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

### input:
Hi , I am attaching my semen analysis report , please suggest -Do I have infertile semen ? . Regarding Thickness , Motility & presence of (PUS Cell + Germ Cell ) please suggest -is it normal . I am 40 yrs old . lately married & truing for baby . Please give some good suggestion. SEMEN ANALYSIS SAMPLE INFORMATION TIME OF COLLECTION 2.25 p.m. TIME OF ANALYSIS 2.35 p.m. ABSTINENCE (IN DAYS) 5 Days PHYSICAL EXAMINATION COLOUR - Off white VOLUME 5.0 ml VISCOSITY Thick REACTION Alkaline pH 7.2-8.0 0 LIQUIFICATION TIME 25 20-30 minutes MICROSCOPICAL EXAMINATION SPERM AGGLUTINATION 1 2 - 3 scale SPERM COUNT 102 millions/ml MOTILITY 1ST HOUR MOTILTIY RAPID PROGRESSIVE 10 % SLOW PROGRESSIVE ---15 % NON PROGRESSIVE-- 25 % IMMOTILE --50 % 3rd HOUR MOTILITY RAPID PROGRESSIVE--- 05 % SLOW PROGRESSIVE ----10 % NON PROGRESSIVE 25 % IMMOTILE---- 60 % SPERM MORPHOLOGY NORMAL-- 80 % ABNORMAL ---20 % OTHER CELLS (per 100 sperms) ROUND CELLS (pus cells + germ cells) 2 - 5 /hpf EPITHELIAL CELLS OCCASIONAL RBCs---- OCCASIONAL FRUCTOSE TEST--- Present With Regards

### output:

Hello, welcome to Chat Doctor, Your semen analysis report shows Normal physical examination. Sperm count is within normal limit.  Motility of the sperm is lower than required (normal is >40% as per WHO 2009).  Morphology of the sperm is within normal limit (normal is > 04% as per WHO 2009).  Among the other cells, round cells are mildly increased (normal is occasional as per WHO 2009).  Presence of fructose is also a normal feature.  So, overall, the semen analysis report shows normal report except the motility and presence of pus cells. Consult with your treating doctor.