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What Does This Semen Analysis Report Indicate?

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Posted on Wed, 8 Jun 2016
Question: Hi, I have done Semen Analysis test today and found below result, kindly help us what to do and the reason of problem

Volume 0.5 ml
Color: Greyish White
Reaction / Ph: Alkaline (8.0)
Viscocity : Viscid, Opaque
Liquification time : 1hr 30 min
Sperm Count : 60 millions/ml
Agglutination : Present
Progressive Motility : 50%
No Progressive Motility : 20%
Non Motile : 30%
Morphology -Normal Forms : 20% and Abnormal Forms: 80%
Pus Cells : 2-4/HPF
Epithelial Cells 1-2/HPF
Spermatogenic Cells : NIL
RBC : NIL
Seman Fructose : Present
and My Thyroid Tests Results as follows, i want to confirm whether thyroid is the reason for problems in Semen Analysis tests? Please guide me how to ride of all these problems, presently I am using Eltroxin Tablets of 75mg from 2 years onwards. Below is the 10/04/2016 Results

Total T3 : 0.67 ng/mL

Total T4 : 5.50 µg/dL

TSH : 10.42 µIU/mL
doctor
Answered by Dr. Dr. P. T. Patil (4 hours later)
Brief Answer:
Yo u need to take antibiotics .

Detailed Answer:
Hello
Thanks for your query ,based on the report of your Semen Analysis that you have posted I would comment on it as detailed below .

Most of the parameters like sperm count,motility ,reaction and colour etc are normal but following abnormalities are detected
1) Liquefaction time is higher than normal (Normal range is 30-45 minutes)
2) Agglutination of sperms denotes presence of sperm antibodies making sperms to clump together
3) Morphological characters suggest abnormality of major fraction of sperms (80%)(Terratospermia) which could be secondary to infection reflected as presence of 2-4 pus cells .

As regards Thyroid Hormone assessment you have hypothyroidism which is well treated and can not be cause for sperm abnormalities .

You need to take broad spectrum antibiotic like Doxicycline twice daily for 4-6 weeks .

Repeat semen analysis after completion of treatment .

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (1 hour later)
1) I going to marry within a week or 10 days and my age is 34, i am worried of the infection while meeting my partrner. Please suggest me on this.

2) Doxicycline - Medicine for what? it is for sperm or for hypothyroidism ? Presently I am using Eltroxin 75mg for thyroid

3) Please tell me the reason behind infection in sperm,so that i will be care full in future

i.e want to know that hypothyroidism caused infection in sperm/semen ? or something else

4) Suggest me curing both with less money or tablets, because i cannot go for higher treatment as i am poor and request you to kindly give guidance keeping in mind as i am going to marry in 8-10 days.

Please write medicines clearly.
doctor
Answered by Dr. Dr. P. T. Patil (15 minutes later)
Brief Answer:
Hypothyroidism is not a cause for infection `

Detailed Answer:
Hello
Thanks for follow up .

1) Start treatment from Today and get married .It will not have any negative effect on your sexual life after marriage .

2) Doxicycline is an antibiotic to treat infection .You have to continue Thyroxine for hyperthyroidism .

3) It is a bacterial infection and precise cause can not be determined ,it may result from habitual and frequent masturbation or may be secondary to UTI.,

4) Both these medications are not costly and poorest of poor can afford to buy them .

5) With treatment suggested above you are bound to get cured .

6)Practice safe and protected sex using condom in early sexual life .

Thanks and Regards.
Dr.Patil.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (13 minutes later)
Thanks for your valuable suggestions:

Please tell me Doxicycline medicine doses and after meals or before meals

and i am leaking every week twise in my sleeping may be that caused infection i think

as you suggested i will continue Eltroxine 75mg for thyroid along with Doxicycline.

please tell doses of Doxicycline and Doses or company if it matters
doctor
Answered by Dr. Dr. P. T. Patil (27 minutes later)
Brief Answer:
Take Doxicycline twice daiy .

Detailed Answer:
Thanks for follow up .
Reread my earlier reply carefully to know about doses etc.
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10590 Questions

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What Does This Semen Analysis Report Indicate?

Brief Answer: Yo u need to take antibiotics . Detailed Answer: Hello Thanks for your query ,based on the report of your Semen Analysis that you have posted I would comment on it as detailed below . Most of the parameters like sperm count,motility ,reaction and colour etc are normal but following abnormalities are detected 1) Liquefaction time is higher than normal (Normal range is 30-45 minutes) 2) Agglutination of sperms denotes presence of sperm antibodies making sperms to clump together 3) Morphological characters suggest abnormality of major fraction of sperms (80%)(Terratospermia) which could be secondary to infection reflected as presence of 2-4 pus cells . As regards Thyroid Hormone assessment you have hypothyroidism which is well treated and can not be cause for sperm abnormalities . You need to take broad spectrum antibiotic like Doxicycline twice daily for 4-6 weeks . Repeat semen analysis after completion of treatment . Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you . Thanks and Regards. Dr.Patil.