Is the sperm count normal?
Patient: AOA Respected doctor, I am married since last three years and have a child 2 years now. We are trying to conceive 2nd child since last two years but not getting any success. First child from operation. I have gone through my semen test and here is the report, i dont know up-to what level it is ok and what should i do now. Please help my by giving some kind advise that what should i do....1 - Quantity---------------------------------2.0ml. 2 - Colour   ---------------------------------Greyish white 3- Transparency ---------------------------OPAQUE 4- Viscosity ---------------------------------Viscous 5- Time of liquification --------------------15 Min 6- ph -----------------------------------------7.5 7- Fructose ---------------------------------Positive 8- Total Count -----------------------------20 Mill/ml 9- Sperm per ejaculate ------------------90 Mill/ml 10- Percentage motile sperm -----------44% 11 - Rapid linear progression -----------10% 12 - Slow/Non lin progression ----------15% 13 - Non progressive ---------------------75% 14 - Normal form  --------------------------60% 15 - Large oval -----------------------------05% 16 - Small Oval -----------------------------05% 17 -  Tapering  ------------------------------10% 18 - Round  ----------------------------------05% 19 - Pin ---------------------------------------05% 20 - Mid piece abnormalities -------------10% 21 - WBC -------------------------------------03 22 - RBC --------------------------------------00 Please doctor guide me what to do, do i need any treatment. What kind of treatment and is this problem curable? Best Regards Ahad Lahore Doctor: hai,As per quote your semen analysis is normal with some notable parameters to discuss.from your semen report rapid progressive (forward progressive sperm)should be more than  50% (your s 10%) otherwise all other parameters are within normal. NO need to worry. your problem will be fixed with the below advise.intially no need for any medication.If your are a smoker and alcoholic kindly stop it completely.follow healthy lifestyle and food habit.add protein nourished foods like Almond,cashew,channa,soyabean,peanut in your daily food intake.Add jaggery,black gram,and dal prepared with ghee.,dates,pomegranate,fig-it will help in producing healthy sperm count. take diary product like milk,yogurt,cheese,butter etc. Add banana and tuber and leafy vegetables.Avoid stress, fried item,junk and caffeinated drinks.Do walk for 3 to 5kilometers.continue this for one month and take agian s semen analysis. if your earlier mentioned problem is solved you can have child. If its not inproving kindly visit a  infertility specialist for further treatment.thank youHope i answered your query.