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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is My Semen Report With Sperm Motility:Gr 1:19% Normal?

My husband's semen report
Days of abstinence 3days,
Method of collection Masturbation,
Time of collection 9am,
Color Grey,
Viscosity Normal,
Odour Nill,
Liquefaction Time 10min,
Volume 2.5ml,
pH 8,
Total Concentration 37million/ml,
Total Motile count in ejaculate 64.75million,
Spem motility:
Gr 1:19%
Gr2:46%
Gr3:05%
Gr4:30%
Morphology(Normal Forms) 09%
Pus cells:5-6/hpf
Epithelial Cells:1-2/hpf
Remarks:Teratozoospermia.Few pus cells seen

Please tell me is he having a problem?

Tue, 3 Jun 2014
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

Your husband's semen analysis report suggests infection with excess abnormal sperms.
Infection is indicated by the presence of pus cells in semen.Normally there shouldn't be any pus cells in semen.
Infection may be due to prostatitis,UTI etc.
He need antibiotics for infection.
He need few more investigation like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.
Proper antibiotics should be prescribed after culture and sensitivity report.

At least 16 %Sperms should have normal morphology.
Antiestrogens should be prescribed for abnormal morphology
If normal morphology is persistently low,then you may need assisted method fertilization like intracytoplasmic sperm injection (ICSI).

Other findings like sperm count,motility are within normal limit.

Get well soon.
Hope I have answered your question.

Take Care
Dr.Indu Bhushan
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Is My Semen Report With Sperm Motility:Gr 1:19% Normal?

Hello Thanks for writing to HCM Your husband s semen analysis report suggests infection with excess abnormal sperms. Infection is indicated by the presence of pus cells in semen.Normally there shouldn t be any pus cells in semen. Infection may be due to prostatitis,UTI etc. He need antibiotics for infection. He need few more investigation like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed. Proper antibiotics should be prescribed after culture and sensitivity report. At least 16 %Sperms should have normal morphology. Antiestrogens should be prescribed for abnormal morphology If normal morphology is persistently low,then you may need assisted method fertilization like intracytoplasmic sperm injection (ICSI). Other findings like sperm count,motility are within normal limit. Get well soon. Hope I have answered your question. Take Care Dr.Indu Bhushan