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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Fertility Problem, Semen Count Increasing After Treatment, Pus Cells Also Increasing. Advice ?

Hi doctor,
Please am having fertility problem and after several treatment my semen count increase from 6million to 55 million but the pus cells keep increasing from 1-2 to 8-10 and metility is presently at 0.5 percent, several culturing done on the samles did not show any growth, kindly help me advice me on the treatment to be done for this undiscover pus cells.


Regards
AAAAA
Sat, 14 Sep 2013
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
The increase in sperm count is not indicative of any disease.
This is common variation seen in semen collected at different times.
Semen collected after sufficient abstinence will show high sperm counts.
Whereas semen collected after sexual activity or ejaculation at short interval will show low sperm count.
The presence of pus cells is significant.
This indicates infection.
A culture report can be negative if there is contamination.
Repeat a culture of the semen collected under aseptic conditions.
A positive culture and subsequent drug sensitivity will help in further management.

Thanks and take care
Dr Shailja P Wahal
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Having Fertility Problem, Semen Count Increasing After Treatment, Pus Cells Also Increasing. Advice ?

Hello and welcome to HCM, The increase in sperm count is not indicative of any disease. This is common variation seen in semen collected at different times. Semen collected after sufficient abstinence will show high sperm counts. Whereas semen collected after sexual activity or ejaculation at short interval will show low sperm count. The presence of pus cells is significant. This indicates infection. A culture report can be negative if there is contamination. Repeat a culture of the semen collected under aseptic conditions. A positive culture and subsequent drug sensitivity will help in further management. Thanks and take care Dr Shailja P Wahal