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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Did The Semen Analysis Showed No Sperms Detected?

Hi Doctor, I am 32 and I have been taking prednisolone, starting from 40 mg then tapering gradually, for over an year (last dose taken in July-11). Recently I underwent a semen analysis. In this test there were no sperms detected and there were 30-35 puss cells. I have been potent and have 3 children. Could you please advice.
Thu, 21 Jan 2016
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Radiologist,  's  Response
Hi,
Thanks for writing in.

1. The decrease in sperm count can be a side effect of steroid treatment.

2. You have not mentioned but are taking treatment with steroids for 1 year and this is a long duration.

3. If you have 3 children then there is no need to be afraid of infertility and your family is complete.

4. Pus cells can be seen in infection of the bladder and prostate from urinary infection. Please get investigated and take required treatment.

5. Please discuss with your doctor if you should continue steroid treatment for any other problem. Please do not worry.
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Why Did The Semen Analysis Showed No Sperms Detected?

Hi, Thanks for writing in. 1. The decrease in sperm count can be a side effect of steroid treatment. 2. You have not mentioned but are taking treatment with steroids for 1 year and this is a long duration. 3. If you have 3 children then there is no need to be afraid of infertility and your family is complete. 4. Pus cells can be seen in infection of the bladder and prostate from urinary infection. Please get investigated and take required treatment. 5. Please discuss with your doctor if you should continue steroid treatment for any other problem. Please do not worry.