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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following Semen Analysis Report Suggest?

Hi doktor. My husband has sperm count of 6million/ml and 5% progressive motility. He also found positive VDRL. Moreover his blood identified with treponema pallidum particles (DETECTED)and RPR is reactive. Could u pls explain on this? Is that any posibility for pregnancy? Will the born child will be handicapped/mentally retarded?
Thu, 1 Dec 2016
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
The following conclusions can be drawn based on the semen analysis report of your husband you have enclosed.
1. Sperm count of 6 million/ml is less than normal (Normal should be more than 15 million/ml).
2. Sperm motlility of 5% is extremely low (Normal should be more than 60%).
Hence, presently the fertility index seems to to be very low.
Moreover, his VDRL is positive and RPR is reactive.
The venereal disease research laboratory (VDRL) test is designed to assess whether or not disease syphilis is present, which is a sexually transmitted infection (STI), caused by the bacteria Treponema pallidum.
Rapid plasma reagin (RPR) test refers to a type of rapid diagnostic test that looks for non-specific antibodies in the blood, which may indicate the presence of syphilis infection.
Presently, he needs to take proper treatment by taking a course of appropriate antibiotics to get rid of syphilis.
Following this, he needs to undergo retesting for syphilis and undertake semen analysis, based on which other things can be concluded.
Hope the information provided would be helpful.
All the best.
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What Does The Following Semen Analysis Report Suggest?

Hi, Thanks for posting in HCM. I understand your concern. The following conclusions can be drawn based on the semen analysis report of your husband you have enclosed. 1. Sperm count of 6 million/ml is less than normal (Normal should be more than 15 million/ml). 2. Sperm motlility of 5% is extremely low (Normal should be more than 60%). Hence, presently the fertility index seems to to be very low. Moreover, his VDRL is positive and RPR is reactive. The venereal disease research laboratory (VDRL) test is designed to assess whether or not disease syphilis is present, which is a sexually transmitted infection (STI), caused by the bacteria Treponema pallidum. Rapid plasma reagin (RPR) test refers to a type of rapid diagnostic test that looks for non-specific antibodies in the blood, which may indicate the presence of syphilis infection. Presently, he needs to take proper treatment by taking a course of appropriate antibiotics to get rid of syphilis. Following this, he needs to undergo retesting for syphilis and undertake semen analysis, based on which other things can be concluded. Hope the information provided would be helpful. All the best.