What Does The Following Semen Analysis Report Indicate?

Posted on Sat, 10 Oct 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 10 Oct 2015 Answered on

Fri, 30 Oct 2015 Last reviewed on

Question : Hi, I have done my semen test yesterday, below are the findings.
Age- 33
Sperm count - 31mill/ml
Actively motile - 40%
Sluggishly motile - 40%
Non motile - 20%
Normal Forms - 80%
Epethelial cells - 01-02/HPF
Puss cells - 02-03/HPF,RBC - NILL
Fructose test - Positive.

Could you help with the understanding of fertility with the above numbers.

Regards,
XXXX

Answered by Dr. Matthew J. Mangat (39 minutes later)

Brief Answer:
Semen report is sub-optimal.

Detailed Answer:
Hello XXXXXXX and welcome to HCM.
The semen test should've been done after 2-3 days abstinence.
This report shows sub-optimal sperm motility,which should be more than 50-60%.
Your sperm count, and morphology(shape and size), is normal.
So repeat the semen analysis after a gap of 1-2 weeks, in a reputed lab.
Also, get blood hormone tests done,like FSH,LH,PRL,testosterone and an ultrasound doppler scrotal scan.
Do blood routine and sugar.
Your wife can have a gynecologist check-up done.
You're welcome to send these reports here for an expert opinion.
Wish you well.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj