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What Does My Semen Analysis Test Report Indicate?

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Posted on Tue, 22 Sep 2015
Question: Dear Sir,

Please refer my attached Semen Analysis:-
And My Rapid Sperm motility is 20 %.
Can you please tell me these report is possible to fertile.
And how much minimum required Motility for fertility.

doctor
Answered by Dr. Mohammed Taher Ali (2 hours later)
Brief Answer:
Fertility may be possible.

Detailed Answer:
Dear XXXX, Hi

I appreciate your concern for the result of semen analysis.
I have gone through the uploaded results.

As per WHO guidelines:

1. The total number of sperms in the ejaculate should be at least 40 million
2. At least 30% of the sperms should be of normal shape and form
3. At least 25% of the sperms should be swimming with rapid forward movement.
4. At least 50% of the sperms should be swimming forward sluggishly.

However in view of your high sperm counts, fertility may be possible despite of having low rapid motility.

Hope to have answered your query.
Should you need more clarification, please feel free to send your follow-up query.
Best regards.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Mohammed Taher Ali (20 minutes later)
As per the guide Lines shows 25% of Sperm Should be Rapid Forward Movement for 40 Ml.I Have 80 Ml so my 20% is going to 40% Right?

Means:
Required = Motile Sperm Required = 40ml *25% = 10 ML.
Actual = Motile Sperm = 80ml *20% = 16 ML.

doctor
Answered by Dr. Mohammed Taher Ali (59 minutes later)
Brief Answer:
The overall motility is low

Detailed Answer:
Dear XXXX, Hi

Thanks for your query.

The normal values given in the previous reply were as per the WHO guidelines.
The sperms motility in your result is low but since the count is within the normal range, so fertility might be possible.

Following measures can be useful in increasing the motility of the sperms:

Avoid smoking and alcohol (if you are smoking/taking)
Eat vitamin & anti oxidant rich foods like orange, tomatoes, lime to lower sperm defects and increase sperm motility.
Take dry fruits like walnuts, almonds, melon seeds etc which are rich in polyunsaturated fatty acids required for the production of the sperms.
Make sure to ejaculate at least twice a week that keeps your testosterone levels high and your sperm production & motility at its best.

Hope these measures could be of great help in increasing the motility of the sperms

Best regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Mohammed Taher Ali (25 hours later)
Whats is the Normal Range of PUS Cells in Sperm and why it is coming ?
doctor
Answered by Dr. Mohammed Taher Ali (2 hours later)
Brief Answer:
Normal range of pus cells is 0 - 5 /HPF

Detailed Answer:

Dear XXXX, Hi

Thanks for your query

The normal range for the pus cells in the semen is 0-5/HPF.
High count of pus cells is suggestive of infections in the testes, prostate, or seminal vesicles.

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

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Mohammed Taher Ali

General & Family Physician

Practicing since :1988

Answered : 6261 Questions

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What Does My Semen Analysis Test Report Indicate?

Brief Answer: Fertility may be possible. Detailed Answer: Dear XXXX, Hi I appreciate your concern for the result of semen analysis. I have gone through the uploaded results. As per WHO guidelines: 1. The total number of sperms in the ejaculate should be at least 40 million 2. At least 30% of the sperms should be of normal shape and form 3. At least 25% of the sperms should be swimming with rapid forward movement. 4. At least 50% of the sperms should be swimming forward sluggishly. However in view of your high sperm counts, fertility may be possible despite of having low rapid motility. Hope to have answered your query. Should you need more clarification, please feel free to send your follow-up query. Best regards.