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  1. Suyi
  2. Male Infertility
  3. Thursday, 24 October 2013
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Hi Doctor: Does semen WBC > 1 million/mL possibly cause infertility problem and needs to be treated? And, does low semen volume of 1ml affect infertility, if sperm counts and morphology are all normal? Thank you.
Responses (1)
DrNorian Accepted Answer Pending Moderation
A low semen volume may be related to other conditions such as retrograde ejaculation (the semen goes 'backward' into the bladder) or blockage of the ejaculatory (seminal vesical or prostate) ducts. It is helpful to know if there are adequate levels of fructose to help better understand what's going on.

In terms of WBCs in the semen, it may affect sperm funtion and fertility in general. Oftentimes they are difficult to distinguish from early sperm cells (round cells) and thus, require more staining. If there are truly large numbers of white blood cells in the ejaculate, semen culture may be indicated and most providers will treat the male with antibiotics for a given period of time.

Please reach out to me and my team so that we can chat about this more during an initial consultation. Having good counts, motility and morphology are excellent findings!

Best of luck,
John Norian
  1. more than a month ago
  2. Male Infertility
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