Understanding your Semen Analysis Results

By |2018-08-02T21:14:10+00:00July 29th, 2015|Categories: Featured, Semen Analysis|Tags: , , , , |1,973 Comments

Doctors monitor several semen parameters when assessing male fertility. During a lab test you will deliver your sample to the doctor or lab technician, who will analyze it on a microscope. Following your test you will receive a lab report with your scores. What do these numbers all mean? We’ll do our best to help you sort it all out. If you are planning to schedule a semen analysis, make sure to also read our article on preparing for a semen analysis. You may also want to check out our fertility quiz to identify risk factors and get personalized recommendations for how to optimize your fertility.

Fertility is all about probability. Out of the millions of sperm released into the vagina following sex only a handful even come close to the egg. Even these few have to be healthy enough to survive long enough in the female body for an egg to show up. So, when trying to conceive, the more healthy sperm you have, the better the odds that one of them will make it alive to the egg. However, it is important to remember that just one little sperm is all it takes, so even if you have a low count it is possible to get pregnant naturally although with reduced monthly odds.

The semen analysis measures a number of parameters that affect the chances of the sperm reaching the egg. Some of the parameters are indicators of sperm production and health (see How Sperm are Made) others relate the the quality of the semen and its ability to help sperm along the journey to the egg.

Parameters measured during a semen analysis

The World Health Organization (WHO) has compiled extensive data on each of these parameters for healthy men that were able to conceive following less than 12 months of trying. We have included the WHO “normal” range for each parameter, which we define as falling between the 5th and 95th percentile of healthy men. (WHO Guidelines for Semen Analysis)

Sperm Count

This number tells you the approximate number of sperm cells present in your semen sample. It may be reported as the sperm concentration (millions of cells per milliliter of semen) as well as total count (millions of cells in the ejaculate). The total count is calculated by simply multiplying the sperm concentration by the volume of the ejaculate.

Male fertility basically comes down to a numbers game. Of course you really only need one good sperm cell to conceive a child. But your chances are much better if you’re armed with millions of good sperm cells. Thus the higher your sperm count, the more likely you are to successfully conceive.

If your count is a little low, don’t fear there are lots of things you can do to increase your sperm count.

WHO Normal Range (5th – 95th percentile): 15 – 213 million cells per mL

Sperm Motility (%)

It’s not only important to have high numbers of sperm cells present, they also need to be able to swim and accomplish their mission. The percent motility tells you the fraction of your sperm cells that are motile (swimming).

Some laboratory reports will break down this category further into sub-categories including rapid progression, slow progression, and forward progression, which quantify the speeds of swimming cells as well as their directionality (healthy sperm swim forward). These parameters are more difficult to quantify and can vary considerably based on the technician performing the analysis. Therefore these more subjective parameters are often ignored by physicians. The important metric to consider is how many of the cells are swimming at all.

WHO Normal Range (5th – 95th percentile): 40 – 78%

Semen Volume (mL)

The ejaculate volume is measured primarily to estimate the total number of sperm cells delivered to the female. However, an abnormally low ejaculate volume may prevent sperm cells from successfully navigating their trip through the female’s reproductive tract. An abnormally high ejaculate volume could be a symptom of an infection. Your doctor would likely order additional tests if suspecting that their many be an infection.

WHO Normal Range (5th – 95th percentile): 1.5 – 6.8 mL

Sperm Morphology (%)

Morphology denotes the fraction of your sperm cells that have a normal shape. Sometimes sperm heads or tails have an abnormal size or aspect ratio. Sperm cell morphology is typically only measured in cases where the couple is assessing their options for in vitro fertilization (IVF). Morphology has been shown to correlate with the chances of successful conception via IVF. However, for conventional intercourse or artificial insemination, the morphology parameter is basically irrelevant. For assessing your chances of conception via “the old fashioned way”, just pay attention to your count and motility.

WHO Normal Range (5th – 95th percentile): 4 – 44%

Other Parameters

Your semen report will likely include several other parameters, which tend to be less important but still may affect your chances of conception or be indicators of your overall health:

pH: An acidic (low pH) semen sample may be indicative of a blockage in your seminal vesicles. A basic (high pH) semen sample may be due to an infection. If the pH is abnormal either way, your doctor will likely order additional tests. Normal Range: 7.2 – 8.0

Viscosity: Viscosity is a measure of how “thick” or “watery” the sample is. Highly viscous semen may inhibit sperm motility and make it more difficult for your sperm cells to reach the female’s egg. The technicians typically measure this parameter somewhat subjectively and will give you a score of Low, Normal, or High. Normal Range: Normal

Liquefaction Time (minutes): Fresh semen samples will “liquefy” over time due to enzymes in the sample that break down the gelatinous structure of the seminal fluid. This process helps reduce the viscosity of the sample and therefore improve the sperm cells’ ability to swim. Some doctors will measure how long the semen sample requires to fully liquefy, especially if an earlier test revealed a high semen viscosity. Normal Range: 15 – 60 minutes

Fructose (μmol per ejaculate):Don’t get too excited, but your semen sample is naturally somewhat “sweet”. Doctors measure Greater than 13 μmol per ejaculate.

White Blood Cells(WBC, 10^6 cells per mL): White blood cells (or “leukocytes”) are normally present in trace amounts in a semen sample. A high concentration of WBCs in your sample may be indicative of an infection. WBCs are a major force in your body’s immune system, so if you have an infection your body naturally makes more WBCs to help fight it off. Your doctor will conduct more tests if suspecting an infection may be present. Normal Range: Less than 1 million cells per mL

Vitality (%): Vitality measures the fraction of sperm cells that are alive. Sperm cells have a somewhat short life span, therefore a normal ejaculate will include some percentage of dead cells. Too many dead cells could indicate a problem with your plumbing. WHO Normal Range (5th – 95th percentile): 58 – 91%

Putting it together: How semen analysis measures male fertility

It is important to understand about the results is that the parameters are related. So you can’t look at anyone parameter in isolation. For example one might have a low sperm concentration (say 10 million) but have a large volume (say 6 ml) which would give a total count of 60 million which is well in the normal range. One could also have a high count but low motility or a low count but high motility.

On the male side, there is a correlation between the total number of healthy swimmers you have and the chance of conception. The equation to get the total number of swimmers is:

Sperm Concentration x Semen Volume x % Motility = Total number of motile sperm.

The WHO doesn’t give a reference range on this but its good to try to shoot for something above 20 million. Because this is a numbers game, that 10 million isn’t anything like an exact number – it only takes one strong little swimmer to do the job. Your chances will increase as your total number of motile sperm increases. A different guideline proposes the following recommendations for total motile sperm count:
Less than 1 million TMSC. This category represents severely low motile counts (also called severe asthenozoospermia). A doctor might recommend to use advanced assisted reproduction methods such as ICSI, which involves injecting sperm directly into an egg.

1 to 5 million TMSC. This category represents moderately low motile counts (sometimes just called asthenozoospermia). A doctor might still recommend assisted reproductive methods like IVF or IUI to achieve pregnancy.

5 to 20 million TMSC. This category means you’re low, but natural pregnancies are still likely within 2 years. A doctor might still recommend IUI to achieve pregnancy.

Above 20 million TMSC. This category means you’re “normal” in terms of motility. If you are still having trouble conceiving, other fertility factors besides motility should be looked at to see if the problem lies elsewhere.

It is important to remember that a semen analysis is a snap shot on a given day. For a true diagnosis the WHO manual recommends a minimum of two analysis a few days apart to get an average. Also counts can vary day to day and week to week based on a number of factors like how much you worked out, had sex, drank alcohol and sugary drinks, how hot it was and if you had a cold. All these things can impact the quality of your semen.

Houston, we have a problem. Now What?

An abnormal semen analysis is a big blow to the pride but it is not the end of the world. There are things that you can do and that your doctor can do to help correct the majority of the problems. Beyond impacting fertility, abnormal semen analysis can help diagnose more serious health conditions such as testicular cancer, so if you haven’t already done so, it’s a good idea to get checked out by a urologist who specializes in male fertility to help guide your next steps. We’ve done some research to pull together current medical research regarding male fertility to help you have informed conversations with your doctor, choose the treatment options that best suit you and give you tools to improve your fertility. Get personalized recommendations around risk factors that could be contributing to abnormal results.

Below are the most common diagnosis’s made from the semen analysis.
Asthenospermia – swimmers don’t swim: Asthenospermia occurs when the testicle is making sperm but they are not swimming. Major causes of reduced motility include: varicocele, poor diet, heat exposure, obesity, and toxin exposure.

Azoospermia – Zero sperm: Azoospermia is broken down into two camps. Obstructive, which means that there is something blocking the path and trapping sperm inside the testicle. An non-obstructive, which means that the body isn’t producing sperm to begin with. The treatment options, as you can imagine are quite different. To figure out what’s going on, a male fertility specialist may perform a physical exam, ultrasounds, blood work and perhaps a few other tests to diagnose the exact cause. Often, due to remarkable advances in technology and medical science, there are options to enable azoospermic men to successfully father children.

Oligospermia – Low Sperm CountOligospermia means that there is a low sperm concentration in the ejaculate. Generally, this means that something is impairing the testicle’s ability to produce sperm. Learn more about low sperm count.

