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Semen test report showing sperm count, motility, pus cells, epithelial cells, RBCs. Can I become a father based on this report?

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Practicing since : 1998
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i m 29 year old Total volume : 2.5 ml, colour : Milky White, odour : Normal, Reaction : Alkaline , Viscosity :Moderate , Coagulatio : Positive , Liquification 40 min. , Sperm Count 32 Mill/Ml , Motility 30 % (rapid forward 50%,purpose forward 10 %, erratic circular 5 %, moving in place 5% , immotile 30%) , pus cell 3-4/hpf, Epithelial cells 1-2/hpf , red blood cell 1-2 /hpf.............pls give ur valuable suggestion.
Posted Tue, 1 May 2012 in Infertility Problem
Answered by Dr. Jasvinder Singh 16 minutes later
Thanks for posting your query.

The normal sperm count is over 15 million sperms, volumes between 1.0 mL and 6.5 mL are normal and regarding the liquefaction time, it normally takes less than 20 minutes for the sample to change from a thick gel into a liquid. An abnormally long liquefaction (more than 30 minutes at 24°C) time may indicate an infection, however the criteria is different for different labs.

It states that a liquefaction time within 60 minutes is regarded as within normal ranges. Regarding motility, at least 50% should be motile one hour after ejaculation.

In your case, there is presence of pus cells and red blood cells in the semen which denotes an infection and blood in semen due to hematospermia. The infection may be slightly prolonging the liquefaction time. In such cases even with slight motility problems pregnancy may still be possible once the infection is treated.

So you can become a father but a repeat semen examination after some time after consulting a fertility specialist or Urologist is required. If there is any infection, then you will be given appropriate antimicrobials after which your chances of becoming father are good.

Eat a diet that includes whole, unprocessed foods. The best foods for health in general, and also for sperm problems, are whole grains, legumes, vegetables, fruits, nuts, and seed. Avoid alcohol, smoking, take more of proteins and fresh vegetables. Minerals like zinc and selenium, amino acids like l-carnitine, and antioxidants like Vitamin C and Vitamin E are very crucial to sperm health.

Hope this answers your query. Please accept my answer in case you do not have further queries.

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