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

### input:
Hi, im shalini doctor i have one question for you, im married since 3.5yrs i haven t been conceived still me and my husband had consulted a gynic doctor she advised to do some test for both of us all my reports are normal but my husbands semen count is 15% only so they had advised to a scan (scrotal doppler ) wat does this means and before marriage my husband got another affair in that affair that female was pregnant and it was twins baby my doubt is that possible for a person semen count gets reduces after 4yrs, is they a chance to increase the semen count again wat do you suggest doctor pls reply me

### output:

According to your husbands report, only 15% of his sperms are motile, that is, only they have the capability to move forward and cause conception. There are a many other factors into consideration which you have not mentioned from the report. Scrotal Doppler is done to see if there is presence of varicocele. If necessary the doctor can take FNAC(biopsy). A men semen count can vary from time to time. As for now, i advice your husband should consult a general surgeon who will conduct a local examination on his testicles. If required he will advise you for a semen culture. Your husband should involve in brisk walk for 30- 45 minutes each day and should wear loose underwear. This will help in improving the sperm count and motility. Important- a semen analysis should be conducted after at least 3 days of abstinence and the sample should be processed within half an hour. If the sample was collected at home and later taken for test, chances are that the sample gets destroyed and gives false test report.in such a case, a repeat examination should be done.