What Does My Semen Analysis Test Report Indicate?

Posted on Thu, 23 Jun 2016

Question: Hello Doctor,

My results of semen analysis are given below. Are they normal as i have a concern of pus cells and RBC in semen. I had suffered from calculi problem in the past.

Duration of Abstinence 5 days 2 - 7
Liquefaction at 37° C 30.00 minutes 30 - 60
Volume 3.00 mL >1.5
Appearance Viscid opaque
Colour Whitish
Viscosity Slight
pH 7.8 7.2 - 7.8
Microscopic Examination
Total Sperm Concentration 105.00 million/mL >15
Percentage Motility 70.00 % >40 (Grade A+B)
Grade A (Progressive motile) 40.00 % >32 ( lower reference
limit)
Grade B (Non progressive motile) 30.00 %
Grade C (Immotile) 30.00 %
Agglutination Negative Negative
Pus Cells 2-3 /hpf Nil
Red Blood Cells 1-2 /hpf Nil
Epithelial Cells Nil /hpf Nil
Morphology
Normal Morphology 70.00 % >4
Abnormal Morphology 30.00 %
(a) Head Defects 10.00 %
(b) Neck & Midpiece 10.00 %
(c) Tail Defects 10.00 %
Chemical Examination
Semen Fructose Qualitative Positive Positive

Answered by Dr. Prof. Kunal Saha (1 hour later)

Brief Answer:
Report normal. Does not seem to be a cause for concern.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through the report. The overall report looks good. The counts and motility are ok and you need not get concerned. A positive fructose is considered normal as in your case and so you need not worry.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (2 hours later)

Thanks a lot for the reply doctor. Just wanted to know whether 1-2RBC are normal in semen.

Answered by Dr. Prof. Kunal Saha (5 minutes later)

Brief Answer:
Not a cause for concern. Needs no intervention.

Detailed Answer:
Thanks for clarifying. 1-2 RBC/hpf is not a cause for concern.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (23 hours later)

Hello Doctor,

Thank you for the answer. I just want to ask the last question that my semen culture report also came and it states that " No pathogenic organism grown after 48 hours of incubation at 37degree Celsius. What does this mean and also, i have read on google that presence of pus cells in semen can damage the sperm.

I am a little bit concerned as my wife has suffered first miscarriage and we do not want to take second chance, so doctor has done all my tests and my wife tests. Even my VDRL, HIV 1&2, HBSAG, ANTI HCV all came negative. Please guide me.

Thanks a lot for your valuable time.

Answered by Dr. Prof. Kunal Saha (2 hours later)

Brief Answer:
Report is fine.

Detailed Answer:
Thanks for writing back.

A pus cell count of 2-3/hpf is acceptable and not a cause for concern. Otherwise you have read correctly that pus cells can damage sperms. The culture report indicates that no infection has been detected.

I understand that you are concerned about the miscarriages. But apparently your semen analysis seems fine and unrelated to the miscarriages.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar