A semen sample with low sperm count,poor motility, high abnormalities and high count of spermatogenic cells. Unfortunately you deal with a" vulnerable" sperm and it is not recommended to use for Amazon.com: CONCEIVE PLUS Motility Support for Men Boost Sperm Volume & Count Spermidine Supplements with Vitamin D, E, Zinc, Antioxidants Multivitamin Fertility Supplements for Men, 60 Caps : Health & Household Therapeutic potential of carnitine and N Acetyl Cysteine supplementation on sperm parameters and pregnancy outcomes in idiopathic male infertility: A systematic review and meta analysis of randomized control trials ScienceDirect Remember to PLEASE talk with a provider to confirm supplements you should be taking. You do not need to be taking all of these.