### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am an indian, working in Qatar for last 5 years. My marriage was three years before and for last 2 and half years we were trying for child.. and unfrotunately not yet.  As per doctor.. my wife is ok.. only me needed treatment since my sperm count and motility is very low. my last sperm analysis as follows,  Total Sperm count : 44  Total Ejaculate Sperm count: 88   Motility (1/2 Hr) Active 25   Sluggish 30  Non Motile 45    Motility (1 Hr) Active 20 Sluggish 30 Non Motile 50  Motility (2 Hrs) Active 15   Sluggish 25   Non Motile 60    RBC 6-7    Pus Cells 2-4.  This was two months before.. and before this analysis i have done the same three more time and the result was poor.. Pls advice wht will be the best treatment for me..  Continue with medicine or...

### output:

Hi, Welcome to Chat Doctor . Since you are taking treatment and the parameters are not responding that means you are not responding to the treatment.  It would be good if you had written what treatment you are taking.  I suggest you to discuss with your doctor regarding GUI. It is intrauterine ingestion of sperms. Here sperms are washed and processed, and healthy sperms are placed in uterus. So though your count is less healthy sperms may be taken and also since they are placed in uterus motility problem also tackled. So your problem is bypassed and increase chances of pregnancy.  You may try 5-6 cycles of GUI before proceeding to IVF(in vitro fertilization). Hope I have answered your query. Regards Chat Doctor. 