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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 Pus & RBC Cells In Semen Analysis Suggest?

hello doctor, just got my semen analysis now, color - opaque, Pus - 18-2/hpf, RBC- 10-12/hpf, volume- 3.5ml, liquefication - 25 mis., motility upon received 50%, motility after 1st hr -30%, motility after 2nd hr - 20%, total cell count 4.2mil, morphology normal sperm - 60%. The Pus & RBC is bothering me. I've also made urinalysis & the result is negative with UTI, thanks
posted on Fri, 14 Mar 2014
Twitter Fri, 18 Jul 2014 Answered on
Twitter Fri, 18 Jul 2014 Last reviewed on
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Radiologist,  's  Response
Hello
Thanks for writing to us

Your semen analysis report suggests infection with decreased sperm count and motility.
Infection is indicated by the presence of pus cells,RBC in semen. Normally there shouldn't be any pus cells in semen.
Infection may be due to prostatitis.UTI has been excluded already in your case.
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 %.
Sperm count is also low,it should be at least 20 millions/ml.

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 count and motility persists then you may need assisted fertilization techniques like IUI.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Does Pus & RBC Cells In Semen Analysis Suggest?

Hello Thanks for writing to us Your semen analysis report suggests infection with decreased sperm count and motility. Infection is indicated by the presence of pus cells,RBC in semen. Normally there shouldn t be any pus cells in semen. Infection may be due to prostatitis.UTI has been excluded already in your case. 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 %. Sperm count is also low,it should be at least 20 millions/ml. 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 count and motility persists then you may need assisted fertilization techniques like IUI. Get well soon. Take Care Dr.Indu Bhushan