What Causes Low Sperm Count?

Posted on Wed, 29 Apr 2015

Question: have got these recomendation for my last visit :tests advised for planing for a baby for for my wife on her 3rd days of periods
Detailed Answer:
Hello sir thanks for trusting health care magic.
Good to see your concern and wish you all the best.
Tests for your wife - Comolete blood counts,TSH, AMH, Serum prolaction, fasting blood sugar, ultrasound on day 2 of her periods.
Tests for you - TSH, Fasting blood sugar and semen analysis.
Get following tests done and then we can discuss the reports.
The reports results are out and we are ready to plan for a baby , please check the reports uploaded and let me know what needs to be done , FYI my wife got skipped her periods from last 1.5 months..after taking medicine she got periods and attached are the reports for her on her 2 nd day of periods , kindly study the same and let us know if we need to start taking any precautions and if she is fine to conceive for a baby...... kindly assist we are well prepared for a baby...

Answered by Dr. Manisha Jain (16 minutes later)

Brief Answer:
precautions advised

Detailed Answer:
Hello Mr. XXXX, I appreciate your compliance.
I have seen all the attached reports.
Your wife has normal reports so nothing active needs to be done for her but still her thyroid hormone profile hasn't been done or uploaded.
So attach the report in case you have one and in case the test was skipped by mistake, get it done as soon as possible.
But your semen analysis is not good and that's why you need to take supplements as your sperm count, motility and morphology are on lower side.
Take tablet Co-Q forte or fertiza-M or macsoza sachets twice a day for 3 months.
In the meanwhile
- take good amount of fruits and salads daily,
- avoid smoking and alcohol
- avoid stress or sleep lags
- can try yoga or meditation
- drink lots of water and lime juice.
- avoid tight underclothes or tight jeans for long hours.
- take good amount of milk, almonds and walnuts and citrus fruits as much as possible.
Also get following blood tests for yourself - FSH,LH, prolactin levels, serum testosterone and scrotal ultrasound and Doppler.
Try these simple measures and till then indulge in mid cycle intercourse viz intercourse on alternate days from day 10-day18 of your wife's periodic cycle (taking first day of periods as day 1 of periodic cycle).
Wish you all the best.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Manisha Jain (26 minutes later)

I have uploaded the rest of the reports as well , i did observe for my wife her testosterone and male harmones are on higher side , woudl it effect he baby planing ....kindly assist.
fyi , i have already started taking maxazol for myself.

kindly assist

Answered by Dr. Manisha Jain (12 hours later)

Brief Answer:
PCOD in your wife

Detailed Answer:
Yes I have seen that the testosterone levels are on higher side and as per her cycle day, even her LH is high and both of these point towards the presence of PCOD in her.
I have seen other newly attached reports too.
But that is not a major issue and can be handled easily by special induction drugs but poor semen parameters are a major issue so should be dealt first.
In the meantime all we can do is to get a transvaginal ultrasound for your wife on day 2 or 3 of her periods to see for antral follicle count which will document the presence of PCOD in her.
Till then best is to keep taking drugs as prescribed to you regularly.
Take care.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Pradeep Vitta