Semen analysis showed oligoathenozoospermia, bilateral hydrocele. Treatment?
Patient: Hi doctor .. i m safy from egypt . married one year ago but no luck of getting pregnant .. i m 29 years . i went for consultation and my doctor told me every thing is normal and she asked to see me at time of ovulation . and every thing was just good .. my husband was asked for semen analysis and the results he got was : count : concentration 8.18 million .. grade a ( rapid progression ) : is 12.5% .... morphology : 24% so the diagnosis was ; oligoathenozoospermia .. by us: no varicocele but with mild bilateral hydrocele i m very worry please answer me what is the most suitable way to treat such cases .. i m dying to have a baby of my own .. i wish you can help me sir plz Doctor: Hello. Thanks for the query,  Oligospermia refers to semen with a low concentration of sperm which is a common finding in male infertility. Asthenozoospermia refers to reduced sperm motility.  Hydrocele needs operative corrections. Clomiphene citrate in oligospermia. Combination of tamoxifen plus testosterone. IUI-intrauterine inseminations can be performed. In more severe cases IVF, or IVF - ICSI is done and is often the best option.  Hope this helps Good luck Dr Nilofer