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

### input:
I m 27 years old Married, I have Asthenospermia as per the following test result for my seminal fluid analysis: Volum: 1.4mL pH:8.5 Total Concentration: 58M/mL Total CountL 81 M/ej MORPHOLOGY: Normal: 70% Abnormal: 30% MOTILITY a.Rapid progressive: 0% b.Slow progressive: 20% c. Non progressive: 30% d.Non-Motile: 50% Liquefaction time : 1 Hour Color: Cream Consistency: Normal WBC/hpf: 0-2 RBC/hpf:1-3 Sperm agglutination: Negative What are causes the Asthenospermia? Would you please advise according to the above test result what is solution for me to do in order to have children? Your earliest reply in same matter shall be highly apprecaited. Thanks Mohamud

### output:

Hi Welcome to Chat Doctor Your semen analysis report appears to be normal other than low motility (asthenospermia). According to WHO, Motility (progressive+non-progressive) should be >40% out of which progressive motility should be at least 32%. In your case progressive motility is on lower side. There are many factors which may impair sperm motility like environmental (heat, Pollution,pesticides), Lifestyle (smoking, alcohol, obesity, poor diet, stress etc.), infections and few others. Though pus cells are within normal limits in your semen report, still get a semen culture done to rule out infections. Taking antioxidants will help. Consult a fertility specialist or urologist. Take care.