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Did semen analysis. Grayish white opalescent, red blood cells, pus cells. What odes it mean?

i did a semen analysis and this is the result :

colour : greyish white opalescent
volume : 3 ml
reaction : alkaline ph 8
sprem concentration : 46,000,000 ml
total count : 138,000,000
liuified after : 30 min

after 30 min : 60 %
after 60 min : 55 %
after 2 h : 50 %
after 3 h : 45 %

type of motility

A- rapid progressive : 5 %
b- sluggish progressive : 35 %
c- non progressive : 20 %
d- immotile sprems : 40 %

abnormal forms : 6 %

Spermatogenic cell : 2-3 / HPF
Red blood cells : 1-2 /HPF
Pus cells : 15-20 /HPF

what is your comment , thanks .

Asked On : Sat, 23 Mar 2013
Answers:  2 Views:  266
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General & Family Physician 's  Response

Here is what it means,
(1) COLOR & VOLUME, - are physical characteristic and gray white and 3ml is normal for it
(2) REACTION TYPE - alkaline is just giving an idea of whether it is acidic /alkaline and alkaline is normal
(3) SPERM COUNT is number of sperm in ml and 20 and 40 million per milliliter is range for normal and yours 46 million so its normal.

(4) LIQUIFICATION- how much is the sperm survive one its release normal is about 20 min and yours it about 30 min so it good

(5) MOTILITY is the way how sperm travels and its good to have more motility is 40% normal should be about greater that 25% so yours is pretty good.

(6) RED BLOOD CELLS not suppose to be present but mostly seen in infection/minor bleeding due to trauma.

(7) PUS CELLS - 15-20/HPF Shows an active infection some were across the testis to the urethra.

*******************************************************************************So based on this report you have some kind of INFECTION somewhere from testis to penile opening , needs to be address by the physician ,

In order to pinpoint the exact cause more diagnostics tests needs to be done , and once the culprit organism is identified an antibiotics can be prescribed to get it cleared.

Answered: Sat, 23 Mar 2013
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

It is practically normal except for infection...(Rare RBC could be from infection only)
You need a course of antibiotic / and it will be cured for sure
The reason for analysis is not given / Consult your doctor - Urologist is the specialist in this field / You need examination to ascertain the source of infection / and for appropriate antibiotic..
And repeat the test after a fortnight - all will be well...

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Fri, 10 May 2013
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