Transcript analyses of the semen, recommendations for improving health

Hello. I passed the tests of semen analysis result: volume of 0.8 , a pH of 7.5 , viscosity is increased ,the concentration 49млн/ml , Progressive podvizhnykh 21 million ,42,8% , Slightly podvizhnykh 8.2% and Abnormal 38.8% of round cells at 0.2 million/ml , no agglutination ,the Degree of mobility of the GR(2) ,sperm Motility still. What can we say to these results?

Response: "Hello! The result of the analysis is not complete. Not described leukocyte count is not made of the MAR-test. There are reduced sperm motility and semen volume. Need to redo a spermogram MAR-test after 2 - 3 weeks to perform ultrasound of the scrotum with Doppler and to address on reception to the andrologist (urologist). I wish you health."