Hypospermia (semen volume under 2mL) and Aspermia (no semen): Usually indicate some sort of plumbing problem; a complete or partial blockage or a condition called retrograde ejaculation. Depending on the underlying cause there are prescription medications or surgical procedures that can help treat the issue. For more severe cases where treatment is unavailable or ineffective, a specialist can retrieve sperm from the testicle for artificial insemination or IVF.

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Teratospermia – Abnormal morphology:Abnormal morphology means that something is interfering the the sperm maturation process that causes a high number of them to develop abnormally. Abnormal sperm can have heads that are too big or too small, two heads or two tails or they can be missing key proteins that enable them to accomplish their mission.

A 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 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.

1,973 Comments

  1. Andreea June 20, 2018 at 8:54 am

    Hi, my husband done the semen test , what can you tell me about the results?
    thank you

    Semen Test

    01 Jun 2018
    Time of collection:
    Result N/A
    Normal range N/A
    01 Jun 2018
    Time of examination:
    Result N/A
    Normal range N/A
    01 Jun 2018
    Days of abstinence:
    Result 6 d
    Normal range 2 – 7
    Normal
    01 Jun 2018
    Semen sample volume
    Result 2.5 mL
    Normal range > 1.5
    Normal
    01 Jun 2018
    Semen viscosity
    Result N/A
    Normal range N/A
    01 Jun 2018
    Semen liquefaction time
    Result N/A
    Normal range N/A
    01 Jun 2018
    Sperm density
    Result 144 10*6/mL
    Normal range > 15
    Normal
    01 Jun 2018
    Total Sperm Number:
    Result 360 10*6
    Normal range > 39
    Normal
    01 Jun 2018
    Sperm motility
    Result 66 %
    Normal range > 40
    Normal
    01 Jun 2018
    Progressive Motility:
    Result 62 %
    Normal range > 32
    Normal
    01 Jun 2018
    Cells:
    Result N/A
    Normal range N/A
    01 Jun 2018
    Debris:
    Result N/A
    Normal range N/A
    01 Jun 2018
    Vitality:
    Result N/A
    Normal range N/A
    01 Jun 2018
    Agglutination:
    Result N/A
    Normal range N/A
    01 Jun 2018
    Mar Test:
    Result N/A
    Normal range N/A
    01 Jun 2018
    Semen pH
    Result 8.3
    Normal range 7.2 – 8.0
    Abnormal
    01 Jun 2018
    Normal forms:
    Result 5.5 %
    Normal range > 4
    Normal
    01 Jun 2018
    Comments 1:
    Result N/A
    Normal range N/A
    01 Jun 2018
    Reference Comments:
    Result N/A
    Normal range N/A

    • Sara SDx
      Sara SDx June 20, 2018 at 3:55 pm

      Looks healthy

  2. Osama A. June 7, 2018 at 7:24 pm

    I’m 24 years old. I’m about to be engaged. The analysis was done by chance. I am a smoker. I do not complain of any abnormal pain and sexual pain. I do not know whether it’s normal or not. I masturbate every 5 to 10 days in order not to get an erection during the day or work hours. Because I find this shameful. I ask you to read the analysis to see the problem in this case. just to notice there no one of my family and my relatives suffer from sterility.
    Is there a chance for natural
    fertilization in this case ? like in normal sex situation?
    …..
    This is a detailed analysis

    Seminal fluid analysis
    =Macroscopic examination=
    Color Milky
    Volume 3ML
    Liquefaction time 30 min
    =Microscopic examination=
    Count 10m

    Motility
    Active motile 0%
    Sluggishly motile 5%
    non motile 95%

    Morphology
    Normal forms 10%
    Abnormal forms 90%

    others
    pus cell +++
    RBC cell +
    Steam cell ++
    Epithelial cell Nil

    • Sara SDx
      Sara SDx June 8, 2018 at 1:39 pm

      These numbers are a little low. I think you should stop smoking if possible. You may also want to download this app to see if you have other risk factors that could be contributing.
      I would recommend taking steps to get healthier and then testing again in 3 or 6 months to see if you are able to make any improvements

      • Osama A. June 9, 2018 at 2:41 am

        Thank Sara you for your help <3 , i'm trying to stop smoking , Also i'm going to see a doctor for my issue , I'll tell you the update.

        • Osama A. June 9, 2018 at 2:42 am

          thank you sara*

        • Sara SDx
          Sara SDx June 15, 2018 at 6:49 pm

          Good luck. Please send along an update. I’ll be rooting for you.

  3. Anton Trus June 4, 2018 at 8:14 am

    Hello, here is my test results:
    Volume : 4.0 mL
    pH : 8.0
    Liquidification Copmplete in : 10 Min
    Morphology (% Normal sperm) : 75 %

    Sperm count : 55 (10^6/mL)
    Total count : 220 (10^6)
    WBC : 5-10
    RBC : 3 cells/HPF
    Viscosity : 2+
    Motility:
    Rapid progressive : 60%
    Slow progressive : 5%
    Non progressive : 10%
    Immotile : 25%
    Tell me please, what is wrong?

    • Sara SDx
      Sara SDx June 8, 2018 at 1:25 pm

      This looks pretty healthy. Does something concern you? Are you having trouble getting pregnant?

  4. Rachael May 28, 2018 at 3:56 pm

    Hi Sara,

    We received these results this morning and would be extremely grateful if you could confirm whether my worst nightmare has come true:

    These results were after 3 days abstinence, no illness or previous children.

    Volume: 3.5ml
    Appearance: Normal
    PH: 8.4
    Viscosity: 0
    Sperm concentration: 51 M/ml
    Total Sperm Number: 178.5 Million
    Total Motility: 56%
    Progressive: 27%
    Non progressive: 29%
    Non motile:44%
    Total motile sperm concentration: 28.5 M/ml
    Normal morphology: 1%
    WBC: 0
    Remarks: low sperm progression and teratozoospermia

    I believe our only option is ICSI?

    Thank you so much in advance.

    • Sara SDx
      Sara SDx May 29, 2018 at 1:05 pm

      Answered in the community — here

  5. Vijay May 23, 2018 at 7:09 am

    Doc, Please share your thoughts, the viability results shown as 20%, is this something serious?

    Physical Examination:
    =====================
    Volume-1.0 ML
    Odour-Spermine
    Colour-Grey
    Appearance-Homogenous Opolascent
    Liquifaction-Normal
    Viscosity-Normal
    Cheminca Examination:
    ====================
    pH-Alkaline
    Fructose – Positive

    Microscopy Examination:
    =======================
    Viability – 20% should be >58%
    Sperm count – 160 Million
    SC per ejaculation 320 Million

    Sperm Motility:
    ==============
    Progressive Motiltiy 80%
    non-progressive M0tility 10
    Total Motiltiy 90%

    • Sara SDx
      Sara SDx May 25, 2018 at 5:31 pm

      I think this is an error some how… the report says that most of your sperm are swimming fast AND that most of your sperm are dead. That can’t be true. They can’t swim when they are dead.
      The sperm count is really high. So I wouldn’t be concerned. If you want to make sure, you could repeat the test and see how it comes out.

      Are you having trouble getting pregnant?

      • Vijay May 29, 2018 at 3:25 pm

        Yes we have trouble with pregnancy after 1 or 2 weeks of pregnancy we loose and now for last 6+ months no pregnancy at all

        • Sara SDx
          Sara SDx May 31, 2018 at 4:34 pm

          If you’d like to be sure, you can test again and see how the results come out. Sometimes it can be a little different.

          I would recommend to do what you can to get or stay healthy. Good health is very important when you are trying to become a father.

  6. Mohid May 22, 2018 at 12:06 pm

    HI Ms. Sara,

    Me and my wife are together for past 16 months we are trying for baby since then but nothing happened.
    My Semen Analysis taken on 07/08/2017, the result is as follows:-

    Volume :2ml, Appearance: Normal, Viscosity: Normal, Liquefaction time: 15min,

    Count: 15 million/ml, Progressive Motility :75%, Non Progressive Motility: 5%, Immotile: 20%, TMC: 24 million per ejaculation

    My Semen Analysis taken on 10/02/2018, that is after 6 months is as follows:-

    Volume: 2ml, Colour: Greyish White, Viscosity: Normal, Liquefaction Time: 30min,

    Count: 25 million/cc, Actively Motile: 10%, Sluggish: 35%, Non-Motile: 55%

    Morphology : Normal -60% and Abnormal -40%

    I want to know why there is vast change in motility values only in 6 months (i dont smoke, no drinks but obese)

    Any chances for us?

    • Sara SDx
      Sara SDx May 22, 2018 at 2:49 pm

      Results like these can be frustrating. Count and motility can flucuate quite a bit in response to normal changes in life. I’m not sure what exactly caused the change for you, but it can happen. Did you do anything to try to improve your sperm after the 1st test? Were there any incidents (heat exposure, fever, illness in past 3 months)? How long did you abstain each time?

      If you are very overweight, then losing those extra pounds can dramatically increase your sperm count and your chances to conceive. It is not easy to do. I myself lost a lot of weight before I was able to get pregnant and I know how hard it is. But it is really worth it.

      If want want to see if you have other risk factors, you could download this app to see what other things you should do to try to increase your numbers.

      • Mohid May 31, 2018 at 12:22 pm

        hi Sara, Thanks for the reply.

