What Doe The Following Sperm Ananlysis Report Indicate?
Question: my sperm ananlysis report is: Is it good or bad
PHYSICAL EXAMINATION
Appearance : Milky white Transparency : Translucent
Self Liquification : Occurred In 20 Minutes Viscocity : Normal
Volume : 4 ml.
CHEMICAL EXAMINATION
Fructose : Positive PH : 7.5
MICROSCOPIC EXAMINATION
Sperm Count : The number of spermatozoa per ml : 21 Millions.
Total number of sperms per ejaculate : 84 Millions.
Viability : 60 % spermatozoa alive at the end of 1/2 hours
Motility of spermatozoa :(at 37 C)
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Nature of motility (W.H.O.) MacLeod After After
Grade 1/2 hours 2 hours
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A Rapid Linear Progressive IV & III 20 % 10 %
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B Sluggish Linear Progressive II 30% 25 %
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A+B Total Forward Progressive 50 % 35 %
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C Non Progressive I 5 % 3 %
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D Non Motile O - % - %
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Active sperms in the ejaculate (at the end of 1/2 hour) : 42 millions
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SPERMIOGRAM
Ab. of Head Ab. of Neck Ab. of Tail
Giant heads : 4 % Bent neck : 4 % Short tail : 4 %
Microsperms : 4 % Thick neck : - % Double tail : 4 %
Pin heads : 6 % Cytoplasmic Absent tail : 4 %
Round heads : 6 % Appendages : 4 % Curled tail : - %
Tapering : 6 %
Double head : 4 % Miscellaneous
Ragged edges : - % Immature : - %
Deformed : 4 % Duplicate : - %
Multinucleated : - % Terratoid : - %
Acrosome Absent : - %
Nucleus absent : - %
Attached
Cytoplasm : - %
Total number of abnormal spermatozoa : 54 %
CELLULAR ELEMENTS
Epithelial Cells : Squamous type Macrophage Cells : Occassional
Pus cells : Occassional Candida : Nil
Red Blood Cells : Nil Trichomonads : Nil
Precursors : Approximate number per ml : Occassional
Spermatogonia : ----% Spermatocytes : - %
Spermatids : - % Cells in spermiogenesis : -%
MISCELLANEOUS CHARACTERS & BACTERIOLOGICAL EXAMINATION
Granular debris : Present + Crystal : ----
Agglutination of sperms : - Grams stain : No pathogen seen
PHYSICAL EXAMINATION
Appearance : Milky white Transparency : Translucent
Self Liquification : Occurred In 20 Minutes Viscocity : Normal
Volume : 4 ml.
CHEMICAL EXAMINATION
Fructose : Positive PH : 7.5
MICROSCOPIC EXAMINATION
Sperm Count : The number of spermatozoa per ml : 21 Millions.
Total number of sperms per ejaculate : 84 Millions.
Viability : 60 % spermatozoa alive at the end of 1/2 hours
Motility of spermatozoa :(at 37 C)
------------------------------------------------------------------------------------------------------------------------------------------------------
Nature of motility (W.H.O.) MacLeod After After
Grade 1/2 hours 2 hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
A Rapid Linear Progressive IV & III 20 % 10 %
--------------------------------------------------------------------------------------------------------------------------------------------------------
B Sluggish Linear Progressive II 30% 25 %
--------------------------------------------------------------------------------------------------------------------------------------------------------
A+B Total Forward Progressive 50 % 35 %
--------------------------------------------------------------------------------------------------------------------------------------------------------
C Non Progressive I 5 % 3 %
--------------------------------------------------------------------------------------------------------------------------------------------------------
D Non Motile O - % - %
--------------------------------------------------------------------------------------------------------------------------------------------------------
Active sperms in the ejaculate (at the end of 1/2 hour) : 42 millions
________________________________________________________________________________________
SPERMIOGRAM
Ab. of Head Ab. of Neck Ab. of Tail
Giant heads : 4 % Bent neck : 4 % Short tail : 4 %
Microsperms : 4 % Thick neck : - % Double tail : 4 %
Pin heads : 6 % Cytoplasmic Absent tail : 4 %
Round heads : 6 % Appendages : 4 % Curled tail : - %
Tapering : 6 %
Double head : 4 % Miscellaneous
Ragged edges : - % Immature : - %
Deformed : 4 % Duplicate : - %
Multinucleated : - % Terratoid : - %
Acrosome Absent : - %
Nucleus absent : - %
Attached
Cytoplasm : - %
Total number of abnormal spermatozoa : 54 %
CELLULAR ELEMENTS
Epithelial Cells : Squamous type Macrophage Cells : Occassional
Pus cells : Occassional Candida : Nil
Red Blood Cells : Nil Trichomonads : Nil
Precursors : Approximate number per ml : Occassional
Spermatogonia : ----% Spermatocytes : - %
Spermatids : - % Cells in spermiogenesis : -%
MISCELLANEOUS CHARACTERS & BACTERIOLOGICAL EXAMINATION
Granular debris : Present + Crystal : ----
Agglutination of sperms : - Grams stain : No pathogen seen
Brief Answer:
Report suggests normal semen analysis.
Detailed Answer:
Hello XXXX
I have gone through your reports in detail.
Report suggests normal semen analysis.
Sperm count is normal. Normally it should be at least 20 millions/ml
Motility of sperms is also normal.Motility should be at least 55 %.
Morphology of sperm is also normal.At least 16 % sperms should have normal morphology for natural fertilization.
Other findings are also normal.
So,you have normal findings.
Your problem may be due to some other reasons.It is important to know reason for investigation.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Report suggests normal semen analysis.
Detailed Answer:
Hello XXXX
I have gone through your reports in detail.
Report suggests normal semen analysis.
Sperm count is normal. Normally it should be at least 20 millions/ml
Motility of sperms is also normal.Motility should be at least 55 %.
Morphology of sperm is also normal.At least 16 % sperms should have normal morphology for natural fertilization.
Other findings are also normal.
So,you have normal findings.
Your problem may be due to some other reasons.It is important to know reason for investigation.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
We are trying from 4 months, My wife had irregular periods, now from 6 month she have regular period, but she is taking medicine from doctor, her blood report shows, she have something hormonal issue. can she get pregnant or not.My wife is 19 yrs old
we done sonography, she can also produce eggs per month, then why there is problem with us.
Please suggest something
we done sonography, she can also produce eggs per month, then why there is problem with us.
Please suggest something
Brief Answer:
Please find detail answer below.
Detailed Answer:
Hello XXXX
Pregnancy is a very complex natural process and if there is any problem in either of the couple,infertility occurs.
As you stated that there is some hormonal imbalance related to your wife,it should be corrected.
Your findings are normal and we expect normal pregnancy after hormonal correction in your wife.
Producing egg every months is not a confirmation of normal hormone level.It may be altered.
Wish you all the best.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Please find detail answer below.
Detailed Answer:
Hello XXXX
Pregnancy is a very complex natural process and if there is any problem in either of the couple,infertility occurs.
As you stated that there is some hormonal imbalance related to your wife,it should be corrected.
Your findings are normal and we expect normal pregnancy after hormonal correction in your wife.
Producing egg every months is not a confirmation of normal hormone level.It may be altered.
Wish you all the best.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Vaishalee Punj