Pus cells in semen, reduced sperm count, motility, erectile dysfunction. On antibiotics. Infertility treatment?
Patient: Dear doctor, I am 33 years old married man I have two baby girls but unfortunately due to numerous puss cells in my semen my sperm count reduced to 35 million/cmm and motility reduced to 20%.thats why i am unable to fertile my wife and also facing problem in erection of penis. I have already completed a full course of antibiotic but still not shown any improvement. Plz guide me for further treatment as i am residing in xxxxx Doctor: Hi, Welcome to HCM, I am Dr. Das       First of all, you are not primariliy infertile, because you have two baby girl. So, there is secondary infertility.       Secondly, you did not give the full report. It is important.        35 million / cumm is not reduced sperm count(normal >20 million/cumm as per WHO.)       After completing the antibiotic, did you repeat the test?       If not, then do it.  If then also pus cell persist then antibiotic should be changed.