        After the first test i took a tablet called lyco-100 for 3 months, but when i was taking the second test i had fever and cold and abstinence for 3 days.

        After the second test result our gynec asked me to take conceptio homme and speman for 3 months and after this i took the test again which is on 26th May 2018 and the result is as follows:

        Volume: 2.5ml, Colour: Greyish White, Viscosity: Non-viscous, Liquefaction Time: 30min, PH Semen : 8.0

        Sperm Count: 26.4 million/ml,Total Sperm Count : 66 million/ejaculate, Sperm Agglutination : Present

        Pus Cells Semen : 1-3 /HPF, Germ Cells : 2-3/HPF, RBC Semen : 1-3/HPF, Epith Cells Semen : Occasional

        Actively Motile 1 Hour: 40%, Sluggish 1 hour: 20%, Non-Motile 1 hour: 40%

        Actively Motile 2 Hour: 35%, Sluggish 2 hour: 20%, Non-Motile 2 hour: 45%

        Normal Head : 75% and Abnormal forms -25%

        Should i continue the supplements (medicines)?

        Is there any chances?

      • Mohid June 13, 2018 at 7:29 am

        hi Sara, Thanks for the reply.

        After the first test i took a tablet called lyco-100 for 3 months, but when i was taking the second test i had fever and cold and abstinence for 3 days.

        After the second test result our gynec asked me to take conceptio homme and speman for 3 months and after this i took the test again which is on 26th May 2018 and the result is as follows:

        Volume: 2.5ml, Colour: Greyish White, Viscosity: Non-viscous, Liquefaction Time: 30min, PH Semen : 8.0

        Sperm Count: 26.4 million/ml,Total Sperm Count : 66 million/ejaculate, Sperm Agglutination : Present

        Pus Cells Semen : 1-3 /HPF, Germ Cells : 2-3/HPF, RBC Semen : 1-3/HPF, Epith Cells Semen : Occasional

        Actively Motile 1 Hour: 40%, Sluggish 1 hour: 20%, Non-Motile 1 hour: 40%

        Actively Motile 2 Hour: 35%, Sluggish 2 hour: 20%, Non-Motile 2 hour: 45%

        Normal Head : 75% and Abnormal forms -25%

        Should i continue the supplements (medicines)?

        Is there any chances?

        • Sara SDx
          Sara SDx June 20, 2018 at 1:30 pm

          It looks like there is improvement over your last results so I think it is a good idea to continue.

          You could also look into testicular cooling if you want to try to improve further.

  7. Ali May 21, 2018 at 12:51 pm

    Hi,Sara my result is as follow:Volume:2.5/Colour:creamy-white/PH:Alkaline/Liquification time:20/Viscosity:Abnormal/Motility after 30 minutes-Rapid forward progression:70/Sluggish forward progression:10/Immotile:20/Motility after 2 hours-Rapid:60/Sluggish:20/Immotile:20/Count:120 million/ml/Normal morphology:98/Abnormal morphology:02.The doctor prescribed me(Carnivita Forte two tablets per day+Vibel-21 one capsule per day+Speman four tablets per day)for two months.Are these medicines suitable for my case?I am 32.My wife is 30.We got married in 12-10-2017,but my wife didn’t get pregnant up to this moment.

    • Sara SDx
      Sara SDx May 22, 2018 at 2:41 pm

      Your numbers look healthy. Sometimes it can take up to a year to get pregnant even if there are no problems. Does your wife have a regular cycle?

      • Ali May 23, 2018 at 12:21 am

        Yes, my wife has a regulates cycle.

        • Sara SDx
          Sara SDx May 25, 2018 at 5:24 pm

          Then I would recommend just taking steps to be as healthy as you can and keep trying. If you don’t get pregnant by August or September you could repeat the test and make sure everything is still ok. Keep me posted. I look forward to hearing good news.

  8. Jitender May 18, 2018 at 3:44 pm

    Volume -1.5 ml
    Colour – whitish
    Viscosity – viscid
    Ph-8
    Reaction – alkaline
    Active motile- 45%
    Sluggish motile- 20%
    Non motile – nil%
    Dead-35%
    Others mil
    Pus cell – 2-3/GOD
    RBC- 0-1/GOD
    TOTAL COUNT -53.8 MILLION PER ML

    • Sara SDx
      Sara SDx May 22, 2018 at 2:28 pm

      looks ok. Are you worried? having trouble?

  9. junaid May 18, 2018 at 7:43 am

    hi doctor sara. can you please guide me on this
    hi can you tell about this?
    Color:- WHITE-gray
    Amount (ml):- 3.0
    Reaction:- ALKALINE
    Liquification:- NORMAL
    viscosity:- NORMAL
    Actively Motile:- 15%
    Sluggish Motile:- 10%
    Non Motile:- 75%
    Total Count/million:- 55
    Normal sper: 73%
    out of 2 years we have spent one year together because i live abroad.

    • Sara SDx
      Sara SDx May 22, 2018 at 2:26 pm

      motility is a little lower than I like to see. But overall, it is in a range that suggests you should be able to conceive.
      How is your health? Your diet, exercise, stress, etc?
      Has your wife been to the doctor? How are her cycles?
      How long are you at home when you are there?

  10. Jason May 16, 2018 at 6:01 pm

    Hello,
    My wife and I have been trying to have kids for close to two years and I finally got a test to see what is going on. What are your thoughts on my results?

    Semen Volume 7.0 mL 1.5 – 5.0 mL H
    Semen Viscosity Hypoviscous Viscous A
    Semen Color White/Gray White/Gray
    Semen pH 7.5 7.2 – 8.0
    Sperm Count 4.5 mil/mL 15.0 – 150.0 mil/mL L
    Method of Collection: self
    Type of Specimen Container: Plastic jar
    Days of Abstinence: 4
    Collection or Transport Problems: none
    Total Spermatozoa per Ejaculate 31.50 mil >=39 mil A
    Sperm Progressive Motil 20 % >=32 % A
    Decreased motility may be the result of non-viable or
    non-motile sperm.
    Total Progressive Motile Spermatozoa 6.30 mil >10.9 mil A
    Sperm Nonmotile 80 % %
    Sperm Normal Morphology 0 % >=4 % A
    Semen Morphology performed utilizing WHO5 criteria.
    Semen Total Count Normal Morphology 0.00 mil >=1.6 mil A
    Total Immature Spermatozoa 1.1 mil <0.3 mil A
    Semen Bacteria None None
    Semen WBC Moderate Few A
    Semen RBC Rare None A
    Semen Epithelial Cells None Few

    • Sara SDx
      Sara SDx May 22, 2018 at 2:16 pm

      Here is my impression of your results:

      Your volume is in the high range. Sperm concentration is in the low range. Total sperm count moderately low.
      Progressive motility a little lower than it should be.
      Total progressive motile — on the low side.
      Morphology – low

      Your numbers suggest that natural conception is possible but unlikely, so it is a likely major contributor to struggles thus far.

      Good news is there are options —

      Men in this range can often improve numbers depending on what’s going on. Typical suspects include a varicococele, hormone imbalances or lifestyle issues. How’s your overall health and habits?

      My recommendations would be to visit a urologist specializing in male fertility, if there is one near you for a full evaluation.
      Download this app to get an assessment of your health habits to see if you have any major red flags.

      In the meantime, you could benefit from tools that help get sperm closer to the egg. (to give a greater number of them a chance to make it there.) I personally like the stork as an at home option. You could also talk to the Ob about a potential IUI if you are interested in trying to move things along more quickly.

      Hopefully this is a good start… Happy to answer any questions or be a sounding board if you need it.

  11. Ashley Austin May 14, 2018 at 8:38 pm

    Hi there! My husband recently has a semen analysis all of his numbers look really good but under agglutination it says the reference range is (-) but his result was (+/-) this has me confused. As a note at the end it says “few sperm aggregates” can you explain this more please! Thank you!

    • Sara SDx
      Sara SDx May 18, 2018 at 6:20 pm

      Agglutination means that sperm stick together. Sometimes they can get stuck in little clumps. If you watch long enough, sometimes they get “unstuck” and start swimming again and sometimes they don’t. If there are a lot of these clumps, it could be a sign that there is a sperm antibody or other issue that is preventing them from swimming freely as they normally should. In your case, if the other numbers were good, i wouldn’t worry too much about it. A few is completely normal. It’s just worth noting for the medical record.

  12. Ali May 14, 2018 at 11:34 am

    Hi,Sara my result is as follow:Volume:2.5/Colour:creamy-white/PH:Alkaline/Liquification time:20/Viscosity:Abnormal/Motility after 30 minutes-Rapid forward progression:70/Sluggish forward progression:10/Immotile:20/Motility after 2 hours-Rapid:60/Sluggish:20/Immotile:20/Count:120 million/ml/Normal morphology:98/Abnormal morphology:02

    • Sara SDx
      Sara SDx May 22, 2018 at 1:55 pm

      generally looks ok. Are you having trouble conceiving?

  13. Sahara May 11, 2018 at 9:48 pm

    Hello Sara .

    Could you help me out with these results ?

