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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Semen Analysis Report Indicate?

31 years, 5.6ft, 71kg. I have had urethral discharge for about 14 years now. I was also tested positive genetal herpes. Recently i carried out a semen analysis. The result is 40million sperm count, 30% active, 50% dead, 20% abnormal. from the culture test, staphylococcus aureus was isolated from the semen. What does this mean?
Wed, 2 Jul 2014
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Radiologist,  's  Response
Hello
Thanks for writing to us

Your semen analysis report suggests infection with decreased sperm motility.

Infection is indicated by the presence of staphylococcus aureus in semen. Normally there shouldn't be any bacteria in semen.
Infection may be due to prostatitis,UTI etc.
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 sensitivity report.

You also have low sperm motility.Sperm motility should be at least 55 %.
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.

Other factors like sperm count and morphology is normal.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Does The Semen Analysis Report Indicate?

Hello Thanks for writing to us Your semen analysis report suggests infection with decreased sperm motility. Infection is indicated by the presence of staphylococcus aureus in semen. Normally there shouldn t be any bacteria in semen. Infection may be due to prostatitis,UTI etc. 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 sensitivity report. You also have low sperm motility.Sperm motility should be at least 55 %. 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. Other factors like sperm count and morphology is normal. Get well soon. Take Care Dr.Indu Bhushan