<s>[INST] Please I want to know may be I can still impregnate my wife, we are marry for the past 3months, we do have sex on regular basis but up till know she has not conceive. I carried out a test, please find the result below: Count: 48million/ml Motility: 40% Progress: 25 Random: 10 Sluggish: 5 Dead: 60% Volume: 5ml Viscosity: Moderate Normal: 65 Abnormal: 35 (1) Double Head - Nil (2) Oblong Head - 30 (3) Giant Head - 5 Comments: Normosperm Kindly advise on my chances of impregnating my wife soonest. Thank you for your anticipated swift response. [/INST] HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.I will suggest you Cap DOXY 100 mg 2 times a day for ten 10 days.60% non motile sperms need attention.Avoid alcohol, smoking if any.Indulge in healthy diet and exercise regimen.You stand good chance of becoming parent. Also get Tubal patency test- HSG  and USG of your spouse.Day 10 to 20 of the cycle are fertile days, so indulge in sex during this period.I hope my answer helps you.Thanks. </s>