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Semen Analysis Interpretation
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FAITH26 posted:
My hudband and I have been trying to concieve for over 3 years. Attached are his SA results. Please provide hep on interpreting. Thank you


ANALYSIS TIME, SEMEN
11:42


SEMEN VOLUME
2.0
>1.9
mL
SPERMATOZOA, NORMAL %
4
>29
%
WBC COUNT, SEMEN
<=1
<=1

SPERM COUNT, SEMEN
5
>19
M/mL
SPERMATOZOA, IMMOTILE %
54

%
SPERMATOZOA, NONPROGRESSIVELY MOTILE %, SEM FLD
33

%
SPERM SLOW PROGRESSIVE %, SEMEN
2

%
SPERM RAPID PROGRESSIVE %, SEMEN
12

%
SPERM, PROGRESSIVELY MOTILE, TOTAL, SEMEN
1
>59
MILL/SPEC
Reply
 
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amyaalc responded:
Thanks for the full report and I see a couple alarming numbers.

Low sperm count and progressive motility would be the two top concerns. He has low testicular output, sperm production, and low sperm quality.

These need to be addressed by an Urologist to see if his hormones are out of balance causing testicular failure, if he has genetic causes for low fertility, lifestyle exposures such as chemicals medications drugs or heat that could be a cause, or a varicocele needing repair to help boost production and motility.

Pregnancy is possible but your chances are low based on these numbers and likely the reason you have not achieved pregnancy over the past 3 years.

The focus needs to be on improving the male factor fertility.

Amy Perkins, MS, TS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal
 
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FAITH26 replied to amyaalc's response:
Thank you for the response Amy!!! THe Dr ordered my husband to re-take the analysis as well as some testosteron bloodwork. The analysis came back the same and the results for the bloodwork are as follows, not sure what they mean:


TESTOSTERONE, TOTAL
573.9
FSH
7
LH
6.7


We have an appointment to meet with the Dr. to discuss the results and the next plan of action if any. Per the nurse, the next step is to see the Urologist as you suggested. We are praying and trusting God that all will work out and we will be able to concieve a child as this is super emotional. Thanks again!
 
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amyaalc replied to FAITH26's response:
Hormone levels look okay so working with the urologist to see what is next is the right step. Keep us posted.

Ask the Urologist if Clomid, clomiphene citrate, is an option for boosting his production.


Amy


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