Conversation: The conversation between human and AI assistant.
[|Human|] I am 40 yr old, my semen test shows: Physical exam- milky white,translucent,self liquifaction occurred in 20 min,normal viscosity, vol-0.5 ml. Chemical- fructose positive PH-7.5 Microscopic: Sperm count-no of spermatozoa per ml- 62 millions  Viability -70% alive at the end of 1/2 hr Active sperms in ejaculate at the end of half hr is 15.5 millions Epithelial cells-squamous type, macrophage cells- present++, pus cells 1-3/hpf candida nil RBC nill, trichomonads-nill Sperm morphology (Kruger) Head abnormalities -58% Midpiece abn-09% Tail abnormalities-13% Total number of abnormal spermatozoa are 80%
[|AI|]  Hi, I have gone through your question. Your semen examination is all normal except that the 80% sperms are abnormal in morphology. Abnormalities in the morphology of the sperm can be due to infection, or any abnormality in the testes or the ejaculatory duct. Apart from it, the sperm count and motility are normal. Increased number of macrophages are suggestive of infection. I would suggest you to consult a urologist and get properly examined, investigated and treated accordingly. Hope you found the answer helpful. Wishing you good health.