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What Does My Semen Analysis Report Indicate?

Posted on Mon, 13 Oct 2014

Question: hi i am from XXXXXXX i had done semen analysis today.my report says
total sperm count 20ml/ml and

Rapid Progressive (Grade IV)15 %
Slow Progressive (Grade III) 35%
Non-Progressive (Grade II)10%
Immptile(Grade I) 40%

Answered by Dr. Vivek Chail (1 hour later)

Brief Answer:
There is improvement in latest report

Detailed Answer:
Hi,
Thanks for writing in to us.

The normal reference semen analysis values as per WHO criteria followed internationally is as following

Complete ejaculate 2.0-5.0cc Liquefies in 20-25min
Rapid progressive Class A >25%
Progressive Class B >25%
Non progressive Class C <50%
Immotile or static Class D <50%

The new report done on 20-09-2014 says, your values are exactly 50 % each and can be considered borderline normal for motility.
As sperm count is 20 million per ml, oligozoospermia has been mentioned.

This states that your sperm are at lower limits of normal. There is improvement from semen analysis done on 09-08-2014. Please continue treatment and follow instructions of your doctor.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vivek Chail (12 minutes later)

Hi doctor XXXXXXX thanks for the reply,I have a small doubt shall I consider class a rapid progressive and rapid progressive (grade iv) same also slow progressive (gradeiii) and as per your answer class b progressive same,second doubt I can improve further and can get a baby naturally is there a chance in future or ivf:icsi/iui are the only options for me,third and most importantly I have forgotten to attach my scrotum ultrasound report which I had sent through mail to ur Customercare team.so plz lemme know detailed answer anything to be treated further as per my testicle report

Answered by Dr. Vivek Chail (1 hour later)

Brief Answer:
Please consult urologist also

Detailed Answer:
Hi Mohammedshamil83,
Thanks for writing back with an update.

The ultrasound scrotum report is showing left side varicocele. There is little pooling of blood in the veins of your scrotum on left side and this can cause low sperm count. You might consult urologist and take treatment. If required a kidney ultrasound can be done.

If your sperm count increases further, then normal method of having a baby can be achieved.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar