What Does The Following Semen Analysis Report Indicate?

Posted on Thu, 20 Apr 2017

Question: this question is related to the question asked in the below link:
https://www.healthcaremagic.com/AskDoctorInboxServlet?page=viewQuery&queryId=326614

Please review the report attached after conducting the semen analysis report.

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Still have Infection Need to do Semen Culture & take appropriate antibiotic

Detailed Answer:
Hello
Thanks for follow up and uploading Semen Analysis report which reveals presence of plenty of (30-35 ) pus cells suggesting infection of prostate which needs to be treated with appropriate antibiotic as per culture an sensitivity report .

In a given situation with positive evidence of infection one has to take appropriate antibiotic as per sensitivity report .

Taking any antibiotic will not help us to eradicate the infection Hence I would suggest you to do Semen culture and take a call about taking antibiotic as per culture report .

Rest of almost all semen parameters are well within normal acceptable range

Thanks and Regards.

Dr.Patil..

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

Follow up: Dr. Dr. P. T. Patil (2 hours later)

thanks sir for your response. my next question is urine culture and semen culture can be different?

Last time after taking tajobactum for 7 days my urine report and culture report came normal but still i was having a pain while urinating..... that means urine culture will not show the real results that prostate is still infected?

Please advise. I am not sure but my urologist suggests following tests:
com semen analysis- attached to the report.
Auto Acul Semen
ZN Stain- Attached to the report.
PCR MTB Semen.

From out of these anyone is related to the semen culture?

Answered by Dr. Dr. P. T. Patil (21 minutes later)

Brief Answer:
Semen and Urine culture are all together different tests.

Detailed Answer:
Hello
Thanks for follow up .Urine culture and semen culture are different tests .
In semen culture you have to submit semen in sterile container in laboratory as you submit it within 30 minutes after collection .

It will detect organisms causing the infection and their sensitivity pattern so that you can take appropriate antibiotic to control infection ..

The other test that you have mentioned are done to rule out Tuberculosis which are reported to be negative in report which you have uploaded .

Taking antibiotic without knowing sensitivity pattern will not help at all .

Thanks and Regards.
Dr Patil.

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

Follow up: Dr. Dr. P. T. Patil (2 minutes later)

The 4 tests I mentioned are none related to the semen culture? What is Auto acul semen?

Answered by Dr. Dr. P. T. Patil (10 minutes later)

Brief Answer:
These tests are from semen culture

Detailed Answer:
Hello
Thanks for follow up .

The tests that you have carried out are not related to semen culture .It is a specific test done to trace out the bacteria that are causing infection and antibiotic that can be effective to control infection

As regards your query about Auto Acul Semen test I have not heard of this test .You may get it clarified from your Urologist

Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (1 hour later)

Thanks Sir for your response. Please see my attached MRI report and provide your advise.

Answered by Dr. Dr. P. T. Patil (20 minutes later)

Brief Answer:
Your MRI is almost normal except mild enlargement of Prostate

Detailed Answer:
Hello
Thanks for follow up and uploading MRI report .
It does not reveal any significant abnormality except mild enlargement of Prostate .

Get Semen Culture done rather than doing many investigations to tackle the iissue of presence of pus cells in semen .

Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (22 minutes later)

thanks so much sir for your prompt response. I confirmed that i have given my sample for semen culture as well so i will receive report tomorrow and then i will attached report for your review.

In the meantime, can you please suggest me some natural or herbal supplements which I should take to make my prostate healthy. your response will be helpful for me and it is so far.

Answered by Dr. Dr. P. T. Patil (53 minutes later)

Brief Answer:
There are nosupplemets to keep prostate healthy .

Detailed Answer:
Hello
Thanks for follow up .

Post report of Semen culture once you get it .

Thanks and Regards.
Dr.Paatil.

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

Follow up: Dr. Dr. P. T. Patil (19 hours later)

I have attached my urine culture ( sample given on Saturday morning) and semen culture report ( Sample given on Sunday Morning). Please advise.

I had discussion with the MS and laparoscopic surgeon too and also with the urologist MS and MCH and i was reluctant to take any more injections because i already took so many injections due to this infection hence they suggested to take the medicines i mentioned earlier and they added alfoo 10 mg.

Answered by Dr. Dr. P. T. Patil (37 minutes later)

Brief Answer:
There is no Semen Culture report attached

Detailed Answer:
Hello
Thanks for writing again .

Three is no Semen Culture report attached to your query .It is a routine Semen analysis report that you have uploaded earlier .

Attach Culture report again .

Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (9 minutes later)

i have attached 2 new reports. one is urine culture and another one is semen culture.

Answered by Dr. Dr. P. T. Patil (9 minutes later)

Brief Answer:
Take Cefixime and Nitrofurantoin twice daily .

Detailed Answer:
Hello
Thanks for uploading reports ,Based on the sensitivity pattern of organisms take Cefixime and Nitrofurantoin twice daily for 3-4 weeks and repeat semen culture .

Please note that semen infection takes long time to get eradicated completely hence you may have to take antibiotics for longer duration depending upon the status of infection revealed on culture report at that particular time .

Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (1 minute later)

Cefixime is available in tablet form?

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Cefixime and Nitrofurantoin both are available in Tablet form

Detailed Answer:
Hello
Thanks for follow up .

Both the medications are available in Tablet form
Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (37 minutes later)

Dear Sir, one last question, I didn't see cefixme in NY semen culture report as sensitive ? Can you please clarify this last doubt. My urologist here suggested to take bactrim n alfoo 10 mg and for nitrofuntain he mentioned that this medicine didn't have penetration in prostate. Thanks so much for your patience with me so far.

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
urine culture has revealed high sensitivity to Cefixime

Detailed Answer:
Hello
Thanks for follow up .Your urine culture revealed high sensitivity to Cefixime .
There is no sensitivity tested for Bactrim .

Alfoo is a smooth muscle relaxant and is generally prescribed in enlarged prostate .

Thanks and Regards.
Dr.Patil.

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