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Obstetrics Gynecology Urology

I need opinion on my Semen Analysis and Morphology report findings?

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I have a question … I have a test report : SEMEN ANALYSIS/H&E STAIN FOR SPERM MORPHOLOGY.
Report as below

Time of collection 01:40PM
Time of examination 02:10PM

Physical Examination
Colour Whitish
Volume (ml) 4.0> or = 1.5
Liquefaction 30 Mins Within 30 Mins
Fructose Test PositivePositive
pH AlkalineAlkaline

Microscopic Examination
Sperm Concentration (M/ml) 145> or = 15
Total Sperm count (M/ ejaculate) 580> or = 39
Morphology (% Normal) 08> or = 04
Vitality (% Live) 45> or = 58

Motility within 1 hour of ejaculation
Total Motility (PR+NP,%) 40> or = 40
Progressive motility (PR,%) 30> or = 32
Pus cells 8-10/HPF
RBCs 1-3/HPF
Epithelial Cells 0-2/HPF
Small agglutinates (+)
Aggregates Nil
Comments : Asthenozoospermia.

Please advise me this report is Ok or Not ?

Are my semen analysis results good enough to have a child?

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My wife and I have been trying to have a baby for a couple years. We went to an Infertility doctor and they had me do a semen analysis. The doctor told my wife by phone that “I was low on all 3 levels”….not sure what that meant. We recently moved to a different state so we had to establish a new doctor and he had me do the same thing but this time said my results were “ok”. Can someone please tell me if my results are well enough to have a child?
Concentration = 80 million/ml
Motility = 47.5% Progression
Agglutination = None
WBC = 0
Progression = 2+
pH = 8.2
RBC = 0
Normal Morph = 8% Tapered Head
Amorphous Head = 86% Midpiece Defect
Macrohead = 0% Tail Defect
Microhead = 1% Immature


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Fetal echo cardiography done, Doctors suggested to abort but we want to continue?

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My wife is pregnant from past 5 months.
Fetal echo cardiography report says my baby has LARGE SUBAORTIC MALALIGNED VENTRICULAR SEPTAL DEFECT. and PELVICALYCEAL DILATION/ RENAL CORTICAL CYST SEEN ON RIGHT SIDE.

My previous pregnancy also detected with pulmonary atresia with vsd- top done.

And current pregnancy also detected with digeorge 22q11.2 syndrome.

Doctors suggested to abort but i think of continue the pregnancy.
Will my baby survive after birth.


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I had a dull pain in my lower right stomach, need a second opinion?

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26 year old female. Regular relationship, no kids, birth control since 16. Around three months ago I had a dull pain in my lower right stomach pop up followed my what seemed to be two heavy periods in one month. I have been checked for appendicitis and it wasn’t that. I haven’t had a period since. My blood tests were only slightly off leaning towards diabetes. My white cell count was slightly off then seemed to get better. The pain began moving to and from my groin. I went back to the doc and it seems my inguinal lymph node is swollen and won’t go down. I’ve noticed my left boob feels heavy and fuller but doesn’t hurt. The doc thinks I have pcos and may have a cyst but would it give me trouble for this long? Also I’m supposed to get my thyroid checked, could this be related?


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I am only 26, I have lost my libido since I used Accutane?

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I have lost my libido since I used Accutane (Istretonoin) to cure my acne. It has been more than 5 years now since I took a 4 month course of isotretonoin. I still get some sexual feelings but they are forceful and seems like there is not much connection between my brain and penis as I don’t get a complete arousal and my erections are soft and I lose them within few seconds. I did penile doppler test as well and physically everything seemed to be alright. I eat healthy, exercise regularly, don’t smoke nor drink even my fertily is fine as I got my girlfriend pregnant the first time we had sex but I didn’t enjoy much as I was not fully aroused sexually and was trying to force myself to feel it. I have morning woods a few times a week maybe twice but that too soft erections before I used to have hard erections every morning when I woke up. For the last 5 years I never had those kind of erections which I used to have during my teenage days. I am just 26 years old now. Please doctor I need your help, as I told you physically I am fine but the problem is I don’t get sexually aroused much naturally and have soft erections. What should I do to get complete sexual arousal if I see something sexual or while getting intimate with my partner and get hard erections? What supplements (medical or herbal) or treatment should I use to cure and solve my problem? I think a urologist or a neurologist can answer my question properly.


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My Labia Minora are swollen with blood. Daktarin doesn’t work?

