<s>[INST] I have done my semen analysis several times 1st time - Nill sperm ( Pus cells:12 ~ 14) 2nd time - Nill sperm (Pus cells:11 ~ 13) Started homeo treatment 3rd time - Nill sperm (Pus cells:10 ~ 12) 4th time - Nill sperm (Pus cells:8 ~ 10) 5th time - 20 Mill sperm count (Pus cells:2 ~ 4 & Epithelial cells: Nill) 6th time - Nill sperm (Pus cells:3 ~ 5 & Epithelial cells: 1~ 2) Please guide what to do [/INST] Hi, your semen report suggests some short of infection by presence of pus cells . Absence of sperms demand a clinical examination by a surgeon . Please get a check up and get tests done as suggested . persistence presence of pus cells require to be investigated by semen culture and treatment accordingly . please discuss with doctor the course of investigations and treatment available .Testicular biopsy will indicate further line of management . A PRELIMINARY CLINICAL EXAMINATION IS ESSENTIAL FOR FURTHER ADVICE . Please get a check up and be guided . With best wishes </s>