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Leukocytes in semen
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Leukocytes in semen

I am 42 years old The left testicles is 3*2.5*2.5, and the right is 4.5*3*2.5 cm3. The scrotum is not so big, and the testicules can be next to the body when shrinked.

I did a semen test and there were big amount of Leukocytes (100) forming lines, and no sperm was found, The Epididymis are big and hard. Do you have an idea about the problem.
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Dear tarektarek,

You have mentioned that you are suffering from azoospermia (no sperms) with lots of leukocytes.

In general, presence of large number of leukocytes indicates infection / inflammation and absence of sperms in the semen indicates that there might be an obstruction in the tract between testes and epididymis or ejaculatory duct.

It’s difficult to tell the exact nature of the condition and treatment options without further evaluation. Some tests that would be helpful are a repeat semen analysis after 3 days of abstinence, ultrasound of scrotum and color doppler study of the scrotal  vessels. I suggest you to consult a competent urologist for a physical examination and investigations.  I’d be happy  to follow-up with you. If you get these tests done, you can let me know the results so that I can help you better.

Hope that this information helps and hope that you will get better soon.

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Best Regards
Dr. Chandan Choudhary
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