Conversation: The conversation between human and AI assistant.
[|Human|] Sir , my brother had a very law sperm count from past 2 yeras (8 millon/3ml).I am an ayurvedic doctor and now I am giving him some medicines to increase his sperm count .last week he has done his semen analysis and the report is volume 2ml, reaction alkaline, viscocity moderate , motility 4-6/hpf, active 1-2/hpf, sluggish 2-3/hpf, dead 6-8/hpf , pus 2-3/hpf count 2 million/ml.what will be the normal values for him to become fertile
[|AI|]  Hello Your brothers semen analysis findings may indicate semen infection with decreased sperm motility and low sperm count. Infection is indicated due to presence of few pus cells in semen. Normally semen shouldn't contain any pus cells. Besides clinical correlation, he may need investigations like routine hologram, random blood sugar, semen culture and sensitivity, ultrasound of scrotum. Hormone assay can also be done after evaluation. Motility is also low. Normally it should be at least 55 %. Sperm count is low. Normally it should be at least 20 millions/ml. He may need to take antibiotics based on culture and sensitivity report. Clinical examination and ultrasound of scrotum can detect any surgical reason for his problem. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor.