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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Semen Analysis With Total Count 35 Million/ml, Pus Cells 15-18 Normal?

Hello doctor , my semen analysis report is quantity:1.5 ML, Color, Whitish, Viscosity: WNL, Reaction:ALKALINE, Liquefaction:30 Minutes, Microscopic Examination Total Count :35 Million/Ml, Sperm Motility Active : 40% Suggulish: 15% Non MOtile :45% Pus Cells: 15-18
Wed, 13 Aug 2014
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Radiologist,  's  Response
Hello
Thanks for writing to us

Your semen analysis report suggests infection with borderline decreased sperm motility.
Infection is indicated by the presence of excessive pus cells in semen. Normally there shouldn't be any pus cells in semen.
Infection may be due to prostatitis,UTI.
You need antibiotics for infection.
You need few more investigations like routine hemogram,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.
Proper antibiotics should be prescribed depending upon culture and sensitivity report of semen.

You also have mildly low sperm motility.
Sperm count is normal.

Fertility will definitely improve with control of infection.
You should do exercise and take nutritious food.
You should avoid tight underpants.
Avoid cigarettes and alcohol if you take these things.
If low sperm motility persists then you may need assisted fertilization techniques like IUI.

Get well soon.
Take Care
Dr.Indu Bhushan
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Is Semen Analysis With Total Count 35 Million/ml, Pus Cells 15-18 Normal?

Hello Thanks for writing to us Your semen analysis report suggests infection with borderline decreased sperm motility. Infection is indicated by the presence of excessive pus cells in semen. Normally there shouldn t be any pus cells in semen. Infection may be due to prostatitis,UTI. You need antibiotics for infection. You need few more investigations like routine hemogram,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed. Proper antibiotics should be prescribed depending upon culture and sensitivity report of semen. You also have mildly low sperm motility. Sperm count is normal. Fertility will definitely improve with control of infection. You should do exercise and take nutritious food. You should avoid tight underpants. Avoid cigarettes and alcohol if you take these things. If low sperm motility persists then you may need assisted fertilization techniques like IUI. Get well soon. Take Care Dr.Indu Bhushan