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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Did Semen Analysis. Seen "Appearance Homogenous, Grey Opalescent". Sperm Concentration, Head Defects. Suggestions?

Hi there..
I just get my report back from my local doctor
And im doing semen analysis.
Im quite disappointed with my result here so I hope I can get some useful information/ solution to regain my problem.
Here is the results
Appearance homogenous, grey opalescent
Viscosity very high
Liquefaction normal
Semen volume 3.0
Ph 7.5
Sperm concentration 8.4
Total sperm count 25.2
Total motile sperm count 11.1
Motility 44%
Immotility 56.0%
Non progress 17%
Fair progression 27.0%
Rapid progression 0.0%
Normal form 1%
Abnormal form 99%
Head defects 99.0%
Midpiece defect 44%
Tail defects 20.0%
Cytoplasmic droplets 2.0%
Viability 50%
Agglutination negative
Aggregation negative
White blood cells 1.0

PLEASE explain me and any solution to solved my problem? Infection to cause this ?
We been trying to conceive more then a year..
Hope to get feed back from you pros.. thanks..
Mon, 27 May 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

The interpretation of your semen analysis is as follows:
1. The physical features- volume, color, viscosity, liquefaction and pH are within normal limits.
2. The sperm concentration is low. For normal conception, at least 20 million sperms should be present per ml of semen.
3. The motility of the sperms is only 44%. Normally at least 50% sperms should show active motility.
4. At least 50% sperms should have normal morphology. In your case conception is not possible with such low normal morphology.
5. The presence of white blood cells indicates infection of the genitourinary tract.

The infection needs to be treated with appropriate antibiotics.
After treating of the infection, semen analysis needs to be repeated.
If the results are similar to the current report after clearance of the infection, then there is no possibility of conception.

Thanks and take care
Dr Shailja P Wahal
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Did Semen Analysis. Seen "Appearance Homogenous, Grey Opalescent". Sperm Concentration, Head Defects. Suggestions?

Hello and welcome to HCM, The interpretation of your semen analysis is as follows: 1. The physical features- volume, color, viscosity, liquefaction and pH are within normal limits. 2. The sperm concentration is low. For normal conception, at least 20 million sperms should be present per ml of semen. 3. The motility of the sperms is only 44%. Normally at least 50% sperms should show active motility. 4. At least 50% sperms should have normal morphology. In your case conception is not possible with such low normal morphology. 5. The presence of white blood cells indicates infection of the genitourinary tract. The infection needs to be treated with appropriate antibiotics. After treating of the infection, semen analysis needs to be repeated. If the results are similar to the current report after clearance of the infection, then there is no possibility of conception. Thanks and take care Dr Shailja P Wahal