Hello doctor, I am a 45 year old male, and my wife is 26 years. We have been trying to have a baby for the past seven years. I had a sperm analysis in 2011. My count was 68 m, all the parameters were good except the presence of Proteus spp. bacteria. The doctor injected me with gentamycin once, and nothing more. In 2015, I had another sperm analysis. The parameters were still good. The count was 75 m, but pus was seen, and the doctor gave me Ciprofloxacin 500 mg and Tinidazole 600 mg for seven days. Just a week ago, I got another sperm analysis test with sperm count 70 m, but abnormal form 18 % with epithelial cells, bacteria and a moderate growth of staph aureus, sensitive to Rocephin and Augmentin. My wife's hormonal assay says prolactin is 34 ng/mL when the normal range is 5-25. Also, the vaginal swab shows creamy, non-crystalline, pus cells 3-4, HPF epithelial cells, yeast, bacteria, gram positive, moderate growth of staph aureus, sensitive to Rocephin and Augmentin. Also, my wife was prescribed Parlodel drug (bromocriptine) to normalize her prolactin. In what dosage and for how long should she take this? Is there an alternative that is better than Parlodel? Also, can it be taken together with the prescribed Augmentin and tablet Pan 40? Please advice. Should I take some sperm-boosting tonic occasionally? What are the antibiotics each of us should take? Should we both take Rocephin and Augmentin simultaneously for it to be more effective? In what dosage, and for how long? We are confused and yet to start taking the medications. Is it safe to make love when we are still under medication? She will be ovulating again from next week.  Also, they put both of us on 5 mg Folic acid and her on Ovacare and me on Addyzoa. Should we discontinue these when we take the course of antibiotics? I have attached mine and my wife's reports for your consideration.
Hello. How are you doing? I have seen your reports (attachment removed to protect patient identity). Let me start on a positive note by saying that she stands a very good chance of pregnancy, but there are some small issues in your infertility treatment which I will try to clarify. Let me explain. If all this is done and found to be normal, then nothing can stop a pregnancy with God's will. Let me again reassure you that you will get God's bundle of joy, a baby. Be patient and never lose hope. Hope I have cleared your query, do write back. All the best. For more information consult an obstetrician and gynaecologist online -->