Hi,
Here is what it means,
(1) COLOR & VOLUME, - are physical characteristic and gray white and 3ml is normal for it
(2) REACTION TYPE - alkaline is just giving an idea of whether it is acidic /alkaline and alkaline is normal
(3)
SPERM COUNT is number of sperm in ml and 20 and 40 million per milliliter is range for normal and yours 46 million so its normal.
(4) LIQUIFICATION- how much is the sperm survive one its release normal is about 20 min and yours it about 30 min so it good
(5) MOTILITY is the way how sperm travels and its good to have more motility is 40% normal should be about greater that 25% so yours is pretty good.
(6) RED BLOOD CELLS not suppose to be present but mostly seen in infection/minor bleeding due to trauma.
(7) PUS CELLS - 15-20/HPF Shows an active infection some were across the testis to the
urethra.
*******************************************************************************So based on this report you have some kind of INFECTION somewhere from testis to penile opening , needs to be address by the physician ,
In order to pinpoint the exact cause more diagnostics tests needs to be done , and once the culprit organism is identified an antibiotics can be prescribed to get it cleared.
HOPE IT HELPS.