What does the following semen analysis report suggest?
Patient: Hi Sir. I married since three years and my wife did not get pregnant cuz of me. Please sir give me suggestions. I will be very thankful to you. My semen result is ss follows. Volume = 4ml. Ph=7.5 Pus cells = 10-12/hpf RBCs = nill Actively motile= 5% Sluggish motile = 5% Non motile = 90% Normal Forms = 70% Abnormal forms = 30% Total sperm count = 45 million/ml Doctor: Hi I think you have asthenospermia and semen infection also. Get a semen culture and sensitivity test done.  You may need some antibiotic according to the culture report.  You can take some antioxidant and vitamin supplements for 3 months. Repeat a semen analysis after one month with 3 to 5 days of abstinence.  If report is same, you may need IUI for conceiving.  Talk to your doctor regarding this. Hope it helps.