How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43432
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

We had a analysis result given to us over the phone on

Customer Question

We had a sperm analysis result given to us over the phone on Friday but have to wait until next week for an appointment to get it explained. We have been googling the "bad bit" and have seen how bad we think it is and are devastated. I was wondering if someone could explain it a bit better and how bad it really is rather than what we think it is.

Motility is normal and 184 million count. However morphology:

100% abnormal sperm
100 % head defects
28% tail defects
8% mid section

TZI index: 1.68

Notes: Multiple structural defects, mixed head defects, negligle acrosome, thick mid pieces and coiled tails.

The 100% head defects and negligble acrosomes bit is what makes me think this is really really bad.

Thanks
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.

Dr. David :

This is Dr. David

Dr. David :

yes, 100% abnormal sperm morphology is not a good thing

Dr. David :

usually only 10% of sperm should have abnormal morphology.

Dr. David :

100% head defects is not good.

Dr. David :

does he have medical problems? does he smoke? drink alcohol? alcohol and smoking can affect sperm morphology.

Customer:

He doesn't smoke at all. He does drink but not excessively. the rest of the analysis is good so we can't really understand why it's so bad. I guess he drunk more over the party season and as it takes three months to develop that could be the reason but it's the head defects and negligble acrosome comments that have worried us the most. He has no medical issues that we know of - he's a personal trainer so very fit and healthy

Dr. David :

he needs to stop drinking alcohol to help improve his sperm.

Dr. David :

sperm takes 42 days to develop

Dr. David :

once he stops drinking and 42 days later, he could have better sperm.

Customer:

OK thank you

Dr. David :

good luck to you

Dr. David :

let em know if you have other questions

Dr. David :

if done, please leave positive feedback below the chat box

Dr. David :

you might have to scroll down to see the ratings area below.

Dr. David :

http://www.justanswer.com/medical/expert-dr-david/

Dr. David :

is my website if you need to reach me again.

Dr. David :

thanks for using JustAnswer.com

Dr. David :

do you see the ratings area below?

Dr. David :

hello?

Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43432
Experience: Board Certified Physician
Dr. David and 2 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.