What Does This Semen Analysis Indicate?

Posted on Tue, 5 Jul 2016

Question: Hello dr

I have done semen test and find the below details

Sperm count : occasionally. Dead sperm noted
FRUCTOSE :DETECTED
PUS CELLS 2 - 3
Red cells : occasional

Is the above results is curable?

Answered by Dr. Dr. Chintan Solanki (49 minutes later)

Brief Answer:
provide more details

Detailed Answer:
Hello,

Thanks for writing to us. I can understand your concern.

You have provided incomplete report. Of course report is not normal(pus cells and red cells).

To check result is curable or not we need to reach to some diagnosis and for that I need more information.

- What is your age?

- For which symptoms you did this report? Since when symptoms are there?

- Please upload/write down whole report with details.

- Have you consulted doctor or went for report on your own?

I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Chintan Solanki (28 minutes later)

Please find detailed descritption below

Myself (age 30) and my wife planned for a baby last year and after 3 months there is no chance for getting pregnant.

I took semen analysis on Feb 2015 and got sperm count as 96 Lakhs/ML, MOTILITY 10, MOTILITY - PROGRESSIVE 05

Later i took homeopathy treatment for 6 months and took the test today and get the result as below

Semen report 2016

PERIOD OF ABSTINENCE 4 DAYS

TIME OF COLLECTION 10.50 AM

EXAMINATION TIME 11.50 AM

VOLUME 2
PH 8.0
FRUCTOSE DETECTED
COLOR GRAY-WHITE
LIQUIFACTION 60
VISCOSITY NORMAL
SPERM COUNT OCCASIONAL DEAD SPREM NOTED.
RED CELLS OCCASIONAL
PUS CELLS 2 - 3

Answered by Dr. Dr. Chintan Solanki (2 hours later)

Brief Answer:
needs repeat testing and further evaluation

Detailed Answer:
Hi,

Thanks for information.

In current sperm report details about Sperm shape (morphology) and Sperm movement (motility) are not mentioned. Occasional dead sperms noted but what about sperm count? This report is inconclusive

Presence of pus cells and red cells suggest infection.

I suggest repeat testing in other laboratory with 3 days abstinence and also going for semen culture-sensitivity report.

I also recommend going for scrotum ultrasound to check for testicle anatomy for further evaluation.

Please revert back to me with reports.

Take care.

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

Follow up: Dr. Dr. Chintan Solanki (2 minutes later)

Thanks dr.

I will take semen Culture sensitivty and US Scrotum study and get back to you.

Answered by Dr. Dr. Chintan Solanki (2 minutes later)

Brief Answer:
OK.

Detailed Answer:
All the best.

I would like to hear from you soon.

Http://bit.ly/drchintansolanki

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

Follow up: Dr. Dr. Chintan Solanki (19 hours later)

Hello dr

I got my free TESTOSTERONE report.

FREE TESTOSTERONE, SERUM
TESTOSTERONE, FREE 12.12 pg/mL

IS this normal?

Answered by Dr. Dr. Chintan Solanki (13 hours later)

Brief Answer:
it seems normal but for further clarification we need detail report

Detailed Answer:
Hi,

Sorry for delayed response.

Considering laboratory values this report is within normal limit but on very lower side. To make condition more clear, serum testosterone level - total and free both and Sex hormone-binding globulin (SHBG) level are required.

Please go for the same and give morning-fasting blood sample for the same.

All the best.

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

Follow up: Dr. Dr. Chintan Solanki (4 days later)

Hello dr

I have taken below Test please find the results

Doppler scortum study : Normal, initally Grade 1 vericocelle is found, repeatted test after 4 days and the result came as Normal.

IMMUNOASSAY : Follicle stiumulating hormone : 5.22 mIU/ml, Prolactin :8.30 ng/ml, Testosterone Total -7.67 ng/ml

Answered by Dr. Dr. Chintan Solanki (1 hour later)

Brief Answer:
all reports are within normal limit

Detailed Answer:
Hi,

Thanks for follow up.

All reports are within normal limit. Doppler is also normal as you mentioned.

Now we need repeat semen analysis and semen culture report.

Revert back to me when you done with these reports.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Sonia Raina