > 80
GRADING-Sperm Quality POOR
Pus cells 3-5/HPF*
Erythrocytes NIL
Agglutination ABSENT
SEMEN FRUCTOSE LEVEL 192 mg/dL 100 - 300
PLEASE ADIVE WHAT TO DO
THANKING YOU

Answered by Dr. Mahesh Koregol (15 hours later)

Brief Answer:
ICSI

Detailed Answer:
Hi

I have seen 3 reports. 2 of them show sperm count to be very low of 9 million and 10 million per ml.

Only one report shows 77 million.

Normal count should be more than 15 million per ml.

In such circumstances the only option would be ICSI (Intracytoplasmic sperm injection) where sperms are directly injected into eggs.

Regards
Dr. Mahesh Koregol

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

Follow up: Dr. Mahesh Koregol (27 hours later)

thank you for your advise doctor. is there any medicine i can take to increase the sperm count .let me first try with medicines if it does not increases then i will go for ICSI.

thanking you

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
No

Detailed Answer:
Hi,

This count is too low. It is difficult to improve these only with medicines. However, i suggest you get examined by an XXXXXXX to check size of testis and varicocele presence.

If there is problem found during examination, medicines are useless as problem needs to be addressed.

Regards

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