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What Do My Semen Analysis Test Results Indicate?

Posted on Mon, 25 Apr 2016

Question: HI I have done first semen analysis on 18 oct at that time my report was showing
1. sperm count :46
2.Motility with 1 Hr:25
3.Pus Cell:20-25
4. Sperm Aggulation :Present
5.fructose test:negative
after this doctor given me Oxyfruit 40 & Boostex forte
now we again did test now my report is showing as:
1.Sperm count :36
2.Motility with 1 Hr 15
3.Pus Cell:10-12
4.fructose test:positive
now doctor is saying u are infecting from your partner and you need IVf kindly suggest me some thing i am living in XXXXXXX if you suggest some doctor and also while giving semen sample i was not getting proper Eriction because of enviroment was very noisy does it impact on report

Answered by Dr. Mahesh Koregol (48 minutes later)

Brief Answer:
Get semen culture and sensitivity test done

Detailed Answer:
Hi,

I understand your concerns about semen infection.

Semen has infection. Semen culture and sensitivity test needs to be done to identify the organism causing infection and the antibiotics it is responsive to.

Please visit any good standard laboratory for the test.

You don't need IVF for this reason.

Let me know if you need anymore help.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Mahesh Koregol (21 hours later)

Hi Sir,
Thanks for reply I am going to do a Semen culture sensitivity test within this week as i got answer from my doctor by today s visit he told that i am suffering from asthenospermia and it is not curable and i must have to go for either IVf or ICSI .
please suggest me should i try in Unani or Ayurveda

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
It is curable

Detailed Answer:
Hi,

Your doctor's advice is not right.

Asthenospermia can be treated.

Please send me semen culture and sensitivity test report so that I can advise you further.

Regards

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

Follow up: Dr. Mahesh Koregol (9 days later)

Hi Sir,
Today i got Semen Culture Sensivity Test report:
Gross Examination:1 ml,Grayish ,Thin specimen
GramStain:Pus cells:Occasionally seen No organism seen
Culture Media: Sheep Blood Agar, Chocolate Agar , MacConkey's Agar, BHI Broth 3 Degree celciuous /24 Hrs/Aerobic/Co2:

Culture Report: A Minimul Growth of
Organism(s) Isolated :Staphylococcus aureus

B-Lactam/B-Lacamase Inhibitor Combination
Amoxycillin/Clavulanic Acid :Suseptible
Ampicillian.Sulbactam:Suseptible
Piperacillin/Tazobactam:Suseptible

Penicillins
Penicillin :Resistant
Ampicillin:Resistant
Amoxycillin:Resistant
Piperacillin:Resistant
Methicillin:Suseptible

like this their are lots of medicine are Suseptible ,

what tab doctor suggested as
Augmentatin DUo 625 MG
Pan 40
Clofest 25mg
fertisure M

can you suggest something , apart this i have also gone through below mention test which all are normal as per doctor

fSH:3.52 miU/ml
(Luteinising hormone )LH:3.12 miU/ml
(Prolactin)PRL:12.69 ng/ml
Testosterone :324.31 ngdll
Thyroid Stimulating Hormone (TSH) 2.79 microIU/ML

Answered by Dr. Mahesh Koregol (13 hours later)

Brief Answer:
Continue your doctor's advice

Detailed Answer:
Hi,

Your doctor's prescribed treatment is enough. Please continue the same as it is likely to improve the semen and treat infection in semen.

Other reports are fine.

Regards.

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