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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Semen Analysis Report Indicate?

I am 38 year old from pakistan. Here is my semen analysis. Physical Examination Colour Dirty White Total Volume 2ML Liquifaction Time 30 Min Reaction Alkaline Microscopic Examination Total Sperm Count 12 Million/ML Active Motile Spermatozoa 10% Sluggish Motile Spermatozoa 30% Non-Motile (Dead) Spermatozoa 60% Pus Cells 4-6 /HPF RBCs 1-2/ HPF Epithelial Cells Nill /HPF Please tell that is this report is normal for fertility or not. If not then what can i do.
Mon, 24 Oct 2016
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General & Family Physician 's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
The following conclusions can be drawn based on the semen analysis report you have furnished.
1. Volume of 2 ml is normal.
2. Colour should be whitish, but is dirty white.
3. Liquification time of 30 minutes and reaction (pH) of alkaline is normal.
4. Sperm count of 12 million/ml is less than normal (It should be more than 20 million/ml).
5. Sperm motility with 10% actively motile is below normal as it should be more than 50%.
6. Microscopy showing 4 -6 pus cells/HPF, 1 - 2 RBCs/HPF and Nil Epithelial cells indicates that there could be presence of mild infection.
Fertility index based on the above parameter findings seems to be low.
Kindly take medications containing L-carnitine, alpha lipoic acid, CoQ10, Lecithin, Vitamin E, Selenium and Zinc for 3 months, as these substances act as nutrient for the sperms.
You need to repeat semen analysis to know for the improvement.
Kindly consult Infertility specialist with the report for appropriate evaluation and management.
Hope the information provided would be helpful.
All the best.
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What Does This Semen Analysis Report Indicate?

Hi, Thanks for posting in HCM. I understand your concern. The following conclusions can be drawn based on the semen analysis report you have furnished. 1. Volume of 2 ml is normal. 2. Colour should be whitish, but is dirty white. 3. Liquification time of 30 minutes and reaction (pH) of alkaline is normal. 4. Sperm count of 12 million/ml is less than normal (It should be more than 20 million/ml). 5. Sperm motility with 10% actively motile is below normal as it should be more than 50%. 6. Microscopy showing 4 -6 pus cells/HPF, 1 - 2 RBCs/HPF and Nil Epithelial cells indicates that there could be presence of mild infection. Fertility index based on the above parameter findings seems to be low. Kindly take medications containing L-carnitine, alpha lipoic acid, CoQ10, Lecithin, Vitamin E, Selenium and Zinc for 3 months, as these substances act as nutrient for the sperms. You need to repeat semen analysis to know for the improvement. Kindly consult Infertility specialist with the report for appropriate evaluation and management. Hope the information provided would be helpful. All the best.