<s>[INST] Sir, I am residing in India and married for 11 years but yet to have a child.  My consulting physician prescribed levo carnitine tablets besides some other tablets like siledanafil citrate.  Will consuming these tablets increase my drive and yield me a fruitful result of getting an offspring. My count is in the range of 40-50 millions with 40 % motility while taking these medicines which was around 30 millions previously.  Is there any need to take testero-sterone pills/injection as I am already aged 43 and lacking my drive these days due to psychological frustration.  Thank you. Rajn [/INST] Hai, The two medication from your quote Levi carnitine is a diet supplement and silednafil citrate for erectile dysfunction. As your count and motility is just under normal.no need for any hormonal injection at this time. If you add almond, cashew,pomegranate, fig,dates, pumpkin seeds, watermelon seeds, jaggery, milk and milk product daily in your food intake will enhance increase in sperm count along with your prescribed medication. Healthy lifestyle will influence and increase your quality of semen and sperm. Regarding your frustration kindly avoid it.no need to worry. Stress, anxiety,depression will decrease the sperm count. Follow the above advise. Thank you hope I answered your query. </s>