    Concentration – 30
    Progression – 3
    RBC- 0
    Volume – 2mL
    Viscosity – Normal
    pH – 7.3
    Color – Pale yellow
    Agglutination- None
    Motility – 67% progressive
    Normal morph : 6%

    Is there anyway to improve if needed ?
    Thanks

    • Sara SDx
      Sara SDx May 19, 2018 at 8:47 pm

      In general, it looks ok. It’s a tad lower than I like to see but not very concerning. Are you having trouble getting pregnant?
      There are lots of ways to improve sperm count. Here’s a quick article to give you some ideas of things you might try.

  14. Joe May 8, 2018 at 9:01 pm

    Hi Dr. Sara, Would you please give me your opinion on my recent SA?
    Here’s my background:
    I’m 30 years old, 6’2″ and 240 lbs. I have a history of AAS use; last time I used was 3 years ago. My wife and I have been trying to conceive for a year now. Currently, I’m on clomid 25 mg every day for the last 4 months. Here are my lab results:

    Component Results
    Component Your Value Standard Range Flag
    Semen Volume 2.6 mL >1.5 mL
    Semen pH 7.2 >7.2 L
    Concentration 36.20 M/mL >15 M/mL
    % Motile Sperm 49 % >40 %
    Total Count Sperm 94.12 Million
    Total Motile Sperm 46.12 Million
    Forward Progression 2
    (NOTE)
    INTERPRETATION:

    0 = No motility
    1 = Weak, twitching in place
    2 = Poor to moderate, erratic
    3 = Good motility, unidirectional
    4 = Rapid unidirectional

    Sperm Diff, Kruger 6 % >4 %
    Abnormal Head 94 %
    Color, Semen OPAQUE
    Undiff Rnd Cell Rout Semen Anl 0.25 M/mL <1.0 M/mL
    Semen Viscosity MODERATE
    VTS USED FOR MODERATE VISCOSITY.
    Semen Age 35 Min
    Abstinence Time, Semen 3 Days
    Collection Time 840
    Receipt Time 841
    Semen Comment 1 MANUAL COUNT AND MOTILITY USED.

    Thank you in advance Dr. Sara, I really appreciate your help!

    • Sara SDx
      Sara SDx May 18, 2018 at 6:43 pm

      These numbers look reasonable. They are on the lower side of normal but totally in range for conception. Is this your first analysis?

  15. Caroline May 7, 2018 at 12:20 am

    Hi Sara, Can you help me understand my husband’s semen analysis? We’ve been trying for over 2 years, I’ve been tested for what feels like everything under the sun and everything has come back fine. My husband’s doctor was very little help in helping us understand what his results mean and trying to look it up on the internet is even more confusing! I just need an explanation in plain English.
    Semen concentration 3.0
    Sperm/ml 12.6
    Motility 24
    Motility grade Semen 2.5
    Motility /ejac 6.0
    Viscosity, Semen 3.0
    Semen agglutination 4.0
    Supravital stain 37
    Strict morphology nl 0.0
    Acrosom defect 16.5
    Head shape abnormal 10.5
    Head size abnormal 4.0
    Midpiece defect, % 33.5
    Double forms 4.0
    Multiple defects 0.0
    Germ cells/ml 1.95
    Wbc/ml 0.0

    I’m mostly curious about the ones that end with the word defect or abnormal. Does everyone have a certain amount of defected or abnormal sperm and are his high? What do these mean?
    Thank you so much for your help!

    • Sara SDx
      Sara SDx May 15, 2018 at 10:30 pm

      In plain english, I’ll do my best
      Semen volume – 3.0 = average
      Sperm / ml 12.6 = a little on the low side (conception possible but likely to take longer than usual)
      Motility grade 2.5 = sperm swim but not as well as they should
      strict morphology 0.0 = none of the sperm are perfect specimins (this doesn’t mean that they can’t do the job but they all have little odd things about them)

      Overall, my impression of this is that something is harming his fertility a little bit, enough that it is causing difficulty conceiving. It is likely that with some effort, he could get his sperm into a range that natural conception would be much higher chance. Usually, when I see semen analysis like this I either suspect some lifestyle issues like poor diet, alcohol, smoking, ocupation or something like that. If he’s a really healthy guy then I suspect a varicocele (which is enlarged viens in the scrotum) often it is a combination of things that a few small tweaks to life can help to fix. There is an app that I worked on to help people identify lifestyle risk factors and track semen analysis results, that might be a useful first place to start.

      It would probably be good to head into a urologist that specializes in male reproduction to see if there are any testicular / medical issues underlying these results.

      If you are really wanting to do something to improve your chances of getting pregnant — his numbers may be good enough for an IUI. The motility and morphology are a little dicey and I’d like to see those numbers a little higher — you could try a lower cost home options like the stork as a first step.

      Hope this is helpful for thinking of next steps. Let me know if there are more questions I’m happy to help.

  16. Ahmed May 3, 2018 at 2:45 pm

    below is my result, i done a Varicocele surgery one year ago and the result below didnt changed ( below are the latest but almost all tests done during this year are in similar range )
    i have 1 daughter but i coudn’t make another

    volume: 2ml
    ph:8
    sperm num: 480 million/ml/ejaculation
    sperm concentration:240 million/ml

    total motile: 30%
    progressive:10%
    non-progressive: 20%
    immotile: 70%

    viable:48%
    non viable: 52%

    normal spermatoza: 3%
    abnormal:: 97%
    head:69%
    middle:17%
    tail:11%

    round cells: 0.9 million/ml
    bacteria: few

    conclusion: autoagglutination(mixed)=2-3/hpf/ astheno teratozoospermia

    • Sara SDx
      Sara SDx May 11, 2018 at 5:45 pm

      Overall, this result looks ok to me. The motility and morphology are reduced but your total sperm count is really high and the total number of healthy sperm cells seems reasonable. The presence of bacteria makes me suspicious that you may have a slight infection and that can cause some of the issues that are showing up on this report. You may want to visit a urologist to get that checked.

      How long have you been trying?
      How regularly are you able to meet with your wife?
      How old is your daughter?

      • Ahmed May 11, 2018 at 11:29 pm

        i’ve done semen culture and the result states that no bacteria growth shown after 72 hours, the doctor told me to do fungal culture test
        – in the last 6 month we didn’t try much as we are trying to cure my semen morphology and motility issue with medicines but it didnt work , and my wife is working on curing a candida infection and hormone issues.
        – twice/wk
        -4 years

        • Sara SDx
          Sara SDx May 19, 2018 at 8:49 pm

          I think you are on the right track. Doing what you can to be healthy will also help your sperm. I think you are fine to try more. Let me know if you have other questions, I’m happy to try to help.

  17. Moin May 2, 2018 at 1:09 am

    Hi Sara,

    Iam 32 years, Iam Having DOWN SYNDROME Baby. I am planning for second Child after 4 years. I just done my semen analysis test.

    sperm count 110 mill/mL
    Total sperm count 605 mil/ejaculate
    volume 5.5
    colour pearl white
    PH 7.8
    Time of Liquifaction 30
    motility:
    progressive 41
    slow progressive 35
    non motile 24

    morphology:
    Normal 45
    Abnormal of head 48
    abnormal of tail 07
    cytoplasmic droplet 0

    can you tell me Abnormal of head 48 is greater than normal 45 that leads to down syndrome childs?

    was the report is good? we need any treatment?

    Thanks you for

    • Sara SDx
      Sara SDx May 5, 2018 at 10:50 pm

      Down’s syndrome is a genetic chance. It is pretty rare. As you get older the chances increase but it is still incredibly rare. The chance of conceiving a second child with downs is low.

      These sperm look very healthy. You should be fine to conceive a healthy baby with these sperm.

      If you are concerned about risks of conceiving a child with genetic disorder, you can request to discuss with a genetic counselor who can help you understand options.

      Good luck.

  18. VIGNESH May 1, 2018 at 12:04 pm

    Hi sara,

    This is my semen analyis report. Please help me interpret

    ABSTINENCE MORE THAN TWO WEEKS
    VOLUME 1.5ML (complete sample)
    APPEARANCE GREY WHITE OPALESCENT
    VISCOCITY NORMAL
    LIQUEFACTION 25 MINUTES (<30 MIN)
    PH 8.0 (7.2-8.0)
    SPERM CONCENTRATION 112MILLION/ML
    TOTAL SPERM NUMBER 168MILLION/ML
    TOTAL MOTILITY 75%
    PROGRESSIVE MOTILITY 65%
    NORMAL FORMS 80%
    VITALITY 100%
    AGGLUTINATION ABSENT
    RBC'S NIL
    WBC'S 2-3/HPF
    IMMATURE GERM CELLS ABSENT
    OTHERS NIL
    IMPRESSION NORMOZOOSPERMIA – NORMAL STUDY.

    Does abstinence for such a long time affect sperm volume? Please help me understand. Thanks in advance.

    • Sara SDx
      Sara SDx May 5, 2018 at 10:47 pm

      It can cause it to be higher than usual. You can take the test again with a 3 day abstinence if you would like more accurate results.

  19. Sabrina Walter April 26, 2018 at 9:58 pm

    Dear Sara,
    I am in much need of expertise such as yours. This is the results my husbands doctor gave him. We having been trying for two years. I just went through an HSG and SIS along with blood work. Everything about me is more than normal. Even though his doctor says he is “normal” I am beginning to question so.

