<s>[INST] Hello doctor, We are trying from past two years for a baby. I am facing an ED problem, and I am advised to take Penegra 50mg tablet. I also, have vitamin D deficiency and taking Eficent plus tablets. And taking Paternia tablets, for less sperm count. I have teratozoospermia. Kindly advice as we are planning for the second baby. [/INST] Hello. Please share your semen analysis report as that would help evaluate your teratozoospermia and the degree of it. Unless teratozoospermia is treated the chances of pregnancy are limited. </s>