What does presence of fructose,pus cells:5-6hpf and epithelial cells:2-3hpf suggest?
Patient: I am 26 years old. I had a semen analysis done. The report says,Volume                 : 3.0 mlColor                    : Gery WhiteAppearance           : CloudyViscosity                : NormalReaction                : pH-8.0Liquefaction Time    : 40 MinsFructose                 : PresentSperm count           : 80 mill/cummActively Motile         : 35%Sluggishly Motile       : 25%NON Motile / Dead    : 40%Abnormal Forms       : 10%Pus cells                  : 5-6/ hpfEpithelial cells           : 2-3/ hpfWe are trying for a baby for the last 5 months and have had no success. Am I infertile? Please advise. Doctor: Hello Thanks for writing to HCMYour semen analysis report suggests infection.You are not infertile.Fertility will definitely improve with control of infection.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.Other factors like sperm count,motility and morphology are within normal limit.Get well soon.Hope I have answered your question.Take CareDr.Indu Bhushan