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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Total Count 15 Mill/ml,Active Motile-40% Indicate?

Hello. I m 32 yrs old ..To be married.. My semen analysis is of 3ml of Vol,Total count 15 Mill/ml,Active motile-40%,Sluggish-30%,Non Motile-20%,Morpho of Normal sperm 45%,Amorphous form-20%,Long tail 10%,Tail less-07%,Double head - 08%, Gained head 10%,Pus cells 2-3 /hpf... Can i get into marriage.. Should i undergo any medications...
Mon, 9 Jun 2014
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

Your semen analysis report suggests infection with decreased sperm count.
Infection is indicated by the presence of pus cells in semen. Normally there shouldn't be any pus cells in semen.
Infection may be due to prostatitis,UTI etc.
You need antibiotics for infection.
You need few more investigations like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.
Proper antibiotics should be prescribed after culture and sensitivity report.

Your semen analysis report also suggests decreased sperm count.
Sperm count should be at least 20 millions/ml .
You should do exercise and take nutritious food.
L-Carnitine and Acetyl-L-Carnintine are two amino acids that improve sperm count.vitamin A and C and zinc also improves sperm count.
You should avoid alcohol and cigarettes if you take it.
You should avoid tight underpants.

Other factors like sperm motility and morphology is within normal limit.

Get well soon.
Hope I have answered your question.

Take Care
Dr.Indu Bhushan
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What Does Total Count 15 Mill/ml,Active Motile-40% Indicate?

Hello Thanks for writing to HCM Your semen analysis report suggests infection with decreased sperm count. Infection is indicated by the presence of pus cells in semen. Normally there shouldn t be any pus cells in semen. Infection may be due to prostatitis,UTI etc. You need antibiotics for infection. You need few more investigations like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed. Proper antibiotics should be prescribed after culture and sensitivity report. Your semen analysis report also suggests decreased sperm count. Sperm count should be at least 20 millions/ml . You should do exercise and take nutritious food. L-Carnitine and Acetyl-L-Carnintine are two amino acids that improve sperm count.vitamin A and C and zinc also improves sperm count. You should avoid alcohol and cigarettes if you take it. You should avoid tight underpants. Other factors like sperm motility and morphology is within normal limit. Get well soon. Hope I have answered your question. Take Care Dr.Indu Bhushan