Sperm agglutination present in my semen analysis.

Patient

Q: Hello,
My semen analysis shows:
liquefaction time= 40 mins
volume= 2.5 ml
ph= 7.8
sperm concentration= 90 million/ml
percentage motility= 75%
Grade A (progressive motile)= 50%
Grade B (non progressive motile)= 25%
Grade C (immotile)= 25%
Agglutination = POSITIVE
Pus cells= 1-2 hpf
Epithelial cells= few hpf
Normal morphology= 85%
Semen fructose= Positive

I am really worried about the agglutination of sperms in my semen but since all other parameters are in normal range would it hinder my chances of fathering a child? Is my semen analysis normal? Is there anything to worry about?
regards.

Symptoms:  Sperm agglutination
Doctor

A:   Hi,
Thanks for the query.
I understand your concern.
Sperm agglutination can occur due causes like infection, sperms antibodies etc.
As there is no more number of pus cells in your analysis, the possibility of infection is less.
Vitamin C and zinc supplements can decrease sperms agglutination to some extent.
If needed you can go for artificial reproductive measures with sperms washing, which can be done at infertility clinic and can increase the possibility of pregnancy.
Other seminal parameters are almost in normal range.
Please consult your doctor once, get evaluated to find out the possible cause of agglutination and then treatment can be planned accordingly.
Take care.

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