Will asthenoteratozoospermia make conception difficult?

Question

Hello doctor,

I am a 32-year-old male who has been married for five years. My wife and I have been trying to conceive for the past two and a half years without success. My wife has undergone an HSG (hysterosalpingogram) and other tests, and her reports are all normal. My semen analysis was also fine. We have tried IUI (Intrauterine insemination) three times, but unfortunately, it has not worked.

Four days ago, I underwent a computer-assisted semen analysis, and the results were quite alarming. I was diagnosed with asthenoteratozoospermia. I have attached my detailed report for your review. Could you please advise me on the likelihood of becoming a father under these circumstances?

Two years ago, I had Doppler scrotal, anti-sperm antibody, and testosterone tests, all of which were normal. Should I consider taking zinc or vitamin supplements? What are my chances with ICSI (intracytoplasmic sperm injection)? Should I undergo any chromosome-related screening tests?

I would appreciate your advice.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have reviewed your reports (attachments removed to protect the patient’s identity). According to your report, you have asthenoteratozoospermia and there are also pus cells present. I recommend the following steps:

Get a semen culture done to rule out any infection in the semen, as this could be contributing to asthenoteratozoospermia.
Consider taking supplements to improve fertility.
Given that your wife's reports are normal, there is a good chance that she may conceive with ICSI (intracytoplasmic sperm injection). However, it would be advisable to try ICSI after three months.
If an infection is detected in the semen culture, you will need to take antibiotics.
Additionally, antibody tests such as MAR (mixed antiglobulin reaction) or IBT (immunobead test) are recommended to identify the exact cause of the issue.

I hope this helps.

Thank you.