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What Are The Chances Of Finding Gram Positive Cocci Isolated In Semen Culture?

Posted on Wed, 20 Feb 2013

Question: possible significance of "gram positive cocci isolated" in semen culture

Answered by Dr. G.Srinivasan (2 hours later)

Hi,
Welcome to XXXXXXX and thanks for your query.
Semen culture is usually done to look for evidence of prostatitis.
Usually, the bacteria isolated are GRAM NEGATIVE but GRAM POSITIVE organisms can also be present.
If symptomatic, treatment needs to be started based on the sensitivity report.
Wish you good health and HAPPY NEW YEAR,
Best regards
DR GS

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. G.Srinivasan (16 minutes later)

"what is a sensitive report"; is treatment necessary or may it be self solving ( i have no symptoms), and if treated, what are typical treatments

Answered by Dr. G.Srinivasan (3 hours later)

Hi
Welcome back.
If you have no symptoms, no treatment is necessary.
Sensitivity means the medicines to which the organism will be susceptible.
Best regards
DR GS

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. G.Srinivasan (23 hours later)

although i have no symptoms: a) could the bacterial contribute to prostatis, b) is it communicable to a woman by unprotected sexual intercourse, and c) how can one determine whether the bacteria has been destroyed, absent use of antibiotics? thank you

Answered by Dr. G.Srinivasan (15 minutes later)

Hi,
Welcome back.
1. Usually it is gram negative bacteria that causes prostatitis, but rarely gram positive can cause.
2. It is not transmitted sexually.
3. If worried, pls repeat a culture test after 3 months.

Treatment with antibiotics is necessary as there was blood in the semen.
Wishing you good health
Best Regards
DR GS

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. G.Srinivasan (2 hours later)

assuming that blood in semen provoked by DRE, and as blood in semen was present at time of culture but disappeared within days thereafter, would the disappearance of blood in semen also mean that antiobotics not required at this time

Answered by Dr. G.Srinivasan (47 minutes later)

Hi
Welcome back.
Normally DRE does not cause blood in semen.
It is better to take a course of antibiotics, since you already have a history of prostatitis.
Best regards
DR GS

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar