Sperm count, Urology FAQ

Understanding Semen Analysis: Is 1.0ml Volume a Concern for Fertility?

Semen volume 1.0 ml Hello, I would like to inquire about a pre-conception semen analysis report: Volume 1.0 ml, Sperm Count 120 x 10^6/ml, Motility: Active 40%, Normal Morphology 70%, WBC 0-2/HPF. The normal value for Volume should be >= 2 ml, and Normal Morphology should be &...

Dr. Li Xinyi Reply:
You can visit a urologist to check for varicocele, although the values are not too concerning.

Understanding Low Sperm Count: Causes and Concerns for Men's Health

Low sperm count? Dear Doctor: I had a sperm analysis done in 2011, which showed a count of 31 million. However, I had another sperm analysis yesterday, and the count was less than 1 million, so motility could not even be assessed. What could be the reasons for such a significant ...

Dr. Fu Shizhang Reply:
There are many possible reasons for a decrease in sperm count; however, if it is accompanied by testicular pain, the most likely cause is varicocele. It is recommended to visit a urology clinic for an examination.

Varicocele Surgery: Is It the Right Choice for Male Infertility?

Varicocele surgery Hello Doctor, my husband and I have been married for two years and have been trying to conceive for about a year and a half without success. We went to a fertility clinic for testing, and the female side showed no issues. However, my husband's semen analys...

Dr. Fu Shizhang Reply:
In general, varicocele is associated with poor sperm quality, and approximately 60% of patients experience improvement after surgery. Although improvement cannot be guaranteed, given your husband's condition, it is still recommended that he undergo surgical treatment for the...

Understanding Male Infertility: Key Questions After 4 Years of Marriage

Married for over four years, still no news? Hello Dr. Hsu, My wife and I have been married for over four years and still do not have children. We went to a gynecologist for a sperm analysis, which indicated low sperm count and insufficient motility. On my wife's side, the t...

Dr. Xu Weikai Reply:
Mr. He: Hello! 1. It is possible, but we cannot rule out other issues. 2. We first need to confirm whether antibodies are present. Relevant tests can be conducted, and if anti-sperm antibodies are detected, it becomes more complex. I recommend consulting a fertility specialist in...

Consultation on Medication Impact for Male Fertility and Hair Loss

Quick medication consultation? I would like to inquire about male pattern baldness. I have been taking Finasteride (similar to Propecia, at a quarter of a tablet daily) to combat hair loss. Currently, I am planning to have a child and would like to know how long I should disconti...

Dr. Xu Weikai Reply:
Hello, it is recommended to wait for three months. You may check your sperm count. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answers found online should only serve as a reference; if necessary, it is important to seek medica...

Microdissection Testicular Sperm Extraction: A Solution for Male Infertility?

Microsurgical Epididymal Sperm Aspiration (MESA) Hello, Dr. Fu! At the beginning of the month, my husband was diagnosed with varicocele by a urologist at Linkou Chang Gung Memorial Hospital. He underwent ultrasound, urinalysis, and semen analysis, which indicated that both sides ...

Dr. Fu Shizhang Reply:
Basically, with this quality of sperm, it is very difficult, if not nearly impossible, to conceive naturally; artificial reproduction methods are necessary. For in vitro fertilization (IVF), only one motile sperm is needed, and it is not mandatory to use MESA (Microsurgical Epidi...

Understanding Semen Analysis: Key Factors for Fertility Evaluation

Semen Analysis Report Hello Dr. Hsu: My husband and I are trying to conceive and have not been using contraception for a year. We both would like to undergo testing, as my husband has Grade II varicocele. This is his first semen analysis. The report shows: Clarity: Mucoid, pH: 8,...

Dr. Xu Weikai Reply:
Ms. Chen: Hello, first of all, the volume of semen is relatively low, at only 2 ml, and the sperm count is 54, which is slightly below normal, but it is still possible to conceive naturally. Although the motility is also on the lower side, it is still considered adequate for conc...

Understanding Your Semen Analysis Report: Key Insights and Concerns

Semen Analysis Report Hello doctor, since I had the tests done directly at the laboratory, I am not very familiar with the report's content. Here are the results: - pH value: 9.0 - Volume: 6.0 mL - Sperm Count: 113 x 10^6 sperm/mL - Total Sperm Number: 678 x 10^6 sperm/...

Dr. Xu Weikai Reply:
Hello, it seems that your motility is relatively poor, and you have a higher white blood cell count. This can be explained by an infection that has led to decreased sperm motility and viability. It is recommended that you seek further examination at a medical facility, such as a ...

Can Varicocele Surgery Restore Natural Fertility After Low Sperm Count?

Varicocele in the spermatic vein region can lead to infertility? Hello doctor, I had a sperm analysis done in early February and found that I only had 200,000 sperm. A few months later, the count decreased further, and during the last test, there were no sperm at all. I later dis...

Dr. Fu Shizhang Reply:
If there are no other issues, there is certainly a chance for recovery. The physician performs a biopsy to diagnose any potential problems, which will not affect the production, so there is no need to worry.

Understanding Varicocele: Symptoms, Diagnosis, and Treatment Options

Varicocele I would like to ask the doctor, I was recently diagnosed with varicocele, and my scrotum appears to be uneven in size. I have a slight feeling of fullness in my lower abdomen, and I had a semen analysis done once, which showed a sperm count of approximately 6 million; ...

Dr. Fu Shizhang Reply:
Varicocele is primarily diagnosed through visual inspection and palpation, with ultrasound serving as an auxiliary tool that is not always necessary. The main treatment approach for varicocele is surgical intervention.