    S color:: White
    Semen Volume: 1.5
    Sperm Concentration [H] 340.0 10*6 mL
    RCC [H] 9.5 10*6mL
    Rapid 53%
    Non-pro-23%
    Immotile 24%
    Progressive Motility >/=32%
    Sperm Morphology >/4%
    NMorp 34%
    Amorph 45%
    ImMorph 21%

    • Sara SDx
      Sara SDx May 5, 2018 at 8:34 pm

      So — Sperm concentration is through the roof. Motility and morphology are great. So generally, this looks like a very fertile, healthy sample
      However, the semen volume is a little low (how long was the abstinence period — that can really impact)
      And RRC is a value I’ve not seen before. You should ask the lab what it is.
      It looks like a cell count of some kind. I’m guessing it might actually be RBC (red blood cells) or WBC (white blood cells) which are pretty routinely measured.
      If either of those values are high, it could indicate infection or injury. So you might want to check in with a urologist.

  20. zeeshan April 14, 2018 at 2:57 pm

    hi my name is zeeshan my age is 30 years
    my semen analysis report is
    after 1/2 hour repoet
    voliume 4.1 ml

    colour gray white

    reaction alkaline

    total sperm count 37 million / ml

    fully active sperm count 27 %

    slugish 23 %

    dead sperms 50%

    epithelial cells 1 – 3
    pus cells 3 – 5

    Rbc,s nill

    Pleasse tell me is my report normal or not

    • Sara SDx
      Sara SDx April 17, 2018 at 1:45 pm

      It’s a borderline result. You are likely to be able to conceive but it might take longer than usual. If you’d like to try to improve, here’s a list of things you can try.

      • Dennis van :-) April 19, 2018 at 10:16 pm

        Hi,

        Below is my report and tell me whether it is normal or not.

        Element Name: Result
        Sample: Complete
        Collection Site: On site
        Collection Time: 10:35
        Analysis Time: 11:10
        Sample Age: 00:35 min (hh:mm)
        Verify chain of custody: MS
        Volume: 4.0 ml
        Concentration: 115 M/ml
        Motility: 44.4 %
        Progressive Motility: 3
        Percent Normal: 4 %
        Round Cells: 2.28 M/ml
        Appereance: Milky
        pH: 7.4 units
        Liquefication: <60 minutes
        Viscosity: 1
        Agglutination: 5 %
        Motile Sperm/Specimen: 204.24 Million
        normal: 1
        increased: 0
        decreased: 0
        normal: 1
        10-14 M/ml: 0
        <10 M/ml:0
        normal: 1
        20-39%: 0
        =4%): 1
        subfertile (0-3%): 0

        • Sara SDx
          Sara SDx April 24, 2018 at 2:32 pm

          hm. This is a tough one.
          Your count and volume are in the high range. Your progressive motility and morphology are low. You are making tons of sperm, but most of them aren’t very healthy.
          Most men in your situation have enough healthy sperm that even though they have lower motility and morphology numbers there are enough to make pregnancy happen.
          In your case, I’m more concerned.

          How long have you been trying?

      • Natasha April 20, 2018 at 4:39 pm

        Hi sarah. Can you help my husband and I inerpret our results? We’ve been trying over one year. Thank you for your help.

        Concentration 39.7
        %motility 47
        Velocity 47.5
        The prpgression is B+
        Motile count/ml 18.7
        Total motile count 48.5
        %normal forms 6
        % head defects 94

        • Sara SDx
          Sara SDx April 24, 2018 at 3:02 pm

          These results are borderline. They are ok, but they aren’t great and could be contributing to longer time to conception.
          How healthy is your husband? Have you been evaluated? how often do you try?

    • Jason sumaglit April 26, 2018 at 12:51 am

      hi my name is jason sumaglit 33 yrs. Old kindly help me to analyze my sperm count..
      Mortile -20%
      Non mortile -65%
      Sluggish -25%
      Normal -70%
      Abnormal-30%

      Thank you..

      • Sara SDx
        Sara SDx April 26, 2018 at 1:25 pm

        I don’t see a sperm count or volume, so it is hard to give you feedback about this.

  21. Samo April 14, 2018 at 11:39 am

    Hi, I am married and 38 years old. In my semen analysis report there were 10-12 Wbc, and all the rest was normal. In culture test, there is b-haemolytic streptococcus. Please, tell me what does it mean? Is that one of STDs?

    • Sara SDx
      Sara SDx April 17, 2018 at 1:44 pm

      It shows that there is a bacterial infection. Strep is a fairly common bacteria that can cause infections in many places in the body. It is not considered a sexually transmitted disease because it can be acquired in many ways besides sex. It commonly causes UTIs. It is usually treated with antibiotics. You should consult the doctor to get the right medicine.

  22. Deepika April 13, 2018 at 1:14 pm

    My hubby semen analysis report. Colour = grey. Reaction= alkaline. Viscous= semi. Total quantity= 1ml. Liqufication time= 15 minutes. Total sperm count =25 millions. Motility= 15 percentage. Slowly motility= 10 percentage. Non motility= 75 percentage. Puscells=(+). Others= nil. Is this all normal? Kindly guide me.

    • Sara SDx
      Sara SDx April 13, 2018 at 4:39 pm

      Its normal. It’s a little lower than I like to see and could make it take a little longer to conceive. You might want to download this app or read this article to learn way to improve numbers a little bit if you are currently trying for a baby.

  23. Peter April 12, 2018 at 10:08 pm

    Dear Sara
    Thank you for a wonderful article.
    Could you please help me to read my semen analysis . My GP Doctor is quite young and was not able to tell me much.

    Time produced: 10:55am
    Days of abstinence : 4 days
    Method of preparation:
    Volume : (ml) 2.3
    Vicinity: normal
    Agglutination:
    Density (x10^6/ml) : 62.3
    Total count: 143 million sperm in ejaculate
    Motility(%):54
    Progression (0-4/4):2-3/4 (30:70)
    Morphology (%) -normal forms :3
    Morphology (%)- head defects : 66
    Morphology (%)- neck defects :23
    Morphology (%)- tail defects :8
    Cells (x10^6ml):0.6
    WBC/RBC/Spermatids
    Debris(+)+
    Mar test :IgA:Negative IgG:8%head /7%tail
    Comments: Borderline morphology, all other semen parameters were below the normal reference ranges . Sample should be suitable for all treatment options.

    If my wife is healthy can we conceive baby naturally? We are both 32 years old. Can I improve my sperm quality to make her pregnant naturally? What supplements could I take? What can we do? We have been married for 6 years but we did not actively try to conceive. Most of the time ejaculation was not inside. Only for the last few months we are trying to have baby and we count days of her cycle. Before we had sex usually just before or after her menstruation.

    Thank you so much in advance for the wonderful job you are doing.
    Peter

    • Sara SDx
      Sara SDx April 13, 2018 at 4:36 pm

      Hey Peter,

      Thanks for the kind words. I really love helping people understand stuff like this.
      It’s a tricky result as most of the parameters are in the “good” range, but the morphology is a little lower than it should be.

      Good news — of all the parameters, morphology is the most contested about it’s utility. Even more so when sperm counts are high.
      Overall, I’m not terribly concerned that it will impact ability to conceive naturally. But there is a small chance that it could. My guess, if anything, it could just make it take a little longer than average.

      The other side is — something’s causing sperm to develop abnormally (mind you the “healthy” range is 10%) My mind tends to think about things like heat exposure, varicocele, alcohol or poor diet.

      Sperm are incredibly sensitive… and, I’ve noticed that different people have higher sensitivity than others. If you want to do a full review of potential things that could be impacting sperm health, I’d recommend downloading this app. I worked with leading urologists and researchers to put all the things that are known to impact sperm into a risk questionnaire and create recommendations to optimize lifestyle to sperm friendliness. If you get a high score on the app, then my next guess would be varicocele or a genetic thing that I’m not sure anyone would be able to diagnose.

      If you just want a few simple things to think bout to improve sperm — here’s an article of the top things that I would recommend for everyone. Top of the list would be testicular cooling. It seems to have the biggest impact on semen parameters.

      Let me know if this helps or if you have other questions.

  24. mahi islam April 5, 2018 at 7:39 pm

    hi
    .
    .
    volume 03ml not less than 2.0 ml
    reaction(PH) alkaline
    Liquefaction complete 30-60mins
    sperm count 45million/ml normal:>20 million/ml.

    sperm motility
    actively motile 50%
    feebly motile 05%
    non motile 45%

    sperm morphology
    normal morphology 80%
    abnormal: head 08%
    body 07%
    tail 05%

    sperm viability not done
    sperm clumping absent
    viscosity normal
    pus cells 2-4/H.P.F
    comment: normozoospermia

    is it ok or not!!!! please mem just wait for urs comment

    • Sara SDx
      Sara SDx April 10, 2018 at 1:20 pm

      Looks pretty good. Are you having trouble getting pregnant?

  25. Ramkumar April 4, 2018 at 3:33 am

    Hi,

    I have done semen analysis and below are my report summary,

    Age-26

    Abstinence-2 days,volume-3.2 ml,pH-8,Liquefaction time -30 mins,Total sperm count-70.17 million/ejaculate, concentration 21.93 million/ml, total motility(PR+NP) – 37.29%,Morphology Index-60%,Agglunitation -Nil,Non-specific Aggregation-Nil,WBC-OCCASAIONAL,RBC-Nil,Epithelial cells-Occasaional.

