<s>[INST] sir i m AAAA .my semen report is not normal.colour -dirty white, volume-4ml, ph-8, total sperm count-5million/ml, active-5 % ,sluggish-30% ,dead-65%, normal-80%, abnormal-15%, head defect-3%, tail defect-2% , pus cells 3....5 , remarks=oligozoospermia with u.g.t infection.how i can increase my active sperms n what medicine i should use so i can get pregnent to my wife. [/INST] Hi, Welcome to Healthcare Magic. Lifestyle changes is the first step in improving the quality and quantity of spem. Stress relief, avoiding smoking and alcohol, avoiding tight fitting underwear, weight reduction if obese would all would improve sperm count. Treat the infection you have. If all these measures fail, then surgical conditions like varicocele should be ruled out with a doppler scan of the scrotum. If there is no varicocele, then you can try taking supplements like L carnitine to improve the count and motility of sperm. Hope that answers your question. </s>