20 Simple Ways to Improve Sperm Count

By |2018-04-04T23:58:08+00:00September 17th, 2015|Categories: Optimizing Fertility|Tags: , , , , |191 Comments

When trying to conceive, sperm play an equal role with the egg. It takes both to get pregnant. Studies have shown that the higher the sperm count, the higher the chances of conception. Improving your fertility doesn’t have to involve a 10,000 mile trek to a sacred shrine in the Himalayas. There are some very cheap and easy ways to improve sperm count.

Sperm require a precise environment for proper development. What you eat, how active you are and your overall health dramatically impact your sperm count. Even in circumstances in which sperm production is suppressed by a medical condition such as a varicocele or hormone imbalances, lifestyle changes targeted to improve sperm production can dramatically improve sperm count, motility and morphology.

It is important to recognize that start to finish it takes about 72 days to make a sperm, so think of this list as a 100 day plan to improve your health and your fertility.

1. Don’t smoke
2. Watch what you eat
3. Lose weight
4. Pay attention to sources of heat
5. Ice your balls
6. Lift weights
7. Go for a run
8. If you have a desk job, take breaks and walk around
9. Don’t do drugs — this includes mary jane
10. Read up on your meds – some medications can interfere with sperm production
11. Don’t juice (not talking about raw foods here)
12. Limit alcohol
13. Don’t wear tight clothes too many days in a row
14. Meditate, take a run or find some other healthy outlet for stress
15. Have lots of sex (but lay off the lube)
16. Play team sports
17. Don’t watch TV for longer than 1 hour at a time
18. Be careful if biking
19. Take a multivitamin
20. Try acupuncture
Image credit: http://teddyppl23.deviantart.com/ 

Note from the Author:

I’ve been so honored by all the readers who have shared their stories and questions. One of the best parts of my day is responding to your comments. Sometimes, there is a bit of a backlog and it can take me up to a week to respond, but I promise, I will get to your question. We are launching a new community — so I will be answering questions left there first.

In the meantime, I’ve been working on a couple of projects that might be of interest.

1. An app that will help you optimize your fertility naturally.
2. A home testing system that will allow you to track sperm counts more conveniently as you take steps to improve.

I would also invite you to check out our gadget section to see latest innovative products that have been developed to support couples who are trying to conceive. I have personally met the founders of most of these companies and believe in the great work they are doing to help people start their families.

Finally, I would like to send a word of encouragement to everyone who is on the path to starting a family. The journey can be scary, frustrating and at times very sad. You are not alone. Millions of people around the world are going through the same thing. Keep putting one foot in front of the other. Keep learning. Knowledge can empower you to find new doors to open.

– Sara


Sara SDx

Sara SDx

Editor of Don't Cook your Balls, Co-Founder of TrakFertility.com, Health Coach and Men's Health Advocate. Passionate about sperm, men's health and helping people build their families.

191 Comments

  1. Aditya Arora June 18, 2018 at 3:46 am

    Hello mam,
    Me and my wife met on 9 june,10 june,11 june,14 june…but there is no sign of pregnancy like dizziness,vomit etc etc…periods came on 26th of may.my sperm count is 78 million.please suggest me what are the perfect days to conceive a baby.
    Thanks mam

    • Sara SDx
      Sara SDx June 20, 2018 at 3:41 pm

      You should have sex 3 times a week through out the month.

  2. Qasim June 6, 2018 at 11:16 am

    Hello. Doc
    Can we concieve with 22 milion sperm and how long it might take and how to increase the apeem count
    Plz reply soon
    Tnx

    • Sara SDx
      Sara SDx June 8, 2018 at 1:31 pm

      If you want to improve sperm count, you can try to download this app to get advice for what to do.

  3. padma June 6, 2018 at 10:59 am

    Great post.
    Improve your food habits and take some particular foods that have been proven to increase your overall sexual health …
    For more information visit at
    https://bit.ly/2sAOvUY

  4. Bryan May 30, 2018 at 3:28 am

    Hi Sara. My question is about the masturbation technique itself. My wife and I are doing IUI and my past 2 counts are a little low. When I am masturbating to give the sample, I usually work it up and then stop before I ejaculate, and then do this process a few more times. I’ve always assumed this method helps to produce more sperm because I am at the brink of ejaculation and then I stop to let the sperm kindof “go back down” and then work it back up a few times. Maybe I am wrong? Maybe I would get a higher count if I just let it all go the first time? Any advice is greatly appreciated.

    • Sara SDx
      Sara SDx June 5, 2018 at 2:01 am

      Sorry for the delay in responding. I wish I had better insight on this but studies (as you can imagine) are a little scant. The best I can offer is that is seems the best samples are produced from when excitement / arousal is highest. (very limited data) But, in the name of science and babymaking, my best advice is enjoy yourself the best you can 🙂

      The biggest impact is abstinence period — typical recommendations are between 2-7 days with counts being higher with longer abstinence periods. Generally, there is a slight decline in motility with longer periods of abstinence, so there’s a little trade off. If you motility numbers are good, you might lean towards longer abstinence.

      Hope this helps. Let me know if I can help further. Good luck my friend.

  5. Saby May 29, 2018 at 3:33 pm

    Hello Doc,

    I hope you would help me to understand this report. I am 36 years old and planning for a family. My wife had one miscarriage, reasons unknown and we just want to plan everything this time.

    Time collected 11:30
    Time Received 11:53
    Abstinence Period: 4 days
    Appearance: Normal
    Liquefaction Time 30
    Volume 1.6
    Viscosity Normal
    PH 7.0
    Motility 55%

    Quality of Motion
    Rapidly Progressive 25%
    Sluggish 30%
    Immotile 45%

    Concentration: 55.0

    Normal Morphology,
    Head Def, 91%
    Midpiece Defect, 7%
    Tailpiece Defect, 52%
    Cytoplasmic droplet = 2%

    Is there any advice on the above report, do you recommend some treatment.

    Thanks for your help!

    • Sara SDx
      Sara SDx June 5, 2018 at 1:39 am

      I think I just responded to your wife on this community post

      Here is what I wrote:

      Volume 1.6 = slightly lower than average, but ok
      Concentration 55 m/ml = normal
      Motility 55% = normal
      Rapidly progressive 25% = slightly lower than normal
      total progressive motile = (volume x concentration x progressive) = 22 = ok (try to get above 20)

      Overall, I see this as mostly ok. It’s on the lower side of normal but should be able to conceive. Sometimes people with a borderline result take a little longer to get pregnant. If there are things you can do to be healthier (eat more vegetables, sleep better, reduce stress, exercise more) this might help improve. You might also try avoiding heat or trying to cool testicles once or twice a day to boost numbers a little bit.

      Hopefully this helps. You can try re-testing to see if numbers have changed since this test.
      Let me know if you have other questions. Im happy to try to help.

  6. Dees May 24, 2018 at 10:57 am

    Hello Doctor
    I have been masturbating daily like 5 to 7 days a week..im afraid whether my sperm has loss its strength..and i am going to get married by march of 2019..so im afraid wehter i can make to concieve and give me some tips to increase my sperm quality..and i also feel to hot in scrotum bag

    • Sara SDx
      Sara SDx May 25, 2018 at 5:40 pm

      You should be fine. If you are really worried about your sperm, you can get tested to see what your current fertility is (if you do take the test — don’t masturbate for 5 days before the test).
      You can also visit the doctor for a check up to make sure the scrotum is healthy.
      Overall, I wouldn’t be too concerned. You can start reducing masturbation if you’d like to feel better about it.

    • Increase Sperm Volume By 720% June 3, 2018 at 10:51 am

      Try to build your inner body naturally it will last long and wil have no side effects either on your body and health. Abstaining from sex to some extent it works but it only depends on your diet if you have a good diet which covers all your daily body intake then abstaining really works. The more you abstain the more proportion of power you will accumulate.

  7. Victor May 22, 2018 at 9:06 am

    Thank you ma for encouragements ,just read the previous comments and they are encouraging however I need your advice on the following semen result,wot chances does it have to produce positive result.

    Volume-3mls
    Viscosity-poor
    Ph-8.0
    Colour-greyish white
    Active-5%
    Sluggish-5%
    Dead-90%
    Abnormal form -60%
    Normal form-40%
    Pus cells-Numerous/hpf
    Sperm count -6.5 million
    Culture-staphaureus isolated after 24hours of incubation.

    • Sara SDx
      Sara SDx May 22, 2018 at 2:42 pm

      It looks like you might have an infection that could be reducing your sperm. You should see a doctor about that and then retest after you get it treated.

  8. Zeshan May 13, 2018 at 6:01 pm

    Hi mam you so to kind to answer. Here is a report of my friend kindly advise.
    Days of absentee 5Days, time since ejeculation 20 Minutes, Volume 3ML, viscosit THICK, color GREYISH, reaction PH ALKALINE, sperm count 100M, sperm motility ACTIVE 20, SLUGISH 20, INACTIVE 60, sperm morphology Normal forms 92, abnormal forms 08, PUS CELLS 2-3.

    • Sara SDx
      Sara SDx May 22, 2018 at 1:51 pm

      looks ok.

  9. Kyle May 6, 2018 at 6:28 pm

    hey doctor, these are my results before varicocele surgery :
    volume 3.5 m
    count : 14.17 millions /ml
    motility : grade A : 3%
    Grade B : 11%
    C : 4%
    Immobile 81%
    vitality : 65%
    normal spz : 95%
    abnormal 5%
    i’m scared to try the test again, otherwise, i’ve started working out and being healthier
    P.S : i’m not married, i did the semen test because of varicocele’s pain
    is it normal, ? and could it be better now?

