Hi, I am 50 years old, 6 foot tall and weigh 94kg. I am on heart medication as I had a heart attack 6 years ago. I am also on thyroxine for an underactive thyroid. My recent semen analysis shows a motile sperm count of 1.9 million. This is based on: semen volume 2ml, ph 7.9, forward progressive sperm 40%, percentage abnormal sperm 89%, sperm count 21 million per ml and incomplete liquefaction after one hour. All my hormone levels were tested and were in the normal range. (FSH, LH, Prolactin & testosterone) A urologist examined my scrotum and prostate via a physical examination and both appeared normal. Can you offer any advice? I do not wish to proceed down the IVF route and I'm particularly concerned about my percentage abnormal sperm and the incomplete liquefaction.