منتدى الدوالى - اسشتارة الدوالي وتشوه الحيوانات المنوية، د.محمد ارجوا الرد

السلام عليكم
د.محمد انا لي 3 سنوات متزوج ولم يحصل حمل
وعملت تحاليل العدد ماشاءالله جيد ولكن هناك تشوه في الحيوانات المنوية 86%
وعملت أشعة دوبلر واتضح عندي دوالي من الدرجة الثانية

فهل الدوالي هي سبب هذا التشوه؟؟
وهل نسبة التشوه طبيعية ام عالية

وهذه التحاليل

أشعة دوبلر
U/S - GENITALIA (SCROTUM&CONTENTS): Findings: Both testes are normal in size, echogenicity, and vascularity. Right testis measures 4.3 x 2.9 x 2.1 cm with volume of approximately 14.3 ml Left testis measures 4.6 x 2.3 x 3.1 cm with volume of approximately 17.9 ml. Bilateral epididymi are normal in size and echotexture. Few subcentimetric cysts are seen in bilateral epididymi, the largest is measuring 3 mm on right side and 4.7 mm on left side. Mild fluid is seen in bilateral tunica vaginalis. Few prominent venous channels are seen on left side, in standing position, the largest measures 2.4 mm. Impression: " Left mild varicocele.

تحليل السائل المنوي
SEMEN ANALYSIS

Collection time : 10:05 AM
Liquefaction time : 30 minutes
Color : Pearly white
Volume : 3.2 mL (Normal more than 1.5 mL)
Viscosity : Semi-viscous
pH : 8.5 (Normal = or more than 7.2)
Presence of clot (after Liquefaction): None
Abstinence : 4 days
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Sperm count
Sperm concentration : 40.4 Million/mL (Normal more than15 million/mL)
Total sperm number : 128.28 Million/ejaculate (Normal more than 39 million/ejacul.)
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_Motility*_
Total Motile (Normal more than 40%) Progressive (Normal more than 32%)
1/2 hour : 55 % 90 %
1 hour : 50 % 85 %
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Morphology
Normal : 14 % (Normal more than 4 %)
Abnormal : 86 %
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Abnormal sperms differential (%):
Pin head : 2 % Amorphous Head : 5 % Giant Head :
Double head : Constricted head : 4 % Tapering head : 16 %
Small head : 40% Round head : Vacuolated head : 2 %
Pyriform head : Cytoplasmic droplets : Coiled tail : 3 %
Double tail : Tail absent : Short tail :
Neck and Midpiece defect : 11 %
Clumping of Sperm : Nil Continue page 2

Other cells : RBC : Nil/HPF

WBC/Round cells: 0-2/HPF (Million/mL)

(Neutrophils: % Spermatocytes : % Spermatids: %)

Miscellaneous :