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Possibility of UTI medication resulting to zero sperm count - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   Hello
Doctor :   Hi
Doctor :   How can i help you?
User :   Doc, I recently got a semen analysis done. I was being treated for a urinary track infection and I was on 20 tablet regimen of ciprofloxacin. After the 18th tablet, I parallely gave a semen analysis for a routine check my wife's gynec needed to prescribe her meds for her irregular periods....I found to my shock report from my semen analysis that they found zero sperm question is could the UTI have cause the zero sperm count
User :   I totally distressed since I heard this
User :   I am
Doctor :   let me read what you have typed
Doctor :   UTI will not cause zero sperm count
User :   can cipro cause this ?
Doctor :   UTI can however cause puss cells to appear in the semen report
Doctor :   Ciprofloxacin is an antibiotic given to eradicate infection
Doctor :   it is also sometimes given when semen is found to be infected
User :   I have good semen, sex drive and no impotence I can still have semen with no sperm/
User :   ?
Doctor :   hence cipro causing zero sperm count is again not possible
Doctor :   yes, you can have semen with no sperms even though you do not have any other problem
Doctor :   the cause for it shoul dbe evaluated
Doctor :   usually a testicular biopsy is done to see
Doctor :   if the precursor cells for sperms are fine or not
User :   I have an appt with a urologist but it is a bit away
User :   was a little nervouse so wanted to know more
Doctor :   if they are found to be abnormal, then it cannot be corrected
User :   I heard that this condition is called azoospermia
User :   and that there are 2 forms
Doctor :   if they come back normal, then various therapies can be tried to solve the problem
User :   obstructive and non obstructive
Doctor :   yes, there are two form, obstructive and non obstructive
User :   now when I go to the uro how will be proceed to evaluate my cae
User :   case
Doctor :   like i said if the biopsy comes back normal it would mean it is obstructive one, and the cause for obstruction should be found and corrected
User :   If is obstructive, is this is a surgery to correct the obstruction
Doctor :   if teh biopsy comes back showing abnormal precursor cells or non proliferating precursor sperm cells, then the cause would be non obstructive
Doctor :   and cannot be corrected
Doctor :   obstructive issues can be corrected by surgery
Doctor :   depending on what exactly is teh cause
Doctor :   the further treatment would differ
User :   I would also like to tell u
Doctor :   wait to meet the urologist and get all these possibilities discussed
Doctor :   ok. please proceed.
User :   that I had 2 bouts of blood in the urine hence I was treated for UTI.. First time i had blood clots, i got cipro 10 day regiment at ER. They said see uro if it occurs again. After 3 weeks again blood in urine, and burning sensation , went to primary care physican who gave me cirpo saying UTI and now going to uro. Could the blood in urine and the zero sperm count be related in any way
User :   i heard that infection can block the pipe between testicle and urethra
User :   the vas defernse
Doctor :   yes it can sometimes block the vas, but once infection is treated, it should be back to normal
User :   so it could be possible that the day i gave my sement when I was on my 18th tablet
User :   my infection was not gone
User :   completely
Doctor :   further examination by teh urologist would help you to answer this to see if there is any block stil left.
User :   and sperm did not come out
Doctor :   i recommend you to wait for your appointment, and get a thorough examination done, it will help you to know if there is any obstructive cause
Doctor :   and if found will be treated
Doctor :   once teh treatment takes it efefct you can repeat teh semen analysis after 3 months of treatment
User :   if it is obstructive it is surgical as u said....will I also take some medicines in this case
Doctor :   and see for changes in the result
User :   I understand doc but was a little tense as u can imagine....I have the appointment but just wanted to know more
Doctor :   ok
User :   If it is found to be non obstructive...
User :   are there medicines which can boost harmone levels to create sperm?
User :   or is it a lost cause
Doctor :   since I am not examining you personally , i cannot say what the exact cause could be, hence i suggested you to wait for the urologist appiontment
Doctor :   if the cause is non obstructive then the treatment would differ
Doctor :   and the urologist would be the right person to suggest teh best for you
User :   one other things is it very rare to get UTI back to back for a man?
Doctor :   no, not usually, if teh infection is nor responsive to the treatment it can recur
User :   Also should the blood in urine concern me on any kidney issue since my grandfather had kidney failure and my aunt is on dialisis
User :   i also had a small urinary bladder stone which the doc said may not cause me any prob my whole life
Doctor :   the blood in urine could be either due to the kidney infection or bladder
Doctor :   the mucosal damage causes blood to appear
Doctor :   was kidney function tests done for you?
User :   never.
User :   everytime I went to them they said it is simple uti and gave me meds
Doctor :   ok, get them done to see status of kidney function
User :   ok doc.
Doctor :   since there is history of kidney failure in family
User :   yes.. I was worried on that point.
User :   My whole life I never had any blood in urine...
User :   this is suddenly 1 month aga
User :   ok doc, I will ask uro also about if we need to go kidney function test.
User :   to do.
Doctor :   you would need to do one, and also go ahead with further tests for the semen issue
User :   yes sir. Thank you.
User :   Appreciate u give me some info.
User :   giving
Doctor :   ok. is there anything else i can help you with?
User :   Dr one last thing
Doctor :   yes please proceed
User :   I know I might be going back on the same topic, so please forgive me if I am asking around the same topic....
User :   for a testicular failure, would that be due to lack of testosterone the male harmone?
User :   I am not saying I have that but for a person who has testicular failure
Doctor :   sometimes it can be due to lack of testosterone, but in that case the sexual libido itself will be less, and you might have other problems like erection failure
User :   exactly
User :   I have no erection issues, I have tons of hair all over my body, I show no femal characteristics, I have high virility and have sex regularly
Doctor :   yes, all these suggest that testosterone levels would be fine
Doctor :   it can be confirmed by doing blood testosterone levels
User :   I also heard there is a slight chance of a missing vas deference at birth
User :   i have been doing whatever google research I can after i heard about this horrible news for me
Doctor :   i would suggest you not to do that, because the information given on the internet is for knowledge, applying everything to your case may not work out
Doctor :   since the symptoms and signs should be correlated with the examination findings
User :   I know doc...I agree with you....I am hoping and praying to go that this is obstructive since I do not feel I should be lacking testosterone
User :   to god
User :   Ok doc thanks for your help....I had to talk to someone ,.,,,thank you
Doctor :   do not worry, wait for the examination and results
Doctor :   relax yourself, do not let stress affect you or the investigation results further
User :   Yes will do....and am praying very hard as well.....I never in life imagined this can happen to me of all people...I will pray...and relax...thanks doc
Doctor :   thanks for consulting me. bye for now. wish you good luck
User :   bye...goodbye
Doctor :   you can also discuss your results with our panel infertility specialists
Doctor :   once you have cpies of results with you
User :   ok will enlist the help of ur site....
User :   ur site is a good one
User :   keep it up
Doctor :   thankyou
Doctor :   you can see my recommendation on right hand side of caht window
Doctor :   you can click on that to consult
Doctor :   we are happy to serve you 24/7
User :   ok doc. thanks At first I thought this was a sham since I did not think real doc will answer 24/7 but then I saw a cnbc program on you tube which talked about ur site and knew it was for real
User :   thanks and goodbye
Doctor :   thanks.
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