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Can semen analysis indicate infertility?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My liquefication time is 30 minutes; abstinence is three days; appearance is grey opalescent, consistency is normal, pH is 8, agglutination is nil with seminal volume of 2 ml, sperm concentration of 77 million/ml, morphology of 40 %, progressive motility of 40 % and rapid progressive of four percent. How bad is the semen analysis report? (I tried it for ten months but had no luck). Please help.

Thank you.
Answered by Dr. Purushottam Sah

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

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Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

The semen report is normal. Sperm concentration should be 15 million/ml, morphology 4 %, and progressive motility 40 %. Now read this: Infertility can occur due to many reasons. Several tests of both partners are done, including but not limited to semen analysis, blood tests, and ultrasound.

Depending on the reports, treatment is decided. Sometimes all the reports are normal, it is called unexplained infertility. It is still treated empirically. The results of treatment are uncertain. Yet our treatment is cheap and does not include assisted reproductive technologies like IUI (intrauterine insemination), IVF (invitro fertilization), or ICSI (intracytoplasmic sperm injection).

To improve your fertility, you should eat more fruits and vegetables, cut down on smoking and alcohol, stay away from heat and chemicals, and not use the laptop on your lap. If you do, then put it on a cushion on your lap. Also, if obese, then you should reduce weight but do not take formulas. So, your wife's reports are also needed.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Medically reviewed by Dr. Divya Banu M
Published At July 2, 2020
Reviewed At August 26, 2024

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

Dr. Purushottam Sah
Dr. Purushottam Sah

Obstetrics and Gynecology

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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