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ABIMS Fertility & Andrology

I HOPE ALL MEN KNOW THIS ABOUT SEMEN ANALYSIS RESULTS

I would like to address men who are experiencing semen quality issues and are preparing for IVF or IUI treatment. One important parameter to pay attention to in your semen analysis is sperm motility. Sperm motility is commonly classified into four categories: Rapid (fast) progressive Slow (sluggish) progressive Non-progressive Immotile Among these, rapid progressive sperm are the ones most capable of moving efficiently through the female reproductive tract toward the egg. Many laboratories report only the total progressive motility without separating it into rapid and slow progressive categories. However, progressive motility is the combined total of both fast and slow progressive sperm, with a reference value of at least 32%. In my opinion, rapid progressive motility should be around 30% or higher to optimize the chances of natural conception. Therefore, when reviewing a semen analysis report, it is helpful to know not only the total progressive motility but also the percentages of fast and slow progressive sperm. 

ENLARGE PROSTRATE CAN CAUSE LOW SEMEN VOLUME EJACULATE

I would like to draw the attention of older men who have noticed a decrease in the volume of semen released during ejaculation. One possible cause of reduced ejaculate volume is an enlarged prostate gland. The prostate plays an important role in the male reproductive system, and enlargement of the gland can affect the flow of semen during ejaculation. Other symptoms may include difficulty urinating, a weak urine stream, frequent urination, or the feeling of incomplete bladder emptying. If you experience any of these symptoms, it is advisable to undergo a Prostate-Specific Antigen (PSA) test and seek evaluation from a qualified healthcare professional. In general, PSA levels below 4 ng/mL are often considered within the expected range, while levels between 4 and 10 ng/mL may require further assessment. PSA levels above 10 ng/mL warrant prompt medical evaluation, although elevated PSA levels do not automatically mean cancer is present. Early detection and proper management of prostate conditions can help prevent complications and improve treatment outcomes. If you notice changes in ejaculation, urinary symptoms, or other concerns related to prostate health, consult a healthcare professional for appropriate evaluation and guidance. 

WHAT TO DO WHEN YOUR PREGNANT TEST READ FAINTLY POSITIVE

A faint positive pregnancy test can be confusing for many women. Some people choose to wait and retest later, but in some cases, menstruation may begin afterward. A faint positive result may happen very early in pregnancy when the pregnancy hormone (hCG) level is still low. If you get a faint positive result, it is advisable to visit a laboratory or clinic for further testing. A quantitative beta hCG (BHCG) blood test can measure the exact level of hCG in the body and help determine whether pregnancy is developing normally. Doctors may also recommend additional tests such as progesterone and estradiol levels to assess hormonal support for pregnancy. Since hormone levels and pregnancy development vary from person to person, it is important to discuss your results with a qualified healthcare professional for proper evaluation and guidance. 

CAUSES OF PAINFUL INTERCOURSE

Painful sexual intercourse can happen for different reasons, and understanding the cause is important for proper treatment and comfort. Vaginal dryness: When the vagina is not properly lubricated, friction during intercourse can cause pain, irritation, or discomfort. Using a safe, water-based lubricant can help reduce dryness and make intercourse more comfortable for both partners. Deep or forceful penetration: Very deep or forceful penetration may cause discomfort or pain, especially if the cervix is sensitive. Adjusting positions, slowing down, and communicating with a partner can help reduce pain during intercourse. Infections or irritation: Vaginal infections, including bacterial or yeast infections, can cause burning sensations, heat, itching, or pain during and after intercourse. Other symptoms may include unusual discharge or unpleasant odor. If these symptoms occur, it is important to visit a healthcare professional for proper diagnosis and treatment. 

BLOOD CLOTS IN THE MENSTRUAL PERIOD BLOOD

Seeing small blood clots during menstruation can happen sometimes, especially on heavier flow days. Menstrual blood is usually dark red and may contain tissue or clots. However, very large clots, severe pain, or unusually heavy bleeding may be a sign of an underlying health issue and should be checked by a doctor. Vaginal infections caused by bacteria can also affect vaginal health, but blood clots during menstruation are not always caused by bacteria. 

