<s>[INST] Hi iam rb we are married for 3 years bt no pregnant , my microscopical examination sperm count is 92 millions total sperm count is 46 millions/ejaculation.motolity 56%, rapid progressive 04, slow progressive 44, non progressive 08, immotile 44, vitality 60. Sprem morphology :normal sperm is 07, heaf defect 68, neck defect 58, tail defect 60, cytoplasmic droplet defect 02.can we make baby or not do we hope or not ..my wife period is regular..doctor prescribe provironum tablet 3 times daily...for 3 months plsss tel wether we can have baby or not? My blood group is b negative, n my wife is b positive .plsssssss help by giving us answer [/INST] HelloBased on the semen report that you have posted I would state that you have what is called as Asthanoterratospermia meaning there by percentage of active grade one sperm and morphology of the sperms are abnormal ..It is unlikely that with this parameters you will ever impregnate your wife by natural means .Consult qualified Infertility specialist for help to have pregnancy with newly assisted reproductive techniques like IVF or ICSI. Dr.Patil. </s>