HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Semen Analysis Done. Many Sperm Agglutination Detected. Indication Of Infection? Possible Treatment?

having a semen analysis , volume of sample was 1.5ml , viscosity was hyper viscous , count: 0000/ml, progressive forms were 35%, immotile serms were 50%, abnormal forms were 60% & pus cells were 4-6/HPF. There was a comment that there are many sperm agglutination detected. does it indicate for an infection ? & what is the possible treatment of this agglutination ? Thank you
Thu, 21 Feb 2013
Report Abuse
General & Family Physician,  's  Response
Hello, Welcome to HCm, I am Dr. Das

Look, you did not give the count. Normally, as per WHO 2010, normal sperm count is >15 millions / ml.

Motile sperm is 50%. That means, it is within normal limit. Because, as per WHO 2010, normal sperm motility should be >50%.

The sperm of normal morphology is also within normal limit ( as per WHO 2010, normal is > 04%).

But, the pus cells are increased. In normal semen it should be absent.

Now, from the above discussion, it is clear that you have some urogenital infection for which you should get treated with a broad spectrum antibiotic like ciprofloxacin or cefpodoxime.

But sperm agglutination indicates presence of sperm antibodies.

For confirmation, you have to do a Sperm Mar test.

Consult with an infertility specialist for further management.

Regards.
I find this answer helpful
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Infertility


Loading Online Doctors....
Semen Analysis Done. Many Sperm Agglutination Detected. Indication Of Infection? Possible Treatment?

Hello, Welcome to HCm, I am Dr. Das Look, you did not give the count. Normally, as per WHO 2010, normal sperm count is 15 millions / ml. Motile sperm is 50%. That means, it is within normal limit. Because, as per WHO 2010, normal sperm motility should be 50%. The sperm of normal morphology is also within normal limit ( as per WHO 2010, normal is 04%). But, the pus cells are increased. In normal semen it should be absent. Now, from the above discussion, it is clear that you have some urogenital infection for which you should get treated with a broad spectrum antibiotic like ciprofloxacin or cefpodoxime. But sperm agglutination indicates presence of sperm antibodies. For confirmation, you have to do a Sperm Mar test. Consult with an infertility specialist for further management. Regards.