    Comments- The semen passed WHO,Strict criteria for count and morphology while failed to pass that for motility.(Asthenozoospermia).

    Kindly let me know if this is a major problem with me and giving birth requires IVF? or it will take years to make my wife get conceived? Please advise

    • Sara SDx
      Sara SDx April 10, 2018 at 1:14 pm

      I don’t think it is a major problem but I think it may be reducing your chances each month and make it take longer to get pregnant. I would recommend that you download this app or take this risk assessment to figure out if you can make any easy changes to your life to increase your sperm numbers.

  26. dave March 24, 2018 at 4:32 pm

    hi
    abstinence 3.5 days
    ph 8
    volume 10.6 ml
    total sperm number 246 million
    sperm morphology 11%
    total motility 48%
    progressive motility 10%

  27. Surender March 19, 2018 at 7:14 am

    In my semen analysis test normal 6 and Head Defectives 94
    how can i reduce defectives and conceive

  28. fakhar March 17, 2018 at 7:35 pm

    Hello Sara,

    I need you comments on my semen analysis report. We are married for 2 months now . We want to conceive, a quick comment will be appreciated.

    Following is the report :

    Duration of Abstinence: 03 (Days)
    Liquefaction Time(min): Abnormal
    Interval between start of ejaculation and analysis (before liquefaction) : 30 (Min)
    GROSS:
    Appearance: Creamy White
    Consistency Normal
    Volume 2.0 ml pH: 8.0
    Fructose Positive
    SPERM MOTILITY (%) (100 Spermatozoa)
    a) Rapid Progression: 30%
    b) Slow Progression: 10%
    c) Non-Progressive Motility: 20%
    d) Immotile: 40%
    Agglutination: –
    Vitality: –
    Count / ml: 70 Million
    MORPHOLOGY (%)
    Normal: 65%
    Abnormal: 35%
    Head Defects: 10%
    Tail Defects: 15%
    Neck & Mid Piece Defects: 05%
    Cytoplasmic Droplets: 02%
    Headless ‘Pinhead’ : 03%
    Pus Cells : 2-4
    Red Blood Cells : Nil
    Epithelial Cells: 0-1
    Miscellaneous : Nil
    NOTE: Specimen taken at the Lab

    • Sara SDx
      Sara SDx March 20, 2018 at 2:52 pm

      This looks healthy.

  29. JLG March 13, 2018 at 12:42 am

    So I just got an email with my results but I dont really know what I am looking at. Hoping some clarity is available.

    Semen Volume 3.8 mL
    Semen Viscosity Viscous
    Semen Color White/Gray
    Semen pH 8.0
    Sperm Count 69.2 mil/mL
    Days of Abstinence: 4
    Total Spermatozoa per Ejaculate 262.96 mil
    Sperm Progressive Motil 44 %
    Total Progressive Motile Spermatozoa 115.70 mil
    Sperm Nonmotile 56 %
    Sperm Normal Morphology 10 %
    *Semen Morphology performed utilizing WHO5 criteria.*
    Semen Total Count Normal Morphology 26.30 mil
    Total Immature Spermatozoa 1.2 mil
    Semen WBC Few

    We have had trouble conceiving but have been hesitant to investigate too deeply.

    • Sara SDx
      Sara SDx March 16, 2018 at 1:04 pm

      Sorry for the delay in responding. Here’s some insight into what your results say:

      Volume: (the amount of semen) is about average
      Viscosity, color, pH – all normal
      Sperm count: near average (73 is average)
      Total sperm: slightly higher than average
      Progressive motility: good
      Total progressive: Great
      Normal morphology: noraml

      This analysis looks pretty healthy. I don’t see anything about it that raises a red flag for me.

  30. Bob March 1, 2018 at 3:30 pm

    Hi, My count has always been extremely low, around 1-2 M/ml.
    But the last analysis I had done there are two results: one is from the sample i actually produced, but there is another set of figures recorded by a technician. The first set are from the andrologist:
    Volume: 2.8
    Concentration: 7.0 m/ml
    Total sperm: 19.60
    Motility: 50%
    Morphology: 2.0

    These ones are from the technician:
    Volume used: 1.5
    Reconstituted: 0.10
    Sperm concentration: 3.00
    Motile count: 0.15
    Total motility: 75%

    Can you explain these?

    The WHO minimum guideline for sperm count is 15.0 M/ml. I know my results are extremely low anyway (i’m having ICSI), but I can’t figure out if my sperm count is 7.0 or 3.0? If it’s 3.0 it’s only slightly better than last time. If it’s 7.0 it’s a huge improvement (improved BMI, lots of running, lots of fresh fruit and veg and Wellman tabs).

    • Sara SDx
      Sara SDx March 1, 2018 at 7:46 pm

      It looks like the initial value was 7 M/mL and then the sample was used for a procedure and the second value was post-processing. From your perspective, the Andrologist numbers are likely to be closer to the correct values. Good work, friend. Keep it up 🙂

  31. Zia Khan February 26, 2018 at 2:05 pm

    Hi Sara,

    I am trying to conceive from long time but no luck, Please check the below & advise. appreciate your early response.
    (Age 36) – Period of Abstinence 7 days

    SPERM AGGLUTINATION 1+
    RAPID PROGRESSIVE MOTILITY 60%
    NON-PROGRESSIVE 30%
    NON-MOTILE 10%
    Sperm Viability VIABLE
    SPERM WBC 1-2 HPF
    SPERM RBC 0-1 HPF
    EPITHELIAL CELLS ABSENT LPF
    SPERM BACTERIA ABSENT
    Sperm Concentration 46.15 (x 10^6/mL)
    Round Cell Concentration 1.925 (x 10 ^6/mL) H “red color”
    TOTAL SPERM COUNT 161.52 (x 10 6/ejac)

    NORMAL MATURE 60 %
    ABNORMAL MATURE 40 %
    IMMATURE FORMS <3.0 %
    ABNORMAL HEAD 19 %
    ABNORMAL NECK 16 %
    ABNORMAL HEAD & TAIL 15 %
    ABNORMAL HEAD & NECK 20 %

    ABNORMAL NECK & TAIL 13 %
    ABNORMAL HEAD, NECK, TAIL 17 %
    SPERMATOCYTE 0 %
    PMN CELLS 0 %

  32. Dharmesh Patel February 23, 2018 at 8:21 am

    Hi Sara, Please help me to read my semen analysis report.
    volume 2 ml
    color-whitish
    reaction-alkaline
    viscocity-normal
    liquification time-20 minutes
    total count 45 million/ml
    actively motile 50%
    sluggish motile 20%
    non motile 30%
    abnormal forms
    head defect 02%
    body defect 01%
    tail defect 01%

    pus cell Occ
    RBCs absent
    Epithelial Cell Occ
    Fructose test Positive
    Auto Agglutination Absent

    • Sara SDx
      Sara SDx February 28, 2018 at 7:45 pm

      Looks ok. are you worried about something? Are you having trouble getting pregnant?

  33. Sarah McCarthy February 20, 2018 at 5:10 pm

    Sorry I called you Doctor again!

  34. Sarah McCarthy February 20, 2018 at 4:48 pm

    Hi Doctor,
    Thanks for replying. He doesn’t drink much as it is and doesn’t smoke. We have improved his diet but its a work in progress! Its mostly the vitamins.
    My tubes are clear when tested last oct.
    Thanks.

  35. Sarah McCarthy February 18, 2018 at 11:56 am

    Hi Doctor,
    Can you tell me what you think of my husbands SA, we have been trying to conceive for a year and no luck.
    28 million per ml
    3.4 mls
    95.2 million Total count
    68% motility with 50% fast progressive and 40% slow progressive.
    Morphology 3%

    This is slightly improved on our last SA which was 79.2 total count and 2% morph after 3 months of vitamins.

    Do you think we have a chance of conceiving? I checked out ok.

    • Sara SDx
      Sara SDx February 19, 2018 at 6:59 pm

      I’m not a doctor, but I’m happy to help…

      It could be contributing. Has he made lifestyle changes (besides the vitamins) to try to improve numbers or was it just the vitamins?

      Have you checked your tubes to make sure they are clear?

  36. Chris February 16, 2018 at 9:36 pm

    Can you tell me if this is normal? Doctor won’t go over results until next month. This is what I can see on the patient portal. I know volume was low, but I was severely stressed when providing the sample. Your input is appreciated!! I feel like there’s a lot missing.

    Test Name
    SEMEN ANALYSIS FERTILITY
    Date
    Feb 2018
    Test Results Observations

    Component
    SPECIMEN TYPE
    Result
    COMPLETE
    Normalcy

    Status
    Date
    Feb 2018
    Notes
    Component
    COLOR
    Result
    WHITE
    Normalcy

    Status
    Date
    Feb 2018
    Notes
    Component
    SEMEM CHARACTERISTICS
    Result
    CLOUDY
    Normalcy

    Status
    Date
    Feb 2018
    Notes
    Component
    SPERM VOLUME
    Result
    1.0
    Normalcy
    L
    Status
    Date
    Feb 2018
    Notes
    Component
    PH
    Result
    7.6
    Normalcy
    Status
    Date
    Feb 2018
    Notes
    Component
    VISCOSITY
    Result
    INCREASED
    Normalcy

    Status
    Date
    Feb 2018
    Notes
    Component
    SPERM VIABILITY
    Result
    78
    Normalcy
    Status
    Date
    Feb 2018
    Notes
    Component
    SPERM COUNT-ROOM TEMPERATURE
    Result
    104.00
    Normalcy
    Status
    Date
    Feb 2018
    Notes
    Component
    CONTAMINANTS
    Result
    NONE
    Normalcy

    Status
    Date
    Feb 2018

    • Sara SDx
      Sara SDx February 19, 2018 at 3:14 pm

      First glance, it looks ok. Are you having trouble getting pregnant?

