What Does This Semen Analysis Showing Sperm Count Indicate?

Posted on Fri, 13 Jun 2014

Question: Hi Doctor, i recently carried out seminal Fluid test with the following results;
Volume: 2.5 ml
Color: Creamy
Viscosity: High
Liquification Time: Not completed within 1 hr
pH: Alkaline
Sperm Count: 31 Millions/ml
Motility (Within) 1 Hr
Actively 10%
Sluggishly 10%
Non-Motile 80%
Abnormal Forms: 25%
Cells From S. Tubules: Spermatocytes: 1-2 / hpf
Pus Cells: 0-2 / hpf
rbc: 0-2 / hpf
Culture Result: No Growth

I would like to know what is wrong with my above results. Also, i would like you to note that i didn't have Sex nor Ejaculation for more than a week before I gave the sample.

Answered by Dr. Mahesh Koregol (22 minutes later)

Brief Answer:
infection

Detailed Answer:
Hi

I read your query and I understand your concerns.

Following is my reply

1. Your sperm count is normal. Your sperm morphology is also with in normal limits.

2. Your semen parameter has few problems. I will describe them one by one.

3. There is delayed liquefaction of semen more than one hour and also there are some pus cells. This indicates infection of semen.

4. Unfortunately culture has shown no growth meaning infection may be minor or report is wrong. So get semen analysis and culture sensitivity done in another lab wgich is much better to confirm above result again before going ahead with treatment.

5. There are few RBC means small trauma while giving sample and possibly some blood in semen.

6. Let me know the report after repeating semen analysis and culture in another lab after 3 days of abstinence (not having sex).

Let me know if you have any more questions.

Regards
Dr. Mahesh Koregol
IVF and infertility Specialist

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

Follow up: Dr. Mahesh Koregol (32 minutes later)

Dear Dr., This is almost the 2nd test and the 1st one was having almost the same results. I checked with my Doctor who advised me that the reason for high Liquifications time is due to the fact that i provided both sample after 1-2 weeks without having sex (He concluded that the sample is not fresh). Also, he advised me that the PUS Cells are normal since they are below 20 and the result matching the result with no growth in Bactria. Shall i go for a third set of analysis? Thanks

Answered by Dr. Mahesh Koregol (5 minutes later)

Brief Answer:
Yes

Detailed Answer:
Hi

If there were only pus cells then it was different. Now these pus cells are delaying liquefaction which means they are more.

So it is better to get a third sample done.

Regards

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