What Does The Following Sperm Analysis Report Indicate?

Posted on Thu, 23 Jul 2015

Question: Hello XXXXXXX
i have done the sprem analysis, below is the report
SPERM CONCENTRATION     15.0     millions/ml     >=15
LEUCOCYTES     0.4     millions/ml     <1.0
ABNORMAL PRINCIPAL PIECES(%)     12.0     %
NORMAL FORMS(%)     7.0     %     >= 4.0%
ABNORMAL MIDPIECES(%)     15.0     %
Sperm Total Count     67.5     Millions Per Ejaculate     >=39
B(NON-PROGRESSIVE MOTILITY)     15.0     %     GRADE A & B 40%
EXCESS RESIDUAL CYTOPLASM(%)     10.0     %
VITALITY:     89.0     %     >= 58%
Volume     4.5     mL     >=1.5 ML
PH     8.0     -     7.2 TO 7.8
A (PROGRESSIVE MOTILITY)     38.0     %     GRADE A 32%
C(IMMOTILE)     47.0     %
ABNORMAL HEADS(%)     56.0     %

Answered by Dr. Matthew J. Mangat (2 hours later)

Brief Answer:
Semen shows sub-optimal sperms in report.

Detailed Answer:
Hello XXXX and welcome to HCM.
Giving opinion of semen analysis of 1 test only.
A sperm density of 20 million /ml.is needed for pregnancy.Your count is 15mill/ml.
Progressive motility A- should be more than 50-60% for a better chance for pregnancy. Your report shows 40 %.
Normal sperm shapes should be more than 60-7-%. Report shows < 55%.
In summary, the report shows sub-optimal sperms in the semen.
A further clinical examination, with an Urologist, to look for Varicocele and examination of genitalia is needed. A 2nd semen test after a gap of 6 weeks from first,and no intercourse for 2 days prior to semen test is needed.
You should do an Ultrasound doppler scan of the scrotum a blood FSH,LH,TESTOSTERONE, hormonal test will complete the tests.
If you contact me with the reports, i'll give you an expert opinion about treatment.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar