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Semen analysis, shows sperm count, active motile, pus cells, RBC's. What does my report indicate?

Hi sir my report is semen analysis sperm count - 55 million per ml active motile - 20% sluggish motile - 30% non motile - 50% pus cells - 1-2/hpf epithelial cells - 0-1/hpf RBC s - occasional morphology: 35% normal sperms. Many pin headed acute tapering form few giant headed occasional double headed and occasioal swollen necked forms of sperms seen.
Asked On : Thu, 1 Nov 2012
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM

Before writing to you the interpretation of your semen analysis, I would like to let you know the normal semen parameters.

Semen volume: 2 ml/ ejaculate
Sperm count: 20 million/ ml
Motility: 50 % sperms should show active forward progressive motion
Morphology: 50 % sperms should have normal morphology

In your report, sperm count is normal, only 20 % sperms are actively motile and only 35 % show normal morphology.
So, motility of sperms and morphology of sperms is sub-normal.
There is marginal increase in the number of pus cells and epithelial cells.
these cells signify mild infection in the urinary tract or the reproductive tract.

Due to sub-normal motility and morphology, you may face the problem of infertility.
However, I advice you to get semen analysis done again after treating the mild infection.

Thanks and take care
Dr Shailja P Wahal
Answered: Thu, 1 Nov 2012
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