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Semen analysis done. Pus cells found, fructose level positive. What does report mean?

Dr. please let me know my Semen analysis: Volume: 2.0ml, Viscosity: NORMOVISID, Liquefaction Time: 25 MTS, PH: 8.0, Reaction; ALKALINE, Active Motile: 05%, Sluggish Motile: 10%, Non Motile: 85%, Total Sperms count: 10 millions/ml, Ref. Range: 60-150 millions/ml, Normal Sperms 98%, Abnormal Sperms 02%, (Pin Headed, Gaint Headed, Swallon Middle Piece Sperms are Present), 10-12 PUS CELLS/HPF, 3-5 RBC/HPF, Fructose Level: Positive.
Asked On : Fri, 22 Mar 2013
Answers:  3 Views:  146
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General & Family Physician 's  Response
Your semen analysis indicates the following.
1. Volume is normal, viscosity also normal.
2.Liqufaction time is in the normal range of 20 to 30 minutes. it implies that there is no infection.
3. pH 8 indicates slightly alkaine but within normal range (secretion is mainly from seminal vesicle). Abnormally high pH(>8) will kill sperm or prevent it's ability to penetrate egg.
4. Sperm count is less. this indicates either infection like orchitis, mumps or infertility.
5. Only 0.5% of sperms are motile. More than 50% of sperms should be motile & should show normal forward movement after one hour. 85% non motile sperms means infertility.
6. Fructose is the energy source for the sperm & promotes survival of sperm.
Drugs like Clomiphene Citrate will increase spermatogenesis & will improve fertility rate.
Answered: Fri, 22 Mar 2013
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General & Family Physician Dr. Das Arindam's  Response
Sep 2012
Hello, Welcome to HCM, I am Dr. Das

Look, your semen analysis report indicates low sperm count. we clinically accept 15 millions / ml as normal.

Motility is also reduced.

Normal sperms are also adequate in number.

But, Pus cells and RBCs are increased in number.

That means you are suffering from genitourinary tract infection which is lowering your sperm count and motility.

So, consult with your treating doctor for prescribing a broad spectrum antibiotic like ciprofloxacin group of drug.

Answered: Sat, 23 Mar 2013
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  User's Response

Your Semen analysis shows:

Volume: 2ml (Normal ejaculate volume is between 2 and 6 ml)
Liquefaction Time: 25 MTS ( Normal Liquefies in 20-25min)
PH: 8.0(Normal semen pH is 7.2-8.0),
Motility and forward progression: normally >50% of sperm
normal Sperm count more than 20x106.
Presence of pus cell in semen suggests that you have infection of genital tract. Infection affects semen parameters like motility which affected in your case.

You must take antibiotics to counter infection.
I hope this will help

Best wishes
Answered: Fri, 22 Mar 2013
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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