<s>[INST] Dear sir,My semen repot is showingSperm count    2.1 million ml             Motility                                                        Actively motile         00%       Sluggeshly               05%                               non motile                     95% I have under gone vercocele operation due to less count in sperm. Still it is not improved. What should I do, If I want to increase actively motile in my sperm count? How can I be parent with this? Please suggest [/INST] Hi, Low sperm count and other sperm disorders are complex, and first you should do more detailed sperm analysis that include number, morphology and motility of sperms. There are plenty of causes and treatment options for men with low sperm count vary depending on the cause of the condition.  For example, surgery is the most common treatment for men suffering from varicocele.  For low sperm count due to infections of the urinary/reproductive tract, antibiotics can be prescribed to help clear the infection.  Medication and hormone replacement treatment options can also be used when the cause of low sperm count is related to a hormone imbalance.  In cases of low sperm motility, assisted reproductive technology (ART) treatments would be used to facilitate conception by inserting sperm into the female reproductive tract. Hope I have answered your query. Let me know if I can assist you further. Take care  </s>