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What Does This Semen Analysis Indicate?

Posted on Mon, 22 Jun 2015

Question: My seimen test results are quantity_2.0 ml
Liqufication_absence of liqufication
Sperm count_20mil/ml

Motile form_40%
Slugish motile_40
Puss cell 4_6/hpf
RBC 2_3/hpf. Is it normal report or any obnormality is their?

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Normal report

Detailed Answer:
Hello,

Thanks for your query.

I have read you query and I understand your concerns about semen test.

Following is my reply:

1) Your semen test seems to be normal and enough for pregnancy.

2) I dont see any problem. You can become a father with this report.

3) You dont need any medicines.

I hope I answered you query and addressed your concerns.

Let me know if you wish to ask any further questions. I will be glad to help you.

Regards,
Dr. Mahesh Koregol.
IVF & Infertility Specialist

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

Follow up: Dr. Mahesh Koregol (11 hours later)

But doctor suggested me to use ferpill (for one month)and clofert 25 mg tablets,(for 3 months) and cefixime 200 mg tablets( for five days).

Semen to be with in 1hour.but in my test report given as liquification absent. And pus cells should not be there in semen but for me 4_6 hpf is there. Is it curable with this medicine.From last 5 months we are trying to become parents.. Please suggest clear cut clarity about my doubts

Answered by Dr. Mahesh Koregol (3 minutes later)

Brief Answer:
Semen culture and sensitivity test required

Detailed Answer:
Hi,

Thanks for details about liquefaction.

If liquefaction is absent it means semen infection. That is the reason for pus cells.

To cure this you need to get semen culture and sensitivity test done to check for organism causing infection.

Take the antibiotics given by your doctor. It might help. Meanwhile give semen culture and sensitivity test.

Regards

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

Follow up: Dr. Mahesh Koregol (10 minutes later)

Some doctors suggested cefixime 200 mg. And somebody suggested cipro500mg. Which one is best?
And sir you said first my semen report is normal but now for the second question your suggesting some tests..
Please clear my doubts?
Once again please check the first question having semen report and give me the proper answer is that result is normal to become parent...?

Answered by Dr. Mahesh Koregol (30 minutes later)

Brief Answer:
Get semen culture and sensitivity test done

Detailed Answer:
Hi,

First I had not seen in absent agglutination part as it was not clearly typed.

Absence of liquefaction is because if semen infection which needs to be treated.

Don't take any medicines ciprofloxacin or taxing etc.. without semen culture and sensitivity test.

You can definitely become father. Just do semen culture and sensitivity test and then take antibiotics accordingly.

Let me know if you need any more help.

Regards

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