<s>[INST] Hi Dr. XXXXXX,I want to tell you that i got married since 2 years still i have not blessed with baby. just 2 days ago, i have done my check up and i found that My motility (a) Immediate is 50 %, Non motile  40 %, Motility Index 1.9 %, pus cells 6 to 7/hpf and autoaggliutination is present. so please assist me... thanks...Regards, [/INST] Hi, Thanks for writing to Chat Doctor. After reading your report I conclude your sperm motility is little less and mild infection is there. Rest all parameters are normal. For infection, I suggest taking ciprofloxacin for 5 days after consulting your doctor. For low motility I suggest you to start Chat Doctor.  It takes long time to show results. So minimum 3 months you have to take and get repeat test done. Since you are near borderline chances of good response is more. I would suggest that you rule out varicocele in you by a doctor. If it is there, get it operated. And do some lifestyle modifications like -- Reduce weight, do exercise.- Stop smoking and alcohol. - Avoid caffeine.- Ware loose undergarments.- Healthy diet with multivitamin and zinc.- Avoid trauma to testis. Hope I have been helpful. Regards  </s>