    • Sara SDx
      Sara SDx May 15, 2018 at 10:19 pm

      This is a little on the low side but not terrible. I think between the surgery and getting healthier you should be able to get it in the higher ranges.
      You might want to test again later when you are thinking about getting married to see how things have progressed. For now, living well is good. Let it motivate you to be as healthy as you can be. Your whole body will thank you.

  10. A Khan May 5, 2018 at 7:36 pm

    Hi Maam I want you to examine my test results. I have entered into 5th year or married life. during this whole period 3 time I have succeeded, but it didn’t go beyond 8 weeks twice and lastly two years ago because of no fetal cardiac activity we had to go for DNC after 2 months. results are as follows please.
    volume:2.5 ml
    color Grey white
    appearance opalescent
    thick
    ph 7.7
    liquidation time 30 min
    total sperm count 55 million
    active motile 30 %
    Sluggish motile 20 %
    non motile 50 %
    morphology 60 %
    puss cells 2-4 hpf

    • Sara SDx
      Sara SDx May 11, 2018 at 6:00 pm

      I am sorry to hear about your troubles. This is really hard.
      I see good results here.

      To help improve the health of the baby, I would recommend that you avoid alcohol, cigarettes, pollution, chemicals and increase the amount of fruit and vegetables that you eat. This can help protect the baby’s health and encourage growth of the embryo.

      Your wife may want to discuss ideas with her doctor, there may be things that the doctor can suggest for her to help support the baby.

      I hope that you are able to succeed again soon…my heart is with you.

      • A. khan May 16, 2018 at 3:17 pm

        Thanks slot for your time and concern Ma’am. Your comments are encouraging and much appreciated. Again thanks for good wishes.

  11. g khan April 22, 2018 at 4:38 pm

    Hi maam my wife right tube is block can she get pregnant

    • Sara SDx
      Sara SDx April 24, 2018 at 3:33 pm

      yes, however, her chances are reduced because half of the time the egg will be blocked by the blockage in the tube. So it may take longer for you to conceive together.

  12. Titilayo taiwo April 20, 2018 at 1:17 pm

    Low sperm Active 15, normal 75 sluggish 10 abnormal 25 non matile -75 pus cells 20-25

    • Sara SDx
      Sara SDx April 24, 2018 at 2:44 pm

      Try downloading this app and answering the questions in it. You should also try to visit a urologist that specializes in male fertility.

  13. Akbarali Mohammadi March 31, 2018 at 9:57 am

    Hello Mom, How are you ?
    I hope everthing is going well there.
    Honestly,I love you and Respect you and your knowledge very a lot.
    You are the best and very kind. I pray to god for you to fulfill every desires of you.

    Dear Mom, In the below is my update SEMEN ANALYSIS please pay attention to those items!
    According to my belpw SEMEN ANALYSIS, Does my wife has a chance to get pregnant ?
    Please help me mom? I am realy in need for your advice.

    Quantity : 2.5 ml.
    Colour : Milk White
    Transparency: OPAQUE
    Viscosity:Highly Viscous
    PH:8.0
    Total Count:55MILL/ML
    Motility(Rapid Linear Progression):15%
    Slow / Non Lin Progression:60%
    Non Progressive:25%
    Normal Form:45%
    Large Oval:10%
    Small Oval:10%
    Tapering:05%
    And something more in the test result ………..

    • Sara SDx
      Sara SDx April 9, 2018 at 5:27 pm

      Thank you. Very kind words.

      This looks ok. Is your wife having trouble getting pregnant?

      • Akbarali Mohammadi April 10, 2018 at 4:06 am

        Hello Dear and respectful mom. indeed, your answeres to variety comments from different nations ar showing your highly humanity. Tobe honest, we extremely appreciate your pure generous knowledge.
        I hope everything goin well there, and wish you the happiest life for you and each lovely member of your family.

        Honestly my wife had some laboratory tessts such as blood,Urine and eggs quality test.
        The blood and urine results were okay, and the eggs quality had little problem. As per doctor analysis after tv eggs exam. test the eggs are littel small,but i am not sure about the test. is it correct or no?
        Because, my wife got pregnat around 5 months ago.

        Dear mom, Please write the name of tests are necessary for my wife to take those tests?
        Please give some advice?
        what should we do ?

        • Sara SDx
          Sara SDx April 10, 2018 at 1:10 pm

          How long were you trying before she got pregnant?

          It sounds like you are taking good steps with your wife to figure out the cause of your difficulties. I think the most important thing to to continue to support her and make all efforts to improve your health and hers. Be happy in life. Sleep well at night. Take exercise regularly. Eat many fruits and vegetables. These things help the body prepare for a new baby to come.

          You can continue to discuss this issue with your doctor. It seems like your doctor is doing a good job looking into the issues. They can provide good advice for the next steps to help improve your chances of getting pregnant.

  14. El mo March 30, 2018 at 8:57 pm

    Hello Dear
    My semen Reasult after 5 days absent

    Volume 3 ml
    Count 41million /ml
    Progressive 33% after 3 hours
    Morfolgy Normal 75%
    I take multivitamins and i had surgery from 3 months refraction in my leg and there are screws and plates
    Is this enough to get conceive? I just married and try 2 months with my wife and not conceived

    • Sara SDx
      Sara SDx April 9, 2018 at 5:25 pm

      Looks ok. I think you should be fine to conceive. If you don’t in 3 or 4 more months, I would recommend another test to see how things are. Sperm count can change over time in reaction to your health and habits.

      • El mo April 11, 2018 at 4:20 am

        From your opinion how many times we should have to try in ovulation and how many days absence for me before ovulation day ? What’s the suitable with my analysis report.Thank you

  15. KARTHICK M March 26, 2018 at 5:56 pm

    Madam,
    I went to Urologist as instructed by you. They prescribed three medicines Recount, Proviron & CobaDx.
    Now i am taking all three medicines regularly for Sperm improvement.

    Please add some more points to feel real happiness mentally as i am depressed.

    Kindly help me madam. My Contact details +91 9894935241.

    • Sara SDx
      Sara SDx March 28, 2018 at 1:29 pm

      I’m sorry to hear you feel depressed.

      What do you think is the cause?

      Some ideas to help you feel more positive
      1. go for a jog. running can reduce hormones that make you feel bad and increase ones that make you feel happy.
      2. Spend time in nature. Sometimes nature can remind you of things that are beautiful.
      3. help someone. Often when we get sad, we have many thoughts repeating in our mind that make us sadder and sadder. If you can do something new that helps someone else, it can change the way our mind is thinking.

  16. Akbarali Mohammadi March 24, 2018 at 1:16 pm

    Sorry the last line of comment my mean was two night

  17. Akbarali Mohammadi March 24, 2018 at 1:12 pm

    Greetings from Akbarali to Mrs.sara SDX who are the best and unique in the world. Mr.sara Please give me a complete advice. I am really in need for your advice,, I am waiting you. I have got married 7 months ago then my wife got pregnant after two months. Unfortunately she miscarried the age of 28 days.then we avoid birth control for 3 months after that we started agaian to conceive or get pregnant but my wife did not get pregnant till yet. today morning my wife got sick after 35 days of her irriglur cycles but rest of her cycles were 28 days.
    (I had sex 10 times the week and some times more than) I am 30 years old. i am not smoking and not drinking.
    My semen Laboratory test results is the below
    volume =1.5 Ml Consistency = thin ph = 8 Normal = 30% Abnormal = 70% Active = 25% Sluggish = 20% Non Motive = 55% Sperm Count = 43.5 Pus Cells 04–0.5. NOTE : I did this lab test when i toke break less to night, My mean i had sex to night ago befor lab test.

    • Sara SDx
      Sara SDx March 26, 2018 at 10:18 pm

      This looks pretty healthy. Has your wife taken a pregnancy test?

      • Akbarali Mohammadi April 9, 2018 at 3:56 am

        Hello Mom, How are you ?
        I hope everthing is going well there.
        Honestly,I love you and Respect you and your knowledge very a lot.
        You are the best and very kind. I pray to god for you to fulfill every desires of you.

        Dear Mom, In the below is my update SEMEN ANALYSIS please pay attention to those items!
        According to my belpw SEMEN ANALYSIS, Does my wife has a chance to get pregnant ?
        Please help me mom? I am realy in need for your advice.

        Quantity : 2.5 ml.
        Colour : Milk White
        Transparency: OPAQUE
        Viscosity:Highly Viscous
        PH:8.0
        Total Count:55MILL/ML
        Motility(Rapid Linear Progression):15%
        Slow / Non Lin Progression:60%
        Non Progressive:25%
        Normal Form:45%
        Large Oval:10%
        Small Oval:10%
        Tapering:05%
        And something more in the test result ………..

      • moses johnson May 3, 2018 at 10:34 pm

        Commentt…please mom help me with this. Volume 4ml. viscosity wattery. Active motile 30 Sluggiishly m 45. Dead forms25. Morphology 65. Total 130 million sp counted. is this ok to get my wife pregnat?

        • Sara SDx
          Sara SDx May 11, 2018 at 5:50 pm

          yes, it should be. Are you having trouble?

