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What Does The Following Semen Analysis Report Indicate?

Posted on Thu, 13 Oct 2016

Question: hi good morning.. This side dr XXXXXXX I have been married for 3 and half years.. My wife never conceived in these 3 years, hence i underwent sperm analysis at manipal XXXXXXX XXXXXXX in the month of april. Sperm analysis report came as asthenoteratospermia. Since then i ve done some dietary modifications, though not significant and has lost around 5 kgs, but not on any medications. i would like to know what are the medications indicated for me and what are chances of improving sperm motility and morphology by these medicatiions

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
Life style modification

Detailed Answer:
Hi XXXXXXX

I understand your concerns about semen analysis.

Your semen analysis shows reduced Motility and morphology.

Following is my reply :

1) Morphology does not change much with medicines but motility can improve.

2) Lose weight if you are overweight by diet and regular exercise.

3) Stop smoking and alcohol if you have habits.

4) Wear loose pants and undergarments.

5) Take antioxidants like Maxoza L powder. This will help to improve motility.

6) Slide style changes I have mentioned are more important than drugs to treat.

7) If you have been trying for pregnancy for a long time, better to go ahead with IUI or IVF for success because low morphology is a concern and difficult to correct.

Let me know if you need anymore help.

Regards

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

Follow up: Dr. Mahesh Koregol (10 hours later)

Sir should i have repeat the test since i had almost 10 days of abstinence before my previous analysis. . Does that make big difference?
Secondly can you suggest any centre in XXXXXXX or XXXXXXX to undergo sperm analysis as well as physical consultation for planning ivf.
What would be the cost of icsi in these cities and what are chances of conceiving with astheno teratospermia even with icsi ??
I don't smoke.. but i drink once in 6 to 8 weeks does stopping this is going to help in any ways ??

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
ICSI is better option

Detailed Answer:
Hi,

Life style modification might help you to some extent. Stop alcohol.

10 days abstinence might make some difference. Try with just 5 days abstinence.

In XXXXXXX procedure charges are around one lakh plus injections cost.

ICSI is better option for Teratozoospermia.

If you are in XXXXXXX you can see me in XXXXXXX IVI FERTILITY at Koramangala anyday at 10 am. I can discuss about ICSI in detail.

Regards,
Dr. Mahesh Koregol

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