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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done Semen Analysis. Why Do I Have Many Dead Sperms And Pus Cells?

My wife and I have been married for 10 months. My recent semen analysis is as follows: Time of production: 10.10am Time of examination: 11.15am Color: Milky pH: 8.0 Volume: 3ML Consistency: Slightly viscous Total count: 90 X 1,000,000 / ML MOTILITY Active: 20% Inactive: 10% Dead: 70% MORPHOLOGY Normal: 70% Abnormal: 30% MICROSCOPY Epithelial cells: 0-1HPF Pus cells: 5-6HPF Semen sample yielded scanty growth of staph aureus after 24 hours of incubation at 37 C. Urine sample yielded no significant bacterial growth . Why do I have so many dead sperm and pus cells? Thanks.
Thu, 25 Oct 2012
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General & Family Physician,  's  Response
Hello, Welcome to HCM,
The report shows, normal sperm count ( normal is >20 million/ml as per WHO 1999), decreased motility ( normal is >50% as per WHO1999). Morphology of the sperm is reduced.
But, there is presence of increased pus cells. Epithelial cells are within normal limit.
Now, the decreased motility and morphology is due to presence of the pus cells in the semen.
So, overall, you are suffering from lower urinary tract infection.
Consult with your treating doctor for appropriate antibiotic, and repeat the test after completion of the antibiotic.
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Done Semen Analysis. Why Do I Have Many Dead Sperms And Pus Cells?

Hello, Welcome to HCM, The report shows, normal sperm count ( normal is 20 million/ml as per WHO 1999), decreased motility ( normal is 50% as per WHO1999). Morphology of the sperm is reduced. But, there is presence of increased pus cells. Epithelial cells are within normal limit. Now, the decreased motility and morphology is due to presence of the pus cells in the semen. So, overall, you are suffering from lower urinary tract infection. Consult with your treating doctor for appropriate antibiotic, and repeat the test after completion of the antibiotic.