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What Is The Indication And Suggested Treatment For This Sperm Examination?
Method of collection : Manipulation Specimen produced at : 9.10 a.m
Spilage : Nil Specimen examined at : 9.40 a.m
Continence : 5 days Brought from home at : -
PHYSICAL EXAMINATION
Appearance : Milky white Transparency : Translucent
Self Liquification : Occurred In 20 Minutes Viscocity : Normal
Volume : 3 ml.
CHEMICAL EXAMINATION
Fructose : Positive PH : 7.5
MICROSCOPIC EXAMINATION
Sperm Count : The number of spermatozoa per ml : 0.1 Millions.
Total number of sperms per ejaculate : 0.3 Millions.
Viability : 2 % spermatozoa alive at the end of 1/2 hours
Motility of spermatozoa :(at 37 C)
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Nature of motility (W.H.O.) MacLeod After After
Grade 1/2 hours 2 hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
A Rapid Linear Progressive IV & III - % - %
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B Sluggish Linear Progressive II - % - %
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A+B Total Forward Progressive - % - %
--------------------------------------------------------------------------------------------------------------------------------------------------------
C Non Progressive I - % - %
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D Non Motile O 100 %
Spilage : Nil Specimen examined at : 9.40 a.m
Continence : 5 days Brought from home at : -
PHYSICAL EXAMINATION
Appearance : Milky white Transparency : Translucent
Self Liquification : Occurred In 20 Minutes Viscocity : Normal
Volume : 3 ml.
CHEMICAL EXAMINATION
Fructose : Positive PH : 7.5
MICROSCOPIC EXAMINATION
Sperm Count : The number of spermatozoa per ml : 0.1 Millions.
Total number of sperms per ejaculate : 0.3 Millions.
Viability : 2 % spermatozoa alive at the end of 1/2 hours
Motility of spermatozoa :(at 37 C)
------------------------------------------------------------------------------------------------------------------------------------------------------
Nature of motility (W.H.O.) MacLeod After After
Grade 1/2 hours 2 hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
A Rapid Linear Progressive IV & III - % - %
--------------------------------------------------------------------------------------------------------------------------------------------------------
B Sluggish Linear Progressive II - % - %
--------------------------------------------------------------------------------------------------------------------------------------------------------
A+B Total Forward Progressive - % - %
--------------------------------------------------------------------------------------------------------------------------------------------------------
C Non Progressive I - % - %
--------------------------------------------------------------------------------------------------------------------------------------------------------
D Non Motile O 100 %
Tue, 25 Mar 2014
Hello
This is severe oligo asthenospermia. The sperm count is very low. Causes could be varicocele, pyospermia or hormonal disturbance. the test should be repeated after 2 weeks to rule out any error. There should be a colour doppler of the scrotum and serum FSH to decide what further can be done. Culture and sensitivity to be done if there are pus cells.
DR SAATIISH JHUNTRRAA
This is severe oligo asthenospermia. The sperm count is very low. Causes could be varicocele, pyospermia or hormonal disturbance. the test should be repeated after 2 weeks to rule out any error. There should be a colour doppler of the scrotum and serum FSH to decide what further can be done. Culture and sensitivity to be done if there are pus cells.
DR SAATIISH JHUNTRRAA
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