<s>[INST] The last count was 35million. I have pus cells in my sperms. I was placed on anti-biotics and recently went for a check up and it went down to 5million. My wife and I have been trying for over 6years. She is on clomid. What can we do again please help [/INST] Hi welcome to Chat Doctor. I have gone through your question. You mention sperm count 35 million. Is it per ml then is normal. Normal value 20 million/ml. Now is 5million is absolutely below normal, significantly low. I would advise you to go for ultrasound of scrotum if not done to rule out varicocele, infection of testes, vascularity. And consult urologist if report is abnormal. Hope I have answered your question. Would be happy to help you further. Take care. </s>