Why Am I Not Successful I Have Been Trying For Pregnancy Since 10 Months?

Posted on Mon, 26 Apr 2021

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

Mon, 26 Apr 2021 Answered on

Fri, 10 Jan 2025 Last reviewed on

Question : Hi Doctor,
I have been trying for pregnancy since 10 months, in vain,
I thought to get myself tested to know if there is any problem. Blood tests have come out normal but I am not sure of how to interpret the semen analysis report.

I got the test done from an andrology lab who deal specifically with these kind of stuff.

Below are the results

Volume : 1.8 ml
Liquefaction time : 20 mins
Viscosity : Normal
Appearance : Grey- Opaque
pH : alkaline

Sperm concentration : 34 mil / ml
Total count : 61.2 million
Total motility : 53%
——— Progressive: 39%
——— Non- Progressive : 14%
——— Non motile : 47%

Morphology
Normal : 2%
Abnormal : 98%
Head defects : 38%
Neck and mid-piece defects : 42%
Tail defects : 18%

Cell debris : Present
Leukocytes : Occasional
Epithelial cells : Occasional

IMPRESSION : TERATOOZOOSPERMIA

I am quite worried with the test result, Is there any problem with the above test. What is this teratozoospermia?
Do I really need to worry about teratozoospermia and any treatment available doctor ?

Hope to get a reply soon.
Thanks and appreciate it,

Answered by Dr. Mahesh Koregol (7 hours later)

Brief Answer:
Teratospermia is not s problem

Detailed Answer:
Hi,

I understand your concerns about teratospermia.

Teratospermia means abnormal morphology of sperms which may have defects in head, body or tail of sperms.

However it is good to see there are 2 percent normal sperms which are good enough for pregnancy. 2 percent of 61.2 million is enough good number of sperms to get pregnant.
Hence I dont think you need to worry about it and moreover there is no definite treatment or solution for teratospermia.

I think you need to evaluate your wife also for infertility. If already done, please attach reports of your wife. Your teratospermia is unlikely to be reason for infertility.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Mahesh Koregol (3 days later)

Thanks and really appreciate your reply doctor.

Had last few more questions doctor, sorry to bother you.
1. Is Doppler test of testes or scrotal scan mandatory in such case? Or only ultrasound would be enough. I had read it some where.
2. How does weight play a role in the sperm morphology figures, since I am obese and currently weigh 115 kgs (having lost 10 kgs till date). Is it clinically right to say if I reduce weight and maintain a healthy lifestyle, can things turn around. Or is it more of genetics which I have to live with.
3. And these are my testosterone parameters: are they normal?
Free testosterone : 7.14 ng/dL (Ref : 5.7 - 17.8 ng/dL)
Bioavailable testosterone : 164 (Ref : 125.5 - 411.8 ng/dL)
Free Androgen index : 41% ( Ref : 35.9 - 92.6% )

Sorry to bother you.
Would appreciate your reply. Thanks a lot again.

Answered by Dr. Mahesh Koregol (10 hours later)

Brief Answer:
Weight loss will help

Detailed Answer:
Hi,

Looking at your reports, You dont need doppler or ultrasound scan.
Weight loss will definitely help in improving sperm parameters. Please do concentrate on weight loss. Genetics is a possibility which cannot be altered.
Hormone reports attached are fair enough. Nothing to worry.

Regards

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