Hey guys! In this short 2 min blog post, we will quickly understand what to do if you notice pus cells in semen.
Okay, so you are trying for a child desperately for the last 2 or 3 years. Sadly a pregnancy is just not happening. Moreover, your andrologist or fertility specialist punished you with a battery of expensive tests.
Among these tests is the famed ‘semen analysis test‘ or sperm test. The D-Day comes, you get your report and you are SHOCKED.
You notice the ONE THING you do NOT want to see in your goddamn report….
PUS CELLS and numerous pus cells, so many damn PUS CELLS competing with your sperm for honor and space (I know the joke sounds cheesy).
And you are going like MAD. Your fertility specialist says that, your pus cells in the semen are the reason your sperms motility is so low
Moreover, its the pus cells in your goddamn sperm that causing infertility. What should you do? The answer is below. You can also watch the video below
How much pus cells in sperm is normal?
Well on average that is, if you look at the average semen analysis report, you should see anywhere between 1-2 cells per high power field.
The most important thing to understand here is that, these pus cells, also called as ’round cells’ can be of 2 types.
The first type of round cells is the typical ‘White blood cell’ or so called ‘pus cells’ that is seen…..if their is an infection. Secondly, the next type of round cell can be simply an immature spermatogonial cell.
Either way, in a typical sperm test, both cells are considered as ’round cells’.
So DO NOT hit the PANIC button, once you notice pus cells along with your sperm.
To make things easy, I am going to systematically give you a treatment strategy for those damn pus cells. The strategy will be based on what should be done, depending on the number of pus cells seen per high power field
2-4 pus cells in sperm
For both 1-2 and 2-4 pus cells seen in your semen analysis report, no active treatment is required. However, the one exception is, if their are clinical symptoms like burning sensation while passing urine and/or pain while ejaculation, treatment will be required
To summarize here is what you should do
Step 1 – Repeat your semen analysis and see if you get the same 2-4 cells per high power field
Step 2 – If Yes, and you also have symptoms, take antibiotics after doing a semen culture and sensitivity
Lastly, Step 3- if No, and you have no symptoms, then no further treatment is required
Ok, now to the next part
4-6 pus cells in semen
Alright then, you notice you have 4-6 pus cells. What should you do?
Step 1: Once again, repeat the sperm test
Step 2: You need to do a leuco-screen test. This will differentiate whether the pus cells are immature sperm cells or plain pus cells
Step 3: If the round cells are immature sperm cells, no further treatment is required
Step 4: Fourthly, if the round cells are pus cells and you have no symptoms, no further treatment is the recommendation
Lastly, Step 5: Pus cells with symptoms, then please do a semen culture and sensitivity and follow up with antibiotics
8-10 pus cells in semen
Here again, follow the steps below
Step 1: Repeat semen analysis
Secondly, Step 2: Next leuco-screen test
Thirdly, Step 3: If report shows immature cells, no further treatment
Lastly, Step 4: However, if they are pus cells and you have symptoms, semen culture followed up with a course of antibiotics is definitely required
Now to the last part of the discussion. What should you do if you notice the below finding in your report?
20-25 pus cell seen in semen
Step 1: Repeat your sperm test once again
Secondly Step 2: Do a leuco-screen test
Thirdly, Step 3: Do a trans-rectal ultrasound of your prostate and seminal vesicles to rule out infections
Fourthly Step 4: Antibiotic course if semen culture shows growth of pathogenic organisms
So, thats about it guys
I hope you found this article of some value. Do of course visit an andrologist or sexologist near you
A very important point to bear in mind is that, if you notice pus cells in semen, a treatment is only required if and when you have certain symptoms.
Some of these symptoms are namely
1. Burning pain while passing urine
2. Also, the presence of burning pain while ejaculation
3. Pus discharge from the organ
4. Foul smelling semen and the presence of blood in semen (hematospermia)
Unless otherwise, you dont have any of the aforementioned symptoms along with pus cells, a general rule of the thumb is that, you do NOT need any major treatment.
So, thats about it!
I hope you found this article useful and informative. Please share this article with all your friends and loved ones
Kindly drop in your comments, I will do my best to respond to all of them. Keep watching this space for more interesting articles.
Sigman M, Lopes L. The correlation between round cells and white blood cells in the semen. The Journal of urology. 1993 May 1;149(5):1338-40.
Solis EA, Gatti VN, Bouvet BR, Brufman AS, Provenzal C, Feldman R. Round cells in semen and genital infections. Archivos espanoles de urologia. 200