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oligospermia, pus cells - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2436 Questions
User :   Hi, I have a problem related to infertility.
User :   Hi
Doctor :   hi
Doctor :  
ok
Doctor :  
please proceed with your query
User :   I done my semen analysis y'day.
User :   Report is saying that ocassionally sluggish and no motility sperm in semen
Doctor :  
ok
User :   and the impression is severe olozospermia
Doctor :  
could you tell me the entire report in detail?
User :   could you please suggest me how to proceed further?
User :   sure
User :   volume 2.0 ml
Doctor :  
ok
User :   color: pearly white
Doctor :  
ok
User :   reaction alkaline ; viscocity: normal ; liauification time 20 mins;
Doctor :  
ok
User :   Sperm count : occational sluggish and non motail sperms are seen whole semen
User :   Other findings : PUS cells: 3-5 HPF
Doctor :  
ok
User :   impression : severe oligospermia without active motility.
Doctor :  
the pus cells should not be seen, it means there is infection going on or there was in recent past
User :   ok, in past i have an infection to my right testicle.
Doctor :  
also the sperm count should be above 20 million/cubic cm
Doctor :  
ok
Doctor :  
that explains the reason for pus cells
Doctor :  
so once the infection is properly treated
Doctor :  
we can expect to see a rise in sperm count
User :   dont know wat happened that time . suddenly one day i got pain in that testicle.. that was too horrible.. and went to hospital, doctor gave one type of oil medicine. i applied that that pain gone.. but size of the testicle reduced..
Doctor :  
you can also opt for a second opinion from Dr. XXXXX, who is a renowned infertility specialist
Doctor :  
ok
User :   I have only one dbt is there a possibility to cure this?
User :   and can i become a father?
Doctor :  
let me explain..
Doctor :  
we need to see if the infection is still present
Doctor :  
treat the infection
User :   this is worrying me alot :-(
Doctor :  
repeat the sperm analysis after 2 weeks of complete treatment
Doctor :  
and then see if any improvement is there
Doctor :  
you can compare both the reports and see what difference is before and after treatment
User :   If infection is there then sperms will not come?
Doctor :   no, when infection is there, it wil hamper sperm production

Doctor :  
WWW.WWWW.WW User :   oh..
Doctor :  
you can ask write your entire details
Doctor :  
of past infection and present problem including what treatment was done
Doctor :  
and send to us for a second opinion
Doctor :  
or take direct second opinion by following the link suggested above.
User :   in my case sperms are there or not even in testicle also?
Doctor :   that can be confirmed by looking a t a biopsy
Doctor :  
which will show if there is potential to have sperm production
Doctor :  
or has teh infection damaged the sperm producing cells
User :   will this be curable.. if there is a damage?
User :   or problem in sperm production?
Doctor :  
if the damage is to the sperm producing cells, we may not be able to cure
Doctor :  
but if the sperm producing cells are fine, then once the infection is totally cured it should be fine
Doctor :  
and we can expect to see a rise in sperm count slowly
User :   ok. how can we differentiate that? is there any test?
Doctor :  
that can be diffentiated by doing a testicular biopsy
Doctor :  
in a good infertility clinic
Doctor :  
Dr. XXXXX has his own clinic and is well known all over india
Doctor :  
*well
User :   ok.. Do you have any branches in Hyderabad?
Doctor :  
no, right now we dont have branches in hyderabad
Doctor :  
you can contact us
Doctor :  
or contact Dr.XXXXX in the above mentioned link
User :   where is the clinic?
Doctor :   his personal clinic is in MUmbai
Doctor :  
Is there any thing else I can help you with?
User :   no, Thank you very much.
Doctor :   Please fill the feedback form say done when done.
User :   filled
User :   Bye
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
Doctor :   Please chat with our doctors 24/7 for medical queries.
User :   Sure
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