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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should The Fertility Test Be Repeated?

40yr old. Had a fertility test 2.5 years ago (results normal) but have had significant psychological trauma since then and continues now. I gave a sample again this week (extreme stress during abstinence also) and the comparison is as follows: Then: volume 5.0, concentration 31, normal 18%, motility (40% rapid, 20%, 20%, 20% imotile). Now: volume 4.5, concentration 14, normal 19%, motility (5% rapid, 5%, 40%, 50% imotile). I discovered last year that I have varicocele but otherwise had no other known physical obstacles or injuries. Is this massive loss normal in such a short period? Should I repeat the test? Can it be the stress? Is it temporary or permanent? Thank you, Tom J
Mon, 25 Jan 2016
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General & Family Physician 's  Response
Hi, varococele treated surgically because it can lead to infertility.Here massive change in second result , so I will advise repeat test for making sure of second result.thanks
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General Surgeon Dr. Kunal Kapoor 's  Response
Hi
thanks for your query
As in your case I suggest you to:
1. repeat semen analysis
2. scrotal examination to be done to look for varicocele and testicular size
Generally varicocoel may lead to abnormal semen analysis and testicular failure in severe cases and may improve the condition after varicocele surgery. so kindly consult your urologist.
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Should The Fertility Test Be Repeated?

Hi, varococele treated surgically because it can lead to infertility.Here massive change in second result , so I will advise repeat test for making sure of second result.thanks