  37. Pras February 16, 2018 at 7:16 pm

    Dear Sara, I hope you are doing well.
    Please review my SEMEN ANALYSIS, STRICT MORPHOLOGY (DAL) test results and let me know any problem in it:

    Abstinence days- 6 days
    Liquefied- Yes
    Viscous- No
    Agglutination- No
    pH- 7.6 pH
    Volume- 3.8 ml
    Concentration- 9 million/ml
    Total Number- 34 million
    Progressive motility- 52 %
    Non-progressive motility- 5 %
    Immotile- 43 %
    Total Progressive Motile- 18 million
    Vitality- 58 %
    Normal Sperm- 7 % normal forms
    Abnormal Sperm- 93 morphology
    Head Defect- 90
    Midpiece Defect- 57
    Tail Defect- 22
    Round Cells- <0.1 million/ml

    • Sara SDx
      Sara SDx February 19, 2018 at 7:44 pm

      This is a borderline result. It looks like you should be able to conceive but it may take a little longer than usual. Are you currently trying for a baby?

      • Pras February 20, 2018 at 2:10 pm

        Yes Sara I am trying for a baby. I would appreciate if you could provide your suggestion?

  38. Pras February 16, 2018 at 7:13 pm

    Dear Sara, I hope you are doing well.
    Please review my SEMEN ANALYSIS, STRICT MORPHOLOGY (DAL) test results and let me know any problem in it:

    Component Your Value Standard Range

    Abstinence days 6 days 2 – 7 days
    Liquefied Yes yes/no
    Viscous No yes/no
    Agglutination No yes/noo
    pH 7.6 pH 7.2 pH
    Volume 3.8 ml 1.5 ml
    Concentration 9 million/ml 15 million/ml
    Total Number 34 million 39 million
    Progressive motility 52 % 32 %
    Non-progressive motility 5 % %
    Immotile 43 % %
    Total Progressive Motile 18 million 15.6 million
    Vitality 58 %
    Normal Sperm 7 % normal forms 4 % normal forms
    Abnormal Sperm 93 morphology
    Head Defect 90
    Midpiece Defect 57
    Tail Defect 22
    Round Cells <0.1 million/ml 2 million/ml

    • Sara SDx
      Sara SDx February 19, 2018 at 3:12 pm

      The sperm count is low but the motility and morphology look ok.

  39. Yuva February 3, 2018 at 3:01 pm

    Dear Sara, I hope you are doing well.
    Please review my semen analysis test results and let me know any problem in it

    *SEMEN ANALYSIS
    PHYSICAL EXAMINATION
    Sample produced at : 1:45PM
    Sample received at : 1:50PM
    Abstinence : 4 DAYS

    CHEMICAL EXAMINATION
    Volume : 03ml
    Colour : Opaque White
    Viscosity : Viscous
    Time of Liquefication : 30Mins
    Fructose test : Present
    Reaction : Alkaline

    SPERM COUNT
    No.of sperms/ml : 128 Million/ml

    MOTILITY (1 HOUR)
    a)Rapid linear progressive (grade IV) : 90%
    b) Sluggish linear progressive (grade III) : 05%
    c) Total forword progressive (grade III & IV) : 95%
    d) Non progressive motile : 03%
    e) Immotile sperms : 02%

    MOTILITY (2 HOUR)
    a) Rapid linear progressive (grade IV) : 80%
    b)Sluggish linear progressive (grade III) : 10%
    c)Total forword progressive(grade III & IV) : 90%
    d)Non progressive motile : 05%
    e)Immotile sperms : 05%

    SPERM MORPHOLOGY
    Abnormal head forms : 12%
    Mid portion abnormalities : 08%
    Tail abnormalities : 05%
    Epithelial cells : NIL
    Pus cells : NIL
    Red blood cells : NIL

    Thanks

    • Sara SDx
      Sara SDx February 6, 2018 at 12:50 am

      this looks healthy to me. are you concerned about anything specifically?

  40. Santosh February 3, 2018 at 9:00 am

    Dear Madam,
    I am 33 year old. I have completed 1 year for marriage.we are trying to conceive
    Below is my Sperm quality analysis report. please suggest any improvement.

    1. Abstinence: 4 Days
    2. Appearance: normal
    3. Color: normal
    4. Viscosity: normal
    5. Liquification: normal
    6. Time of liq: 15 / min
    7. Agglutination: NIL
    8. Antibodies: None
    9. Fructose: not done
    10. Vol: 3.0 ml
    11. Ph: 8.5
    12. Velocity- 16 sec/rad
    13. Linearity: B
    14. Total Sperms: 60 M/ml
    15. Total motility: 60%
    16: Prog. Motility: 50%
    17. Grade1: 10%, Grade2: 20%, Grade3: 20% and Grade4: 10%
    18. Epith cells: 10/ hpf
    19. Round cells: 10 / hpf
    20. Normomorphs: 50 %
    21. WBC: –/hpf
    22. RBC: –/hpf

    Diagnosis: Normal

    Please confirm the same

    Thanks,

    Santosh.

    • Sara SDx
      Sara SDx February 6, 2018 at 12:34 am

      Looks pretty healthy. I agree with the report.
      Do you have sex regularly? Does your wife have a period every month?
      Here are a list of things that might help both of you improve your fertility.

  41. farrukh February 2, 2018 at 1:59 pm

    Hi Dr,
    I hope you will be fine.I will be married in next 5 months.my age is 34.I just do my semen analysis precautionaly.plz review the reports and guide me.

    Duration of Abstinence: 8 days
    Liquefaction time: 30 min

    Gross:
    Appearance: creamy white
    consistency: normal
    Volume: 2.5 ml
    pH: 8.0
    Fructose : positive

    Sperm Motility (%) (100 Spermatozoa)
    (a) Rapid Progression: 45%
    (b) Slow progression: 15%
    (c) Non-progressive Motility: 10%
    (d) Immotile: 30%
    Agglutination: Nil
    Vitality : –
    Count / ml : 40 Million

    Morphology : (%)
    Normal : 70%
    Abnormal: 30%
    Head defects: 10%
    Tail defects: 5%
    Neck and Mid Piece Defects: 10%
    Cytoplasmic Droplets: –
    Headless “Pinhead”: 05%
    Pus Cells: 10-12
    Red Blood Cells: 0-1
    Epithelial Cells: 1-2
    Miscellaneous: Nil

    Best Regards

    • Sara SDx
      Sara SDx February 2, 2018 at 6:02 pm

      It looks ok. Do what you can to live healthy and keep your sperm strong. Good luck on your upcoming marriage!

  42. sarah January 30, 2018 at 7:32 pm

    Hi Sara,

    I have been trying to conceive for past one and half years. My husband did his semen test and come to know that there are no sperms, the volume is too low. for the first test it was 0.3 and for the second one it was 0.2 and fructose is present. can it still be obstruction? if so does retrograde ejaculation can still have positive fructose. his Ph is 7.6

    • Sara SDx
      Sara SDx February 1, 2018 at 2:48 pm

      I would recommend that he go to a urologist for a full evaluation. It doesn’t sound like retrograde. There would be no semen at all in that case. But it sounds like there is something going on that should get looked at.

  43. Usama January 25, 2018 at 10:46 am

    Hello Doctor, I hope you doing good.
    Please review my results for semen analysis test and let me know if there is any problem in it:
    ———————
    Duration of Abstinence: 10 days
    Liquefaction time: 30 min
    interval between start of ejaculation and analysis before liquefaction 10 min
    Gross:
    Appearance creamy white
    consistency : Thi
    Volume: 2 ml
    pH: 8.0
    Fructose : Present
    Sperm Motility (%) (100 Spermatozoa)
    a) Rapid Progression: 20%
    b) Slow progression: 30%
    c) Non-progressive Motility: 10%
    d) Immotile: 40%
    Agglutination: Nil
    Vitality : Nil
    Count / ml : 85 Million

    Morphology : (%)
    Normal : 35%
    Abnormal: 65%
    Head defects: 20%
    Tail defects: 25%
    Neck and Mid Piece Defects: 13%
    Cytoplasmic Droplets: 05%
    Headless “Pinhead”: 02%
    Pus Cells: 2-4
    REd Blood Cells: 1-2
    Epithelial Cells: Nil
    Miscellaneous: Nil

    Best Regards

    • Sara SDx
      Sara SDx January 30, 2018 at 2:24 pm

      looks pretty healthy.

