Infertility/Fertility/semen result


hello doctor.. please let me know my semen reuslt is normal ? And I am married before 2 wife did not pregnent untill now.the pus cell level is very high.thats a problem for pregnency
Coloure.......greyish white
Viscosity......viscous fluid
Liquefaction time....60 minutes
Sperm count .....36 million /ml
Actively motile....30%
Sluggishly motile...10 %
Non motile...60%
Abnormal forms...20%
Pus cells 20 - 25 HPF
red blood cell ...nil
Others ....nil
Doctor please let me know whats the wrong with the result...regards....anwar

Hello Anwar from somewhere in Europe.

Your semen analysis has two abnormalities: decreased total motility of 40% and elevated white blood cells.  Also the viscosity and liquefaction time is not good.  You may have a subclinical prostatitis.  This requires treatment with antibiotics.  I would recommend that you see a urologist for further evaluation.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program

Monterey, California, U.S.A.

for additional information check out my blog at check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate


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Edward Joseph Ramirez, MD, FACOG


I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.


I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society

American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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