HomeAnswersAndrologydelayed conceptionMy wife and I are unsuccessful in conceiving. Why?

Any advice for couples trying to conceive unsuccessfully?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At August 6, 2018
Reviewed AtMay 6, 2024

Patient's Query

Hello doctor,

I got a semen analysis done and the results are 2.5 ml volume, 57 million per ml (142.5 million total), 47 % total motility, 8 % morphology (Kruger or Strict), 93% viability, pH, viscosity, and liquefication all are normal. What do you think of these results? My wife and I have been trying to conceive for 10 months and have not been successful yet. I am a 41-year-old male who is a non-smoker with a height of 6 feet and weight of 185 pounds.

Answered by Dr. Karthik Rajan

Hi,

Welcome to icliniq.com.

I would like to know a few more details to answer your query better. Do you have the entire report, if not, then at least the detailed report on motility? Has your wife been evaluated by a gynecologist? What is your line of work, is it sedentary, does it involve a lot of travel? Have you been examined by a doctor to find out any testicular abnormalities? The report of the semen analysis is normal according to the criteria at present, but this is just a structural test. It does not evaluate the function of the sperms which can be the cause of infertility. Since it has been only 10 months, I would suggest you keep trying as your results are normal and ask your wife to get evaluated as well.

Patient's Query

Thank you doctor,

I have attached the full report. I am in real estate and move around a lot. But do not travel much. I am active and exercise three times a week. My wife has been to a gynecologist and her progesterone level is low. She is currently taking Clomid on the first cycle this month. I have been examined by a urologist. He sees no abnormalities with the testicles.

Answered by Dr. Karthik Rajan

Hi,

Welcome back to icliniq.com.

I have gone through your complete report (attachment removed to protect patient identity). It is essentially normal. I would advise you to continue trying as it has only been 10 months. With normal reports and clinical examination, any further testing, if required, is done only if the couple are unable to achieve pregnancy after a year of regular unprotected intercourse. In your case, as everything else is normal, I would suggest you wait for another three to four months with your wife on Clomid (Clomifene) before proceeding further.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Karthik Rajan
Dr. Karthik Rajan

Urology

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