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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Semen Analysis Report Indicate?

Hello Doctor, i did a semen test yday and thes is wat it says... 78 million/ml cperm count with 35% of active 40% slugish 25% other.Morphology 30% abnormal. Sperm is of alkaline nature and positive fructose. Pus cells - 20 to 25 hpf. Please advise if there is any major problem associated with this report
Tue, 3 Jul 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I have gone through your semen analysis report. You have good sperm count but the problem is that you have low actively motile sperms and many pus cells in the semen. The cause of low motility of sperms in your case is pyospermia which is the infection of semen (raised wbc in semen),pyospermia often causes qualitative defects in semen leading to decreased motility of sperms. If you would have came to me i would have advised you to start double antibiotics one from quinolone group and one from macrolide group and i would have given you antibiotic for at least 20 days along with n-acetyl-carnitine and would have repeated your semen analysis after one month.

Hope I have answered your query. Let me know if I can assist you further.
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What Does This Semen Analysis Report Indicate?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I have gone through your semen analysis report. You have good sperm count but the problem is that you have low actively motile sperms and many pus cells in the semen. The cause of low motility of sperms in your case is pyospermia which is the infection of semen (raised wbc in semen),pyospermia often causes qualitative defects in semen leading to decreased motility of sperms. If you would have came to me i would have advised you to start double antibiotics one from quinolone group and one from macrolide group and i would have given you antibiotic for at least 20 days along with n-acetyl-carnitine and would have repeated your semen analysis after one month. Hope I have answered your query. Let me know if I can assist you further.