Hi Mathew, Welcome to HCM. In the present state it is difficult to impregnate. As of now your semen has problem. Count is adequate but motility is low and % of abnormal sperms is very high. Try the medicine prescribed by your doctor for the duration he has suggested and afterwards do a repeat semen analysis and see if there is any improvement, otherwise consult an urologist who will need to do a Colour Doppler Study of scrotum to exclude pathology of testes and varicocele.