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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pus Cells In Semen. Taking Antibiotics. Reason For Frequent Infections?

Pus cells found in my semen 8-10. sir, i hv undergone 4 times for semen analysis and everytime reports says pus cells 6-8 or 8-10. then doctor suggest me for semen culture test and then gave me antibotics course for 2 weeks as per culture reports. after taking this course i hv done semen analyis again and result is same 8-10 pus cells.
i don't have any symptoms and hv undergone 4 times for semen analysis in last 3 years.
my first report says 60million sperm count and now only 30 million /ml
other factor of the report is ok. is 30 million /ml is normal or below normal???
and why pus cells found again and again even after treated by antibiotics???
Tue, 18 Jun 2013
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General & Family Physician 's  Response
Hello,
I went through your semen analysis reports. The effect on your semen count because of pus cells may be due to Genito urinary tract infection. You have done investigations for HIV.
Infection may be through commonly spread STI like Chlamydia, gonorrhea and syphilis. Out of this Chlamydia infection commonly affects the testes and may produce epidydymitis resulting in reduction of semen quality like you have mentioned. A swab from the urethra, should be sufficient to identify whether you are infected or by a simple urine sample. but you may have to investigate for gonorrhea and syphilis also.
Find the causative organism and treat it accordingly. You will regain your original semen quality. if you leave it it may lead to infertility.
I hope you understand,
With best wishes
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Pus Cells In Semen. Taking Antibiotics. Reason For Frequent Infections?

Hello, I went through your semen analysis reports. The effect on your semen count because of pus cells may be due to Genito urinary tract infection. You have done investigations for HIV. Infection may be through commonly spread STI like Chlamydia, gonorrhea and syphilis. Out of this Chlamydia infection commonly affects the testes and may produce epidydymitis resulting in reduction of semen quality like you have mentioned. A swab from the urethra, should be sufficient to identify whether you are infected or by a simple urine sample. but you may have to investigate for gonorrhea and syphilis also. Find the causative organism and treat it accordingly. You will regain your original semen quality. if you leave it it may lead to infertility. I hope you understand, With best wishes