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Does only GRADE-A SPERM motility lead to pregnancy?

Resolved Question:

Hi Doctor,
I am attaching my semen analysis report.
Please advise if i am fertile or not.
Does only grade A motility leads to pregnancy or grade B can also lead to pregnancy?
Is only Grade A relevant?
How much morphology should is required?

Category: Infertility Specialist

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Category: Infertility Specialist
 19 Doctors Online

Thanks for posting your query at
Both Grade A and Grade B motile sperms can lead to a pregnancy.
More than 4 % normal morphology is required, and that criterion is fulfilled in your case.
Your semen count and motility are also fine, just that Grade A motility is a bit less.
You are definitely fertile, dont worry.
There could be some reasons leading to less than optimum sperm motility - ageing, stress, anxiety, tight jeans, tight underpants, hot tubs or hot water sauna baths, pollution, toxins, infections, prolonged periods of abstinence, hormone deficiencies, inherited anomalies, blockages of ducts etc.
What you should do is get the test repeated at a different and equally reputed lab after 3 days of abstinence.
If there is still less amount of Grade A motility, then it is best to consult an Andrologist and have a thorough evaluation for possible reasons.
Meanwhile, eating sensibly, maintaining ideal weight and daily exercise will help.
All the best
Please feel free to discuss further.

Patient replied :

How much Grade A motility sperm is required at least?
What if the Grade A motility remains same after anothe test?
What will be the best possible way to get this percentage high,allopathic or homeopathic?
My wife has right fallopion tube normal in course and calliber with limitted spillage noted from fimbrial end.Left one is all good.Is there a problem in this because one tube is completely good.
Please advise.

Well, more than 30 % Grade A motility would be best.
The best treatment is allopathic, after consulting an Andrologist and having detailed tests for reason for this event.
If Grade A motility remains the same, you have to consult an Andrologist.
With one tube damaged, fertility is impaired, but still possible as the other tube is normal, provided ovulation is okay.

Patient replied :

I am attaching my wife's reports.
Please go through them and Please let us know what report is required for checking proper ovulation.
Thank You.

Thank you for uploading the reports.
The following tests need to be done for your wife-
1. FSH and LH on day 2 of cycle.
2. Follicular monitoring - serial ultrasound scanning of the ovaries to check for growth of egg follicles, for 3 months,to observe if ovulation is occurring or not.
3. Laparoscopy will confirm the real status of tubes if 3 months of follicular monitoring fail to give you results. It is more reliable than HSG.
Take care.

Dr. Aarti Vazirani
Category: Infertility Specialist
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

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