You seem to have low sperm motility
as per semen analysis
Following remedies can be followed
1. You can continue using vitamin E which is an antioxidant.
2. Stop smoking and alcohol if you have habit.
3. Have balanced diet and exercise daily for atleast 45 minutes.
4. Wear loose undergarments and pants.
5. Tegretol also causes some interference in sperm production and leads to low count reduced motility etc. Check with your neurologist
if he can change it to different medicine.
Let me know if you have any more questions.
Dr. Mahesh Koregol