  18. KARTHICK M March 21, 2018 at 11:01 am

    Thanking you Sara Mam,
    I am having one more difficulties while doing sex. I am getting erection but when i insert erection become week.
    I am using my hand for Stimulating my penis for Hard erection and then inserting my Penis deeper. Immediately Semen ejaculated but not closer to Cervix i think. I am not able to Stroke inside.
    All semen comes out after intercourse. Why i am using my using my hand for Insertion. If i take my hand penis losing its erection.
    I am worried a lot. I am thinking semen is not going inside.
    I need good erection for insertion to touch cervix as many people are telling only we touch possible to conceive. I am using machinery position and i am not able to try other position.
    Kindly help me madam.

    • Sara SDx
      Sara SDx March 22, 2018 at 2:13 pm

      You might want to discuss these issues with a urologist. They can help you with erection difficulties.

  19. KARTHICK M March 20, 2018 at 10:19 am

    Mam,
    My Sperm Count is 20 Million/Cu.m.
    Active Sperm is 50%. Sperm Morphology 60% Normal.
    Trying for Last 3months. I am completely confused and my money for More medicinal treatment.

    Is dat possible to conceive.

  20. Abcxyz March 12, 2018 at 11:11 am

    Does masturbation harm sperm health

  21. Rahul March 10, 2018 at 3:48 am

    Hello mam
    Me and my wife met on 22 feb,24 feb,26 feb and 28 feb…she felt dizziness on 3rd or 4th of march..is this sign of pregnancy or not?Please reply mam
    Thanks

    • Sara SDx
      Sara SDx March 16, 2018 at 1:22 am

      It would be a little early for pregnancy signs…. but you should be able to find out soon.

  22. Inquiry March 4, 2018 at 6:01 am

    hello Ma’am Please help us to analyze my husband’s result:
    Volume 1.0
    Viscocity viscous
    Liquefaction 10 mins
    Ph 9.0
    Motility 50%
    White blood 5-1 0
    Red blood 3-6
    Sperm Count 8.9M
    Normal 40%
    Abnormal 60%
    Thank you:-)

    • Sara SDx
      Sara SDx March 6, 2018 at 2:46 pm

      Its a little on the low side. He should visit a urologist

  23. Nate March 4, 2018 at 12:45 am

    Hi Sara,

    I am 31 and we are facing issues conceiving. My wife got her fertility testing done and everything came out normal.

    Here are my results, please advise:

    Appearance: Normal
    Volume: 1.5*
    pH: 7.4
    Motile/mL: 4.9*
    Sperm/mL: 9.7*
    Motility: 50.5
    Grade: 2.75*
    Motile Sperm/Ejaculate: 7.4*
    Viscosity: 4.0
    Agglutination: 4.0
    Normal Morphology: 1.5*
    Germinal Cells: 0
    WBC/mL: 0

    • Sara SDx
      Sara SDx March 6, 2018 at 2:45 pm

      These are on the low side. Have you done any additional testing? Have you investigated potential lifestyle contributing factors?

  24. Bhijoe February 28, 2018 at 4:03 pm

    Hi do you think redwine can effect alcohol? Prior to how many days do we news to absence from alcohol before SA? What are the do and don’ts during trying on conceiving from lifestyle food and sex

    • Sara SDx
      Sara SDx March 1, 2018 at 7:41 pm

      The easiest way to answer this question is to recommend that you download this sperm app. It can tell you all the dos and donts for trying to conceive.

  25. Noman February 19, 2018 at 4:42 pm

    Maam answer my comment plz see my comment up

  26. Ali February 18, 2018 at 1:40 am

    Hi! I have been married since 2 years but still couldn’t get my wife conceive. She has been diagnosed with Pcos and currently on treatment. My Semen analysis shows 60million/ml sperm count with 70% Normal sperms. But my ejaculate volume seems to be low, it’s 0.5ml. What do u suggest?

    • Sara SDx
      Sara SDx February 19, 2018 at 3:25 pm

      have you discussed this with urologist?

  27. Ripun February 17, 2018 at 11:02 am

    Hello mam please see my report
    Color- milky
    Volume- 1.9 ml
    Liqification time 20 min
    Reaction- alkline
    Active 30%
    Sluggish 20%
    Non motile 50%
    Total sperm count – 50%
    Plz help me mam.i am too much worried
    We are trying from last months.but still no pregnancy
    Plz reply mam

    • Sara SDx
      Sara SDx February 19, 2018 at 3:23 pm

      50% isn’t how sperm count is listed on a report. Usually listed as million or M/no. Please check your report and let me know

  28. Noman February 16, 2018 at 5:01 am

    My wife has not been tested maam and yes i meet her regularly… Maam can you give me ur personal facebook email or watsapp plzz i need your help…. i want to share with you something personal

  29. Ajay February 13, 2018 at 10:54 am

    mam my sperm count is NIL what can i do ??? Please help me ?? What medication i can take??

    • Sara SDx
      Sara SDx February 13, 2018 at 4:05 pm

      Have you been to a urologist? You should get a full exam to see what is the cause.

  30. Noman February 9, 2018 at 7:18 pm

    Yes maam i got married before 15months but still no baby… im really very worried… im very tensefull… i did another test and that show the result
    35% active and 50% dead….
    35Normal and 65% abnormal… and beside this all report was same as the first one…

    • Sara SDx
      Sara SDx February 13, 2018 at 3:44 pm

      Has your wife been tested? Are you able to meet with her regularly?

  31. Noman February 7, 2018 at 6:03 am

    Hello maam see my report and help me…
    Active= 40%
    Dead= 40%
    Sluggish= 20%
    Sperm count= 70million/ml
    Volume= 3ml
    Pus cell= 10_15/hpf
    Viscosity= Thin
    Normal 40%
    Abnormal 60%
    Help me

    • Sara SDx
      Sara SDx February 9, 2018 at 4:34 pm

      This looks ok. Is there something that makes you worry?

  32. khanjan February 7, 2018 at 5:58 am

    Hello reply me maam plz

    • Sara SDx February 9, 2018 at 4:32 pm

      I replied… your numbers look fine. Are you concerned about something in particular?

  33. khanjan February 6, 2018 at 6:42 am

    Still no response why maam?

  34. John Line February 5, 2018 at 9:00 am

    I do not smoke, do not drink and no tobacco, I am non diabetic and no hypertension and my weight is normal also my wifes period are regular and we are trying to conceive since one year

    My semen report is

    RAPIDLTNEARPROGRESSIVE GRADEIII & iv–> 24
    SLUGGISHLINEARPROGRESSIVE Grade II –> 18%
    NONPROGRESSTVE GRADE I 20%
    NONMOTILE GRADE 0 38%

    Sperm Count: 79 million/ml Total SperM Count : 316 M/E

    MACROSCOPIC EXAMINATION
    Appearance Grey
    Volume: 4.0 ml
    Liquefaction Time :15 Mins
    Viscosity:normal
    PH:7.2
    Fructose:present

    • Sara SDx
      Sara SDx February 6, 2018 at 4:36 pm

      This looks to be a pretty healthy semen analysis. Has your wife been to her doctor for evaluation?

      • John Line February 16, 2018 at 8:06 am

        Thank you so much for the response Sara ,which kind of evaluation needs to be done she has done few test and they are normal if you can provide name I can provide the results for same.

        • Sara SDx
          Sara SDx February 19, 2018 at 6:47 pm

          The tests ordered varies from woman to women. Usually they will test hormone levels, physical exam and sometimes a test to see if the fallopian tubes are open. Which tests has she had done?

  35. khanjan February 3, 2018 at 9:07 am

    Im waiting for ur reply plzzz reply me

  36. khanjan February 3, 2018 at 9:05 am

    Reply plzzzzz

  37. khanjan February 1, 2018 at 3:12 pm

    Hello maam see my report and help me plz…
    Active 40%
    Dead 40%
    Sluggish 20%
    Sperm count 70millions/ml
    viscosity= thin
    volume 3.0
    pus cells 10_15/hpf
    Normal 40%
    Abnormal 60%
    Help me plsssss

  38. Milley January 30, 2018 at 2:47 pm

    Pls. Mam analyse my sperm count Thanks
    Volume 4ml
    Sperm concentration 6ml
    ToTal sperm count 24 ejaculate
    Total motility (PR+NP) 33%
    Total motile count 8
    Progressive motility (PR) 18%
    Non progressive (NP) 15%
    Immotile 67%
    Sperm vitality 78%
    Agglutination None
    White blood cell <1 ml
    Normal forms 1%
    Abnormal form 99%

    Comments: oligoasthenoteratozoospermia

    Thank you mam.

    • Sara SDx
      Sara SDx January 30, 2018 at 3:20 pm

      These results are low. Not terrible but definitely could be contributing to difficulty conceiving.
      I would recommend downloading this app to see what your potential risk factors are and scheduling an appointment with a urologist who has special training in male reproductive health for a full evaluation.

      Do you have specific concerns or other things I can help with?

  39. Kay January 9, 2018 at 4:58 am

    I went for sperm analysis colour creamy odour normal liquefaction 30min oh 8.0 pus_0-2/hpf,bact-nill rbc-2-4,Epth-( ) all other thing is nill what can I do

  40. Chuky December 14, 2017 at 12:10 am

    Please ma, does masterbation affect sperm count/motility?

  41. Vikash December 12, 2017 at 7:41 am

    Mam please analyse my sperm analysis my sperm count is 20 million , PR 20%,, One another is 70% NP 10% volume 2.5ml .ay i pregnant my wifee pls reply solution

  42. Debbie November 24, 2017 at 4:36 pm

    Hi Sara, please what do you advice on this seem analysis; Volume -4ml, PH-8.0, Consistency -water, Transparency -Opaque, Actively Motile -10%, Sluggishly Motile -50%, Non Motile -40%, Sperm Count -49×10ml. Thank you

    • Sara SDx
      Sara SDx January 29, 2018 at 9:46 pm

      Generally, this look healthy. Is there something that concerns you?