ASHERMAN SYNDROME

Asherman syndrome is a condition in which scar tissue forms inside the uterus, causing parts of the womb to stick together. It can result from procedures such as dilation and curettage (D&C), abortion complications, or untreated uterine infections. This scarring may affect the ability of the uterus to support a pregnancy and can contribute to infertility or recurrent pregnancy loss. In some cases, women with Asherman syndrome may still have regular menstrual periods, which can make the cause of infertility difficult to identify. Anyone experiencing unexplained infertility or symptoms related to Asherman syndrome should seek evaluation from a qualified healthcare professional for proper diagnosis and treatment. 

UNDERSTANDING EFFECT OF HIGH PROLACTIN IN MEN

High prolactin levels in men can interfere with the hormones responsible for reproduction. Elevated prolactin may reduce the release of gonadotropin-releasing hormone (GnRH), which in turn lowers luteinizing hormone (LH), follicle-stimulating hormone (FSH), and testosterone levels. This hormonal imbalance can affect sperm production, including sperm count, motility, and morphology. However, not all men with high prolactin experience problems with sperm production or fertility. In many cases, the more common effects are low libido and erectile dysfunction. It is also important to note that not every man with low libido requires medication to lower prolactin levels. Some men may benefit from lifestyle changes such as improving their diet, reducing stress, getting adequate rest, and taking supplements that support relaxation and overall well-being. These changes can help improve libido naturally. Top of Form Bottom of Form 

HYDROCOELE AND VARICOCELE IN MALE INFERTILITY

Hydrocele and varicocele are conditions that can affect male fertility by reducing sperm function, sperm quality, and sperm count. A hydrocele occurs when fluid builds up in the sac surrounding the testicle, causing swelling and a feeling of heaviness in the scrotum. It is usually visible and may cause discomfort or pain. A varicocele occurs when the veins inside the scrotum become enlarged or dilated, similar to varicose veins. Varicoceles are graded based on severity and may not be noticeable in the early stages. In advanced cases, they can become visible or more painful. One common symptom of both conditions is pain or discomfort in the testicles. They can also contribute to low sperm count, poor sperm motility, and abnormal sperm morphology, which may affect fertility. Anyone experiencing symptoms of hydrocele or varicocele should consult a qualified healthcare professional for proper diagnosis and treatment. 

FIBROID MAY AFFECT YOUR FALLOPIAN TUBES NEGATIVELY

Fibroids do not always prevent pregnancy, especially when they are located outside the uterus. However, their size and location can still affect fertility in some women. Even if a fibroid is not inside the womb, it may put pressure on nearby structures such as the fallopian tubes. In some cases, this pressure can interfere with the normal function of the tubes or contribute to blockage over time, which may make it more difficult to conceive. Every case is different, and not all fibroids cause fertility problems. That is why proper medical evaluation is important. If you have fibroids and are trying to get pregnant, it is advisable to consult a qualified healthcare professional for assessment and appropriate treatment options. 

EVACUATION YOU DID TO REMOVE PREGNANCY COULD BE THE CAUSE OF YOUR INFERTILITY

Evacuation is a procedure used to remove a pregnancy from the womb (uterus). In medical terms, it is called Dilation and Curettage (D&C). During early pregnancy, the embryo attaches firmly to the lining of the uterus, known as the endometrium. This lining is very important because it allows the pregnancy to implant and grow properly. In a D&C procedure: The cervix is gently opened (dilation). A medical instrument is used to remove pregnancy tissue from the uterus (curettage). When this procedure is done by a qualified professional using proper techniques (often with ultrasound guidance), it is generally safe. However, if it is done improperly or by an untrained person, it can damage the lining of the uterus. Possible complications include: Scratching or scarring of the endometrium Thinning of the uterine lining Formation of scar tissue inside the uterus (adhesions) These scars may not affect your monthly menstrual cycle, but they can make it difficult for a future pregnancy to implant properly, which may lead to infertility or repeated miscarriages. If you have concerns about infertility after a D&C, it is important to see a qualified healthcare professional for proper evaluation and guidance