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

### input:
Doctor, I am married 11/2 year back and wish to have children.But couldn t succed in our attempts.Formally,i have checked for RBS & SEMEN Aanlysis. My semen test analysis is like this: Physical examination: Abstinance : 3 days Quanity: 0.5ml Color : Whitish Viscocity: Normal Odour: SEMINAL Reaction :Alkaline Liquification time: 30 min Microscopic Examination : Sperm count : 190mill/ml Motility a) Active Motile : 35% b) Sluggish Motile: 10% c) Non Motile: 55% Morphology : Norml forms: 40% Abnormal Forms: 60% Pus cells: 12-14/HPF EPITHELIAL CELLS: 2-3/HPF RBC : 10-12/HPF In RBS Test, Random Glucose level : 119 It s being a big impact on my lifestyle.Hence,Can u plz suggest the detailed information & problems based on my report.Is there any abnormality? what could be the medication and treatment. Thanks. Rithwik

### output:

Hollowed this carefully and you will get the answer. Normal fertility is associated with sperm counts of> 48 million/mL (in your case it is 190 million/mL, but volume is only 0.5 ml (while normal quantity is 3-6-8 ml ),with a motility of >63 %(in your case total motility active and sluggish is 45 %)with >12 % exhibiting normal morphology (normal in your case). Normal pus cells are 2-5 (in your case it 12- 14) and RBC's 1-2 (in your case 10-12) . Glucose random is normal but upper limit, so for this I advise you get in blood for HBA 1 C examination and also repeat the blood sugar level for 3 consecutive day to rule out diabetes. Get in blood for sugar level first, thereafter consult infertility specialist. So in my opinion consult an INFERTILITY SPECIALIST and get his opinion. Good luck.