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Is this semen analysis good?

My morphology rate went up from 1% to 3%. Since my count is so high, is this 3% rate good enough to have a better chance of conceiving without intervention?

Prewash results:
Volume: 2.5 mL
Total number of sperm: 108.75 million
Total Motile: 67.97 Million
Morphology 3%

Postwash results:
Volume .5 mL
Total number of sperm: 24 Million
Total Motile: 19.74
Morphology: 4.5%
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replied April 30th, 2011
Hi,
Welcome to ehealthforum,
You need to provide the complete semen analysis results (done as per these parameters). The World Health Organisation (WHO) provides a definition for a 'normal' semen analysis. The significance of each parameter and the normal value is as below.
1) The count or the concentration of sperms present in the semen is important as it determines how much of sperms are released in each ejaculation. The concentration of spermatozoa should be at least 20 million per ml. Less counts usually indicate possibility of obstruction or infection. (Your counts seems to be within normal limits).
2) The semen at the time of ejaculation is like a thick gel. It has to get liquefied to enable sperms to swim or to be motile. It takes about 20 minutes for normal semen to liquefy. The liquefaction time measures this time needed for semen to liquefy. Abnormally long liquefaction time indicates infection. It should not be more than 60 minutes in any case.
3) The volume of the ejaculate tells about how much of semen is present in each ejaculate. The total volume of semen should be at least 2ml (between 1-6.5 ml is considered to be normal). Lesser volume of ejaculate may indicate retrograde ejaculation, partial or incomplete obstruction in seminal vesicles, enlarged prostate gland, presence of varicocele, hydrocele etc. Causes for obstruction in such cases should be looked for and treated soon as it helps to improve fertility levels. (Your volume of 2.5 ml is within normal limits).
4) In a normal ejaculate, at least 75% of the spermatozoa should be alive (it is normal to have up to 25% of sperms as dead). Dead sperms could indicate possibility of high acidity or obstruction or infection.
5) In a normal ejaculate, at least 30-40 per cent of the spermatozoa should be in normal shape and form. Abnormal sperms may not be able to swim well or penetrate the egg to fertilize it.
6) In a normal ejaculate, at least 25 per cent of the spermatozoa should be swimming with rapid forward movement. The motility is graded, grade 4 being the highest forward progressive motility and grade 1 being immotile and fail to move sperms. Grade 3 and 4 are considered to be normal to be able to father a child. At least 50 per cent of the spermatozoa should be swimming forward, even if only sluggishly (grade 3-4). The faster they swim up, the sooner they can get out of the acidic environment of vagina to find the egg (the chances of fertilization increase).
7) The pH of the semen measures how acidic or alkaline it is. Acidic pH indicates blockage and alkaline pH indicates infection.
8) Presence of white blood cells in ejaculate is not normal. It indicates infection.
9) Fructose levels measure the amount of sugar known as fructose in semen. This provides the energy that they need to be motile and swim. Lower values could be due to infection or obstruction.
Compare your complete semen analysis results with these parameters. Visit your doctor/urologist for further clarification.
Have a good diet with foods rich in zinc as it helps in better maturation of healthy eggs and sperms. All the best.
Take care.



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