Dear Practo User,
A semen analysis showing sperm count of 1 million/mL, motility of 5%, and 15–20 pus cells is significantly abnormal and should not be ignored. The presence of pus cells suggests inflammation or a possible infection, which can affect both sperm count and motility.
What you should do next:
Repeat the semen analysis after 2–5 days of abstinence to confirm the findings.
Get a semen culture if infection is suspected.
Consult an andrologist/sexologist for evaluation, including hormonal tests (
FSH,
LH,
Testosterone), and a physical examination for conditions such as varicocele.
The good news is that many cases of low sperm count and poor motility are treatable, depending on the underlying cause.
Dr. Fayyaz A. Sattar Sexologist | 35+ Years Experience Confidential consultation available.