My Email: YYYY@YYYY Dear Doctor, Good day! I am 59 years old married male. I am late marriage and my wife age 33. About 2 years ago I found my joint pain (shoulder, hand finger and knee). Also my weight lost about 7 kg. Then I go to neurologist and they given medicine but for knee pain they suggested ortho doctor. Both doctors suggested medicine I taken, I felt almost cured. Weight also regained, but my belly turned bigger. Also I found my sex interest gone down and the semen quantity gone lesser. Urine quantity also lesser. Sleep time now about 5 hours 9previous was 6 to 7 hours). My nails of hands and legs few fractured (not too much abnormal). Two teeth are going yellowish. Eye sight also facing problem (Last year two times needed change eye glass in 7 months gap). Digestion also not good. Also I am becoming tire within few hours of few works. Food habit also gone changed, can not take much food. Recent about 3 months I am feeling again pain on hand finger and knee. Left hand finger joint pain and some times feeling palm collapsed. From my own idea I thought, I should go first to any Skin and Sex doctor. The Skin and Sex doctor suggested Semen analysis, urine and stool routine test. My semen analysis is: Appearance and Viscosity: Normal Volume: 0.8ml pH: 7.6 Total sperm concentration: 77M/ml Motility: 51% Normal morphologies: 35% MSC: 39.2 Total functional sperm (TFSC): 21.5M/ml Sperm Motality index: 206 Pus Cells: 4-6/HPF RBC: Nil Lab doctor s comment: Normozoospermia Stool have pus Cell 1-5, Vege cells: many, Mucus; Trace. other normal. Urine have pus cell 1-3/HPF Epithelial Cells; 0-2/HPF, Albumin trace. other normal. About 10 months ago tested that kidney is normal. Blood pressure; normal. Now we need another baby. my questions: 1. At this position may I take baby? If taken that will be healthy? 2. I need any medicinal treatment before go to intercourse for baby? If you need any other information, please ask me. Please note, I fear antibiotics, but if must needed, I will compromise. I work on computer daily about 12 to 14 hours a day. Please give me a good suggestion. Regards, SHAHID Email: YYYY@YYYY