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.
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This is ologospermia and it can be cured 100% with ayurvedic medicine we have cured more then 100 patients with ologospermia and azoospermia
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A sperm count of around 1 million is severely reduced compared with the WHO lower reference value of about 16 million/mL. Motility of 5% is also markedly low. However, one semen analysis does not by itself establish permanent infertility, because semen parameters can vary considerably between samples. Current AUA/ASRM guidance recommends at least two semen analyses, preferably about a month apart, when the first is abnormal.
The 15â20 pus cells are also important. They may indicate inflammation or infection of the genital tract, but they should not automatically be assumed to be infection. Guidelines recommend evaluating men with pyospermia for an underlying infectious or inflammatory cause.
Next Steps
Because the count and motility are both very low, I would recommend consultation with us rather than starting fertility medicines blindly. The next step is usually confirmation with a repeat semen analysis in a specialized laboratory and evaluation for potentially reversible causes such as genital-tract inflammation/infection, varicocele, hormonal problems, previous infections/fever, medications, smoking/alcohol, obesity or other factors. Importantly, do not start testosterone injections or testosterone âboostersâ if you are trying to conceive, because exogenous testosterone can suppress sperm production. Depending on the repeat results and examination, fertility treatment options can still be considered; very low sperm counts do not necessarily mean that biological fatherhood is impossible. You can connect with us at 9 3 1 5 6 6 1 5 6 5 for an individualized Ayurvedic assessment and guidance alongside appropriate fertility evaluation.
Health Tips
For now, avoid smoking, recreational drugs and excessive alcohol, maintain a healthy weight, exercise regularly and avoid unnecessary heat exposure to the testes. Don't take multiple herbal âsperm boostersâ without knowing the cause. Please share/upload the complete semen-analysis report if you have itâincluding volume, concentration, total sperm count, progressive/non-progressive motility, morphology, vitality, abstinence period and the exact pus-cell/round-cell reportâbecause these details are important for interpreting a count of 1 million and deciding the appropriate next step. Thank you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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