  43. Harry November 16, 2017 at 9:44 am

    Hi Doc, I am Harry and I lived in Hong Kong…..Help me please….me and my wife both now at age 36, we married 7 years ago since 2010 till now 2017, but no luck of having baby…I am really desperated now…the clues that I can give you now are:

    1). We are heavy smokers for around 10 years till now.
    2). My wife easy to get stressed from daily working.
    3). We both never do exercise /gym.
    4). My wife getting fatter each year because food consuming.
    5). My sperm a bit yellowish from years ago.
    6). We never check to doctor because we both are selfish.
    7). We have try any kind of healthy foods and herbs, it fails.
    8). We both are hard worker day and night.
    9). We are now making love only 3 times a month, also fails.
    10). We are lost of hope, sad and maybe heading to divorce.

    So that’s all that I can tell you Doc,…please give me your conclusion and solution of how my wife and I can have a baby at age 36….please also send all of your suggestion for me to my email at: satria_sy@yahoo.com

    Many thanks for your help Doc.

    • Sara SDx
      Sara SDx November 21, 2017 at 2:53 pm

      I am not a doctor, but let me see if I can help.

      There is a lot going on with you that sounds very difficult and painful.
      Your bodies and your hearts seem to need a bit of peace.

      I would recommend a few things.

      1. Take a walk with your wife every day and tell her something that you love about her.
      2. Do you think you can reduce cigarettes by half?
      3. What does your wife do for work? Is it possible for her to change jobs or to stop working?

  44. sunil November 6, 2017 at 6:06 pm

    Hello my sperm count is 48 million and 3ml motile active is 40% sluggish is 4% and 56 % is dead then please tell me about this that I am able for a baby or this is normal

    • Sara SDx
      Sara SDx November 7, 2017 at 5:51 pm

      Looks ok.

      • Waheed November 16, 2017 at 4:08 pm

        Hi
        I am 47 years
        I have kids
        My sperm counts are reducing now i took exam nov. 2017 result is
        Volume 4.5 ml
        Time 35 minuets
        PH 8
        Sperm count 1.4 million/ml
        Rapid Prog motility 15 %
        Slow prog motility 10%
        Non prog motility 5%
        Immotile spermatozoa 70%
        Normal spermatozoa 60%
        Abnormal spermatozoa 40%
        Viability 35 /mm3
        Leukocytes 200

        • Sara SDx
          Sara SDx November 21, 2017 at 2:59 pm

          What is your question exactly?

  45. Ali October 17, 2017 at 6:09 pm

    Hi mam
    My semen analysis report is
    Quantity 2 mil
    Liquification 30 min
    Ph 7.5
    Total sperm count 5.6 mil
    Sperm per ejaculate 100 mil
    Live count 50 mil
    Normal form 45%
    Percentage motilitum sperm 50%.
    What should I do?

    • Sara SDx
      Sara SDx October 20, 2017 at 4:56 am

      Have you been to a urologist? This is low enough that you should get a fill evaluation to make sure everything else is healthy.

      • Waheed November 16, 2017 at 4:16 pm

        Hi
        I am 47 years
        I have kids
        My sperm counts are reducing now i took exam nov. 2017 result is
        Volume 4.5 ml
        Time 35 minuets
        PH 8
        Sperm count 1.4 million/ml
        Rapid Prog motility 15 %
        Slow prog motility 10%
        Non prog motility 5%
        Immotile spermatozoa 70%
        Normal spermatozoa 60%
        Abnormal spermatozoa 40%
        Viability 35 /mm3
        Leukocytes 200

        Is there a way to get back to 30 millions counts or more of sperm count?
        Does the very low counts (1.4millions) means i became sterile?
        Is that mean my testicles cells and tissues are damaged and i can not get them back?
        Can we still have a baby in normal without going to sergry

        • Sara SDx
          Sara SDx November 21, 2017 at 3:04 pm

          Leukocytes look high. Did you have any surgeries recently? It could mean that you have a small infection. You may want to discuss with a doctor.
          Have there been any other changes in your health? Have you gained weight? Reduced your exercise, changed diet, anything like that?

  46. Tanvir October 6, 2017 at 6:53 am

    Hi,
    please have my sperm analysis report and comment

    Volume: 2.00 ml
    PH: Alkaline
    Liquefaction: Completly Liquefied
    Sperm Count: 80 million/ml
    Sperm Motility: activity motile 5%; feebly motile 10%; non motile 85%
    Sprem Morphology : 80% Sperms abnormality
    Other Cells: Leukocytes 1-2/HPF; Epithelial cells 1-2/HPF; RBC nil

    we are trying to get pregnant for about a year.

    • Sara SDx
      Sara SDx October 19, 2017 at 10:01 pm

      Something is impacting your sperm’s ability to swim. This could impact your ability to conceive.
      Do you smoke? Are you exposed to heat or chemicals? Do you eat fruits or veggies every day?

  47. Bolor September 25, 2017 at 9:17 am

    Hello

    Please analyze my husband’s reports and please share your comments:

    Total Sperm Concentration 52.3 x10^6 /ml
    Motility (a+b+c) % 52.0 %
    Active (а ) 19.9 %
    Sluggish (b ) 20.5
    Non motile (c) 11.6
    Non motile 48.0
    Morphology (% ) 32.5 %
    Speed 11 mic/sec
    Sperm motility index 107
    Active sperm 11.5 x10^6
    White sell <1
    Volume 2.0 ml
    Reaction pH 8.0

    • Sara SDx
      Sara SDx September 27, 2017 at 4:06 am

      Overall, it looks ok. It looks like there might be a high number of white blood cells and slightly reduced motility which makes me wonder if there is a minor infection. You may want to check with the doctor about that. Overall, it looks to be in fertile range.

      Do you have specific concerns?

  48. Mose Osond September 13, 2017 at 6:08 pm

    Hi,
    Please help.
    I have had two sperm analysis one month apart
    1st Result: Volume:3.5ml, PH: 8, Pus cell: 2-3/hpf, viscosity: gelatinous, motile cells: 45%, non-motile: 55%, actively motile: 25%, sluggish: 20%, abnormal: 3%, count:15M.

    After taking Vit E, C, B12, Zinc, Manix and dostinex(to reduce my prolactin level of 28.8)

    2nd Result: Volume:5ml, PH: 7.2, Pus cell: 0-2/hpf, viscosity: hyperviscoid, motile cells: 30%, non-motile: 70%, actively motile: 15%, sluggish: 15%, abnormal: 7%, count:24M.

    What’s going wrong?

    • Sara SDx
      Sara SDx September 15, 2017 at 1:22 am

      I actually think you are going a good direction. Things will fluctuate from test to test. I would keep on a monitor monthly if you can.

  49. John G. September 11, 2017 at 8:58 pm

    Wow you reviewed so many results, but I read them all for advice and I understand most of mine (except surprised by 93% amorphous head, good/above average numbers everywhere else, zero/close to for all other deformities – perhaps the long international flight and some stress 2 weeks before the test had something to do with it?).
    Question: everyone you replied to shows colour as white/greyish, my last result (of 2 ever) said “pale yellow”. I did urinate right before generating the sample, didn’t want to need to go during the process. I tried to shake all out well to avoid contamination – but could that be cause? pH was 7.9 too in case thats relevant (from 3mL sample,20min liquefaction,130million/mL count).

    As a general question too – does colour matter for fertility? No articles I’ve seen talk about it. I know mine has varied before from whiter to greyer. Or is it just to do with concentration?

    We’re an older (early/late 40s) couple, though she has FSH/AMH like she’s in her early 30s and excellent egg reserves – talking to professionals about natural pregnancies can be really stressful for her as she’s almost used to them closing down as soon as they hear her age (perhaps til she tells them her numbers or lies about age, then they sometimes ready to listen due the numbers when she shows “proof”) but she’s really fortunate with her genes and several maternal-side relatives had healthy babies in their 40s and even 50-something for one relative, many decades ago before we had so much tech. So everyone, it is possible! Fertility clinics see the hardest cases and will quote their/others’ bad numbers at you, learn not to internalise them as the whole truth. Over 2000 babies born to women over 40 in one year in London!

    We’ve been trying properly over 2yrs now (one 8-week miscarriage last year), she’ll be using progesterone cream especially if she gets pregnant too, we didn’t do anything except try and be healthy and use fertility-specific supplements (WildNutrition male/female ones in UK seems good and supposedly more organic/bio-available – makes my urine less yellow anyway; we both used to be on NHP equivalents until recently)

    • Sara SDx
      Sara SDx September 15, 2017 at 1:07 am

      Your numbers look great. Color isn’t an issue. I think it changes with diet and other factors. The only colors that concerns me is green or red ( blood or infection) otherwise just natural variation.

      Seems like case of unexplained. Ahe would definitely be a flag but if numbers are good then maybe not.

      Have you been to Chinese medicine doctor? They will take on cases like yours and often can find things that western docs over look. Zita west clinic in UK is also very good at natural interventions and could be a good resource.

      Good luck

  50. Louis Rombouts July 24, 2017 at 7:54 pm

    Not looking to have kids soon, but I got drawn in by the catchy title of your webpage. I was honestly just curious if this was serious or not haha.

    Looks like it was. Well, two things now that I am here: first off, kudos for making this. I think male fertility is highly undervalued. I read that even just two generations ago, us men were in a vastly better shape than we are now.

