Hi, im a 17 years old boy. Since 3 months, I have been suffering from staphylococcus aureus in urine due to which my sperm count has dastrictly decreased & there is pain in my testis. In culture report, nitrofurantoin, cefixime,ofloxacin, amoxicillin,cefepime, co-trimoxazole, ciprofloxacin are resistance. While, ceftriaxone, levofloxacin,amikacin are sensitive. Doctor gave me levofloxacin for 1 week which worked for some time but my pain in testis is recurring & sperm count has been so low. Though,my ultrasound of testis is totally normal. please doctor help me cure this.

Dr. Satyajeet P PattnaikUrologist11yrs exp

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Male factors account for 20% to 50% of infertility cases, and infection in the genitourinary tract may play a contributing role in up to 15% of male infertility. Leukocytospermia is a well-known indicator of infection or inflammation in the male sex glands and the urogenital tract. Although great deal of effort has been expended to elucidate definite management strategies in infertile men with leukocytospermia, the gold standard of treatment remains unclear. Until recently, broad spectrum antibiotics and antioxidants have been used in the treatment of leukocytospermia for male infertility to eliminate infection and reduce reactive oxygen free radicals produced inside cellular mitochondria as a result of inflammation.� nonsteroidal anti-inflammatory medications (nsaids) are also prescribed for patients with pyospermia, and may also improve sperm count. Pyospermia may also get better on its own. There are other things men can do to try to eliminate excess white blood cells from semen, including: stopping the use of any tobacco product; avoiding the use of too much alcohol; stopping the use of marijuana; more frequent ejaculation. The use of the antioxidant nutritional supplements can reduce sperm production and lessen the effects of white blood cells in the semen. Men who are trying to make a pregnancy and who have pyospermia should consider taking antioxidant nutritional supplements, including vitamin e, vitamin c, coenzyme ubiquinol-10 (coq10), glutathione, and others. Pyospermia can also be treated by correcting genitourinary abnormalities that may cause infection or inflammation. Methods of correction include varicocelectomy, the surgery to correct a varicocele, which can improve semen production and reduce white blood cells in the semen. Other abnormalities that can be treated include prostatic obstruction with infection and urethral valves. Follow-up another semen analysis three months after the antibiotics are completed is recommended as a follow-up. If the pyospermia has not been treated successfully, other measures include semen cultures, antisperm antibody testing, x-rays of the genitourinary tract, and/or urine flow tests. In many cases, treatment for 30 days with an over-the-counter nonsteroidal anti-inflammatory medication may be recommended.  

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