Taking Metformin for early bilateral PCOD. Have regular periods. Husband done semen analysis. Any problem conceiving?
Patient: My husband's Semen analysis report is like Volume=2.5mlReaction: AlkalineViscosity: ViscousTotal Sperm Count: 45millions/mlMotility:     Rapid: 10%     Progressive:20%Morphology: 40% NormalWe are trying to conceive from last 6 months and no success till date.I'm having early bilateral PCOD and under medication of metformin 1000mg/day. After having medication my period cycle is pretty normal now. Is there any serious problem to conceive?Thanks Doctor: Hi, Welcome to HCM.You wrote about the values of the seminal analysis of your husband. Whether your husband abstain from sex at least 3 days prior to seminal collection. It should not be more than 7 days. Then only the results will be more reliable.As per the present result, the motility of the sperms are not adequate to make you pregnant,and regarding the morphology, more than 70-80% normal sperms constitutes a good quality of semen. It may be due either infection in the reproductive tract or may be due to varicocele etc. Physical examination and presence of pus cells will confirm the cause.You have to ascertain whether your ovulation is regular following the treatment for PCOD. If all problem attended with due care then there will not be any problem for you becoming conceived.Wish you a happy family way ahead.Dr S.Murugan