Brief Answer: OUTLINED BELOW Detailed Answer: Hello Thanks for writing to us wtih your health concern. There are two problems in your case. First is PCOD - PolyCystic Ovarian Disease. In this condition, there is basic hormonal imbalance - the ovary is studded with multiple small follicles which resemble cysts. None of these small cysts form mature egg - thus ovulation is problematic, and cycles are often irregular. The second problem is your semen analysis. The sperm count and motility both are quite low. Firstly, for a semen analysis report, the duration of abstinence should not be 10 days. Please repeat the semen analysis after 3 days of abstinence. IF the report is still abnormal, please consult an XXXXXXX / Urologist. There could be many reasons for the abnormal semen report - stress, tensions, late nights, smoking, drinking, tobacco, drugs, fever, illness, exposure to metals and chemicals, hot tubs and saunas, tight underwear and trousers etc. Chromosomal anomalies, infections, blockages of the ducts carrying the sperms, hormonal deficiencies all can cause such an issue. You would need a complete physical examination, hormonal tests, scrotal ultrasound etc to establish a diagnosis, and treatment would then proceed accordingly. While you consult an XXXXXXX also consult an Infertility specialist for your wife. Have the following tests done - Complete blood count, viral markers, FSH, LH, TSH, Prolactin, OGTT , Lipid profile, DHEAS, free testosterone, fasting serum insulin. Go for one cycle of follicular monitoring , and if ovulation is defective, she would need to take drugs like Clomiphene citrate to induce ovulation. Other drugs like Metformin help to control PCOD, and weight loss will also help. IF 3 - 6 cycles of Clomiphene fail ( combine these stimulation cycles with IUI - intra uterine insemination as your count is low ) , then go for a laparoscopy to assess if fallopian tubes are open. If the tubes are closed, or your count remains persistently low, or if 6 cycles of stimulation fail, then consider IVF ( in vitro fertilization ). Take regular folic acid tablets and exercise regularly. All the best. Please feel free to discuss further.

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Brief Answer: EXPLAINED BELOW Detailed Answer: For PCOD - 1. Weight loss, daily exercise and lifestyle management 2. The investigations which I described, and then treatment in the form of Metformin and Clomiphene for fertility. For semen count - 1. Avoid smoking , drinking, tobacco, stress. 2. Get a repeat semen analysis after 3 days of abstinence. 3. Consult a Urologist and ascertain cause of abnormal semen testing. 4. Proceed with the treatment accordingly.

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Brief Answer: DETAILED BELOW Detailed Answer: Okay,wish you all the best. Just consult an expert XXXXXXX and Infertility specialist in your city so that you can both proceed accordingly with your workup. Take care.

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