<s>[INST] helo sir my self amit kumar sir i have done my seman analysis and the report is given below pls suggest me sir about pus cells and improving total count .......tatal volume- 3ml,                                                                colour - grey(increased)                                                               viscosisty - increased                                                               motility - 60%(20% sluggish and 40% rapid)                                                               total count - 20 million/ml, and non motile - 40%,  2-3 pus cells/hpf seen... [/INST] Hello Your semen analysis findings may indicate semen infection with borderline sperm motility. Infection is indicated due to presence of few pus cells in semen. Normally semen shouldn't contain any pus cells. You may need investigations like routine hologram, random blood sugar, semen culture and sensitivity. You may need to take antibiotics based on culture and sensitivity report. Motility is borderline. Normally it should be at least 55 %. Your findings suggest over all 60% motility, so it is borderline. Sperm count is normal. Normally it should be at least 20 millions/ml. Fertility is expected to increase with control of infection. If infertility persists then you may need assisted fertilization techniques. Get well soon. Take Care Chat Doctor.  </s>