Semen analysis results

Patient

Q: Dear drs
This is a semen analysis of a 31 year old male with a 4 years history of infertility, kindly requesting your interpretation.

Liquefaction Time : >30 min
Volume : 4.5 ml
Colour : creamy white
pH : 8.5
clumping +
bacteria +
spermatocytes 1-2
spermatogennic cells 1-2

Sperm Count : 35 millions/ml
total motility at 2h = 55%
Actively Motile : 20%
linear motility 5 %
circular 15%
Sluggish 20%
dead : 30%
normal forms 60%
Total % of abnormal forms : 40%

WBC 8-10
Red Blood Cells : 1-2

Thank you

Images: 
Semen analysis results-1
Doctor

A:   A semen analysis measures the amount and quality of semen a man produces. Results of a semen analysis usually from lab to lab and are best interpreted with respect to the normal values of the respective lab. As per the World Health Organisation criteria (2010) for interpreting semen analysis reports, the normal values are as follows:
Semen Parameters Normal Values
Semen volume 1.5 – 5 ml per ejaculation
Liquefaction time 20–30 minutes after collection
Semen pH: 7.2–8.0
Sperm shape (morphology): More than 4% of the sperm have normal shape.
Sperm count: 15 million spermatozoa per milliliter or more
40 million spermatozoa per ejaculate or more
Sperm vitality (living sperms): More than 60% of the spermatozoa should be living
Sperm movement (motility) More than 32% of the sperm show normal forward movement after 1 hour.
White blood cells < 1,00,000 white blood cells
As per these reference values, your semen analysis seems normal except for the possibility of an infection. Clumping of sperms, presence of bacteria and high WBC counts are all suggestive of an infection. This can be treated with a course of antibiotics after a semen culture test. I suggest that you contact an andrologist or reproductive medicine specialist regarding the same. Wish you all the best in completing your family soon.

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