Hello Thanks for writing to HCM Your report suggests 40 % active motile sperms. The World Health Organization defines normal sperm motility as 50% of observed sperm or at least 8 million sperm per milliliter of semen,showing good forward movement.So,motility is the concerning factor in your case. I think your condition will improve with diet and life style modification and there are fair chances of fertilization. You should increase your physical activity in the form of exercise and walking.You should avoid alcohol,caffeine and smoking if you take this. In diet you can take banana,pomegranate,raw garlic,walnut etc. You should take vitamin C rich food,red meat & dairy products etc. Avoid tight fitting undergarments and pants or shorts.Make sure your testes aren t overheated,so stay out of hot tubs and don t keep overheated laptops your lap for prolonged periods. You should also avoid stress causing factors. Hope i have answered your query. Take Care Dr.Indu Bhushan