Q. Kindly check my semen analysis report for fertility.

Answered by
Dr. Purushottam Sah
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Sep 28, 2020

Please I need to check my semen analysis if i am able to conceive

#

Your count is 30-32 millions/ mL it should be more than 15. Total motility is 60-63 % it should be more than 40%. Normal morphology is 12-30% it should be more than 4%. Your motile sperm count is 18 million/mL or more. it should be 6 or more. So your semen analysis report is normal in both the reports. However you have pus cells in the first report 10-15/hpf for this you need to do semen culture and sensitivity test after which appropriate antibiotics will help you. I have read both the reports and there is no problem of fertility. I have given you the criteria accepted world over.

To improve your fertility you should take more of fruits and vegetables, cut down on smoking, alcohol, stay away from heat and chemicals, and dont use laptop on the laps. If you do then put it on a cushion on your lap. Also you should reduce weight, but dont take formulas.

But doctor, my forwar progressive is low. Isn't it?
# As per WHO 32% of 15 million - 4.8 millions/mL should be progressive motility.
In first report 45% of 32 million- 14.4 millions/mL are progressive.
In second report 49% of 30 millions- 14.7 millions/mL are progressive.
Furthermore it is outside body, examined after 30 minutes or more. During sex sperms enter vagina and and within 10-15 minutes reach the uterus and fallopian tubes. Also their motility increase inside the vagina and uterus.

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