Question: My husband recently had a sperm test. We are looking for some help in understanding the results. The count seems high at 91 million/ml and total count of 428 million. the motility and vitality are lower than the WHO 2010 reference levels. Total motility is 35% with 30% progressive, 5% non-progressive and 65% immotile. Vitality is 45%. Given that these numbers are percentages and the total number count is high, will this present less of an issue? (ie, a lower percentage of a very high number still gives a relatively high absolute number of motile and vital sperm).

The morphology shows that 8% are normal and 92% abnormal (92% with head abnormalities). Is this something to be concerned about?

Finally, after 45-60 minutes, mucus streaks appeared, liquefication was incomplete and the viscosity was noted as viscous rather than normal. There is also a note saying "borderline levels of peroxidase positive cells identified as polymorphonuclear leukocytes on PAP satined slide". Could these signs suggest infection or other issues? If so, what should be his next steps?

Many thanks