Dr. Hanif warmly Welcomes you! Thanks for consulting me at virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns.   Your Sperm count seems a bit good, but the shape of the sperms and their functionality regarding their motility (movements) is not so good. You have pus cells in the semen. They are alarming towards some infection that is causing you the trouble in getting your wife pregnant. I will also suggest your wife to go to a Gynaecologist for her fertility workup and treatment if needed for any reason. Suggestion:- Consult a Fertility Specialist (Gynaecologist) for your physical examination. He may refer you to the Urologist too for any kind of infection, and assessment of the Erectile dysfunction. If you need further, detailed and quick assistance related to any health issues, feel free to ask me a question directly from my profile. You can also attach Lab reports and pictures with direct question. Have a wonderful time ahead. Please don t forget to give your valuable feedback and five star rating, to help me assist you always in a better way. Click at Thanks & I Find This Answer Helpful too. Please, write a review on my profile, about your experience with me.   Regards! DR. MUHAMMAD M. HANIF PHILADELPHIA, USA