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

### input:
dear doctor good night as it is night in my country  Egypt .i made a semen exam & peroxidase & its result is colour greyish white blood  absentvolume 3 mlreaction Alkaline ph 8viscosity Normal liquification time 30 mintotal sperm count:/ml  78,000,000sperm count/ejaculate 312,000,000direct SMEAR motility1st hour 65%2nd hour 55%3rd hour 45%Type of motilityrapid progressive 20%slow progressive 15%Non progressive 30%immotile             35%Abnormal forms 35% Amorphous & pinpoint headdear doctor my question is do i have Asthenospermia???/ tell now iam not married do u think that i have to be patient in takeing the desicsion of marriage tell i recieve some kind of treatment is there any hope if i married for my wife to be pregnant normally with no IVF or any other methodi had read that in an other site ---some men are infertile because of poor sperm motility. Normally, at least 50% of sperm should be motile; and this should be good quality progressive motility.-------The sad fact of the matter is that there is no method of increasing low sperm motility today-----Muhammad Egypt

### output:

You didn't mention your age and the test should be performed once or twice more for a correct decision. However, from current report it can be concluded that your report is within normal limits as per WHO 2010 guidelines. There is no infection and the count is also normal. Vitality and MAR or immunized test for any antibody related pathology should also be performed. It is possible to be a father naturally at this scenario; however, a specialist in reproductive medicine can help you best in the line of treatment if any required or possible. Regards,