    Secondly, I was wondering why your website does not mention anything about potentially harmful smartphone radiation. The majority of men carry that thing in their pants like it’s harmless. Does the research state so too? Or is it too inconclusive?

    Cheers,
    Louis

    • Sara SDx
      Sara SDx August 2, 2017 at 9:00 pm

      Thanks! Sperm counts have been in the news a lot lately.

      There is evidence that cell phones are contributing but it is still inconclusive. I’ve linked a brief write up that shows some recent research into the matter. Still need to write a full feature on the topic.

      It’s kind of amazing how many things can potentially contribute to the reduction in sperm. We’re really trying to build awareness about men’s reproductive health because it can be a devastating issue if you are trying to have kids and find out that there’s a problem AND there is a lot that men can do to keep swimmers safe. We’ve also learned in research that reproductive health is an early indicator of poor future health in men.

  51. Deva July 24, 2017 at 10:11 am

    hello mam,my sperm count is 10 million. i am consuming adizoa and vitamin e capsules as doctor sujjested.it has been inclreesed to 50 million but recentry when i made my semon analysis it showed less than 10 millions.so please can you help to increase sperm counta nd motility

    • Sara SDx
      Sara SDx August 2, 2017 at 9:02 pm

      I am a little confused. It started at 10 and you took capsules so that it went up to 50 million. Or did you start at 50 million and now it is down to 10?

  52. Prakash July 17, 2017 at 2:34 pm

    Hi

    Please analyze my reports and please share your comments. I see grade A mobility is not good enough.

    Liquefaction at 37° C 40.00 minute
    Volume 4.00 mL
    Appearance Viscid opaque
    Colour Whitish
    Viscosity Slight
    pH 7.5
    Microscopic Examination
    Total Sperm Concentration 60 million/ml

    Grade A (Progressive motile) 15.00 %
    Grade B (Non progressive motile) 30.00 %
    Grade C (Immotile) 55.00 %
    Vitality 50.00 %
    Agglutination Negative
    Pus Cells 40-50 /hpf
    Red Blood Cells 3-4 /hpf
    Epithelial Cells Nil /hpf
    Normal Morphology 56.00 %
    Abnormal Morphology 44.00 %
    (a) Head Defects 22.00 %
    (b) Neck & Midpiece 12.00 %
    (c) Tail Defects 10.00 %
    Chemical Examination
    Semen Fructose Qualitative Positive

    • Sara SDx
      Sara SDx August 28, 2017 at 4:51 pm

      Its true that Grade A is a little lower than what I’d like to see but you have a higher than average volume and a relatively healthy sperm count. This means that the total number of strong swimmers should be enough.

      You can always take some steps to improve the health of the sperm and try to boost the grade A sperm by eating more fruits and vegetables, going for jogs 3 times a week and avoiding heat, alcohol and smoke.

  53. Donata July 17, 2017 at 7:09 am

    What are the chances that male, suffering from severe olygoasthenoteratospermy, will be ever able to concieve naturaly after the treatement ? Is there a real chances that ones sperm counts can go up from 2mln up to >40mln. My husband was diagnozed with 1 grade (lightest) varicocele and was told to have slightly smaller size of testes than that of normal .

    • Sara SDx
      Sara SDx August 28, 2017 at 4:45 pm

      It really depends on the root cause. Has your husband had a full evaluation with a urologist trained especially in reproduction? There are some great doctors out there who can figure out what is going on and provide treatments to help improve. At a minimum you would want to assess hormone levels and genetics. The doc should also review medical history. Certain childhood illnesses like mumps and TB can impact testicular development. Hormone levels can tell you a lot about how healthy the testicle is. Imaging can also look for other tiny damage – blockages, etc.

  54. Suman June 26, 2017 at 7:24 am

    Hello Mam,
    It would be helpful if you please analyse my semen test report.
    Abstinence: 60 hrs.
    Vol: 2 ml
    Liquefaction: 25 mins
    Appearance: opaque
    Ph: 7.2
    Concentration: 60M/ml
    Total motility: 65%
    Rapid progressive motility: 20%
    Sluggish: 60%
    Non progressive: 20%
    Non motile: 35%
    Normal spearm morphology: 4%
    Head defect: 35%
    Neck & mid piece: 30%
    Tail: 16%
    Pus cell: 8-10
    Epithelial: 2-4
    Is it normal? If not then what should I do. I am 30 yrs.

    • Sara SDx
      Sara SDx August 15, 2017 at 5:28 pm

      Yes, this is in the normal range.

  55. Worried Guy June 4, 2017 at 2:26 am

    So we were on trip to her home, while on this trip, she’s playing with my penis through my pants. No, she’s not masturbating me, just the casual touch. While we’re halfway through her house, she stopped. Then at her door, she touched my penis again and I also touched her vagina from her skirt. Then after we got home, she went to her bedroom for a while and then I reach down and adjusted myself. I didn’t felt any precum or liquid in there but I might confuse precum with sweat because my hands are sweaty that time and I think my penis has sweat also. But let’s just say there is. After adjusting, I wiped my hands in my shirt. Then she went back. Then in a span of 10-15 minutes, I used my phone, touch the sofa, you know casual. Then after the time given, fingered her. Is there any chance of pregnancy from my scenario? I’ve been worrying sick and can’t even eat. By the way, her last period was May 7 and we did that on May 15. Please help me 

    • Sara SDx
      Sara SDx June 5, 2017 at 6:22 pm

      It sounds incredibly unlikely. I wouldn’t worry about it.

  56. jabir April 29, 2017 at 1:26 am

    Comment…my sperm 38%

    • Sara SDx
      Sara SDx May 1, 2017 at 11:36 pm

      What are you asking?

  57. Ashish April 22, 2017 at 4:04 pm

    Hii.. Plz help me out.. I take test before 5 months sperm count was 1.7, 38% active. After 2 months count was 2, 0% active. Now a month ago count was 8, active -5% . Im having ayurvedic medicine for this but it is also not giving good results. Plz tell me what is right for me to have a baby..

    • Sara SDx
      Sara SDx April 24, 2017 at 7:32 pm

      active = -5% I don’t understand how that is possible.

      You might consider going to a urologist who specializes in fertility for a full evaluation. You might have a health condition that is impacting your sperm.

      You could also download this app or fill out this questionnaire to see if you have any risk factors.

  58. Ashish April 21, 2017 at 4:06 am

    Gud mrg.. Im having sperm count 2 when i have my first semen analysis test. After 3 months i got 8 .. We r trying unprotective sex from last 10months but not getting results..

    • Sara SDx
      Sara SDx April 24, 2017 at 7:08 pm

      If your sperm count was 2M/mL and went up to 8M/mL that will improve your chances, but the count is still pretty low and you should probably get a full evaluation by a urologist who specializes in fertility. You can fill out this questionnaire or download this app to find out if you have any risk factors.

  59. Suroj Dyola March 14, 2017 at 5:20 am

    Please analyze my report

    ** Semen Analysis
    Sample Collection & Initial Examination = 9:00 am & 10:00 am
    Liquefaction = 60 min
    Semen Viscosity = Viscous
    Appearance : Color Greyish white
    Semen Volume = 3
    Semen pH = 8.00
    Microscopic Examination
    Sperm Conc = 98 Millions/ml
    Motility (PR + NP) = 65 %
    Progressively Motile (PR) = 25 %
    NonProgressively Motile (NP) = 40 %
    Immotile (IM) = 35 %
    Aggregation Present
    % Normal Forms = 85 %
    Head Defects = 12 %
    Neck / Mid piece = 2 %
    Tail Defects = 1
    Cellular Elements Pus cell = 3-5/hpf

    • Sara SDx
      Sara SDx March 15, 2017 at 10:09 pm

      Looks healthy. Anything concern you in particular?

      • Suroj Dyola March 16, 2017 at 5:16 am

        My Wife Report LH = 2.88 and FSH = 10.31 .Is it Normal? We are trying for a baby since 3 months.Her period length 35-40 Days.Please suggest us? One of the doctor suggest the medicine Nilocon white.But we came to know it contraceptive pills.So we are worried

        • Sara SDx
          Sara SDx March 17, 2017 at 3:55 pm

          The FSH looks normal. The LH level changes through out the month based on her ovulation cycle.
          35-40 days is a longer cycle and may mean that it will take longer to conceive.

          I wouldn’t recommend medication at this point unless the doctor has determined that there are problems with ovulation.

          She may want to make some adjustments to her diet — foods like white rice, bread and other starches can cause there to be too much sugar in your blood and can mess with your ovulation cycle. Increasing exercise, protein and fruits and vegetables can improve her cycle. Stress can also cause longer cycles.

          Overall, 3 months isn’t too long to be trying. It can take a year or longer to conceive. But taking steps to improve your health, having regular sex and monitoring the ovulation cycle are good ways to try to improve your chances.

  60. RAM March 8, 2017 at 3:15 pm

    Color: Greyish White
    Color: Within 30 Minutes

    PH: Alkaline

    Volume: 2 ML

    Total Spermatozoa Count: 70 mil/ml

    Motility

    Immotile:50%

    Sluggish Motile: 10%

    Side to Side Movement: 10%

    Anterior Progression Only:15%

    Actively Motile Anterior: 15%

    PUS Cells 1—–2 HPF

    We are trying to conceive is semen analysis normal . it’s been more than 1 year . My better half is perfectly normal

    • Sara SDx
      Sara SDx March 9, 2017 at 3:13 pm

      Overall, this looks pretty healthy. Your total progressively motile is just on the cusp of optimal. Meaning — it may improve your chances slightly if you were able to increase numbers slightly. But I wouldn’t suspect you to have problems conceiving. Over the past year, have you made any changes to your lifestyle to become healthier?

