Talk to Andrologist on Fertility

Assalam o Alaikum Doctor, mujhe fertility ke hawale se aapki opinion chahiye. Mera bachpan se right testicle scrotum mein descend nahi hua tha aur woh abdomen/pelvic side mein tha. 22 saal ki age mein operation hua aur right undescended testicle remove kar diya gaya. Left testicle normal hai.

Ab maine pehli dafa semen analysis karwaya hai. Report mein: • Semen volume: 2.5 mL (normal) • Sperm concentration: 15 million/mL (lower reference limit) • Total sperm number: 37.5 million (reference 39 million se thora kam) • Total motility: 53% (normal) • Progressive motility: 42% (normal) • Normal morphology: 6% (normal) • Liquefaction: <30 minutes (normal) • pH: >8.0

Lab ne abstinence 5 days record ki thi.

Mera sawal ye hai ke kya ek testicle hone ke bawajood ye semen analysis fertility ke liye reassuring hai? Kya 37.5 million total sperm ko low consider kiya jaye ya ye borderline hai? Aur kya mujhe semen analysis kuch weeks/months baad proper 3–4 days abstinence ke saath repeat karwana chahiye? Kya pH >8.0 ke liye koi additional test, jaise semen leukocytes/pus cells, zaroori hai?

Main future mein naturally father banne ki possibility ke hawale se aapki opinion chahta hoon.