Hello dear Understand your concern First compare your semen analysis with normal semen analysis. Color: greyish white_________________normal Appereance: viscous to gel type___________normal Liquifaction time: 20-30 minutes__________25 __normal Total Sperm count:40-300 million________42 million__normal Active motile sperm : 50% motile at one hour after ejaculation__80% means excellent sperm motility Pus cell: up to 5 ____________4-6____normal/high normal RBC: nil_________________________________normal So your semen report is completely normal. As your total sperm toward lower side but you have excellent motility so I think you can become father. Just rule out the infections by doing semen culture as your sperm is just at higher side. I give you following advice: Diet: High protein diet, diet high in zinc like lamb, wheat, meat, eggs, cottage cheese etc. and green leafy vegetables High anti oxidant items: fresh fruits, dry fruits like almonds, tablet Co Q. Take multivitamin tablet like revital. Do regular exercise like walking and yoga daily in the morning for 45-60 minutes. Avoid stress. Dink plenty of water 2-3 liters per day. Hope this may help you Best regards Dr. Sagar