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What Do These Semen Analysis And DFI Test Reports Indicate?

Posted on Wed, 15 Jul 2015

Question: Hi,
I have under gone the CASA and DFI test few days back, Want to understand what parameter causes the issue and how to over come the problem...

Details of report
Volume : 1.5ml
Slipage : NO
Liquefaction : 30min Viscous
Fructose : Positive
Pus Cells : 01/hpf
PH : 8.5
Live : 22%
Dead : 88%

Motility Assessment (5th Percentile value)
Sperm Mobility
Total Progressive : 10% (1 hrs) ; 05% (2 hrs)
Non Progressive : 03% (1 hrs) ; 05% (2 hrs)
Immotile : 87% (1 hrs) ; 90% (2 hrs)
Total motility : 13% (1 hrs) ; 10% (2 hrs)

Advanced Total Progressive Mobility Assessment
Rapid progressive : 00%
Slow progressive : 10%

Morphology Assessment (Tygerberg Kruger) (5th percentile)
Morphology
Normal Forms : 02%
Over all Defects : 98%
Head Defect : 78%
Mid Piece and Neck Defects : 17%
Tail Defects : 03%
Excessive Residual Cytoplasm : 01%

Sperm Functional Integrity Assessment- SFI
Flagellar Integrity - Hypo Osmotic Swelling : Osmotic Swelling Test : 31%
Spermiation Defects-Acrosome Reaction after Ionosphere Challenge - ARIC Test : 03%

DNA Fragmentation Index : 23%
In May Month, I was suffering from Typhoid and under medication, now recovered completely, does this have affected the Test.

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Please attach a copy of report

Detailed Answer:
Hello,

Thanks for your query.

I have read you query and I understand your concerns.

This report is incomplete as total sperm count is not mentioned.

Please attach a scanned copy of the report so that I can go through the same and answer you in detail. You have a feature to upload the report by yourself on the right side of this query page. Please utilize it.

Regards,
Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Mahesh Koregol (1 hour later)

Hi Dr. XXXXXXX

Please find the scanned copy CASA_DFI Test report.

We are planning for a baby and Doctor asked us to under some tests.
Me : CASA and DFI
Wife : Blood test (to confirm the PSOS problem)

Current Dr. is Out of station for conference and she will be back by 1st July 2015. I am really concerned about the test report.

Please let me know what's bad and good part of my report and any issues ; what causes such problems and how do I can over come these issue or get a healthy sperm count through food and life style change.

Thanks and Regards,
XXXX

Answered by Dr. Mahesh Koregol (4 hours later)

Brief Answer:
Repeat semen analysis

Detailed Answer:
Hi,

Good news is that your DFI and sperm count are normal.

Your motility and morphology are lower which are difficult to believe and may not be accurate especially with good DFI and sperm count.

Before presuming this report as final, I suggest you repeat your semen analysis in another standard laboratory and then take a final decision for treatment if this value is correct.

Let me know repeat semen analysis report tso that I can help you further.

Regards

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Mahesh Koregol (18 hours later)

Will repeat the test and update you.Thank you Dr. XXXXXXX

Regards,
XXXXX

Answered by Dr. Mahesh Koregol (6 hours later)

Brief Answer:
Let me know new report directly

Detailed Answer:
Hi XXXXXXX

You can also contact me directly by pasting following link in your browser:

http://bit.ly/askdrmaheshkoregol

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