
What Does The Following Semen Analysis Report Suggest?

Question: my husband semen analysis before varicocele repair
Material status : 1,6 years
Sexual abstinence : 3 days
Time of collection : 7:50 pm
Time recevid : 8:00 pm
merhod of collection : masturbation
Physical examination
Volume : 2.2 ml
Ph : 7.8
Colour : grey - white
Viscosity : normal
Liquefaction : complete within 120 minutes
Microscopy examination :
Spermatogenic cells : 6-8 /HPF
Pus cell : occaional / HPF
Viabillity test : yellow eosin stain
Sperm concentration : 0000 / ml
Total count / ejaculate : 0000
Motilty :
Linear progressive
Time : GIV : high active 20%
: GIII : Active 5%
Non progressive
Sluggish : 23%
Morphology
Normal : 4%
P in head : 16%
Abn . Head : 51%
Abn. Mid piece : 11%
Mixed abnormality : 17%
Sedimented cellular elemnts
Spermatocytes : +++
Spermatides : +++++
Comment & advice :
Moderate oligo astheno zoospermia
Severe terato zoospermia
and this is after 4 months of varicocele repair
Material status : 2 years
Sexual abstinence : 3 days
Time of collection : 5:50 pm
Time recevid : 5:56 pm
merhod of collection : masturbation
Physical examination
Volume : 2.9 ml
Ph : 8
Colour : grey - white
Viscosity : normal
Liquefaction : complete within 90 minutes
Microscopy examination :
Spermatogenic cells : 0-1 /HPF
Pus cell : 0-1 / HPF
Viabillity test : yellow eosin stain
Sperm concentration : 0000 / ml
Total count / ejaculate : XXXXXXXXX
Motilty :
Linear progressive
Time : GIV : high active 0%
: GIII : Active 40%
non linear 3%
Non progressive
Sluggish : 2%
Morphology
Normal : 23%
P in head : 14%
Abn . Head : 47%
Abn. Mid piece : 15%
Mixed abnormality : 1%
Sedimented cellular elemnts
neutrophilis few
Spermatocytes : +
Spermatides : ++
Comment & advice :
Moderate astheno terato zoospermia
fsh 7.9 mlU/ml
lh 4.3 mlU/ml
testosterone 17.18 nmol/l
prolactine 8 ng/ml
tsh 1.3 mlU/l
his semen culture shows
sensitivity to augmantin and amoxilline but dr said not important
do you think we should go for ivf ?
his semen culture show sensitivity to augmantine and amoxilline but dr said that isnt important
also i want to understand changes in ( spermatogenic cells , spermatocytes , spermatides ) before and after ?
Brief Answer:
Semen analysis
Detailed Answer:
Hi
The recent semen analysis does not show 2 improvements. Morphology should be 4 % which is only 2 %.
Motility is also in lower side.
Spermatids are a stage in development of spermatocytes. They are immature forms.
With such count you can still try with IUI treatment. IVF is not must. You can try 3 cycles of IUI before going for IVF.
Let me know if you have any more questions
REGARDS
DR. Mahesh Koregol
IVF& Infertility Specialist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


dr no
in recent semen analysis
Normal morphology is 23 % twenty three %
Sperm concentration : 0000 / ml
Total count / ejaculate : 250 mil
Linear progressive
high active 0%
Active 40%
Please inform us
Brief Answer:
good
Detailed Answer:
Hi
The new report is good. This report is good to conceive naturally. You can go ahead and try.
Get regular follicular growth scan to check egg development and try during days when follicle is about to rupture. Your doctor will guide you on this.
Also get your complete evaluation done including tubal patency test. If everything is normal and still you dont conceive go for IUI after 6 months.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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