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Urology  (Expert Forum)
 | 
round cells in sperm sample
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

round cells in sperm sample

by jk5, May 29, 2003 12:00AM
I am 24 and have recently had a sperm count after being diagnosed with a variocele. The count was 105 million/ml and all the related results were ok. However the results showed round cells at *34 million/ml with the range showing (<5) on the results sheet. Approximately 65% neutrophilic polymorphs was written on the results sheet. My urologist said not to worry as it was probably an infection and would possibly not appear if the test was redone soon. My other urologist also did not seem too concerned. However I am concenred! What actually is this? Should I be having any other tests? Will this affect my fertility or general health?

Thanks, I'm really keen to find out exactly what all this means.

by Kevin Pho, MD, May 31, 2003 12:00AM
Hello - thanks for asking your question.



Greater than 1 million neutrophils in the semen may signal an infection.  Normally this should be repeated to make sure that the values are correct.  Infections affecting the sperm may lead to a decrease in fertility.  



If there continues continues to be an increased amount of neutrophils, then you may want to consider a urinalysis, culture of your urine and semen and evaluation of your prostate for infection.  Any infection should be treated with appropriate antibiotics, which should subsequently decrease the neutrophil count.  



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Thanks,

Kevin, M.D.
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