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

### input:
Hi! I m Gabriel, 52 years old and need help on how I can treat oligoasthenoteratozoospermia, RBC 2 x 10^6/ml; My Quantitative semen analysis are as follows: volume 1.9ml, sperm concentration 1.4 million/ml, total sperm count 2.7 million, overall motility 3%, Total motile count 79,800, forward progression 10%, Viability 26%, WBC , Estimated normal forms 1%; Abnormal forms consists of abnormal heads: tapering 20, pyriform 10, double 1, amorphous 22; neck/mid-piece defects: bent necks 25, thickened mid-piece 1, cytoplasmic doplet 8; tail defects coiled tails 12. I am a late bloomer as they say and just got married 2 years ago, never had an idea that I am infertile ; I have been taking maintenance medicines for high cholesterol and uric acid; Me and my wife would really like to have a child. My wife is 45 years old but have normal ovaries and still ovulating. Hope you can help us. Thank you!

### output:

Hi, Thanks for your query. I read your query and I understand your concerns. Your sperm count is very low. Even the motility (speed of sperm movement) & morphology (appearance) is not good. It is very difficult to try for pregnancy with this report. I am afraid it can't be treated in your case as it is age related and not generally reversible. You have to go for Assisted reproductive technology like CSI (Intro Cytoplasmic Sperm Injection). Please see an IVF & Infertility specialist who can advise you in detail regarding procedure. I hope I answered your query. I will be available for any followup queries you have.  Chat Doctor. 