HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Do My Lab Test Reports Indicate?

Posted on Wed, 17 Aug 2016

Question: I am 27 years old and husband is 32 years old, we are trying to have baby since last 6 months but no success. we have visited doctor and she suggested us to go for follicular scan and Semen analysis. and started Ovacet tablet for me as 1-1-1 and Oligocare for him as 1-0-0.

below are our tests and reports:
1) Follicular Scan

12 day of period:
right overy (mm) 10 * 8 mm.
Left Ovary :- Multiple follicles < 7 mm.
Endometrium : 7.8 mm
Remarks: PCOS.

16th Day scan:
Right Ovary: 10*9 mm, rest all readings same as above.

Husband's Test results:

Fasting blood sure: 102 mg/dl
Thyroid Stimulating Harmone: 1.36 uIL/ml

Organisam isolated: Semen culture yields no growth after 48 hours incubation at 37'c.

Semen Analysis:
Quantity: 2.0 ML Liquifaction: 30 MTS
color: Opeque Gray PH:7.0 Viscocity: Normal.

Motility Studies:

Time after collection Actively motile Sluggishly motile Non Motile
1 hour 8-10/HPF 4-5/HPF 30-35/HPF

Marphology:
PUS cells : 2-3/hpf
RBC: 0-1/hpf
Epethelial Cells: 1-2/hpf
Sperms : 10 Mil/ml

doctor suggested to go for Scrotal test and FSH, LH, PPL, S.Testosterone and Scrotal Scan.

I will post those results shortly, please suggest the treatment is correct and what should be done to have baby soon? we are in normal in weight..could be 5-6 kgs more than hight-weight standard. after searching more in google we found IUI and IVF. is that only option remaining for us? can we have normal pregnancy and healthy baby?

Answered by Dr. Soumya (44 minutes later)

Brief Answer:
Repeat semen analysis

Detailed Answer:
Hi,

I understand your concerns about infertility.

Your husband's semen analysis shows low sperm count.

I suggest you repeat semen analysis in another standard laboratory in your town before deciding further treatment.

If semen analysis is again same, it is advisable to go ahead with IVF as natural pregnancy is difficult with low count of 10 million per ml.

Let me know if you need anymore help.

Regards

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

Follow up: Dr. Soumya (27 minutes later)

Thanks for your reply doctor.

Please explain the possibility of success with IVF/IUI.

as I am also having PCOS. What all treatments/medications I have to take to take to treat PCOS?

In my current situation... can we directly opt for IVF? any other tests needed? What would be approx cost for it?

Answered by Dr. Soumya (56 minutes later)

Brief Answer:
You can try IVF

Detailed Answer:
Hi,

IVF has success rate of about 50 percent depending upon different IVF centres.

PCOS will not go away completely. This will stay. But this is not a problem to conceive. You can try IVF. IUI has low success rate about 15 % only.

IVF costs between 1 to 2 lakh depending upon different IVF centres.

You can directly opt for IVF without anymore tests.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Soumya (25 hours later)

Thanks for reply..

I am staying in Banglore EAST, can you suggest me some centers/Doctor where I can go? and Price for IVF in bangalore?

My doctor is saying go for IUI.. after 3 months..is it correct? I am not feeling confidence on that opinion.

Answered by Dr. Soumya (1 hour later)

Brief Answer:
IVF is better option

Detailed Answer:
Hi,

IVF is better option for you than IUI. Price may be around 1.5 to 2 lakh.

You can contact Dr. XXXXXXX Koregol at XXXXXXX IVI Fertility, Koramangala 5th block, XXXXXXX He is qualified world class fertility specialist who has excellent pregnancy rates. He can be contacted on 0000.

Let me know if you need anymore help.

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. Chakravarthy Mazumdar