Suggest treatment after analyzing the semen analysis report
Patient: sir, i'm male /age37,height 5'6'',wght 66kgs,in my semen analysis found sperm count 45mill/mil,morphology 70% normal,motility 25%& pus cell++,I have no any other disease . what type of treatment or medicine(alternative) should I take? thanks  nasir,Bangladesh. Doctor: Hello Thanks for writing to usYour semen analysis report suggests infection with decreased sperm motility.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.You need antibiotics for infection.You need few more investigations like routine hemogram,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.Proper antibiotics should be prescribed depending upon sensitivity report.You also have low sperm motility.Sperm motility should be at least 55 %.Fertility will definitely improve with control of infection.You should do exercise and take nutritious food.You should avoid tight underpants.Avoid cigarettes and alcohol if you take these things.Get well soon. Take Care Dr.Indu Bhushan