Branigan E F, Muller C H
University of Washington School of Medicine, Division of Reproductive Endocrinology and Infertility, Seattle 98105.
Fertil Steril. 1994 Sep;62(3):580-4.
To identify men with leukocytospermia and prostatitis in an infertility practice and evaluate the effect of various treatments and recurrence rates after treatment.
A prospective randomized trial of men with leukocytospermia.
Academic tertiary infertility clinic.
One hundred two men with leukocytosperimia identified on smear of semen using Bryan-Leishman stain and in expressed prostatic secretion.
Treatment groups were no treatment group; antibiotic treatment alone group; frequent ejaculation alone group; and antibiotic treatment with frequent ejaculation group.
Resolution of leukocytospermia on semen smear.
Significant resolution of leukocytospermia occurred in all treatment groups at 1 month compared with no treatment. The resolution was sustained at 2 and 3 months only in those who took antibiotics and frequently ejaculated.
Antibiotic treatment, frequent ejaculation, and antibiotic treatment with frequent ejaculation effectively treat leukocytospermia immediately after the treatment phase. However, only antibiotic treatment coupled with frequent ejaculation is effective 3 months after treatment.
