What Does The Sperm Test Report Indicate?

Posted on Thu, 7 May 2015

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

Thu, 7 May 2015 Answered on

Sat, 23 May 2015 Last reviewed on

Question : Hello Sir,
I am 36 years old and my wife is 29. We are trying to have baby for past 6 months. My semen tests were done and found to have low motility.
Sperm Count - 44 million/ml
Motility
Active motile: 5%, Sluggish motile 15%, Non-motile 80%
Morphology
Normal - 60%
Abnormal - 40%
Others
Pus Cells - 1-2 /HPF
RBC - 1-2 /HPF
Epithelial Cells - Occassional
Doctor have advised me to take the following medicines for 3 months. Could you please provide your suggestion if it is fine to take the below medicines for 3 months:
1) Fertisure M (Twice daily)
2) Clome 25 (once daily)
3) Tentax Royale (Twice Daily to be continued for more than 3 months)
4) Hucog HP 5000 injection (Weekly once for 3 months)
Suddenly for past 1 week , I am having erection problems and doctor suggested below:
Penegra 50 mg (when required).
Kindly request your valuable suggestion.

Answered by Dr. Dr.Saatiish Jhuntrraa (46 minutes later)

Brief Answer:
GET THE FOLLOWING TESTS DONE

Detailed Answer:
Hello
Thanks for query
I am sorry to differ on treatment given. You have reduced motility called Asthenospermia. This can be due to infection , presence of antibodies and varicocele. In such cases, I wish to determine the cause first before prescribing medications. Therefore my suggestions will be
1- Please get a second semen analysis from a different good pathology lab after 2 days abstinence.
2- Please get a sperm antibodies test
3- Get a colour doppler of scrotum from a good pathologist to fing the diameter of vein in Pampiniform plexus.

These type of problems are treatable most of the times.

Dr Saatiish Jhuntrraa

Above answer was peer-reviewed by : Dr. Prasad