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What Does My Semen Analysis Test Report Indicate?

Posted on Thu, 9 Jun 2016

Question: Hi I got my semen analysis ad urine and blood sample results today.
The following is from the report. Please suggest treatment.
1. Semen analysis result
MOTILITY 25 Low > or = 40
MOTILITY - IMMOTILE 75 High 22 - 59
PUS CELLS 10 - 15 0 - 5 /hpf
IMPRESSION ASTHENOZOOSPERMIA WITH PYOSPERMIA
2. TSH 3RD GENERATION 10.020 High 0.227 - 4.200 µIU/mL
3. MEAN CORPUSCULAR VOLUME 78.6 Low 83.0 - 101.0 fL
4. MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION 35.7 High 31.5 - 34.5 g/dL

Answered by Dr. Mahesh Koregol (35 minutes later)

Brief Answer:
Asthenospermia

Detailed Answer:
Hi,

I saw your reports.

Following is my reply :

1) Your TSH levels and high. You need to see your doctor to start on medicines for hypothyroidism.

2) Your fasting blood sugar levels are marginally high. Repeat this again.

3) Don't worry about other blood tests.

4) Your semen shows low motility. Wear loose pants and undergarments. Exercise regularly to improve it.

Let me know if you need anymore help.

Regards

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

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

Thanks for the answer. After marriage I have put on weight too, so Ill start exercise from tomorrow itself. We're trying to have baby, please let me know if I'm infertile, will exercise improve my semen motility?
Will exercise help me get rid of hypothyroidism or it's a permanent damage, will have to live on medicines from now on for the rest of my life?
Regarding the blood glucose level showing pre-diabetic, I'll repeat the test. But could you suggest what to stop eating to improve? Should I avoid sweets? I drink a lot of packaged fruit juices.
I have never smoked or tasted alcohol and I'm a pure vegeterian, what could have caused all of this?
I'm really worried and depressed seeing the report, please reply honestly if I can be fixed/cured?

Answered by Dr. Mahesh Koregol (13 hours later)

Brief Answer:
You don't have major problem to worry about

Detailed Answer:
Hi,

Exercise will help you to reduce your weight and improve semen parameters like motility.

Hypothyroidism can easily be treated by few simple medicines. Please take them.

Overweight is one of reason for pre-diabetic state. Losing weight will help along with reducing sugar rich food and packed juices.

Let me know if you need anymore help.

Regards

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

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

Thanks for the reply, relieved a bit knowing that I can be cured.
Please find the latest reports attached. I got the Blood-fasting checkup done and found that the result was 98 mg/Dl, while last week it was 107. What changed? Does this test result keep varying with every checkup?
I got the scrotum ultrasound done today, please review the report and let me know. There is some cyst mentioned in my report. I know a bit about it because my wife used to suffer from PCOS. Is it something to worry about? Could you please suggest any other changes I need to do to my lifestyle apart from exercise? I'm a software engineer and work at nights too.
Also I wanted to know at this age of 31, do I have to take care of not having sex with my wife daily because my urges make us engage in sex almost everyday, if shes not there that day then I end up masturbating.

Answered by Dr. Mahesh Koregol (40 minutes later)

Brief Answer:
Normal report

Detailed Answer:
Hi,

Sugar levels are normal. It was not very high first time also.

You can have sex daily. That's not a problem.

Scrotal scan shows cyst in cord which is normal and unrelated to your wife's PCOS condition.

Regards

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