
What Causes Yellowish And Watery Semen After Taking HCG Injections?

ICSI is required
Detailed Answer:
Hello,
Thanks for your query.
I have read you query and I understand your concerns.
Following is my reply:
1) Varicocelectomy does not always causes increased sperm counts. Hence it is no guarantee that this surgery would help you.
2) Your sperm count is varying in lower range and you might not be helped even by IUI.
3) I suggest you dont take anymore hCG injections as they are not useful in your case.
4) I suggest go ahead with ICSI ( Intracytoplasmic sperm injection) technuique in a good IVF centre near your town.
I hope I answered you query and addressed your concerns.
Let me know if you wish to ask any further questions. I will be glad to help you.
Regards,
Dr. Mahesh Koregol.


IUI if not ICSI
Detailed Answer:
Hi,
Seminal fluid colour and consistency does not show the the content, count and motility.
I dont think there could be physical problem considering your age and normal physical examination.
You dont need to worry about cancer as your PSA levels are low.
I have seen seminal fluid analysis attached. The count is in lower range. ICSI would be best option. If not feasible for any reason, IUI is next best bet.
Let me know if you need any more clarification.
Regards


1st what is the difference between ICSI and IVF?
2nd do you think IUI is better choice for me according to my test results?
3rd what do you think are major causes for yellow, thick, viscous fluid with chunks (protein aggregation)? UTI? or prostatitis?
4th 6 or 7 years ago my fluid was white, natural and the volume was normal. It was shooting out while now it has no force power. now the fluid only leaks out. do you think I have problems in muscle contraction like I am unable to control the muscles upon ejaculation?
Thank you
ICSI is best option for you
Detailed Answer:
Hi,
I understand your concerns about the fertility.
I am glad to answer your questions:
1) IVF ( In vitro fertilization) is a technique where sperms are left around egg to fertilize by themselves by entering into egg. This method is good if sperm count and motility are normal and sperms are capable enough of entering into egg.
ICSI ( Intracytoplasmic injection) is a process where in sperms are directly injected into egg as sperms may not be able to enter into egg by themselves as in IVF. This method is for couple whose sperm count is low and motility is marginal or low. This is best for any male fertility issues as you are facing.
2) According to spur results , ICSI is best choice looking at your parameters. IUI only if not affordable.
3) Yellow thick viscous fluid needs to be examined as it is difficult to predict the origin. Examination in laboratory is only way out.
4) Muscles of ejaculation are not under your control. Shooting or not shooting of semen is not a measure of fertility. As long as sperm is coming out you are normal and fertile. There is no reason to worry as sperm is coming out. 1ml volume is enough for fertility.
I hope your doubts are cleared.


1st..Can you please tell me how could furthur examination be done for the yellow viscous fluid. As I know, hydration has a major effect on the seminal fluid, but it is summer time I cannot drink plenty of fluid. So I already did seminal fluid analysis. Do you think I have to do complex seminal analysis instead of complete?
2nd..Do I need to inform my doctor that I need prostate ultrasound (transrectal ultrasound) to eliminate whether the prostate is the cause or not?
3rd..sometimes I have delay to initiate the urination,sometimes I have urgency to urinate when I want to urinate I have only a little volume to evacuate, and sometimes I have to wake up 2 times during night to urinate. But as long as the DRE was normal so I eliminated prostate enlargement or hypertrophy. According to the urination conditions, I know it is hard to guess, do you think I am suffering from acute or chronic UTI? But I have no fever and my urine sample was normal.
What is the best way to examine if somebody has UTI? What is the best treatment for it and for how long?
Thank you for your efforts
UTI needs to be ruled out
Detailed Answer:
Hi,
1. Hydration has nothing to do with colour of seminal fluid. If you think there is changed colour and clumps, you have to discuss with the XXXXXXX who is testing your semen sample. He can see the clumps and note them in your report scientifically and even the appearance and colour of semen if it is abnormal. They are the best persons to examine and report if they find it abnormal as your report shows no abnormalities you are describing.
2. You can get prostrate ultrasound scan which wont harm you. But these symptoms you have mentioned does not necessarily describe prostatitis.
3. You also seem to have chronic UTI. I suggest you give urine for culture and sensitivity test which will be able to tell about organism responsible for the infection and sensitivity of antibiotics for the same.
Let me know if you need anymore help.

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