<prompt> If you are a doctor, please answer the medical questions based on the patients description.i m 32 years old man i had a 2 year old son he came directly after my marriage then we are trying to conceive another one for a year now but nothing happens me and my wife are testing now my semen analysis is 43 milllion count abnormals are 20 , motility of rapid progressive are 25 sluggish are 25 if i have a problem what s the treatment to my case? and is there any hope esepicially that w have a baby on our own  <response>: Hai, your semen analysis is total sperm is normal as per your quote. Your motile forward progressive Grade a and grade bsperms should be more than 50 to 60 .other parameter like fructose level, ph, wbc count, also to considered. As you already got a kid.no need to worry. I dont suggest any treatment at this moment. Take healthy and nutrient nourished food like dates, jaggery, pomogranate, black gram, diary products, fig etc. Try it for 6 months and still if are not able to make out kindly visit an infertility specialist for further advise. 