Hi , Thanks for writing to HCM. Sadely medicine has not come up with such a drugs which have dramatic effects on sperm count and motility. Multi vitamin with zinc combination drugs are used with some improvement.. Along with prescribed drugs like folic acid/ zinc & vitamin E , do some life style modifications like - Reduce weight, do exercise. - Stop smoking and alcohol. - Avoid caffeine . ware loose under garments. - Healthy diet with multivitamin and zinc. - With the treatment you should repeat your semen analysis after 3 months. If same state is there then better to go for IUI. It is intrauterine ingestion of sperms. Here healthy sperms are selected and placed in uterus. This increases chances of pregnancy as motility problem is solved. You can try 4 to 5 cycles of IUI before proceeding to IVF. Normal study is Semen volume-- 2–5 milliliters (mL) Liquefaction time--20–30 minutes after collection Sperm count--20 million spermatozoa per milliliter (mL) or more Sperm shape (morphology)--More than 30% of the sperm have normal shape. Sperm movement (motility) --More than 50% of the sperm show normal forward movement after 1 hour. Semen pH-- 7.1–8.0 White blood cells--No white blood cells or bacteria are detected. In your case motility is less . Sperm count is in normal range. Chances of pregnancy increase with more number of healthy sperms. Important to note is it take long time for semen parameters to become normal with no 100% success rate. Since your age is 37 I would suggest you to go for IUI. You can discuss with your doctor. Hope I have been helpful. Regards Dr.Ashish Verma