Brief Answer: Slightly on a lower side. Detailed Answer: Hello, Thanks for trusting us with your health concern. For analysis of semen the sample should be fresh after sexual abstinence of 2 to 4 days to give accurate results. Normally, 1. The normal volume of semen is more than 1 ml. 2. The liquefaction of the semen should occur in 10 to 30 minutes. 3. pH should be alkaline(between 7.2 and 7.8). 4. Sperm count is the total number of sperms in a sample and should not be less than 10 million. 5. Motility is the movement of the sperms and in sample at least 50% of the sperms should be motile from which at least 20% of the sperms should progress rapidly. 6. Pus cells can vary and 5 or 6 are normal in a sample. The motile sperm count of 45% is slightly on a lower side. But conception by natural way is still possible. Some suggestions for your husband: 1) Have a healthy nutritious diet comprising fruits, veggies, salads etc. Include bananas, avocados, nuts, tomatoes, oysters as they help in increasing sperm count. 2) Take a Zinc, selenium, l-carnitine, vitamins C and E supplementation once daily for few months. 3) Abstain from smoking and alcohol. 4) Do some form of exercise daily. 5) Avoid stress and practice meditation. Consider visiting an Infertility Specialist for thorough evaluation and repeat the semen analysis after at least three months of supplements as suggested. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal.

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