I have two semen analysis reports 1st before 20 days taken after 12 hours of last ejaculation counts 50 million fast 65% sluggish 20% dead 15% pus cells 10-12 after taking antibiotics for 5 days and report after 72 hours of last ejaculation counts 92 million motile 85-90% dead 10-15% pus cells 3-4 now questions are which report should be considered ok should I go for 3rd test? Can I become father? Can pus cells infect my wife? Shall I continue taking antibiotics? I will be highly thankful for your responses Time between penetration and ejaculation: 5 min Can you delay ejaculation? Yes Same problem with masturbation: No Same problem with previous partners: No Do you masturbate daily: Yes.

Dr. Poosha DarbhaSexologist33yrs exp

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Dear Yash, this kind questions need some interaction between you and the clinician and therefore deserves a private consultation. For your information any semen semen sample with about 20 millions count, about 30% Rapid Linear Progression or 40% active motility, 40% or more of normal-structured spermatozoa, with pus cells less than 5 per HPF, fructose positive, pH at appropriate level is a fertile sample. Also, there should be no clumping of spermatozoa. Ideally the semen is tested with 2-5 days after the preceding ejaculation. Your semen parameters are good despite testing within 12 hrs of a previous ejaculation. However the pus cells is still a question. Many not-so-well trained technicians mistake other cells for WBCs. Its also possible that you really have an infection which is resistant to the drugs used. Did your spouse the antibitics too? If not, that may be another reason for your loaded pus cells. Infertility is not a simple thing to resolve, it has a myriad factors involved and require a comprehensive evaluation of the couple. 

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