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

### input:
I AM SATHYA. AGE 43.I GOT MARRIAGE 4 YRS AGO,NO CHILD , MY SEMEN ANALYSIS  IS VOL.2.5 ML. NORMAL,ALKALINE,MILKY WHITE,LIQUIFICATION AFTER 30 MTS,COUNT  55MILLION,ACTIVE 8%,SLUGGSH 17%,NON MOTILE 75%.  I AM TAKING  genew plus tab AND folinal tab ONE DAILY FOR 3  MONTHS, NO GOOD RESULT. MY WIFE ALSO TAKEN MEDICINE LIKE DUPHASTON,FOLINAL TWICE DAILY,SHE HAD AN INJECTION lupi ChatDoctor 5000 1/m .PLEASE GIVE YR SUGGESTION, MY SLEEPING TIME 5 HRS, IS IT ENOUGH, NO BAD HABITS LIKE SMOKING, DRINKS

### output:

Hi, Welcome to Chat Doctor. As far as the quality of your semen, the physical findings and count are adequate except the motility of the sperm which is grossly inadequate. Some other findings were missing in your semen report like abnormality of sperms, and the presence of pus cells and RBC's etc. They also equally important finding. Abnormality, anti-sperm antibodies, reproductive tract infection, varicocele,epididymitis, hormonal variations are some of the findings which can cause the poor motility of the sperms. Just vitamins and anti-oxidants alone are not adequate to improve the quality of the sperms. Find out exact cause of the astheno-spermia and treat the same will be beneficial. Regarding your wives treatment, without knowing her examination and investigatory reports I can not give opinion about the treatment. If you consult a urologist or an infertility specialist they will guide you better.  Chat Doctor. Morgan