    • RAM March 10, 2017 at 5:08 am

      Mam , I am confused 4 days before this test my sperm count was 9 million/ml . Hospital suggest me to go for IVF . That was one of the depressed day of my life .We decide to change a hospital and done my semen analysis again . Mine was good but in my wife HYSTEROSALPINGOGRAPHY read shows following observation :

      Under aseptic and antiseptic precaution 14 cc of 60% Urograffin injected to the uterine cavity through Rubin’s canula.

      Uterine cavity is normal in size and outline. Both the Fallopian tubes are opacified with bilateral very minimal spillages .

      • Sara SDx
        Sara SDx March 13, 2017 at 2:24 pm

        How long did you abstain before each test? Frequency of ejaculation can impact results.
        It is a pretty big difference between the two tests. I’m not quite sure what to tell you. It might be a good idea to get a 3rd test to see what’s going on. What did the lab say?

        Your wife’s results look pretty good as far as I can tell. It looks like the fallopian tubes are open.

  61. Deepak February 12, 2017 at 6:30 am

    Period : 3 days,
    Liquefaction: 35 mins,
    Volume: 1.5 ml,
    Appearance: normal,
    pH : 7.5,
    Viscosity: normal,
    Sperm concentration: 32.3 million/ml,
    Progressive motility: 20%,
    Non-progressive motility: 35%,
    Immotile: 45%,
    Particulate debris : 01%,
    Sperm density: 40%,
    Sperm viability: 50%,
    Amorph. Pati. Matter: (+),
    Headless sperms : 10%,
    Coiling : occ.,
    Agglutination : occ.,

    Sperm morphology :
    Normal forms : 22%,
    Abnormal heads : 44%,
    Abnormal mid-piece : 24%,
    Abnormal tail : 10%,
    Motile sperm concentration : 18.2 million/ml,
    Total functional concentration : 8.1 million/ml,
    Sperm motility index : 60,
    Pus cells : 2.0 million/ml,
    Red blood cells: nil,
    Epithelial cells: occ / h.p.f.,
    Others: nil,
    Fructose test : positive,

    Can you comment on my report?

    • Sara SDx
      Sara SDx February 15, 2017 at 3:34 pm

      It’s on the low side of normal. Are you currently trying to conceive?

      • Deepak February 16, 2017 at 10:25 am

        Thanks for your reply,
        To confirm the results, I again went for fertility test in same laboratory after 15 days with abstenence period of 3 days & I did got some different results which are as follows :
        Volume increased to 10 ml from 1.5 ml,
        Sperm concentration decreased to 22.5 million/ml from 32.3,
        Liquefaction period increased to 40 minutes from 35,
        Progressive motility increased to 35% from 20%,
        Non-progressive motility decreased to 25% from 35%,
        Immotile decreased to 40% from 45%,
        Particulate debris increased to 2% from 1%,
        Normal forms increased to 27% from 22%
        Abnormal heads decreased to 39% from 44%,
        Abnormal mid-piece & abnormal tail remained same,
        Motile sperm concentration increased to 18.7 million/ml from 18.2,
        Total functional concentration decreased to 6.3 million/ml from 8.1,
        Sperm density decreased to 25% from 40%,
        Sperm motility index decreased to 48 from 60,
        Everything else remained same,
        So what could be causing difference in these results & are there slight improvements?

        • Sara SDx
          Sara SDx February 28, 2017 at 1:49 am

          Did it really increase to 10mL?? That’s really high.

          • Deepak March 2, 2017 at 4:12 pm

            Yes, it did increased,
            Is there anything to worry?
            And what about other different results apart from semen value?

          • Sara SDx
            Sara SDx March 7, 2017 at 4:04 pm

            How long did you abstain for each test?

            In general the values are on the low side of normal. You should be able to conceive but it may take a little longer than usual.
            Have you taken our fertility quiz to see if you have any risk factors.

            Are you actively trying to conceive? If so, how long have you been trying? What type of doctor are you visiting?

  62. Ed February 8, 2017 at 1:59 pm

    Can You Please analyze my report.

    semen analysis
    * volume 1.5mL
    * spermatozoa 10 x 10^6/mL
    motility 5 % (Motile)
    25 % (sluggish)
    * 70% (non-motile)
    *morphology 9%

    What should i do?

    • Sara SDx
      Sara SDx February 10, 2017 at 4:26 pm

      I would suggest that you fill out this fertility questionnaire to help you identify risk factors or even better, you could try downloading this app to track your semen analysis results and get advice on what to do next.

      I am happy to talk through recommendations on the report if that can help you make a plan.

  63. Rahul February 5, 2017 at 6:35 am

    Hi ,
    If testerone is low in men, it will hamper the getting pregnant in anyway?

    • Sara SDx
      Sara SDx February 10, 2017 at 4:45 pm

      It can. It depends how low the testosterone is. Also, taking testosterone supplements with prevent pregnancy. So if you have low T and want to get pregnant you will need to talk to a doctor about an alternative to testosterone. (Like clomid, hcg or other thing)

  64. Suroj Dyola January 31, 2017 at 5:18 am

    Can You Please analyze my report.

    Volume = 2ml
    Viscocity= Viscous
    Color Grayish White
    Reaction[PH] = Alkaline
    Total Count = 42 million/ml
    Actively Motile=70%
    Sluggish Motile=20%
    Non Motile=10%
    PUS Cells =2-4 /HPF

    • Sara SDx
      Sara SDx February 4, 2017 at 6:07 am

      Not bad. Are you worried about something?

      • Suroj Dyola February 17, 2017 at 5:49 am

        Ya, I am worried , We are doing unprotective sex since one month ago everyday.But pregnancy still gets negative.So, I tested for semen analysis.Should I worry ? Please provide us the suggesstion , may be we are missing something ?

  65. Kimberly January 26, 2017 at 11:43 pm

    Just received my husband’s results and was told he had a low sperm count, but I was just wondering what exactly his results meant and if they were really low or just barely

    • Kimberly January 26, 2017 at 11:55 pm

      I meant to put it was L 2.0

    • Sara SDx
      Sara SDx January 27, 2017 at 3:17 pm

      It is low enough that I would recommend going to a urologist to see what is going on. Here’s a run down of what the evaluation should look like.
      I would start by filling out this questionnaire which will highlight things that could cause issues.

  66. micheal January 13, 2017 at 3:16 pm

    hi mam…. i had a problem with one of my testis, but the other one is fine and okay i think… i will getting married early next year and am somehow scared and i went for the sperm count test…
    liquefaction: within 1hr
    p.h:8.5
    fast progression: 10%
    sluggish progression: 40%
    non progression: 20%
    non motile: 30%
    normal 60%
    abnormal:40%
    count: 57million
    please Dr am so scared about all…. can the sluggish sperm still be treated to become fast.

  67. Micheal January 13, 2017 at 1:27 am

    Hi man, I had a problem with one of my testis but the second is fine and healthy I think… I will b getting married next year which am scared of my condition and have to go for the count test. Check my result please and reply for possible treatment.
    Liquefaction : within 1hr
    P. H :8.5
    Count: 57million
    Progressive motality :10%
    Sluggish :40%
    Non progressive:30%
    Non motile 20%
    Normal 60%
    Abnormal 40%
    Please man what can I do am scared… And is it possible for d sluggish motile to progress..

    • Sara SDx
      Sara SDx January 21, 2017 at 5:28 am

      This looks just fine. You shouldn’t worry. Live well, be healthy and you should have no problem when you get married.

  68. Andrew December 21, 2016 at 4:48 pm

    I had the sperm count of 2million and it was very poor cause I used to drink and smoke heavily now this was tested in month of Nov 2016, consulting the doctor they have given the medication which include neovita provien n ayuvigo for 30 days. I have reduced the drinkin and smoking habits but difficult to quit (working on it)… how long do you think it will to improve the count. Spoke to doctor but she was not very clear on answer. For me it looks like something fishy. This form ppl have asked many queries, before I change my doc would like to know ur views. If you provide me ur email I can forward the report to you

    • Sara SDx
      Sara SDx January 20, 2017 at 4:29 pm

      Apologies for the delay in responding. I had written a response before but it never went through.

      A few thoughts
      1. 2 million is a pretty low count. You might want to visit a urologist for a full exam to see what might be going on.

      2. Smoking and drinking are pretty bad for sperm. It can take 3-6 months to fully recover depending on how much you do this. You can speed recovery by eating more vegetables.

      3. It is hard for a doctor to give hard timeline. Each person’s body is different. Your sperm count is pretty low so it can be hard to know what is going on. I would recommend going to a urologist who focuses on men’s fertility (someone who does vasectomy reversals is a good indicator that they would know about male fertility)

      Let me know if you have additional questions. Keep up the good work. Improving your diet, stopping smoking and drinking should help your sperm and increase your chances.

  69. AOA November 26, 2016 at 5:21 pm

    Hi doctor
    my wife and I have been trying to get pregnant for a year now
    my wife has no Medical condition. I had my sfa a month ago
    volume 4ml
    sperm count 15million
    motility 85%
    slow 5%
    Immotile 10%
    morphology 90%normal
    alkaline
    no growth after 24hrs
    I have been on enhanz and vitamin e for up to three weeks… and I don’t drink neither do I smoke
    will I see any improvement???

