Cause of low sperm value?

Patient: Semen analysisPeriod of ab 3 daysVolume 0.2mlPh 9.0Colour – gray whiteLiquidation 30 minMotility 80Progressive 60Non progressive 20Immotile 20Sperm count 60Normal for 90Abnormal 10Head defect 08Globular 02Micro head 01Pin head 02Gain head 02Double head 01Tail 02Short tail 01Curled 01Bitail 00Aggultinates absentRed cells detectedPush cells 5-7Epithelial cells non detectCrystal non detectedPlease guide me proper wayRegards de

Symptoms: Low sperm volume .2

Doctor: