Case of Male Infertility

A 30 to 32 year aged couple reported to OPD with complaints of not conceiving even after trying for an year. They got married 3 years back Hormonal studies for female were WNL For female, I have asked to see a gynaecologist for tests like follicular study, TFT etc Meanwhile male partner got his semen analysis report done which reveals pus cells 8-10/hpf and PH is more towards alkaline side Kindly give me valuable opinion on this? Which treatment would work the best in this?

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Male infertility in the presence of semen leukocytosis should be investigated for underlying chronic prostatitis Treatment with long term antibiotics may cure pus cells in semen as well as improve fertility outcome Antibiotic such as Doxycycline and Erythromycin may be used

Valuable opinion
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His semen analysis is normal There are pus cells 8 - 10 Could be having chronic prostatis Bacterial infections generally do not cause infertility but Chlamydia , S.T.D and HIV can Treat with Doxycycline 100 mg B.D for 3 weeks . Investigate for systemic disease like HIV STD DM NEUROGENIC CAUSE Anxiety and depression

Valuable opinion
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More than 5 pus cell in Hof is said to be Pyospermia. Infections may affect male fertility in different ways. Possible consequences are impairment of the spermatogenesis, the induction of an autoimmune mechanism, spematodysfunction, and inflammatory occlusion of the ejaculatory duct. Reduced motility of spermatozoa and compromised PCT would be noticed. Possible cause is infection in Epididymis or Ch Prostatitis. Get CT Scan. Sperm for pus culture and Sensitivity. And proceed for antibiotic accordingly.. Doxycycline x 14 days.

8to10 pus cells suggest infection likely orchitis or prostatitis but sperm counts are normal and motile Infection can be resolved by antibiotics But infertility looks to be primary if couple do not want to wait adv for iui or ivf

Thanx dr Kute Ankush
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? PYOSPERMIA .. NEED'S TO R/O.. GENITO-URINARY INFECTIONS.. REPRODUCTIVE TRACT INFECTIONS.. HEMOGRAM.. URINE ROUTINE AND..C &S EXAMINATION.. SCROTAL USG STUDY ..

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MALE INFERTILITY TREATMENT FOR MALE INFERTILITY:1)FORTAGE TAB 2+2 2)BHANGSHIL TAB 2+2 3)VEEAYASODHANAVATI TAB 1=1 4)ASHWABALA LEHYAM 1TSP TWICE DAILY WITH MILK9 Vishesh ayu pharmacuiticals) (5)powder form :POORNACHANDHRODAYA 5GM +MAKHARADWAJA 5GM +PANCHABANA RAS 15 TAB MIX WITH KALVAM ADDED ANUPANA CHOORNAM (ELACHI+LAVANGA+JAPATHRI+JAJIKAYA +PACHA KARPOORAM)......PLEASE GIVE CONTINUESLY 6 MONTHS..

Pyospermia Judicious antibiotics Wait for reports of female partner Alone pyospermia doesnt leads to infertility Need to evaluate In such cases IUI would be better option

Get VDRL, HIV , RBS done Give Doxycycline100bd x15 days Nothing much on male part

Thanks Dr. Kute Ankush, Dr. Deoyani Tawar, Dr.Dinesh Gupta
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A course of Antibiotics for the husband and check semen analysis later.

Which antibiotic works best in this case?
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POSSIBLY CHRONIC INFECTION ...PROSTATITIS NEEDS ALL. RELEVANT. INVESTIGATION

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