<s>[INST] sir i am 34 yrs wt 80 kg i did my semen test the report shows that total count is 75 millons/ml,motility is nil,sluggishly progressive 35%,,non progressive 20 %,immotile 45% normal morphology 4%,morphological abnormalities 96%.the doctor has advised me to take carnisure 500.iam little bit confused whether i can have a kid in a normal way.please suggest me your kind advice [/INST] In case of nil motility pf sperms(the ability of sperms to travel in the uterine cavity to reach the fallopian tube), you should visit a general surgeon who would examine your testicles and would advise for a semen culture. He would further recommend for a Doppler ultrasound of the testicles paralleled with FNAC(biopsy) and assess if anything could be done.In the meantime you should start wearing loose underwear and go for a brisk walk for 30-45 minutes each day. In case of doubt, semen analysis should be first repeated after 3 days of abstinence and the sample should be processed within 30 minutes. </s>