What Does My Semen Analysis Result Indicate?
My Semen Analysis results are as below. Can you please let me know if there is a way to improve them or should I consider that we cannot have children
Macroscopic:
Volume :1.0ml ( Range 2-5 ml )
Colour : Greyish White
Reaction/pH : 8.0
Viscocity : Viscid, Opaque
Liquefaction time : 25 minutes
Microscopic
Sperm Count : 1 million/ml ( reference > 15 million/ml)
Agglutination: Absent ( Reference Absent )
Motility
Progressive Motility : --
Non Progressive Motility : --
MORPHOLOGY
Normal Forms : 75%
Abnormal Forms: 25%
Other Findings
Pus cells : 18-20/HPF ( Reference 0-1 /HPF)
Epithelial Cells : 2-3/HPF ( Reference 0-8/HPF)
Spermatogenic Cells : Nill
RBC : Nil
Biochemical Analysis
Semen Fructose : Present
Impression : Sever Oligoasthenospermia
You need to take antibiotics.
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have Oligoasthenospermia meaning there by that your sperm count and sperm motility is very low as compared to WHO standards.
The presence of 18-20 pus cells is suggestive of active infection of either Seminal Vesicle or Prostate.
You need to get semen culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Perhaps antibiotic like doxycycline can be started emperically as you wait for culture tests. Further I would also treat you with Clomiphene twice daily and high protein diet rich in vegetables,fruits along with almonds (5-6) per day .This will help to increase sperm count. Discuss with your treating doctor.
Repeat semen analysis after one month.
Do not worry there is always light at the end of dark in the tunnel.
Hope I have answered your query .Please feel free to ask if you have more questions I shall be happy to help you .
Thanks with Regards.
Dr Patil.
Thank you for your reply. I will consult an andrologist/urologist at the earliest. Based on your experience Sir, Considering my age , Sperm Count ( just 1 million) and 100% non motility.. Do you think my sperm count and motility can be increased to normal values? Are there any natural ways that you can suggest sir
There are chances of improvement.
Detailed Answer:
Hello
Thanks for follow up.Since your Oligoasthanospermia is due to infection there are every chances of getting it improved by taking antibiotics.,
Please try following general measures It will help you to boost up your confidence and to improve sperm count and motility..
1) Practice regular exercise for 45 minutes followed by
meditation for 1/2 an hour in the morning.
2) Take high protein diet
rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3)Take anti oxidants like Almonds 5-6 everyday..
4) Avoid alcohol and smoking.
Thanks and Regards.
Dr.Patil