Does low motility grade A sperm mean infertility?

Question

Hi doctor,

I have completed a sperm analysis. The gynecologist noted that the motility was low, specifically grade A. I have been taking a multivitamin supplement for the past month, although I was somewhat irregular with my medication. However, I am now following a strict schedule. The gynecologist recommended consulting a urologist to evaluate issues such as agglutination or pus cells. Could you suggest a line of treatment?

I do not smoke and only drink alcohol occasionally, about once a month, although this is not regular. I used to drink cold beverages but have stopped. I have also reduced my intake of junk food and now consume more fruits, vegetables, and non-vegetarian food. I sleep for seven hours each night, exercise regularly, and walk frequently.

Could you provide recommendations for addressing agglutination based on the analysis of my report?

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I would like to understand your issue better. Are you experiencing infertility? If so, how long has this been the case? Have you tried any other treatments before?

I have reviewed your report (attachments removed to protect the patient’s identity), and it seems normal in terms of quantity and motility. The clumping observed could be due to either an infection in the semen or the presence of autoantibodies, with infection being the most common cause. Therefore, I recommend that you undergo a semen culture and sensitivity test. If the test is positive, we will initiate antibiotic treatment based on the culture results. If the test is negative, we will start empirical antibiotics.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Six months is not considered a long time. Infertility is typically diagnosed after one year of unsuccessful attempts to conceive. So, try to relax and not worry too much. Culture and sensitivity are different tests, but they are related and will be performed on the same semen sample. You only need to request the semen culture and sensitivity test.

Answer 3

Hi,

Welcome back to icliniq.com.

Relax and try not to worry. Yes, I remember your consultation.

I recommended a semen culture and sensitivity test to check for agglutination and pus cells in the semen. According to your recent reports (attachments removed to protect the patient’s identity), your semen parameters are normal, and there is no agglutination. Although there are two to three pus cells present, the culture result is negative and not significant.

I suggest you wait, as it often takes normal couples one to one and a half years to conceive. There is no issue on your side. If you wish, you can have your wife checked by a gynecologist. Please try to stay calm and continue taking supplements.

Thanks and regards.

Answer 4

Hi,

Welcome back to icliniq.com.

Yes, continue taking the supplements for a total of three months, and then you can stop.

Answer 5

Hi,

Welcome back to icliniq.com.

It is good to hear that your semen quality has improved. For the agglutination and pus cells, I recommend taking Levofloxacin 500 mg twice daily for 10 days, followed by 500 mg once daily for 14 days. This is an empirical treatment as you are planning to conceive.

I hope this helps you.

Thank you.