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What Does My Semen Analysis Report Indicate?

Posted on Wed, 28 Jan 2015

Question: Hi sir,in my semen analysis( 1.5 Month back) Sperm count is nil.i am using nanoleo tablet and other ayurvedic medicines (virolon,vajitone) from 45days.sir am i taking correct medicine. Please suggest.

Answered by Dr. Mahesh Koregol (41 minutes later)

Brief Answer:
Needs Evaluation

Detailed Answer:
Hi

I read your query and I understand your concerns.

You have azoospermia meaning no sperms in semen.

This needs to be evaluated by examining your testis by a doctor.

You need blood test called FSH,LH,Testesterone.

You also need ultrasound scan of scrotum.

Taking only medicines won't help you

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

Follow up: Dr. Mahesh Koregol (20 hours later)

Sir my blood test reports are.
fsh54.5,
lh 16.6
prl 14.3
testosteron 507.82,
sir, doctor advised me to go for testicular biopsy.is it the correct procedure.if not what are the other chances.please suggest me.

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
Azoospermia

Detailed Answer:
Hi

Your FSH is very high meaning low chances of sperms being present.

The possibilities of finding sperms on testicular biopsy are low. It is the only way to find out.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Mahesh Koregol (2 days later)

Sir ,If finding the sperm on testicular biopsy is low,what is the next step.please suggest.

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Possibility of donor semen

Detailed Answer:
Hi

If there are no sperms found on testicular biopsy next step is to use donor semen for pregnancy. Good fertility centres offer treatment for your wife with donor semen. You can use the facility if you and your wife are willing.

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