Understanding Your Semen Analysis Report: Key Insights for Future Fertility

I cannot understand the semen analysis report? Hello, I underwent a semen analysis at the medical laboratory. Here are the results: - Sperm Count: 0.3 (red flag) sperm/ml, normal is >= 15 x 10^6 total sperm number - Total Sperm Number: 2.3 (red flag) sperm/ejaculate, normal ...

Dr. Xu Weikai Reply:
Anonymous: Hello, you can ask the laboratory for the "normal range" to clarify the concentration, which is generally around 40-60 for total count. This means the concentration multiplied by the ejaculate volume gives the total quantity and survival rate. Typically, the ...

Does Running Affect Varicocele Symptoms? Insights from Urology

Varicocele Hello, Doctor Hsu. I have an issue with varicocele (on the left side). Last August, I felt discomfort with a crawling sensation and went to Chang Gung Memorial Hospital for an examination. There were no significant issues, and I was not diagnosed with a hernia. I had a...

Dr. Xu Wencang Reply:
In cases of varicocele, a swollen mass of veins can be palpated, resembling a worm. Most individuals experience a heavy discomfort, with only a few reporting a crawling sensation. If discomfort occurs during running, wearing slightly supportive briefs can be beneficial, but they ...

How Soon After Vasectomy Can Men Test Sperm Count?

How long after a vasectomy can a man go for a sperm count test? Hello Doctor: Due to contraception considerations, I underwent a vasectomy at the end of September. The doctor informed me that I could return to a general clinic to check my sperm count afterward. After returning ho...

Dr. Xu Weikai Reply:
Hello, generally, ejaculation 15-20 times can deplete the previously stored semen. At this point, a semen analysis can be performed. If there are any unclear aspects, feel free to ask again for further discussion and research. Online responses should only be used as a reference; ...

Impact of Military Uniforms on Sperm Count: Concerns and Recovery

Regarding sperm count? Hello Dr. Hsu: I am 25 years old and have just completed my military service. During my time in the military, due to the type of unit and other factors, I often had to wear two pairs of pants (a pair of shorts underneath and a pair of long pants on top), al...

Dr. Xu Weikai Reply:
Concerned individual: Hello, your worries may not be very meaningful. Just find a hospital or a nearby laboratory to check your sperm count. Note: results are usually available in about one hour. If there are any unclear points, feel free to ask again, and we can discuss and rese...

Understanding Semen Analysis: Beyond Liquefaction Time Issues

In addition to prolonged liquefaction time, are there any other issues? Hello, Dr. Hsu. I just received the lab report, and aside from the liquefaction time being significantly outside the normal range, are there any other indices that show abnormalities? What lifestyle changes o...

Dr. Xu Weikai Reply:
Hello, your motility is relatively poor, specifically the progressive motility, which is generally expected to be greater than 50%. Additionally, the percentage of non-motile sperm should ideally be below 40%. Furthermore, the volume of ejaculation is quite low, typically around ...

Understanding Urology Consultations: Hormone Tests and Ultrasound Explained

Please come down to inquire? Thank you, doctor, for your consultation! I have decided to muster the courage to see a doctor. May I ask why I need to undergo endocrine/hormonal testing? I understand that this can check hormone levels, but what is its purpose? What does the ultraso...

Dr. Xu Weikai Reply:
Xiao Ren: An ultrasound, specifically a scrotal ultrasound, can provide information about the testicles, epididymis, and vas deferens. A semen analysis can determine if the sperm is normal. Blood tests can only assess whether hormone levels are normal. If these tests meet the cri...

Understanding Your Sperm Test Results: Next Steps for Improvement

Regarding sperm analysis results? Hello Doctor, I just had a sperm analysis done last week (after a 3-day abstinence). The current recommendation is that I have not yet reached the threshold for infertility, but I need to improve my overall health before undergoing further testin...

Dr. Xu Weikai Reply:
Xiao Liu: Hello, the semen analysis shows that the quantity is slightly lower, which is somewhat acceptable. However, the more concerning aspects are the low normal morphology and motility. Specifically, the normal morphology is only 25%. Based on 1 cc of semen: 44 million * 54.6...

Understanding Your Semen Analysis Results: What They Mean for Fertility

Semen analysis results Dear Dr. Hsu, I recently underwent a semen analysis at the hospital, and the results are as follows: - Volume: 4 ml - Liquefaction time: < 30 min - pH: 8.5 - Color: White-gray - Motility: 30% in 1 hour - Sperm Count: 43 x 10^6/ml - Morphology: 95% norm...

Dr. Xu Wencang Reply:
Hello: According to the report results, the sperm motility is relatively poor. If there are any fertility issues in the future, it is recommended that you visit the outpatient clinic. Thank you!

Understanding Semen Analysis: When and How to Get Tested

Semen analysis At what age can a person undergo a semen analysis? Is it possible to check sperm count up to a certain age? Should I go to a urologist for this? Is the procedure done by masturbating into a container? How long does it take to get the results?

Dr. Lin Hexing Reply:
Hello: What is the purpose of a semen analysis when there is nothing wrong? It is necessary to conduct a semen analysis only after two years of normal sexual activity without conception, whether before or after marriage. Wishing you good health.

Understanding Varicocele: Risks, Symptoms, and When to Seek Treatment

Varicocele Hello, I developed a varicocele around the age of 20. I usually experience only mild discomfort, and sometimes none at all. I have already had three children, so I have concerns about infertility. However, I read online that I should consider the issue of testicular at...

Dr. Lin Hexing Reply:
Hello: The indications for surgery in cases of varicocele include primarily pain causing discomfort in the testicles that prevents prolonged standing, and infertility due to a significant impact on sperm count and quality, or obvious testicular atrophy. Since you have already had...

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