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Reasons for reduced sperm count - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3196 Questions
Doctor :   Hi
User :   Hi
User :   Dr, I have taken a semenanalysis report recently and found that
Doctor :   Please proceed with your query.
User :   (a+b) count to be 0% while it was 20% a three months back
User :   this time the report says presence of pus cells
User :   though it mentions of mild infection
Doctor :   Pus cells denote any infection
User :   is there any reason for the motile count dropping drastically
Doctor :   Is this the second time that you have taken test?
User :   It is 6th time
Doctor :   Is the count dropping everytime?
User :   earlier too I have seen a similar drop accompanied by pus cells
User :   yes
User :   the report says pus cells [+]
Doctor :   Do you have any symptoms like burning, pain and itching in urination?
User :   no
Doctor :   Drop in the sperm count can be due to various reasons as stress,endocrine and urological disorders,vitamin deficiency, smoking, alcohol,obesity etc
Doctor :   Was your hormonal analysis done?
User :   No doctor
User :   I do not smoke, do not eat nonveg, do not consume alchohol
Doctor :   What was the initial sperm count report?
User :   I am 78 kgs and height is 5'11''
User :   around 15% (a+b) with 6mn per ml
User :   3months back report mentioned 20% (a+b) with 10mn per ml
User :   As far as stress is concerned I was a workaholic
Doctor :   Actually a + b denotes fast progressive and slow progressive sperm
User :   Now I left the job and doing some part time just to make sure things go right for me
User :   OK doctor
Doctor :   There could be any genetic factors also Cystic Fibrosis, Karategener syndrome of decreased motility.
User :   Ok Doctor
Doctor :   Did you get the UTI ruled out?
User :   I do not know about it
User :   what is that doctor
Doctor :   I will advice you to get a complete hormonal evaluation done.
User :   ok doctor
Doctor :   It is Urinary tract infection since pus is present it could be that any chronic infection is present in the urinary tract.
User :   ok doctor
Doctor :   Also avoid working in high temperature zone, it may decrease sperm motility
User :   ok doctor
Doctor :   Even exposure to high temperature is to be avoided.
User :   Sure doctor
User :   Could you tell me the cost of hormonal check doctor
User :   hormonal evaluation
Doctor :   It would range from 800 to 1000k
User :   ok, and how long this takes and what is the sample
Doctor :   In this blood sample is taken and results will take 72 hours to come
User :   ok doctor, and what do I need to see in this report
Doctor :   You need to see the hormonal results.
User :   ok doctor
User :   and another problem for me is whenever I do not ejaculate for more than 2 days I feel some odd feeling in the penis due to which I am forced to do it. could you tell me if this is a common problem anything to do with poor health
Doctor :   Can you explain the symptoms in detail?
Doctor :   What odd feelings?
User :   i feel like there is semen in the penis
Doctor :   Is there any pain, dicomfort, burning or itching in penis?
User :   nothing other than that
Doctor :   Then it is due to Psychological effect which is common in men. It happens when the protein content in the sperm is increased
User :   anything to worry about it
Doctor :   Nothing as such to worry.
Doctor :   It is normal
User :   ok doctor, how to reach you again. I will take the test
User :   I want to tell you about the report
Doctor :   You can contact me between 8 to 5 Mon to Friday.
User :   but I think, as this is online chat, will there be any option available to choose you as my doctor
Doctor :   Yes you can request.
Doctor :   You will be directed to me
User :   could ok doctor
User :   many thanks for your help will get back when the report is out
Doctor :   Yes sure
Doctor :   All the best
Doctor :   Thanks for consultation
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