Hello
Your report suggests semen infection with low
sperm motility.Infection is indicated by presence of excessive pus cells in semen.
You need proper clinical examination and further investigations.
You need routine hemogram,RBS,culture and sensitivity of semen,colour doppler of
scrotum.
Proper antibiotics depend upon culture and sensitivity report.
Motility is also low.Normally it should be at least 55 %.You have only 20 % motility.
Sperm count is normal.Normally sperm count should be at least 20 millions/ml.
Your sperm count is 30 million/ml,so count is normal.
Motility is expected to improve with control of infection.If
infertility persists then assisted fertilization techniques can be considered.
It is normal that small amount of semen comes out during straining.
Get well soon.
Take Care
Dr.Indu Bhushan