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

### input:
Dear Mr.Malpani,  I have been married for 1.9 years and me and my wife are trying for children from last 1 year. I am just concerned about my sperm count as its around 26 Million  and it varies from 24 to 28 million all the time. I have been taking medicines like Fertyl M, Oligocare, Folvite and Zincovit. I was also advised to take Aquaurinon injection weekly once. After continuing the above treatment for 4 months my count has been still the same. Our family doctor says that i need to have atleast 40 to 60 million count to conceive. She feels there might be some hormonal problem that she has to check.  Following are the details of my semen test report: Quantity - 4 CCColour - WhiteAppearence - HybridViscosity - NormalReaction - AlkalineTotal Count - 24 Mil CCActivity Motice - 50%Non Motive - 30% Do you think there is something wrong in me ? My wife has a proper menstural cycle and the egg also releases properly. Earlier our doc said 20 Million is sufficient but now she says i have to increase it to 40 to 60 million for IVF or any other thing to go on.  So kindly suggest me what to be done, thank you.  Regards, Farooq

### output:

Hi, Thanks for posting in Chat Doctor. I have read your description and understand your concern. Based on the semen analysis report, the following things can be concluded. 1. Physical characteristics like color, appearance, quantity and reaction are normal. 2. Total sperm count is slightly towards the lower side than normal, but acceptable. 3. Sperm motility of 50% actively motile seems to be less than normal. Hence, the fertility index seems to be less than normal. However, what medications have been given is right, and it would certainly aid in improving the features of sperm quality and quantity. It can be known after a repeat semen analysis after taking the medications for a month or more. In case you are planning for Invited fertilization (IVF) procedure, sperm count does not seem to matter much but only requires sperms to be of good quality. In case you are planning for Intrauterine insemination (GUI) procedure, both quality and quantity of sperms matters. You can plan for the procedure according to your needs on consultation with your treating doctor. Hope the information provided would be helpful. All the best.