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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes The Lowering Of Sperm Count Within 2 Months By 30%?

Hello Sir, i am from Afghanistan, i have tested my semen analysis 5 month before my active sperm was 45% but during taking medecin it becomes to 63 % and doctor said your now normal, but during this past two months i tried much to become father but no result today i went to chek the semen analysis this the report: Volume..=4.5 Ml, Colour=Grey, Consistency =Thick, Total sperm Count=68 million, active=35%, Sluggish=15%, Dead=50%, normal=60%, abnormal=40%, Leucocytes=02----04/ HPF, R.B.C= 02-----04/H PF, why the percentage of sperm is come down about 30% in two month? thanks in advance
Thu, 28 Jun 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I have gone through your history and semen analysis report. This semen analysis report shows that you have adequate sperm count for the fertilization but the problem is that 50% of your sperms are dead. With this much dead sperms the chances of fertilization is reduced. First of all I would like to know what medicine you were taking earlier to increase sperm count. Secondly I would advise you to get your scrotal color Doppler ultra sound of both testes to look at your testicular blood flow since varicocele (abnormal swelling of testicular veins) is not of the major cause of death of sperms within the testis.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes The Lowering Of Sperm Count Within 2 Months By 30%?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I have gone through your history and semen analysis report. This semen analysis report shows that you have adequate sperm count for the fertilization but the problem is that 50% of your sperms are dead. With this much dead sperms the chances of fertilization is reduced. First of all I would like to know what medicine you were taking earlier to increase sperm count. Secondly I would advise you to get your scrotal color Doppler ultra sound of both testes to look at your testicular blood flow since varicocele (abnormal swelling of testicular veins) is not of the major cause of death of sperms within the testis. Hope I have answered your query. Let me know if I can assist you further.