Sperm analysis done. What does the finding indicate? Any solution?
Patient: My report details: sperm count 180ml / sperm concent 90 / morphology NIL / Morphology per 100 sperms: head defects - 100%,midpiece defects-40%, tail defects-80% / vitality 15% / motility within 1hour: classses a-NIL and classes a & b - 10%. Pus cells: 8-10/hpf Rbc: 4-6 /hpf Epithelial cells: 1-2 /hpf Comments: Gross teratoasthenozoospermia. Note: Small agglutinates and aggregates(+). Will appreciate if anyone could help me with my above report and solutions to my problem. Many thanks Doctor: Hello, Thanks for the query,  Teratospermia is a condition characterized by the presence of sperm with abnormal morphology that affects fertility in males.  Asthenozoospermia is the medical term for reduced sperm motility.  Teratoasthenospermia is the combination of both.  Tratement includes use of antiestrogens, Intracytoplasmic sperm injection (ICSI), injecting sperm directly into the egg.  Even with severe teratozoospermia, microscopy can still detect the few sperm cells that have a "normal" morphology, allowing for optimal success rate.  So good luck to you,  regards, Dr Nilofer