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19 Mar 2007

Semen analysis
Dear Dr Cassim

Last year I suffered for a few months with a rare conditions called Chronic Fatigue Syndrome (CFS). The illness impacted me to the extent that I in certain instances was immobile due to the severe joint aches. Subsequently I have recovered from it. However during this period I was on different medication. Some doctors assumed I was suffering my arthritis and put me on heavy arthritic medication, all be it not for extended period possibly 1 month.

I was married in April 2006 and recently (i.e since June last year) my wife and myself have been trying to fall pregnant, unsuccessfully. We assumed that the delay in her falling pregnant was due possibly herself. Our recent visit to the gynaecologist proved that this was wrong because she is ovulating.

However, 2 weeks ago I did a sperm test and came across these results today. Herewith I attached these results. Can you suggest anything that can assist us in her falling pregnant.

Any assistance in this matter is greatly appreciated.

Regards

PV

Test Result Reference

CHARACTERISTICS OF EJACULATE
----------------------------
> ABSTINENCE 3 days 2 - 7
> COMPLETENESS Yes
> APPEARANCE Grey-white
> VOLUME 5.0 ml 1.5 - 6.0
> LIQUIFACTION Complete
> VISCOSITY 5 mm 0 - 30
> pH 7.9 7.0 - 8.5

WET PREPARATION
---------------
> SPERM CONCENTRATION 7.2 mill/ml L 20.0 - 250.0
> TOTAL SPERM COUNT 36.0 mill L > 40
> ROUND CELLS 1.0 mill/ml < 1.0
> LEUCOCYTES 1 mill/ml < 1.0
> ERYTHROCYTES 0.0 mill/ml < 0.1


MOTILITY
--------
> FUNCTIONAL MOTILITY 9 % L 50 - 100
> A: FAST PROGRESSIVE 0 %
> B: SLOW PROGRESSIVE 9 %
> C: NON-PROGRESSIVE 10 %
> D: IMMOTILE 81 %
> FORWARD PROGRESSION 1 (Sluggish)
> MOTILITY INDEX 33 L 300 - 1000

ANTIBODY SCREEN
---------------
> ANTIBODY SCREEN % 0 - 50
Sperm motility too low to assess this parameter.

MORPHOLOGY
----------
> NORMAL FORMS 4 % L 15 - 100
> SMALL/ABSENT ACROSOMES 18 %
> TAPERED/ELONGATED FORMS 4 %

> COMMENT
Oligo-, severe astheno- as well as teratozoospermic
ejaculate.

> EVALUATION
Probably infertile ejaculate.
Answer 1,378 views
Expert
Fertility expert
fertility expert

01 Jan 0001

Dear PV

It appears that your infertility is caused by a male factor problem. I suggest you see a fertility specialist or a urologist to see if anything can be done to improve the semen parameters. If it does not improve you will benefit from either IUI or IVF. A 4% morphology, the best chances of conception is with IVF /ICSI
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