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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Semen Analysis Findings Below Indicate?

Hello dr. My semen analys result ... Color - whitish. Reaction - alkaline . Volume - 2.0. Liquefaction time - more than 2 hour . Motility examination note - no spermatozoa seen in the provided sample . Ultrasound scrotum report . Both testis are normally positioned in the scrotum and are of normall size . Right testis measure 1.87*2.67*3.74 cm. left testis measures 2.05*2.88*3.72 cm. both testis show a uniform parenchymal echogenicity , smooth outlines and ebsence of any focal or diffuse lesion. Both epididymis are of normall size and echogenicity. The pampiniform plexus was examined using color Doppler before and after vasalva s maneuver . Dilated tortuous vessels are seen along the left spermatic cord and paratesticular region which increases in diameter from 2.16 mm to 3.1 mm on valsalva s maneuver . Right side pampiniform plexus show normal flow and vessel diameter befor and after valsalva . There is no avidence of hydrocele or hernia in both scrotal sacs. The inguinal region are normal with no evidence of lymphadenopathy . Impression : left sided varicocele. And my fsh : follicle stimulating hormon ----- result 17.7. Reference interval 1.5 - 12.4 Units mlU / ml.... Serum ( chemiluminescence ) LH:LEUTINIZING HORMONE - SERUM result 5.83 reference interval 1.7- 8.6 units mlU / mL PROLACTIN -SERUM result 14.99 deference 4.6 - 21.4 units ng/ mL TESTOSTERONE - SERUM result 310.00 reference interval 284.00- 800.00 units ng/dl. And my FNAC/ FNAB is also nil without any sperm factory is not working . Is any way to be is all fine and can be father? Tell me plz?
Mon, 18 May 2015
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Pathologist and Microbiologist,  's  Response
Hi, i did review your full question my friend. The root cause of all your problem seems to be varicocele. It is a common cause of infertility these days in man. It occurs due to dilated veins draining blood from testis towards heart. What happens next is that temperature of testis and scrotum rises above the normal they should be in and sperm production is affected reflected by your low normal testosterone levels and high FSH levels as a secondary response. I would advice you to consult a surgeon and get a surgery done for varicocele and many patients do exhibit reversal of sperm production in a month or two, but it is not a 100% reversal chance but a fair chance. Another option is TESA (testicular sperm extraction) but first one should be surgery.
i hope this helps.
Wish you good luck and all the happiness in world.
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What Does My Semen Analysis Findings Below Indicate?

Hi, i did review your full question my friend. The root cause of all your problem seems to be varicocele. It is a common cause of infertility these days in man. It occurs due to dilated veins draining blood from testis towards heart. What happens next is that temperature of testis and scrotum rises above the normal they should be in and sperm production is affected reflected by your low normal testosterone levels and high FSH levels as a secondary response. I would advice you to consult a surgeon and get a surgery done for varicocele and many patients do exhibit reversal of sperm production in a month or two, but it is not a 100% reversal chance but a fair chance. Another option is TESA (testicular sperm extraction) but first one should be surgery. i hope this helps. Wish you good luck and all the happiness in world.