Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
How To Confirm Infertility In Male?
Good evening sir,
I have an infertile couple, and i wanna your openion in processing the male factor.
1st i asked the male to do semen analysis, i found almost all parameters are good except the pus cells ratio which was about 100 /HPF, then i asked for culture and senstivity to diagnose the causative organism for this infection, the lab had recommended giving this patient Ciprofloxacin so i gave it for 45 days and asked for another sample to detect the effectiveness of the treatment where i found that the pus cells count become more than 100/HPF ">100.000.000 /ml".
i asked for another culture and sensitivity test to be done at other 2 labs, one of them recomended Septrin DS and the other said that no growth found on the culture in the sample.
So, I have three different results from 3 different labs for the same person and i am afraid to try each result with my patient as the treatment coarse is usually long durated
Clinical examination, U/S and doppler for both testes are irrelevant
Thank you for cooperation
I have an infertile couple, and i wanna your openion in processing the male factor.
1st i asked the male to do semen analysis, i found almost all parameters are good except the pus cells ratio which was about 100 /HPF, then i asked for culture and senstivity to diagnose the causative organism for this infection, the lab had recommended giving this patient Ciprofloxacin so i gave it for 45 days and asked for another sample to detect the effectiveness of the treatment where i found that the pus cells count become more than 100/HPF ">100.000.000 /ml".
i asked for another culture and sensitivity test to be done at other 2 labs, one of them recomended Septrin DS and the other said that no growth found on the culture in the sample.
So, I have three different results from 3 different labs for the same person and i am afraid to try each result with my patient as the treatment coarse is usually long durated
Clinical examination, U/S and doppler for both testes are irrelevant
Thank you for cooperation
Wed, 24 Jun 2015
Hi, I have understood your dilemma.
In fact pus cells found in the semen are many times misleading. Routine laboratories label them as pus cells on their size. We have found that many times the labelled 'pus cells' really turned out to be immature sperms. It seems that this could be the problem in your case.
Please get the semen examined from a specialist androgen laboratory which will work up on the all the abnormalities - structural and functional also in your case and would report to you the correct facts.
In case this turns out to be premature or immature sperms, you might have to get the male hormonal profile done - LF, Testosterone & ICSH to decide on further plan of management. An andrologist can guide you further.
I hope this would clarify your dilemma to quite an extent.
In fact pus cells found in the semen are many times misleading. Routine laboratories label them as pus cells on their size. We have found that many times the labelled 'pus cells' really turned out to be immature sperms. It seems that this could be the problem in your case.
Please get the semen examined from a specialist androgen laboratory which will work up on the all the abnormalities - structural and functional also in your case and would report to you the correct facts.
In case this turns out to be premature or immature sperms, you might have to get the male hormonal profile done - LF, Testosterone & ICSH to decide on further plan of management. An andrologist can guide you further.
I hope this would clarify your dilemma to quite an extent.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Ultrasonography
Loading Online Doctors....