<s>[INST] Dear Dr.,I am a 30 years old male married from 7 months and could not have a baby. I started to make the semen analysis tests and it varies alot in count and motility first time the count was 1 and non motile while after a week the result cane 1 million 750 000 !! I also did a urine test after it sperm was found and rbcs and pus cells with high percentage.. Also the duplex made on the testes showed infection.. Could this infection be the reason for the low sperm count and motility? Is there any test I should do or x ray to show if the testes are working fine and no obstruction??Hormones level are normal and a great no. of spermatogenic cells are present in the semen analysis.The tests results are attached.Thanks alot.Ahmed. [/INST] Hai, Infections are the one of the main cause for infertility in male. As ultrasound scrotum will rule out the structure of your testis. Semen analysis as you quoted will rule out the proper function of testis. As semen culture will rule out the infection which causing you the problem. So kindly do the culture and visit a proper infertility specialist for proper choice of antibiotics and treatment. Regards Chat Doctor. Senthilnathan. </s>