    • Sara SDx
      Sara SDx December 14, 2016 at 6:45 am

      It can take a few months to see improvements. If you take our fertility risk assessment you can get a full last of things you can do to try to boost. I would try to be as healthy as possible and test again in a few months.

  70. John November 1, 2016 at 9:47 pm

    Hi,

    Me and my wife have been trying to get pregnant for about a year, I am 38 and she is 40.

    my semen analysis is as follows:

    Raw semen volume ml: 4 > 1,5 ml
    Sperm concentration mill/mL.: 20,4 > 15 mill/mL
    Total sperm count (mill): 81,61 > 39 mill
    Motile sperm (A+B) mill/mL.: 9,44
    Prog.motile sperm (P) mill/mL: 0,98
    Motile sperm (A) %: 17,74
    Local motile (B) %: 28,52
    Slow (C) %: 8,65
    Immotile (D) %: 45,09
    Progressive (P) %: 27,02
    Aggregation (0-4): 1
    Viscosity (1-3): 1

    Her exams are normal and she has a regular period.

    What are your thoughts about the values?
    Should I make another exam to verify the results?
    Are these results an indication for proceeding with IVF?

    • Sara SDx
      Sara SDx November 10, 2016 at 4:58 pm

      My thoughts are conflicted here. Due to your age, I am more likely to recommend IVF than I normally would because you could be running up against issues on her side.
      On your side, the results are borderline. I would normally recommend targeted lifestyle changes and follow up tests in a few months. I still recommend targeted lifestyle changes to help improve sperm quality. It can help with IVF if you pursue that route.

      If you’d like personalized feedback you could fill out this questionnaire — or download this app

      Has she had any tests for ovarian reserve?

  71. Manali October 25, 2016 at 10:11 am

    Hi Doctor,

    My husband Sperm count if 4.60 milli/ml. Is there any chance to increase sperm count? How much time it required for production of sperms?
    At what interval we got sperm count changes difference?

    • Sara SDx
      Sara SDx November 10, 2016 at 4:48 pm

      Yes, there are ways to increase count. Many of them are listed in this article. For more detailed information about what might be causing issues in your case, you might want to fill out our fertility questionnaire. I would also recommend a full assessment by a urologist to see what could be going on.

    • Tesrick Harriott March 22, 2018 at 5:15 pm

      Hi doctor can u help me with my sprem count is very low as 0.5 and if u do have app I can download let me know on my name is tesrick Harriott

      • Sara SDx
        Sara SDx March 22, 2018 at 5:39 pm

        Yes. Here’s a link to the app. It’s really helpful.

  72. Amit thapa October 19, 2016 at 1:09 pm

    My semen analysis is as follows_ amount: 2ml, consistency: thin, reaction:alkaline , sperm count: 6million/ml mortality: 50% actively motile , morphology:70%normal. Will I be able to conceive my wife?

    • Sara SDx
      Sara SDx November 7, 2016 at 9:48 pm

      The count is pretty low. Have you seen a doctor? Have you taken our fertility questionnaire? If so, what were the results?

  73. Lakhbir singh October 12, 2016 at 12:47 pm

    Dear Dr it is written that sperm need 72 days to mature,does it mean that a man should not masturbate or ejaculate or intercourse during these days with all healthy precaution written above?

    • Sara SDx
      Sara SDx November 7, 2016 at 9:22 pm

      No, you should have sex 2-4 times a week when trying to conceive. The 72 days that it takes to make new sperm just means that if you implement changes in your life to improve your sperm count it will take about 72 days to see an increase in your sperm count so you need to be patient. Does that make sense to you?

  74. Khan September 21, 2016 at 8:37 am

    my SA is Volume 3ml, viscosity thin,liquification 30min,sperm count 38 million per ml,total count 114 million per ejec, rapid progression 30 %,slow progression 20%, non progressive 10%,immotile 40%, marphology 55%
    Ttc 8 months.is it normal.

    • Sara SDx
      Sara SDx October 6, 2016 at 2:52 pm

      It looks ok. Does your wife / partner have regular cycles? has she been evaluated?

      I would recommend following the list of items in this article to try to boost your numbers but overall, it is on the low side of normal.

  75. Taiwo August 24, 2016 at 5:37 pm

    Good day mam, please read my husband semen analysis report we’ve been trying for 2years. Volume – 4ml.
    Color – greyish white.
    Viscosity – watery.
    Motility – progressive – 50%
    Non progressive – 30%
    Non motile – 20%
    Morphology -Normal – 60%
    Abnormal – 40%
    Microscopy pus cell – 4-6/hpf
    Epith cell – 2-4
    Rbc – nil.
    Sperm count – 12million cells /ml.

    • Sara SDx
      Sara SDx August 26, 2016 at 2:24 pm

      Sperm count is low. It’s not terribly low, but enough to cause trouble conceiving.
      Have you taken our fertility quiz? It can give a list of risks that could be contributing to low sperm count.

      It may not be the whole picture… Have you also had an evaluation?

  76. awake August 19, 2016 at 4:53 pm

    Reason for head defects in sperm…please reply me sir

    • Sara SDx
      Sara SDx August 25, 2016 at 4:02 pm

      Some head defects are normal. If there are a lot of head defects, it can be caused by toxins, heat, hormone imbalance, extra body fat, poor diet, varicocele or genetics

  77. Rajnish Tripathi August 11, 2016 at 2:39 am

    Please check my report, we trying since 3 months, but no result:
    Volume 2ML
    Colors whitish
    Ph alkaline
    Liquefaction time 15 minutes
    Total count 58m/cc
    Rapid progressive 30%
    Sluggish progressive 33%
    Non progressive 14%
    Immotile 20%
    Pus cell 1-3/ hrf
    Rbc nil/hrf
    Epithelial nil/hrf
    Abnormal forms 13%

    • Sara SDx
      Sara SDx August 25, 2016 at 3:39 pm

      Overall, this looks healthy. Sometimes it can take a while to conceive. That’s completely normal.

      To help your mind rest at ease, here are a few things you can do to improve chances

      1. Get regular exercise and good quality sleep at night
      2. Eat less sugar and alcohol, increase fruits and vegetables
      3. Avoid cigarette smoke and harsh chemicals
      4. Take regular breaks from sitting to prevent testicles from overheating
      5. Have regular sex – 3-4 times a week. Not too much or too little and try to avoid masturbating while trying to conceive

      It can take up to 12 months for a young healthy couple to conceive. If you don’t get pregnant in another 6 months you can repeat test and have your partner go in for a full evaluation.

  78. Raj July 29, 2016 at 7:06 am

    Please check my report, we trying last 3 months, but no result:
    Volume 2ML
    Colors whitish
    Ph alkaline
    Liquefaction time 15 minutes
    Total count 58m/cc
    Rapid progressive 30%
    Sluggish progressive 33%
    Non progressive 14%
    Immotile 20%
    Pus cell 1-3/ hrf
    Rbc nil/hrf
    Epithelial nil/hrf
    Abnormal forms 13%

    • Sara SDx
      Sara SDx August 22, 2016 at 3:27 pm

      this looks reasonably healthy. My recommendation would be to eat well, sleep well, exercise regularly and have regular sex. If you don’t conceive by 12 months, you can go for another test to see if the numbers are similar. As long as there aren’t any issues with your wife / partner, I would expect you to conceive pretty soon. Good luck.

  79. Pavan July 9, 2016 at 10:46 am

    Hi Sara,

    I had recently done SA, i am providing the details, so can you check and let me know

    volume 2.5ml
    color Greyish white
    Viscosity Viscid, opaque
    Liquefaction time 20 Minutes
    Reaction/pH 8.0
    Fructose Present
    Total Sperm Count 32millions/ml
    Agglutination Absent
    Toatl Motlity
    Progressive Motility 20%
    Non Progressive Motility 10%
    Non Motile 70%
    Morphology
    Normal Forms 10%
    Abnormal Forms 90%
    Pus cells 8-10/HPF
    Epithelial 1-2/HPF
    Spermatogenic Cells Nil
    RBC Nil
    Impression Normoasthenozoospermia

    • Sara SDx
      Sara SDx July 13, 2016 at 6:42 pm

      Overall, it is healthy. Numbers aren’t quite optimal so you may take a little longer to conceive but you shouldn’t have problems in the long run.

      Your total count is 80 million. Your total number of good swimmers is 16 million. To be in the optimal range, you’d like to have more than 20 million progressively motile sperm. So you are little lower than that, but on average, if you are over 5 million, you should be able to conceive naturally.

      Are you currently trying?

      • Jey September 19, 2016 at 4:23 pm

        Hi Sara

        We did a spermiogram for my husband less than a month ago and the diagnostic was Teratozoospermia.
        Values being:
        White grey
        Ph 7.2
        Spermcount 85 x10^6/ml
        Semen volume 5.5ml
        Total spermcount 467.5 x10^6/ml
        Morphology 2%
        Motility 8h 15% after 8h insufficient
        CMA3 – Mature DNA 42%
        Immature DNA 58%
        Supravital Index 40%

        What does it all mean? We had been trying to conveive for a year and a half and I got pregnant right after a laparoscopy to remove mild endometriosis. Unfortunately I miscarried at 9 weeks. And since then we have been unsuccessful at conceiving for 3 years now. I have been on clomid on and off and mu husband had a previous sperm count two years ago that ame back with good motility but low sperm count but according to the doctor it was nothing to worry about, until now. They want is to go in for IUI but my husband is pretty shaken by his results and wants to hear nothing about alternative methods of conception. He stopped smoking and drinking in hopes of improving his sperm quality. Can it be reversed though?

