Male Infertinity

June 29, 2008

I am 28 years male with good health, non smoking( I chew tobaco sometimes). I am trying to have a baby since last eight months with no luch. I had my semen test which is not so greate. please tell that can we concieve normally without any medication or do we need it.

volume: 3.0 ml

count: 15 mn/ml

motility: 30% fast progressive 40% less progressive and 30% immotile.

morphology 70% normal.

June 29, 2008

Omja- although your volume is average- your count is low.. If you are not seeing a Reproductive Endocrinologist to assist in achieving pregnancy, I would suggest you find one.. I would assume he/she will suggest IUI ( intrauterine Insemination) or IVF (Invitro Fertilization) for conception.

Good Luck

June 29, 2008

** to answer- you can conceive naturally it might take longer..most doctors like to see counts >10 million.. which you have.. but after a wash I am not sure you will still have >10mill..which is why I reccommend a RE

June 29, 2008

thks Caryn. What can enhance motility as for as diet is concerned

June 29, 2008

and what do you mean by washing

June 29, 2008

Omja,

For a true sa results make sure you go see a Urologist and a endocrinologist (hormone specialist) to test your sa again and your hormones. This needs to be done over a 2 1/2 mts apart. Before you start any type of self improved program because you can do more harm than good.

June 29, 2008

Yes, a Urologist will be best, specializing in infertility for men.

My husband had a volume issue, we saw one, he ran all sorts of tests and thankfully it has seemed to resolve its self.

A SA- is when they will take your sample and perform a method called washing.

Washing is the process that prepares a semen sample for an intrauterine insemination (IUI). For an IUI to be performed, the semen sample must be washed free of debris, white blood cells, and prostaglandins, which can cause the uterus to contract. The processing also removes dead sperm and concentrates the sperm into a small volume that can easily be handled by the uterus. There are three main methods of sperm washing: the swim-up, density gradient wash, and simple (centrifugation) wash. The type of wash used depends on the individual characteristics of each semen specimen.

Swim-Up Method

The swim-up is most successful when performed on patients with a normal semen analysis and is not recommended for samples of high viscosity, with high numbers of round cells, or with a high content of debris.In this procedure, the washing media is gently placed over the semen in a conical tube.The specimen is then placed in an incubator for approximately one hour.During this time, the sperm are allowed to swim up into the media, with the purpose of collecting the most motile, normal sperm, free of debris.The supernatant is collected and centrifuged twice with sperm washing media.The final pellet is then resuspended in approximately 0.5 mls of media.Modified sperm washing media must be used to process the sample.

Density Gradient Wash Method

The discontinuous (density) gradient method should be used on samples containing round cells or debris, or those with increased viscosity but a relatively normal concentration and motility.The gradient is achieved by layering media of two different densities in a conical tube.The semen is then placed on top of the gradient and the tube is then spun to allow the specimen to proceed through the gradient.The resulting pellet should contain the motile, normal sperm, while the dead sperm and debris are caught up in the gradient media.The pellet is then resuspended in washing media and centrifuged twice.The final pellet is resuspended in a final volume of approximately 0.5 mls of media.There are several commercially available kits.

Simple Wash Method

The simple (centrifuge) sperm wash should be performed on a sample that has a decreased concentration and/or motility.A sample containing round cells and debris should not be prepared by this method.Sperm washing media is added to the specimen and centrifuged.The pellet is recovered, resuspended, and centrifuged again.The final pellet is resuspended in approximately 0.5 mls of media.

Hope this helps

June 29, 2008

Yep, and like angel said, recheck in 2 1/2 months to make sure things are Ok, as your results are "borderline" normal
Woman_8
Jan

July 22, 2008

How difficult is it to treat male infertility, and how successful is it?