Conversation: The conversation between human and AI assistant.
[|Human|] Hi. I am a 54 year old male. I have tried for 2 years to get my much younger wife preganant. In desperation I went for a sperm analysis and in both tests 1 week apart all semen was found to contain only dead sperm cells. I am an insulin dependant diabetic for the last 5 years but have been diabetic for the last 30+ years. Is this situation reversable.
[|AI|]  HelloThanks for query. Based on the finding of semen analysis all the sperms being dead you need to get investigated in detail to find out the cause for dead sperms. This could be mostly due to presence of anti sperm antibodies which kill the sperms secondary to presence of infection either in seminal vesicle or prostate . Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Semen culture 3) Ultrasound scanning of abdomen and pelvis4) Detection of anti sperm antibodies Further treatment will depend upon result of these tests and final diagnosis. This can be cured with taking appropriate antibiotic as paper culture report. Chat Doctor.