Can I have teratospermia with a normal count and motility?

Question

Hello doctor,

My sperm count is 50 M/ml; 3 ml ejaculate; 55% motility; 45% progressive motility; grades 1-10, 2-10, 3-10; grade 15; normomorphs 20%; no antibodies; colour and viscosity normal; pH 8.5.

I was diagnosed with teratospermia. Given a two-month course of Fertisure M and retest semen analysis. How serious is that?
The doctor says if the report is repeated, she will plan for IUI, as my wife's reports are totally normal. Am I infertile?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

How are you doing? I do not see any abnormalities in the report (attachment removed to protect patient identity).

You are super fertile. As per WHO guidelines, the minimum count is 15 million/ml, the minimum motility is progressive 32 %, minimum normal morphology 4 %. As you are above all these criteria, you have nothing to worry about. Hope wife's blood evaluation and scan are normal.

One test usually forgotten is the evaluation of tubal patency, with X-ray or HSG (hysterosalpingogram). The tube is a bridge connecting the uterus and the ovaries. It cannot be seen on a scan or examination. Its inner diameter is 1 mm. If blocked, no matter how good the egg and sperm are, they will not meet. If not done, better do it. Not costly or invasive. Can be done on days seven to 10 of the period. Do not worry, you will get a positive result.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.