Hello Thanks for writing to HCM Your semen analysis report suggests infection with decreased motility. Infection is indicated by the presence of pus and epithelial cells in semen. Normally there shouldn t be any pus cells in semen. Infection may be due to prostatitis,UTI etc. You need antibiotics for infection. Other investigation like routine hemogram,Culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed. For improving motility,you should increase your physical activity and take nutritious diet.If motility doesn t improve with control of infection,diet and exercise then you will need further evaluation. Other findings like count is normal. Hope i have answered your query. Take Care Dr.Indu Bhushan