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Dear Doc,

Hi. I would like to share my semen analysis.Can I father a child with this result? My wife and I have been TTC for 2 years now. Is there an over-the-counter supplements I can use to help me improve morphology and motility?

Macroscopic Examination Result
1. Appearance: Yellowish
2. Liquefaction: <20
3. Viscosity: N/S
4. Volume: 2ml
5. pH: 8.1 (lab says ≥7.2)

Microscopic Examination
6. Concentration: 85million/ml
7. Motility 50% (Lab report says 40% normal)
a. Progressive: 24% (Lab report says 32% normal)
b. Non-progressive: 26%
8. Total Sperm Count: 170 million
9. Total motile sperm count: 85 million
10. Vitality: 54% (Lab report says 60% normal)
11. Morphology
a. Normal: 3% (Kruger’s Criteria Used, Lab report says ≥4% is normal)
b. Immature: FEW
12. Round Cells: 1.3 x 10^6/ml
13. White Blood cells(no./100 sperm cells): <5
14. Agglutination: 0
15. Debris: +1
Classification of Sperm: Mild Astheno-Teratozoospermia

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replied June 7th, 2011
Fertility Answer A23818

Welcome to the ehealthforum. In a normal sperm analysis, the Volume over 2 cc is normal. Your semen volume is 2 ml which is just borderline normal. Normal semen pH is 7.2-8.0. pH over 8.0 may indicate infection and pH in your case is 8.1

Motility is the percentage of moving sperm in a sample and an evaluation of their rate and direction of travel. At least 50% should be motile one hour after ejaculation and it is 40% normal motil sperms in your case in your case. Even the percentage of vitality in sperms is less than the normal. If greater than 1 million WBC per 1 ml are present, there is concern of infection.

So from your semen analysis report, oligoseprmia and infection needsto be ruled out. Oligospermia can be due to multiple causes and it is broadly divided onto pre testicular, testicular and post testicular causes. We need to identify the cause in your case first. My sincere suggestion would be to consult an infertility specialist and get a detailed evaluation. Once the cause is identified it will tell us whether you can have children in future or not.

I hope it helps. Take care and regards.

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replied July 30th, 2011
Sperm Analysis
My sperm analysis report shows volume 0.3 mL, concentration 56 million/mL, motility 43%, total motile sperm 7.22%, morphology 5%, wbc <1.0. Normal Parameters volume >2.0 ML Sperm concentration >20 million/mL, Motility >50%
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