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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does the presence of pus cells and RBCs in semen mean?

Answered by
Dr.
Dr. Varinder Joshi

General & Family Physician

Practicing since :1999

Answered : 2202 Questions

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Posted on Wed, 2 Jan 2019 in Infertility Problem
Question: Hi Doctor,

My wife and I are trying to concieve and it was recommended by our Doc to have a semen analysis.

I recently had a semen analysis done. Can you let me know how to analyse it? I'm concerned about the PUS cells and RBCs. What do they mean? What do I need to do?

doctor
Answered by Dr. Varinder Joshi 1 hour later
Brief Answer:
infection.

Detailed Answer:

Hello Mr XXXXXXX,

I have read your query and i will say that pus cells and RBC means the infection.

You should have undergone culture and antibiotic sensitivity of semen.
Then you will be prescribed antibiotic for a full course.

If you do not want to go for culture then i will recommend tab cefopodoxime.

Take multivitamin antioxidant combination once a day.
Avoid smoking and alcohol.

Your BP, sugar level and thyroid profile should be within normal limits.

You must take tab speman 2 tablets two times as these are proven to improve all semen parameters.

If you have any further query then you can come back.

Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Varinder Joshi 12 hours later

OTHERS
Pus Cells​​ 2-4/ HPF​ ​ ​ 0-5/HPF
RBC’s​​​ 1-2/ HPF​ Nil​

My results on left and ref range on right. Should i still take all those medications?
doctor
Answered by Dr. Varinder Joshi 9 minutes later
Brief Answer:
Complete report.

Detailed Answer:

Hi,

Mr XXXXXXX,

Please give the complete semen analysis report as attachment or just write the report. I will respond soon. Give complete report.

Waiting for reply.

Regards.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Varinder Joshi 5 hours later
COLLECTION TIME 10.30 AM
LIQUIFACTION TIME​ 30 MINS 30 MINS
PROCESSING TIME 11.00 AM​​ --
PHYSICAL EXAMINATION
Volume ​ 1.0 ml
Colour Grey White ​ --
Viscosity ​ Normal​​ VISCOUS
PH​​​​ 8.0​​ 5.0-8.5
Fructose Present
MICROSCOPIC EXAMINATION
TOTAL SPERM COUNT​​ 62 LAKHS ​ 20-120 Million​
MOTILITY
Total Motility​​​ 35 % ​​ 38-42 %
ACTIVE MOTILE​​ 40 % > 50 %
SLUGGISH MOTILE​​ 20 % %
NON MOTILE​​​ 05 % ​ %


MORPHOLOGY
NORMAL FORMS ​​ 50 % ​​ --
ABNORMAL FORMS​​ 50 % ​​ --
OTHERS
Pus Cells​​ 2-4/ HPF​ ​ ​ 0-5/HPF Microscopic Exmn
RBC’s​​​ 1-2/ HPF​ Nil​ Microscopic Exm
doctor
Answered by Dr. Varinder Joshi 16 minutes later
Brief Answer:
Antibiotics.

Detailed Answer:

Hi,

Mr XXXXXXX,

I have gone through your report. As you can see there are pus cells 2 to 4 and RBC also i suggest to take tab cefpodoxime and this duration is sufficient to clear any infection.. Note that antibiotic only for 7 days.

Secondly the active motile is 40 % and morphologically active is 50 %.

When the infection will be cured there will be some improvement in these parameters.

But you should also take any multivitamin antioxidant combination as Health ok or Rx plus once a day.

Add tab speman tablet.

Both these are good drugs to give improved parameters of semen. I have seen good results in my clinical practice also.
Your BP or sugar level should be normal.

With these things follow the advice which i have given in the previous reply as avoiding smoking, alcohol, tight undergarments.
Avoid hot showers.

And the last tip is that do sex only once per night.
You will be able to impregnate your wife.

Regards,
Dr. Varinder Joshi, General & Family Physician
Above answer was peer-reviewed by : Dr. Nagamani Ng
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