Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor, I am 32 and I have been taking prednisolone, starting from 40 mg then tapering gradually, for over an year (last dose taken in July-11). Recently I underwent a semen analysis. In this test there were no sperms detected and there were 30-35 puss cells. I have been potent and have 3 children. Could you please advice.
[|AI|]  Hi, Thanks for writing in.1. The decrease in sperm count can be a side effect of steroid treatment.2. You have not mentioned but are taking treatment with steroids for 1 year and this is a long duration.3. If you have 3 child Chat Doctor. 4. Pus cells can be seen in infection of the bladder and prostate from urinary infection. Please get investigated and take required treatment.5. Please discuss with your doctor if you should continue steroid treatment for any other problem. Please do not worry.