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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Normal Spermatozoa In Semen Analysis Suggest?

HI. My name is Sri Harsha Kiran and the details of my semen analysis are as follows:Volume: 1.5 mlpH: Alkaline Color: Opalescent Liquefaction: <30 mins RBCs: 6-8/HPF WBCs: 15-20/hpf Epithlial cells: Occassional Crystals: Occasional Motile: 35% Non Motile: 50%Sluggish: 15% Total Count: 48Mil/cumm Morphology: 93% normal 07% abnormal.Observations: "Smear shows predominantly normal spermatozoa with homogeneously stainging head and elongated tail, scattered abnormal forms with tailless sperm heads, and occasionally bi-headed sperms are noted. No specific abnormality detected."Personal details:Age: 28 yrs Height: 5 ft 10'Weight: 98 Kgs Medical History: No major ailments.
Tue, 2 Sep 2014
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Radiologist,  's  Response
Hello
Thanks for writing to us

Your semen analysis report suggests infection with decreased sperm motility.
Infection is indicated by the presence of pus cells and RBC in semen. Normally there shouldn't be any pus cells and RBC in semen.
Infection may be due to prostatitis,UTI.
You need antibiotics for infection.
You need few more investigations like routine hemogram,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.
Proper antibiotics should be prescribed depending upon culture and sensitivity report of semen.

You also have low sperm motility.Normally at least 55 % sperms should be actively motile.
Sperm count and morphology are normal.

Fertility will definitely improve with control of infection.
You should do exercise and take nutritious food.
You should avoid tight underpants.
Avoid cigarettes and alcohol if you take these things.
If low sperm motility persists then you may need assisted fertilization techniques like IUI.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Could Normal Spermatozoa In Semen Analysis Suggest?

Hello Thanks for writing to us Your semen analysis report suggests infection with decreased sperm motility. Infection is indicated by the presence of pus cells and RBC in semen. Normally there shouldn t be any pus cells and RBC in semen. Infection may be due to prostatitis,UTI. You need antibiotics for infection. You need few more investigations like routine hemogram,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed. Proper antibiotics should be prescribed depending upon culture and sensitivity report of semen. You also have low sperm motility.Normally at least 55 % sperms should be actively motile. Sperm count and morphology are normal. Fertility will definitely improve with control of infection. You should do exercise and take nutritious food. You should avoid tight underpants. Avoid cigarettes and alcohol if you take these things. If low sperm motility persists then you may need assisted fertilization techniques like IUI. Get well soon. Take Care Dr.Indu Bhushan