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Fertility / Infertility (Expert Forum)
semen analysis
Answered by
Elaine Brown, MD - Pregnancy, Gynecology
Elaine Brown, MD - BLOG
Billings - MT
Questions in the Fertility/Infertility forum are answered by doctors affiliated with USF Health. Topics covered include fertility or infertility issues, egg quality, fertility drugs and side effects, fertility tests, genetic testing, in-vitro fertilization (IVF), ovulation, relationship issues, risk factors, sperm count/quality, and surgery.
semen analysis
by pamandbrett, Jun 25, 2009 12:56PM
Hiya me and my husband have just had his semen analysis. From the results, it does not look good at all. Can you tell us what happens now? Is there anything that can be done to help my husband or what are our options. Many thanks.
Result Reference range
seminal volume 2.6ml 2-4ml
sperm concentration 0.0 x 10ml 20x10ml
motile spermatozoa 0
progressive motility 0 50%
rapit progression % 25%
Is there any hope of us concieving naturally?
Result Reference range
seminal volume 2.6ml 2-4ml
sperm concentration 0.0 x 10ml 20x10ml
motile spermatozoa 0
progressive motility 0 50%
rapit progression % 25%
Is there any hope of us concieving naturally?
Doctor's Answer
by Elaine Brown, MD, Jun 27, 2009 02:49PM
, Jun 27, 2009 02:49PMTo: pamandbrett
Hi!
The first thing to do is always to repeat the test. Whenever a test comes out "funny" its important to know that nothing went wrong with the test itself. (For example, they spilled the specimen on the floor and ran water through instead--I don't think that would really happen, but just an example)
Then, if the results are accurate, it may be that your husband has a condition called congenital absence of the vas deferens, or some other condition that prevents him from making sperm. It will be important to get a diagnosis. A urologist would be the proper person for him to see. You would then need to find out if the condition can be corrected. If not, you potentially have two options. The first and easiest/cheapest would be donor sperm. (Who really cares about the DNA?). The other would be testicular biopsy with retrieval of sperm directly from the testicles and ICSI (intra-cytoplasmic sperm injection) which is an IVF procedure.
I think your next step is to find an excellent urologist and repeat the semen analysis.
Hope this is useful!
Good luck!
Dr B
The first thing to do is always to repeat the test. Whenever a test comes out "funny" its important to know that nothing went wrong with the test itself. (For example, they spilled the specimen on the floor and ran water through instead--I don't think that would really happen, but just an example)
Then, if the results are accurate, it may be that your husband has a condition called congenital absence of the vas deferens, or some other condition that prevents him from making sperm. It will be important to get a diagnosis. A urologist would be the proper person for him to see. You would then need to find out if the condition can be corrected. If not, you potentially have two options. The first and easiest/cheapest would be donor sperm. (Who really cares about the DNA?). The other would be testicular biopsy with retrieval of sperm directly from the testicles and ICSI (intra-cytoplasmic sperm injection) which is an IVF procedure.
I think your next step is to find an excellent urologist and repeat the semen analysis.
Hope this is useful!
Good luck!
Dr B