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My Labia Minora are swollen with blood. There is no itching, no infection, no soreness, no tenderness….. You can squeeze them and the blood goes away, but when released the blood returns…. I have no fever no illness ect……..they are just enlarged. My Doctor prescribed a 2 week course of DahKtarin (in case I had a fungal infection – even though I had no symptoms, and for swelling) but this has made no difference.

What could this be?


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Took depo shot, when will bleeding stop?

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I am 26 years old and took the depo shot for the first time in October. It is now December and I’m not going back to the doctor on the 29th to get my second shot. To try to stop all the bleeding that I’m having I put myself back on the patch yesterday. When will my period or spotting stop because I am have been bleeding for 4 weeks now.


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I’m really scared something is wrong with my kidneys?

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Hello! I’m a 19 year old woman and recently I’ve become sexually active. The past 4-5 months. 5 months ago when I went to get my physical done I was referred to a obgyn and my appointment is in 9 more days. I’ve been to the doctors so much I think I live there I had 4 UTI’s and BV 1 time these past months. I’ve recently been to my primary care doctor and had a urinalysis done and a swab for discharge done last month because I thought I had a uti and BV Agian. I experienced pain in my private area, had frequent urination, back pain, yellow-green discharge//no smell//no sign of std, but there seems to be no problem through the results. they still prescribed me with a penicillin type of antibiotic and I took them the right way. I’m scared something may be wrong with kidneys but couldn’t they find that through urinalysis? For the past two days I’ve now had a fishy smell now come out of my mouth when I wake up and noticed in my rectum area today (same fishy smell) IM TOTALLY A CLEAN PERSON I brush my teeth the right way everyday and take 2-3 showers a day???!. I have been having back pain still, pain in my private area. I haven’t been peeing a lot like I was. I still have a discharge since the doctor visit but there also was nothing wrong through tests swabs ….it has been coming out clumpy and somewhat dry(kind of feels like water / pus) now not yellow/green. I haven’t had sex since 2 months ago and a few weeks ago it came out green but stopped and is clumpy now sometimes very thick and white still no smell. I’m really scared something is wrong with my kidneys?! PLEASE AMSWER !my ob-gyn is in 9 days (again) I’m more worried about my kidneys.THANK YOU


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I am pregnant, have Chlamydia and a stent in my kidney?

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Basically 2 years ago I had an emergency c section but the doctor cut to deep into my kidney so to stop infection they put a little stem (or stent) thing in my kidney which I should of had removed a week later but i didn’t. A few weeks ago I had some weird symptoms so I went to the genitourinary medicine (GUM) clinics to get tested and it came back that I had chlamidiya. But Friday just gone I find out I’m pregnant what do I do?


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I’m 39 weeks pregnant, Doctor told me now normal delivery is not possible? Need second opinion.

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Single intraterine gestation corresponding to a gestational age of 38 weeks 3 days gestational age assigned as per biometry(BPD, HC,AC, FL). menstrual age 37 weeks 2 days, Presentation-cephalic, Placenta- Anterior, Liquor- Normal, Estimated fetal weight according to BPD, AC:-3008, BILATERAL(MODERATE) PELVI ECTASIS.
This is my last report, My due date is 12/12/2016, Now I’m 39 weeks pregnant, Doctor told me now normal delivery is not possible, baby head didn’t getdown to my pelvi. water level and baby heart beat is good. I want to know with reference of the report impression, Is that possible for normal delivery? and What is the meaning of BILATERAL(MODERATE) PELVI ECTASIS?


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Every time I cough or sneeze I pass blood clots, also through vaginal discharge and during intercourse?

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I’m a 39 year old female. I’m not on any medications. I am a smoker. I have been having an issue for several months now. Everytime I cough or sneeze i pass these blood clots that are nearly the size of my palm. This happens even when im not on my period. When im on my period they are even bigger and have even had them fall out of my pants leg because the pad couldnt hold them. When im not on my period the bleeding and clots only last about an hour or so and stops until i sneeze or cough again. I also bleed when my husband and i have sex. There is no pain. Just the huge clots and the excessive bleeding

When I gave birth I tore very very badly, urine is now inside my vaginal canal?

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I’m 26. I have no medical issues or history worth noting. No medication either. When I gave birth I tore very very badly. Parts had to be thrown away they were ripped so badly. It’s been 4 years now and I recently switched to a menstral cup. Upon emptying the cup I was horrified to find urine in it. Apparently when I pee it’s getting inside of my vaginal canal somehow. Is this dangerous? Ps. I don’t have healthcare


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