Pus cells in semen may be due to infection into genito-urinary tract due to any of the following causes:
1.) Chlamydia infection
Chlamydia is a common infection of genitourinary tract all over world. It’s a bacterial infection. The infection with bacteria decreases sperm count motility & fertilizing capacity of sperms. Complication of this can be epididymitis, and inflammation in the scrotum that may leave the man sterile.
2) Gonorrhea (Gonococcal Urethritis)
It is caused by the bacterium Nesseria gonorrhoea.
Symptoms include pus in semen. The infection with bacteria decreases sperm count motility & fertilizing capacity of sperms. Complication of this can be epididymitis, and inflammation in the scrotum that may leave the man sterile.
3) Non-Specific urethritis or NSU (Non-gonococcal Urethritis): It is caused by any of the following causative agent Chlamydia trachomatis, Ureaplasma urelyticum, Mycoplasma genitalium ,Candioda species, Anaerobes, Trichomonas vaginalis,, Unidentified / idiopathic. Some times it may be Persistent/recurrent non-gonococcal urethritis o
Prolonged urethritis.
4) Candidal Balanitis (Thrush) is a fungal infection.
5) Prostatitis( Acute or Chronic)
Diagnostic tests
Urine may show threads or ‘beads of pus’ positive leycocyte esterase test.
TREATMENT :
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