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My semen analysis report presents with pus cells in the semen. Will it affect fertility?

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Patient's Query

Hi doctor, I am a healthy 29-year-old male. I am married. I do not have a child. My semen analysis report is normal. I have pus cells around 10 to 12 HPF. Is this normal? Kindly suggest.
Answered by Dr. Thakre Mahendra Shivram

Education:

DNB

Professional Bio:

Dr. Thakre Mahendra Shivram is a dedicated General Physician with expertise in providing comprehensive medical care for patients across all age groups. His skills include diagnosing and treating a wide range of acute and chronic illnesses, conducting preventive health check-ups, and managing lifestyle-related conditions. He is proficient in prescribing evidence-based treatments, offering patient counseling, and coordinating with specialists when needed to ensure holistic care. With strong clinical judgment and a patient-focused approach, Dr. Shivram emphasizes early detection, effective management, and long-term health maintenance.

This doctor is not available for online consultations on the platform anymore.

Hi, Welcome to icliniq.com. I understand your concern. A semen analysis is advised when couples have problems in getting conceived. This test helps a doctor to determine whether a man is infertile. This also helps to determine whether low sperm count or sperm dysfunction is the cause that lies behind infertility. It is necessary to avoid ejaculation for 24 to 72 hours before doing test to have a good semen sample. Avoid taking alcohol, caffeine, and illicit drugs for two to five days before doing the test. Avoid taking hormone medications. Some factors can negatively affect the result. The factors are illness, stress, laboratory technician error, and contamination of samples. A normal semen analysis should lie between 20 million to 200 million with more than 50 percent of motile sperms. Having white blood cells in semen is normal. But presence of more pus cells indicates infection and presence of high white blood cells in semen is an indicator of infection. This condition is marked by the presence of more pus cells in semen. It is referred to as pyospermia. Having a small number of WBC are a normal constituent of semen. Patients are considered non-pyospermic when WBC concentration remains below 5 per high power field (HPF). There are some studies reporting pyospermia as one of the causes of male infertility. I suggest you consult a urologist and take appropriate medications.
Medically reviewed by Dr. K. Shobana
Published At December 18, 2020
Reviewed At June 9, 2021

Education:

DNB

Professional Bio:

Dr. Thakre Mahendra Shivram is a dedicated General Physician with expertise in providing comprehensive medical care for patients across all age groups. His skills include diagnosing and treating a wide range of acute and chronic illnesses, conducting preventive health check-ups, and managing lifestyle-related conditions. He is proficient in prescribing evidence-based treatments, offering patient counseling, and coordinating with specialists when needed to ensure holistic care. With strong clinical judgment and a patient-focused approach, Dr. Shivram emphasizes early detection, effective management, and long-term health maintenance.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Education:

DNB

Professional Bio:

Dr. Thakre Mahendra Shivram is a dedicated General Physician with expertise in providing comprehensive medical care for patients across all age groups. His skills include diagnosing and treating a wide range of acute and chronic illnesses, conducting preventive health check-ups, and managing lifestyle-related conditions. He is proficient in prescribing evidence-based treatments, offering patient counseling, and coordinating with specialists when needed to ensure holistic care. With strong clinical judgment and a patient-focused approach, Dr. Shivram emphasizes early detection, effective management, and long-term health maintenance.

This doctor is not available for online consultations on the platform anymore.

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