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What Does The Following Semen Analysis Report Indicate?

Posted on Tue, 9 Feb 2016

Question: Hi Doctor, My age is 30 years . Married since 2013 and recently from 8 months we have started baby planning. My wife was diagnosed with a hemorrhagic cyst 6 months ago and since then her gyneac has started her with Dupheston from 10th - 25th day, folic acid & GD Met. Size of cyst is 2.5 cms and it has remained the same till date.

3 months back i did my semen analysis to check my fertility in which all parameters were normal accept liquefaction time which was around 1 hr 50 minutes as per report. I did not consult nor started any treatment. I repeated my test recently and found that the liquefaction time is 50 minutes now.

My concerns are as follows -

1. How to over come the delay in liquefaction time , is this effecting conceiving ?
2. What treatment / tablets / necessary changes in life style is needed to reduce the liquefaction time to normal range of 20 - 30 mts ?
3. Is my wife's cyst causing a problem in conceiving?
4. Why is it my liquefaction time was 1hr 50 mts 3 months ago and reduced to 50 mins now ?
5. Pls go through my semen analysis report attached and advise accordingly..
6. We are planning every alternative days after her cycles from 5 th day , pls advise if its too short for planning and sometimes i get fed up of planning. Hence i started taking Ashwasheela capsule for enhancing our sexual activity.
FYI 1st & 2nd report samples were given after a ejaculation gap of 3 days.

Thanks

Answered by Dr. Prasanna Heijebu (3 hours later)

Brief Answer:
Probable Acute Prostatis,needs antibiotic course.

Detailed Answer:
Hi Sir,

I can understand your concerns.

Delayed liquifaction time can be due to underlying Prostatic infection /Acute prostatis.

I advise you to start oral antibiotics for 14 days by consulting your doctor and repeat the semen analysis after 2weeks.

Both low liquifaction time and Ovarian cyst can hinder the chances of pregnancy.

Iam unable to open the reports attached( no preview available).

So upload the reports again.

Post your further queries if any,
Thank you.

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

Follow up: Dr. Prasanna Heijebu (30 minutes later)

Pls prescribe antibiotic for my infection.

I have also shared my reports through mail, kindly analyse and let me know the outcome.

Answered by Dr. Prasanna Heijebu (29 hours later)

Brief Answer:
Repeat semen analysis after completion of antibiotic course.

Detailed Answer:
Hi Sir,

Welcome again,

I apologize for my delayed response owing to my hectic work schedule.

I generally suggest my patients oral tablets of Tab.Gudcef- CV 200 twice daily for 14 days.So please discuss with your doctor whether he shares with my opinion.

Repeat your semen analysis after completing the antibiotic course .

You can mail me your reports to YYYY@YYYY with my name in the subject

I advise you to avoid stress and anxiety.

Post your further queries if any,

Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Prasanna Heijebu (5 hours later)

Doctor, Any diet restrictions / modification to be followed during antibiotic course ?

Tab to be taken after food ?

Doctor started gudcef cv from today morning by noon I was having fever like symptoms and body's temperature was on higher side.. I could feel it. Is it okie ?

Answered by Dr. Prasanna Heijebu (14 hours later)

Brief Answer:
Symptoms are unrelated to drug therapy.

Detailed Answer:
Hi Sir,

I apologize for the delayed reply owing to my hectic work schedule.

Gudcef CV should be taken after foo.

Nothing to worry.You can continue complete course of the antibiotics.

Your symptoms are unrelated to the tablet.

Drink plenty of water daily.

Post your further queries if any,
Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T