Hi, thanks for using healthcare magic
Semen analysis provides general information on
fertility. Some men with abnormal results are still able to conceive and some men with normal results may experience difficulty.
(1)Semen volume is normally 2 to 5 ml, your value is slightly below this at 1.5 ml
(2)
sperm count of 21 mill/ml- this is normal, it is suppose to be greater than 20 mil/ml
(3)in terms of motility or progression of movement , normally at least 50% should show normal progression.
65% of your sperm were not progressive , this would imply that at 35 % were moving
(4)in terms of their shape and structure (morphology)- at least 50% are suppose to be normal , in your result only 20% were normal
It is possible that with the abnormalities in shape and movement that
pregnancy may still occur naturally though it may be more difficult.
If it is not possible to achieve conception via natural means that artificial methods are available that may be able to help you and your wife.
I hope this helps