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Trying to conceive with my wife
I recently had a semen analysis showing a sperm concentration of 45 million/mL, progressive motility of 25%, and normal morphology of 1%. I would appreciate your advice on what these results mean and guidance on the next steps. What could be the possible reasons and solution
Answers (5)
Dr. Jatin Soni
Urologist
16 yrs exp
Chennai
Plz consult
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Dr. Anantbir Singh Lubana
Urologist
13 yrs exp
Ludhiana
Connect to discuss
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Dr. Gautam Chopra
Urologist
17 yrs exp
Jalandhar
Consult for discussion and management
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Dr. Aditya Prasad Padhy
Urologist
13 yrs exp
Bhubaneswar
Connect please
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
A sperm concentration of 45 million per mL and normal morphology are both healthy. Progressive motility of 25% is a little below the usual threshold of around 32%, which can lower the chances of natural conception but doesn't rule it out. This pattern is common and often improves with some lifestyle changes.
Next Steps
Cut smoking, alcohol and heat exposure (tight underwear, laptops on the lap, hot tubs), and give it 3 months since sperm takes that long to regenerate. A repeat semen analysis after that will show if motility has moved. Keep trying naturally during your wife's fertile window meanwhile.
Health Tips
If conception doesn't happen within 6 months, see a fertility specialist together so your wife can be evaluated too, not just the sperm report alone.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.