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What does my semen analysis report indicate?

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Posted on Wed, 2 Dec 2015
Question: Sperm analysis report. Please help what should i need to do. Had one year to marriage still not able to have my wife pregnant.

Total Sperm Count: 50mill/mil
Sperm Motility 30%
Sluggish: 35%
Dead/Immotile: 35%

Pus Cells 12-14 /HPF

pH: Alkaline
Liquefaction Time: 50 min
Creamy White

This is 7 days abstinence report. Please help
doctor
Answered by Dr. Harish Naik (14 minutes later)
Brief Answer:
Indicate infection. Course of antibiotics

Detailed Answer:
Hi
Welcome to HCM.
I have gone through your query.
Percentage of motile sperm is less and with increased pus cells, indicate some underlying infection.

You may undergo a urine routine examination and digital rectal examination to rule out urinary tract infection and prostatitis respectively.

I would have prescribed you a course of antibiotics, for which you may need a prescription by your local doctor. Please drink plenty of water, avoid smoking and alcohol.

You may repeat the semen analysis after a month of completion of antibiotic, and then we can decide on the further management based on the report.

Hope this help.
Take care
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Harish Naik (1 hour later)
Thanks for your reply. What kind of antibiotics are good?

I never smoke or alcoholic.

Lets suppose if both above examinations are ok what you suggest then?

My wife seems to be totally fine.
doctor
Answered by Dr. Harish Naik (2 hours later)
Brief Answer:
Tablet Norflox 400 mg twice daily for 3 days

Detailed Answer:
Hi
Good to hear from you.
Antibiotics choice depends on the examination. Most of the times, UTI will be present.
So I would have prescribed a course of antibiotic like tablet norflox 400 mg twice daily for 3 days, even if the report came negative.

Hope this helps.
Take care
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Harish Naik

General & Family Physician

Practicing since :2008

Answered : 2621 Questions

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What does my semen analysis report indicate?

Brief Answer: Indicate infection. Course of antibiotics Detailed Answer: Hi Welcome to HCM. I have gone through your query. Percentage of motile sperm is less and with increased pus cells, indicate some underlying infection. You may undergo a urine routine examination and digital rectal examination to rule out urinary tract infection and prostatitis respectively. I would have prescribed you a course of antibiotics, for which you may need a prescription by your local doctor. Please drink plenty of water, avoid smoking and alcohol. You may repeat the semen analysis after a month of completion of antibiotic, and then we can decide on the further management based on the report. Hope this help. Take care