<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hai Iam Ananth from India I did a Semen analysis last week Volume: 1.5ml Odour: Normal Liquification Time : 35 Mts Sperm Concentration :63.90 Total Sperm Count :95.85 Colour: Greyish White pH :8.0 Viscosity : Normal AGGLUTINATION Head To Head : -- Tail To Tail : -- Mixed : -- Vitality : Alive : 79 Motility Ref.range 25 Grade a Or 50 grade a b Grade a rapid Progressive : -- Grade b slow progressive : 36.0 grade c non progresssive : 38.0 grade d immotile :26.0 MORPHOLOGY Ref . Range 15 or More Normal :18.0 Head Defects :30.0 Tail Defects :31.0 mid piece defects :19.0 cytoplasmic droplets :2.0 fructose : 258 mgdl Impression :ASTHENOZOOSPERMIA by analysing the above readings can you please tell me whether my sperm quality and quantity are good enough to father a child ? And please tell me what means in sperm agglutination head to head, and tail to tail ?  <response>: Hello, Welcome to Chat Doctor, I am Chat Doctor Look, your semen analysis report indicates normal sperm count normal is 15 ml as per WHO 2010. The motility is lower than normal limit as per WHO 2010, grade a should be 25 or all total 50. The Normal sperm count is also within normal limit as per WHO 2010, normal sperm should be 04. The pus cells, RBCs are within normal limit.as per WHO 2010, normal semen should not contain any pus cells or RBCs. So, overall, your report indicates just low sperm motility. For this you can take vitamin E and coenzyme q. As you have high sperm count, I think there will not be any problem. So, do not worry. Regards. 