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

### input:
Hi, I am Sagar, Below are details of my Report, 1) Method Of Collection Masturbution 2) Spillage Nill. 3) Self liquefaction : N 4 ) Appearance : N 5) Viscosity : N 6) Odour : N 7) Volume : 1 ml 8) pH : 8.0 9) Sperm Count/ml : 4 million/ml 10) Sperm Count per Ejaculate : 4 million/ml 11) Immobile Sperm :75% 12) motile with no progressive forward movement : 05 % 13) Slow forward progressive movement : 20% 14) Moderate forward progressive movement : 00% 15) Rapid forward progressive movement : 00% 16) Total Motile Sperm Count per ejaculate : 1 millions 17) Fructose : Present 18) Live sperm (Supra - Vital Stainig) result : Most sperms are DEAD. Please let me know the outcome of this test, what are chances of getting baby, if any treatment required?

### output:

Hi, Welcome to Chat Doctor. Your sperm count appears to be too low to allow natural conception. Kindly confirm the same with a repeat semen analysis after 7-10days with 2-3 days of sexual abstinence. If repeat semen analysis shows same count, you need evaluation in the form of some hormonal evaluation like FSH, Testosterone, TSH & Prolactin and one evaluation by urologist/an Chat Doctor.  If anything treatable is found, count can be improved. Otherwise, option for conception will be CSI (test tube baby). Wish you good health. Regards.