HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Does This Semen Analysis Report Indicate?

Posted on Sat, 13 Aug 2016

Question: Hi Doctor,

I am 34 year old, my wife is 45 year..I am 87 kg weight and 6ft tall...I got married on August 2014, my wife got pregnant 2 times, once in year 2012 dec and then in XXXXXXX 2014, first time she aborted it after 2 and half month, second time she aborted in 1 month time.

Now after marriage we are trying for a baby, as of now there is no positive result.

I have tested my semen analysis 2 times and first time results are
Total Ejaculate Millions      189 million,
Sperm Conc.(millions / ml)      105 mill/ml

Sperm Motility      1 Hr      2 Hrs
Total Progressive 40%      20%
Non Progressive       06%      08%
Immotile       54%      72%

Total motility
(Total Progressive + Non Progressive)     46%     28%

Rapid Progressive     00%
Slow Progressive      40%

Morphology
Normal Forms      05%
Over all Defects      95%

Head Defects      73%
Mid Piece and Neck Defects     20%
Tail Defects      02%

Second time result is

Total Ejaculate
(Millions) 471 millions

Sperm Conc.
(Millions/ml) 98 mill/ml

Sperm Motilty 1Hr 2Hrs
Total Progressive (a) 36% 18%
Non Progressive (b) 09% 05%
Immotile 55% 77%
Total motility (a+b)
(Total Progressive +
Non Progressive)
45% 23%

Rapid Progressive 00%
Slow Progressive 36%

Morphology %
Normal Forms 05%
Over All Defects 95%
Head Defects 71%
Mid Piece and Neck
Defects 17%
Tail Defects 07%

I have consulted 2 doctors and they said it is normal, one doctor said it is normal but you can take peternia to improve your semen quality for 1 month.

me and my wife went to infertility doctors and they straight away say my wife is 45 and chances are very less, and they say we can go for IVF.

since she conceived 2 times already before marriage, we are hoping it will happen again.

one doctor said defects in my semen is more so i should take another advanced semen analysis test , I am feeling depressed that because of me she is not getting conceived after marriage , please help me improve my sperm quality.

I also do walking for 4 km every day, apart from this no physical activity, professionally I am working in MNC.

About my wife she is getting regular periods even now, hoping god will answer us through any form and reaching you on this.

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
ICSI with PGS required

Detailed Answer:
Hi,

I understand your concerns about infertility.

Your semen analysis is excellent. You don't need any treatment.

It is difficult to have a successful pregnancy at 45 years as there are chromosomal abnormalities in the oocyte and embryo. Hence the resulting baby will have chromosomal defects and is likely to undergo abortion repeatedly as happened twice.

Best option is to undergo IVF / ICSI and PGS ( Preimplantation Genetic Screening). PGS is a process where in abnormal embryo is identified by doing embryo biopsy and tested for chromosomal abnormalities.

Only healthy and disease free embryos cam be transferred after PGS.

I hope your doubt is cleared.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Mahesh Koregol (2 hours later)

Hello Doctor,

Thanks for your reply, my question here is she aborted it willingly, abortion did not happened, at the time of abortion doctor said it is healthy and growing nicely even thought we did not want that child as we were not married by then.

I strongly feel there is something wrong in me that she is not getting pregnant even after 2 years of marriage, please help

I also took vita ex gold capsules several times during those 2-3 years time to keep good erection before marriage, and even now after marriage I took this capsules several times so is there a chances because of that medicine quality dipped in my semen, I also been diagnosed with high cholesterol on 2015 that is after marriage, no BP, no Sugar

Answered by Dr. Mahesh Koregol (7 hours later)

Brief Answer:
No problem with semen

Detailed Answer:
Hi,

I see no problem with your semen.

It was good chance she conceived healthy baby. It is difficult now. Women lose eggs very fast and becomes difficult to conceive.

Regards

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Mahesh Koregol (18 minutes later)

Hi Doctor,

One of doctor said damaged semen are more in your report and you can have peternia for 1 month, also another lady doctor said while we sent for IVF counselling that she will give some injection to boost my semen before IVF as there were more damaged semen as per your report.

Could you please advice.

Regards,
XXXX

Answered by Dr. Mahesh Koregol (5 minutes later)

Brief Answer:
Normal semen

Detailed Answer:
Hi,

Your semen report seems normal. I don't see any reason to worry.

There is no need of paternia or any other injections.

Regards

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Mahesh Koregol (37 minutes later)

Hi Doctor,

ok fine, can you please advice me some medicine for keeping long errection.

Regards,
XXXX

Answered by Dr. Mahesh Koregol (12 minutes later)

Brief Answer:
Erectile dysfunction

Detailed Answer:
Hi,

Medicines like viagra can be taken to achieve longer duration of erection. These medicines can only be used if there is erectile dysfunction. These medicines are not routinely recommended as there are.side effects.

Regards

Above answer was peer-reviewed by : Dr. Priyanka G Raj