        Thank you for your time

        • Sara SDx
          Sara SDx October 6, 2016 at 2:47 pm

          The good news. He has a really high count.

          There is an issue with morphology. Normally, I wouldn’t think much of it because morphology is a really subjective measure and typically, if you have as many sperm as he does, morphology doesn’t matter. But, since you have been trying for quite a while, I am paying more attention to it.

          Here are some thoughts:

          1. You were able to conceive — so it is possible. That’s really good news. It means tubes are good on your end, uterous receptive, etc. So pregnancy is possible
          2. Are you regular now? how is ovulation?
          3. How is your sex life? I ask only because trying for a while can put a strain on it and that can impact things…
          4. Smoking and drinking can really mess up sperm. How long ago did he quit?
          5. Have you taken our fertility assessment? It can identify other factors that could be contributing to bad morphology.

  80. AndyF June 13, 2016 at 2:21 pm

    Hi I recently went semen analysis – my results did not come back with any numbers , but I was told I have a normal count, slightly reduced motility and normal forms. I was told to take Zinc (no dosage recommended) and 500mg of vit C daily. Im guessing if our fertility consultant thought it was serious he would have asked me in to discuss the results? A year ago I successfully fertilized 2 of 3 eggs and then got my partner pregnant naturally – so am I worrying too much over the “slight” reduction in motility and morphology?

    thanks
    AF

    • Sara SDx
      Sara SDx June 21, 2016 at 2:52 pm

      Hard to tell without numbers. Sperm counts have a wide range — (0 – 300 million / ml) the clinical cut-off typically is 15 million. So a count of 20 million, in some clinics, is considered normal. However studies show that chances of conception are reduce with counts less that 50 million. So in actuality, I would call 20 million slightly low.

      Motility and morphology are recorded as percentages — the higher your count is, in general, the less they matter. If you have 300 million sperm but only 5% are swimming, you still have enough swimmers to get the job done even though it is a terrible motility number.

      Supplements are commonly recommended for low motility / morphology. They support sperm in two ways — antioxidants bind to radicals in the testicle and reduce damage to sperm cells, other nutrients are key components in DNA production and support rapid cell division which is critical for sperm production / development.

      Sperm counts / motility / morphology can vary wildly from month to month as sperm can be pretty sensitive to what is going on in your life (I’ve seen semen analysis for sperm donors who have really really high counts that can tank them temporarily due to a long biking trip with the guys) Some men have pretty consistent results and show the same numbers no matter what they do. It’s something that turns out to be pretty specific to how your sensative your body is to small changes.

      The list of things to do in this article is developed from the research of things that have been shown to improve sperm health (count, motility, morphology) not all of them work for everyone, but they have been shown to work for some men. Most are helpful for general health and wouldn’t hurt to implement.

      My recommendation — I wouldn’t worry too much but I would consider taking steps to be healthy while trying to conceive. There isn’t really a downside.

  81. Yuvaraj M June 10, 2016 at 9:23 pm

    Hi,
    First of all, I would like to take an opportunity to thank you not just for sharing the knowledge but also for helping the needy by answering their key queries.

    I am 30 years old and I have serious issue of infertility. I am suffering from 1st stage of varicocele. When I had done the semen analysis last year, from quantity to quality everything were fine but still my wife has not been able to conceive. So again I have taken the semen analysis test last week and results showed severe infertility. Those figures are as follows.

    Colour Grey. White
    Liquefaction 25 minutes
    Viscosity Normal
    Volume 2.5 ml
    pH 8.0

    Microscopy results are as follows
    Count/ml 2.0 Million/ml
    Count/ejaculation 5.0 million/ml

    Bio-Chemisty results are as follows
    Fructose Present
    Zinc 2.9 mg/dl

    Agglutination Absent

    Motility and Morphology tests are not done due to low count.

    Now I would like to frame my request in two categories.

    Firstly on variation in results – In the span of one year is it possible to have such a huge difference in results? Is this rapid reduction in sperm count is just because of varicocele or might be of some other factors? Is there any possibilities that these counts vary upon the current mental stress, uncomfortable place where we collect the sample and so on.

    Secondly in improving the sperm count – Is it possible to increase my sperm count and hope for a happy parent naturally by leading a good lifestyle? or is it impossible to have a child by natural process for men who suffers from such a severe issue? assisted reproduction is the only hope in such cases?

    Finally thanks for this article which boosted me up for some level.

    • Sara SDx
      Sara SDx June 20, 2016 at 5:15 pm

      How high were the results last year?

      It is possible to see drastic changes from year to year.

      Your count currently is very low and your chances of natural conception are also currently quite low, but if you have seen previous higher counts, it is definitely possible to try to improve.

      The varicocele could have worsened from last year until now and might be one place to aim treatment. There are a couple of options. The most recommended is a varicocele repair surgery. But if that is not affordable or desired, you can try to treat the symptoms caused by the varicocele with actively cooling your testicles, taking vitamin supplements and increasing your exercise.

      The stress and discomfort that comes with trying to conceive and fertility issues can contribute to reducing sperm count. Finding opportunities to relax, connect with your wife and improving intimacy can help your relationship and your chances of conception. It is hard to quantify these types of impacts but researchers have seen a correlation between high stress and low fertility in both men and women.

      Next steps needs to be a dialog with you and your wife. Finding a path that you both feel comfortable with financially, emotionally and physically. There are lots of options — medical treatments, natural things you can try, etc. Improving fertility naturally tends to take a good amount of time and commitment. You have to be dedicated to your health and to making space in your life. Fertility treatments are expensive and don’t always work but can be the fastest route to pregnancy. What would be your preferred next step? What does your wife want to do?

  82. jyoti May 30, 2016 at 6:42 am

    lifestyle is normal(no alcohal…cigrates…or any other) pure vegitarion ,doing regular exercise…

  83. jyoti May 30, 2016 at 6:37 am

    hi mam…my husband report is…
    color greyish
    volume 02.0
    reaction alkaline
    liquification 15min
    agglutination nil

    total sperm count <5million/ml

    morphology
    total 100%
    normal 85%
    abnormal 15%
    motility
    active 60%
    slugish 20%
    non motile20%
    double head 2%
    pin head 2%
    round head 7%
    tape ring 2%
    coiled ring 2%

    pus cells 1-2/hpf
    epithlial cells 0-1/hpf
    rbc nil
    pls help…..

    • Sara SDx
      Sara SDx June 17, 2016 at 3:47 pm

      Sperm look healthy, but the count is very low. How long did he abstain from ejaculation prior to the test?
      I would recommend that he visit a urologist that specializes in male fertility and get some additional tests done — physical exam, hormone levels & genetic screen. Particularly since he is living a healthy lifestyle, there is likely a medical cause to the low count that a doctor would be able to diagnose and hopefully help you correct.

  84. Maria Beltran May 21, 2016 at 11:01 pm

    Hi I have a question. Can you help me read my husband analysis please

    Volume semen 2.5. 2.0 – 5.0 mil/mL
    Sperm count. 8.7L. 20.0 250.00
    Motility. 22L >50%
    PH semen. 8.5 h. 7.2-8.0
    Wbc semen. <1mil/mL
    Viscosit y. Increase. Normal

    • Sara SDx
      Sara SDx May 24, 2016 at 3:17 pm

      Its a little low and could very well be impacting your chances of conception. Typically in cases like these, I suspect either lifesyle issues (like diet, exercise, smoking, alcohol or other things like that) or if he is a healthy, active guy then I would suspect a varicocele. Do you have any specific questions? Are you currently trying?

  85. rocky May 6, 2016 at 2:23 pm

    Hi mam, iam 30 years iam trying to conceive a baby.3 months before my wife showed weakly positive urine pregnancy test which unfortunately been miscarried after 15 days that is she had heavy periods after that. My wife has pcod she is on treatment. Had normal follicle but not able to get pregnant. Doc advised sa for me. Pls see details
    Color- grey white, alkaline. 100 million/ml of sperm. Qnty- 2ml. Actively motile 30% sluggishly motile – 30%, non motile- 40%. Normal sperms- 60%, abnormal- 40%. Puscells- 10-15/hpf. Please suggest me chances of becoming father as me n my wife both are on treatment.

    • Sara SDx
      Sara SDx May 11, 2016 at 2:45 pm

      This semen analysis looks pretty healthy. Total active sperm = 60 million which should be plenty. Normal shape also looks pretty good.

      The best thing to do is for both of you to pursue as healthy of a lifestyle as you can. You should both try to eat whole, natural foods that are known to help improve health / fertility. You should exercise regularly and most importantly, you should try to avoid sugar — carbs / sugar will contribute to the PCOS.

      If she is starting to develop healthy eggs and ovulating, then you should be able to conceive. The healthier you are the better your chances will be.

      Hope this helps. Good luck.

  86. Floyd March 28, 2016 at 3:38 pm

    Could you help me with any medication that can help to enhance my sperm count because most the tips you have given i do, eat health (almost vegetarian )do alot if exercises and alot more.

    • Sara SDx
      Sara SDx March 28, 2016 at 3:55 pm

      How low is the count? Have you had additional tests done or been checked for a varicocele?

      Typically, if a man is healthy and following all these tips, there is a medical cause for low sperm count. Either genetics, plumbing issue, past illness or injury, or hormonal imbalance. Have you taken our risk assessment questionnaire? It screens for family conditions and past illnesses that can impact semen quality.

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