<s>[INST] Hi Doctor, my husband has spermcount - 13 million/ml motility - active -20% Sluggish -20% Dead -60% Pus cells - 26-28 Redblood cells - 0-2 Epithelial cells - nil please tell me what all this mean. Is it possible to conceive normally? or if he should undergo treatment ? then what are the treatments? [/INST] Hello, Welcome to HCM, I am Dr. Das Firstly, the sperm count is lower than required ( normal is 15 million / ml as per WHO 2010). Secondly, motility is lower than required ( normal is > 50% as per WHO 2010). Thirdly, pus cells are increased. It indicates presence of lower urinary tract infection. So, take some broad spectrum antibiotics, for the infection. It will improve the sperm report. Regards. </s>