Question 1

I am a 35 year old man trying for a baby. I have been married for a year and tried for 2 to 3 months. My wife is 33 years old and has normal parameters for conceiving. My semen analysis report shows sperm count per ml is 32 million, total sperm per ejaculate is 128 million, rapid linear progression after half an hour is 20 percent and after 2 hours is 10 percent, and total abnormal spermatozoa is 66 percent. Kindly advise if this report is normal for my wife to conceive or should I start some medications?

Question 2

I recently received my semen analysis report, which shows the following:
Physical examination: Color is creamy white, Viscosity is semi viscous, Volume is 1 mL, pH is alkaline, Liquefaction time is 40 minutes.
Microscopic examination: Total sperm count is 45 million/mL, Pus cells is 0 to 1/hpf, RBCs is nil, Epithelial cells is 2 to 3/hpf.
Motility: Good active motile is 15percent, Sluggish motile is 10percent, Non motile is 75percent.
Could you please explain what these results indicate and what solutions or treatments are recommended?

Question 3

Hello Doctor, my sperm motility is around 10 percent, which I found out recently after a semen analysis test. I have been feeling depressed since I came to know this. There is no problem with erection or premature ejaculation, but after the semen analysis test, I feel I cannot have a baby. Please advise, Doctors. Thank you in advance. I have attached my semen analysis report.

Slight delay and poor sperm shape may be due to stress, medications, or fatigue. Q10 is fine. Ultracet may affect libido. Try rest, hydration, healthy diet. If it continues, see a urologist.

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