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

### input:
Hi Doctor, My Name is Manikandan, I have completed 2 years of my marriage life. My wife got a miscarriage within 6months of our marriage life. We started trying for a baby after 3 months from the date of miscarriage and ended without any luck after tying for about 9+ months. Later she was tested and treated for her PCOS problem and she took glycomate and Letrozole to stimulate egg rapture for about 4 month. She had normal periods around this 2 years and she is noramal now without any PCOS issue. Later we thought to check me and consulted a urology. Doctor asked to do a Seman analysis and scrotum scan of my varicocele.The results of Seman Analysis:Volume: 2mlCount: 14million/mlMotility:1/2hr--->  Active:70% Sluggishly:20%  Non-motile:10%1 hr----> Active:65% Sluggishly:20%  Non-motile:15%2hr-----> Active:60% Sluggishly:20%  Non-motile:20%Morphology : 10% Normal and 90% AbnormalYet to do the scan...Please advise on when can I recover from the problem. I am more worried about the morphology %. I had smoke and drinks habit for about 12 year and have quit more than 3 months back. Will we able to get a baby with natural intercourse.

### output:

Hello ManikandanThanks for writing to us with your health concern. Your semen analysis report is showing definite problems. The semen count is quite low (normal is at least 20 million / ml)Also, the percentage of abnormal forms is quite high. This could be due to - stress, anxiety, recent surgery or illness, alcohol, tobacco, heat exposure. Genetic abnormalities, hormonal deficiency, structural changes, blockage of ducts, infections - all these are potential factors. Your Urologist should conduct detailed tests - hormones, ultrasound of scrotum and testes etc., to know the real cause. You should repeat the semen analysis 3 months after stopping tobacco and alcohol. If natural intercourse fails, you can go for GUI (intrauterine insemination) which will yield good results. Take care.