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

### input:
Hello doctorIam 33 Yr old male married for 6 Years. age of my wife is 27. we are seriously trying for a baby for the past three years. My SEMEN Analysis was.,Volume - 4.5 Ml Reaction- Alkaline Liquefaction time- 30 Min. Viscosity- Normal Total Count- 25 Million/Ml Motility- 50% Active motile-20% Non motile-30% Normal forms- 60% Giant head- 30% Double head-5% tailless-5%Pus cells- 3to5 /hpf Epithelial cells- Nil RBCS - 0 TO 2 /hpf Fructose - Present.Do i have any problem in my semen analysis report? My wife has a mensuration cycle between 30 to 35 days. We have done many ovulation studies Her right ovary was - 6 -7 mm and left 4-5mm  and EM Thickness 7.2mm on the 11th day   7-8mm and 25-24mm with EM Thickness of 10.1mm (Triple) on the 18th day.We have consulted with 3 doctors every one is saying every thing is in normal range, but we are trying for a baby for 6 years. What maybe the problem?we request you to kindly explain the reason for not getting result.

### output:

Dear patient! You have not mentioned:1. Follicular development on days 14, 15, 162. Tubal patency testate you attempted:1. Intro Uterine Insemination (GUI)2. Invited Fertilization (IVF)If every thing is normal, the following may be the reasons for failure to conceive:1. Anti-sperm antibodies in the cervical secretions2. Unexplained infertility you have tried GUI and/or IVF, the presence of anti-sperm antibodies in the cervix is bypassed. Anyhow, you are not alone in facing this dilemma. There are many couples complaining of the same problem. And many conceive eventually. So, please don't lose hope and stay positive. Still, you must go to your doctor and check for the above said reasons.1. Tubal patency2. Follicular development3. Anti-sperm antibodies in the cervical secretions Hope this has been helpful. Awaiting your precious feedback.