<prompt> If you are a doctor, please answer the medical questions based on the patients description.1st Semen analysis show Volume 1, greyish white, ph alkaline 8, normal viscosity, count 26 200 million, liquifaction time 60, motility 35 progressive 20 non progressive 15, abnormal form 60,spermatogenic cell 500 000ml,pus cells 600 000ml, RBCs 4-6HPF After 85 days of treatment by 10 days vibramycin, flagyl becofort then 1 month tamoxifen, trental prugvit zinc then tell now on carnavita fort thiotacid Semen analysis show Volume 1, greyish white, ph alkaline 8 , normal viscosity, count 24 million , liquifaction time 60 , motility 40 progressive motility 30 non progressive 10 , abnormal form 60 , spermatogenic cell 100 000ml, pus cells 500 000ml, RBCs 1-2  <response>: Hi, Semen analysis report appears fine except for little high pus cells. Kindly get semen culture sensitivity done if not already done. Normally these pus cells are due to infection of accessory glands which require prolonged treatment with antibiotics e.g. 6 weeks or so. If culture is sterile, you can go for culture of prostatic massage fluid. If that also is sterile, you need no antibiotics. Kindly continue antioxidant tablets carnality fort to counter the bad effects of pus cells. Regards. 