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Your husband's semen analysis was not performed by a trained Andrologist. It was performed in a genreal reference laboratory by a medical technologist that has not been trained to perform an up to date semen analysis. This is apparent from the criteria used for sperm morphology (ASCP) and the nice round numbers for all the semen parameters. Accordingly, I'm not sure how much I can trust these numbers and I am reluctant to draw any conclusions from this kind of slap-dash analysis.
Cytoplasmic extrusion refers to cytoplasm retained on the sperm tail. A fully mature sperm has eliminated almost all its cytoplasm in favor of a "sleek", hydrodynamic design. Retained cytoplasm prevents the sperm from swimming in a straight line and, should that sperm encounter an egg, penetrating the protein coat that surrounds the egg.
The observations of white blood cells (WBC) and clumping are suggestive of antisperm antibodies.
I would recommend having a semen analysis performed by a trained Andrologist at an infertility clinic and having the results interpreted by a Reproductive Endocrinologist. If this semen analysis was performed at an infertility clinic, go somewhere else for care immediately. If an infertility clinic cannot perform a modern semen analysis, chances are, they won't be able to do much else properly either.
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