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Family Medicine (Expert Forum)
Sperm Quality
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.
Sperm Quality
by osiag, Jan 13, 2006 12:00AM
My sperm count 33 million per mL. Motility - 41% (Normal range is 50-80%). Morphology is only 3%. I am not sure how 41% could be swimming well if only 3% are properly formed. One way to view thus is that my fertility would be very low because virtually all of my sperm are malformed. Is that the proper view? If a sperm is malformed, how likely is it to cause conception vs a normal morphology sperm? 50% as likely? 10%? etc? Who bad is my fertility based on what I have conveyed?
I had abstained 3 days. However, on the one hour car ride to the testing site. I was sitting on a seat warmer for the full length of the ride. Could the heart have affected the test? If anything, I would have thought that the heat may have affecting the swimming but not morphology?
I had abstained 3 days. However, on the one hour car ride to the testing site. I was sitting on a seat warmer for the full length of the ride. Could the heart have affected the test? If anything, I would have thought that the heat may have affecting the swimming but not morphology?
Doctor's Answer
by Kevin Pho, MD, Jan 14, 2006 12:00AM
, Jan 14, 2006 12:00AM
It goes without saying that malformed sperm would have a lower chance of fertilization. Studies have shown that there is a correlation between fertilzation rate and proportion of malformed sperm. One small study gives a fertilization rate of 6% in those with high proportion of malformed sperm, vs 60% in those with a normal proportion of malformed sperm.
I am not aware of the heart or using a seat warmer affecting the morphology of the sperm.
Treatment options for this can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
I am not aware of the heart or using a seat warmer affecting the morphology of the sperm.
Treatment options for this can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
Member Comments (2)
by osiag, Jan 14, 2006 12:00AM
can a varicocele have an affect on sperm morphology?
by loveispain, Mar 11, 2006 12:00AM
Im just wondering, if my bf pre cums and we take a bubble bathtogether..will I get pregnant?..what if he precums in his boxers and it touches my vagina? Will I get pregnant?
