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

### input:
Hi i am pratheep 29 year old and is having a weight of 80kg . My semen report is as followsVolume:3.5 Colour grey wihit , P H 7.5 Viscosity light fluid Reaction Alkaline, Motilty Active 20%, sluggish 30% non-motile 10%  Puscells 1-2plenty HPF RBC 1-2 HPF Sperm count : 6.7 million/ml of semen......before my sperm count was 12.5 and had a medecine ..but it reduce now. will it effect fertlity....

### output:

Hello Thanks for writing to your semen analysis report suggests infection with decreased sperm count and motility. Infection is indicated by the presence of pus cells in semen. Normally there shouldn't be any pus cells in semen. Infection may be due to prostatitis, UTI etc. You need antibiotics for infection. You need few more investigations like routine hologram, RBS,Ultrasound of pelvis should be done. Trans rectal sonography of prostate can be done if needed. Proper antibiotics should be prescribed depending upon sensitivity report. You also have low sperm motility. Sperm motility should be at least 55 %. Sperm count is also low, it should be at least 20 millions/ml. Fertility will definitely improve with control of infection. You should do exercise and take nutritious food. You should avoid tight underpants. Avoid cigarettes and alcohol if you take these things. If low sperm count and motility persists then you may need assisted fertilization techniques like GUI. Get well soon. Take Care Chat Doctor. 