What are the chances of pregnancy with teratozoospermia?
Patient's Query
Hello doctor,
We have been trying for a baby for the past two years. I am experiencing erectile dysfunction and have been advised to take Sildenafil 50 mg. I also have a vitamin D deficiency and am taking supplements for it, as well as supplements to address my low sperm count. Additionally, I have teratozoospermia.
Please advise, as we are planning for a second baby.
Hello,
Welcome to icliniq.com.
Please share your semen analysis report, as it will help evaluate the extent of your teratozoospermia. Without addressing teratozoospermia, the chances of pregnancy may be limited.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
I have attached my semen analysis report. Please review the reports and provide guidance, as we are planning for a second baby.
Hello,
Welcome back to icliniq.com.
Your results (attachments removed to protect the patient’s identity) indicate severe teratozoospermia, with only 2 percent of sperm being normal. While fertilization with defective sperm is possible, it increases the risk of birth defects. Ideally, treatment should start with complete abstinence from alcohol and smoking. Additionally, avoiding tight undergarments and trousers can improve blood flow to the organ and testis, which may help lower local temperature and support natural sperm production.
A sperm cycle lasts 90 to 120 days, so any treatment started today will produce fresh, mature sperm in about three months. Therefore, medical treatment should be continued for at least three months, followed by a repeat semen analysis. The treatment should include multivitamins and minerals, as well as Clomifene 50 mg daily. In your case, Astaxanthin should also be added, along with Coenzyme Q10, Lycopene, and Levocarnitine.
Therefore, I suggest you take a dietary supplement with vitamins, minerals, amino acids, and antioxidants once daily for the next 45 days. For erectile dysfunction, stress is often a major factor, and Sildenafil is recommended but should not be used daily or for extended periods. It should be started at a low dose of 10 mg, an hour before intercourse, preferably on alternate days for a week, after which you should reassess the situation. Adequate hydration is also crucial, with a minimum of 0.79 to 1 gallon of water intake daily. Follow this regimen for three months, and then a repeat semen analysis is advised.
I hope this helps you.
Thank you.
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