Hello Thanks for writing to HCM Your semen analysis report suggests infection with decreased motility and decreased sperm count. Infection is indicated by the presence of pus cells in semen. Normally there shouldn t be any pus cells in semen. Infection may be due to prostatitis,UTI etc. You need antibiotics for infection. You need few more investigation like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed. Proper antibiotics should be prescribed after culture and sensitivity report. With control of infection,motility and count will improve.You should also do exercise and take nutritious food. You should avoid tight underpants.Don t keep laptop over genital area for prolong period. You should take nutritious diet.Additionally,you can take bananas,pomegranate,garlic,amino acid like L-carnitine,walnut etc. If sperm count doesn t improve then hormonal assay should be done. Get well soon. Hope I have answered your question. Take Care Dr.Indu Bhushan