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What Does The Following Semen Culture Report Indicate?

Posted on Wed, 8 Jul 2015

Question: Hello doctor
I have just got my seaman culture report..my Enterococcus faecalis - shows heavy growth.
and all antibiotics shows sensitive result...what does it mean...can you please explain...and is this becteria is curable or not

Answered by Dr. Tushar Kanti Biswas (1 hour later)

Brief Answer:
Semen culture growing Enterococcus faecalis

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Your semen culture shows heavy growth of Enterococcus faecalis also known as Streptococcus faecalis ,sensitive to a host of commonly used antibiotics. Enterococci can cause acute or chronic prostatitis and in this case semen culture will show the growth.
Can you give a little bit your history of illness,like symptoms,any history of instrumentation like catheterization of urinary tract?
Before embarking on culture,you might have done Urine routine examination and Semen analysis. Was there any presence of pus cells in urine or semen?
In any case ,you have to take a course of antibiotic as per the sensitivity report and should be continued for 2–4 weeks for acute prostatitis . In case of chronic bacterial prostatitis, a 4- to 6-week course of antibiotics is often necessary.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Tushar Kanti Biswas (25 minutes later)

Thanx for you answer sir
Yes i have done my seaman test..my puss cells was 2-4...
I showed my report to the docter he said my motility GRADE C is 40%...after that he suggestrd me seaman culture test...

Answered by Dr. Tushar Kanti Biswas (1 hour later)

Brief Answer:
Leucospermia with poor sperm motility

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
The normal sperm motility is >50% (yours is 40 %) and Grade c-motility means spermatozoas have non-progressive motility because they do not move forward despite the fact that they move their tails.
You have to take the course of antibiotic,which your doctor must have advised.
However it is better to undergo Ultra-sonography of Prostate and Seminal vesicles along with Kidneys,Ureters & Bladder (USG-KUB & Prostate) as genitourinary system is closely related.
You have also to repeat your semen analysis after the course of antibiotic.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Tushar Kanti Biswas (1 hour later)

Ok sir thx for your suggetion...i have more query's...as u have seen my culture test shows high growth rate or senstive in all areas...is this report normal or i am suffering from any desiase...and my sperm counts are 105million/ml my motility GRADE A is 60% GRADE B is 10% and C you know...so,probably my last question is that am ok or not...can my wife still concieve with report like this...is these reports are normal or i will be fine...hope you can understand what i want to know...thank you

Answered by Dr. Tushar Kanti Biswas (2 hours later)

Brief Answer:
Semen analysis and chance of fertility

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Your infection with Enterococcus faecalis is curable and it is sensitive to most of the common antibiotics. Over 15 million sperm per milliliter is considered normal,Your sperm counts are 105 million/ml and have good motility (Grade A is 60% ).Once the infection is cured with antibiotics ,chance of fertility will be more.
Is it possible to upload the complete semen analysis report,since there is some inconsistency in your write-up of question?

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vaishalee Punj