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What Does The Following Semen Analysis Report Indicate?

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Posted on Fri, 30 Oct 2015
Question: Hi, I have done my semen test yesterday, below are the findings.
Age- 33
Sperm count - 31mill/ml
Actively motile - 40%
Sluggishly motile - 40%
Non motile - 20%
Normal Forms - 80%
Epethelial cells - 01-02/HPF
Puss cells - 02-03/HPF,RBC - NILL
Fructose test - Positive.

Could you help with the understanding of fertility with the above numbers.

Regards,
XXXX
doctor
Answered by Dr. Matthew J. Mangat (39 minutes later)
Brief Answer:
Semen report is sub-optimal.

Detailed Answer:
Hello XXXXXXX and welcome to HCM.
The semen test should've been done after 2-3 days abstinence.
This report shows sub-optimal sperm motility,which should be more than 50-60%.
Your sperm count, and morphology(shape and size), is normal.
So repeat the semen analysis after a gap of 1-2 weeks, in a reputed lab.
Also, get blood hormone tests done,like FSH,LH,PRL,testosterone and an ultrasound doppler scrotal scan.
Do blood routine and sugar.
Your wife can have a gynecologist check-up done.
You're welcome to send these reports here for an expert opinion.
Wish you well.
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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Matthew J. Mangat

Urologist

Practicing since :1981

Answered : 1898 Questions

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What Does The Following Semen Analysis Report Indicate?

Brief Answer: Semen report is sub-optimal. Detailed Answer: Hello XXXXXXX and welcome to HCM. The semen test should've been done after 2-3 days abstinence. This report shows sub-optimal sperm motility,which should be more than 50-60%. Your sperm count, and morphology(shape and size), is normal. So repeat the semen analysis after a gap of 1-2 weeks, in a reputed lab. Also, get blood hormone tests done,like FSH,LH,PRL,testosterone and an ultrasound doppler scrotal scan. Do blood routine and sugar. Your wife can have a gynecologist check-up done. You're welcome to send these reports here for an expert opinion. Wish you well.