<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi Sir I am a 54 year old man suffering with infertility . Recent test show asthenoteratzoospermia. findings are as under. volume 2 mi abstinence days 4 sperm count 0000 ml Motility Rapid progressive 8 percent slow progressive 20 percent non progressive 45 percent Immotile 27 percent Sperm morphology Normal;forms 2 percent Head deffects 49 midpiece neck deffects 45 Tail deffects 4 Teratozoospermia Index 1-8 Appearance Translucent Odour Seminal Liquification 30 minutes Viscosity normal Debris Heavy Round cells 2.0000 ml Epithelial cells normal Erythrocytes Absent Bacteria protozoa Absent Agglutination Tail to Tail My first wife age 45 years second wife age 24 years. My name is Guhram Jamali e-mail YYYYYY  <response>: Hello Durham Jamal, Thanks for your query, Asthenozoospermia refers to reduced sperm motility. Teratozoospermia refers to presence of sperm with abnormal morphology. Asthenoteratozoospermia is the combination of two. It is one of the major causes of infertility or reduced fertility in men. Treatment would be:1. Antiestrogens which shown to be effective in the treatment of teratospermia.2 CSI.injecting sperm directly into the egg Even with severe asthenoteratozoospermia, microscopy can still detect the few sperm cells that have a normal morphology, allowing for optimal success rate. So please do not panic, Avoid alcohol and smoking, Have healthy diet with plenty of fruits. Exercise moderately. Wish you good luck, regards, Chat Doctor. 