  44. PhytoSculpt01 January 16, 2018 at 7:27 am

    Dear Sara, I’m 34 years old and I had varicocele surgery 3 months ago, yesterday made test and results are:

    Volume: 2 ml
    Abstinence: 3 days
    Liquefaction: normal
    pH: 7,7
    Vitality: 45%
    HOS: 46%
    Morphology: 5%
    Linearity: 42%

    COUNT SUMMARY
    Total – Cells Counted: 1088, Sample (M): 323,1, Concentration (M/ml): 1616,6, Percent: 100
    Motile – Cells counted: 416, Sample (M): 123,6, Concentration (M/ml): 61,8, Percent: 38
    Progressive: Cells Counted: 97, Sample (M): 28,8, Concentration (M/ml): 14,4, Percent: 9

    VELOCITY DISTRIBUTION
    Rapid 4 – Cells Counted 327, Sample (M): 97,1, Concentration (M/ml): 48,6, Percent: 30
    Medium 3 – Cells Counted: 89, Sample (M): 26,4, Concentration (M/ml): 13,2, Percent 8
    Slow 2 – Cells Counted: 188, Sample: 55,8, Concentration (M/ml): 27,8, Percent: 17
    Static 0-1 – Cells Counted: 484, Sample (M): 143,7, Concentration (M/ml): 71,9, Percent: 44

    W.H.O COMPARISON
    Total Conc. – Actual value: 161,6. Standard: 15.0, Units: M/ml, Status: Pass
    Motility – Actual value: 38, Standard: 40. Units: %, Status: Fail
    Rapid Cells – Actual Value: 30, Standard: 32, Units: %, Status: Fail

    SORT RESULTS
    16 Frames Min – cells Counted: 403, Sample (M): 119,7, Concentration (M/ml): 59,8, Percent: 67

    Thanks in advance for your help!

  45. munib January 13, 2018 at 4:49 pm

    Dr. can you tell me what is difference between hpf and mil/ml used for pus cells. and 6-8 hpf is equal to how much million WBC/ml?

    • Greg Sommer
      Sara SDx January 13, 2018 at 11:41 pm

      It varies from lab to lab. You should ask the lab who conducted your analysis.

  46. MAKIS January 13, 2018 at 2:18 pm

    SEMEN ANALYSIS !!! HI GUYS I WANT TO KNOW IF ITS OKE TO GET MY WIFE PREAGNANT

    SPERM VOLUME 5 ML
    Liquefaction 20 MIN
    pH 8
    MICROSCOPIC EXAMINATION
    Pus Cells 1-2
    Aggregation of Spermatozoa NO
    Spermatids 1-2
    Abnormal Forms 35%
    No. of Spermatozoa 3 10^6/ML
    Total Count of Spermatozoa 15 10^6
    MOTILITY OF SPERMATOZOA
    After 1 hour 30 % ALIVE
    High Motility 15 %
    Intermediate 10 %
    Low (weak) Motility 5 %

    • Greg Sommer
      Sara SDx January 13, 2018 at 11:40 pm

      You should see a urologist for a full evaluation.

  47. A,abde January 10, 2018 at 7:58 pm

    Dear Sara,
    We were trying to get baby for 6 months, I recently did a semen analysis.

    Abstinence 5 days

    Volume 2.6 ml
    Viscosiy normal
    pH:7.4
    color grey opalescent
    sperm con. 7.8 mi
    concentration: 3 mi/ml
    progressed motility 35%
    nonprog motility 25%
    IM 40%
    vitality: 70%
    Morph. 20%

    Testosteron : 3.21 ng/ml
    Prolaktin: 11.6 ng/ml

    I did a sonography, the report says I might have light Varicoceles on the left side.
    What do you think about the results? and It is really needed to do a surgery for the pregnancy?

    Best Regards

  48. reshma January 10, 2018 at 8:32 am

    Hi, Sara, we have been trying from 1year got the semen analysis done few week back:
    volume:1ml
    color:greyish white
    viscosity:hyperviscous
    liquefaction: >1hr
    ph:8.5
    fructose: ve
    microscopic- aggregation: present, agglutination:nil
    total motility(55%)-progressive-45%, non prog-10%
    immotility-45%
    sperm count: 80million
    sperm morphology: normal form-70%, abnormal-30%(head-15%,mid-pieces-10%,principal pieces-5%, excess residual cytoplasm-occasional)
    pus cell: 6-8

    can you please help to reevaluate the report as the Doctor gave anti biotic for a week. then stopped

  49. Ali Hassan January 6, 2018 at 4:44 pm

    Hello,
    Please help me regarding my semen analysis.
    I have pus cell 8-10/phf.
    Sperm count 95 Mil
    Color: Opaque white
    Active 70%
    Non Motile 30
    Sluggish 10
    Marphology Normal 70, abnormal 30
    Volume 2.0 Ml
    I feel pain in left testis after regular intercourse of 2-3 days.

  50. Chris January 3, 2018 at 4:20 am

    Hi Sara

    Can you help analyze the results.

    Age: 35

    –Initial Evaluation–
    Color: White
    Viscosity: Moderate
    Agglutination: None
    Gel clumps: None
    Round cells / hpf: 3-5
    RBC / hpf: 0
    Epithelial cells / hpf: 0
    Volume / ml: 3.3
    Conc. / 10^6/ml: 200.5
    Motility / %: 65
    Progression: 2 -3
    Total motile count: 430.07 Million
    Type of Morphology Exam STRICT (Kruger)
    Abnormal Morphology / %: 96

    –Final Evaluation–
    Volume: 1.5
    Conc / 10^6/ml: 114
    Motility / %: 80
    Progression: 2 -3
    Total motile count: 136.8
    % Recovery: 32
    Overnight survival / %: 75
    Overnight progression: 2 -3

    I am bit worried about Abnormal Morphology and Volume.
    Thanks

  51. Jahanzaib December 29, 2017 at 4:28 pm

    Dear Dr Sara,

    I Am 32 Years Old…7 Years of Marriage Trying for baby for last 1.5 Years…Please review & advice for my semen & my Wife’s TSH & Prolactin result below.

    Quantity = 4.0 ml
    Color = Greyish White
    Transperancy = Opaque
    Viscosity = Viscous
    pH = 7.5
    Fructose = Positive
    Sperm Count = 65 MILL/ML
    Sperm Per Ejaculate = 260 MIL

    Motility = Percentage Motile Sperm = 69 %
    Rapid Linear Progression = 45 %
    Slow/Non Lin Progression = 40 %
    Non Progression = 15 %

    Sperm Morphology = Normal Form = 70 %

    Head Abnormality = Small Oval = 20 %
    Tapering = 10 %

    Mid Piece Abnormalities (Other Cells) = Germ Cell = 01
    WBC’S = 02
    RBC’S = 00
    Squamous Cells = 00

    Wife TSH & Prolactin Results :

    TSH = 1.64 uIU/ML
    Prolactin = 24.50 nG/ML

    • Jahanzaib December 30, 2017 at 12:10 pm

      Waiting for your reply…

  52. Andy62 December 20, 2017 at 9:03 pm

    Hi Sara, was wondering if you could comment on the results below:
    I’m 46 and my wife is 42 and just started trying for a baby. First steps to see if I’m generally good to go and she is currently going through the process too.
    SEMINAL FLUID FERTILITY:
    MICROBIOLOGY
    SEMINAL FLUID EXAMINATION – FERTILITY
    Collected on 21/06/17 Time of Collection 13:38
    Examined on 21/06/17 Time of Examination 14:15
    Lower Reference
    Limits
    Appearance Normal
    Viscosity Normal
    Volume 3.0 ml (> 1.5 ml)
    Sperm Count 180 million/mL (> 15 million/ml)
    MOTILITY
    A:Progressive 65 % (> 32%)
    B:Non-Progressive 5 % (A B > 40%)
    C:Immotility 30 %
    Motility and count may be inaccurate due to increased clumping of
    spermatozoa.

  53. Bill C December 19, 2017 at 2:14 am

    Hi Sara – In preparation to try having our first, here are the results of my first SA. The motility and morphology have me a bit worried… What are your thoughts?

    VOLUME: 4.0
    CONCENTRATION: 48.8
    MOTILITY: 36%
    FORWARD PROGRESSION: 2.0
    WHO MORPHOLOGY: 16%
    STRICT MORPHOLOGY: 3%
    TOTAL MOTILE COUNT: 70.3 million
    COLOR: Cloudy Yellow
    VISCOSITY: 3.0
    LIQUEFACTION <60 min
    ROUND CELLS: 1.2
    IGG-SPERM ANTIBODY TEST: 0%
    IGA-SPERM ANTIBODY TEST: 0%
    WHITE BLOOD CELLS: 0.7

    SUMMARY OF FINDINGS
    Sample contained moderate amount of debris.
    Increased viscosity; needle and syringe used to reduce viscosity.
    Small amount of small patches of agglutination.
    Decreased motility, strict morphology and WHO morphology

  54. Hussain NPK December 10, 2017 at 11:53 am

    Dear Dr Sara,

    Please review & advice for my semen result below.

    Morphological Examination
    Colour- Greyish White
    Viscosity- High
    Volume-3.5 ml

    Chemical Examination:
    Reaction pH- Alkaline 7.5
    Liquification Time- More than 1 hour

    Microscopic Examination:
    WBC- 2-4/hpf
    RBC-Absent
    Sperm Agglutination- Present
    Sperm Aggregation- Absent

    Motility:
    Total Motality- 50%
    Actively Motile (PR)- 35%
    Sliggishly Motile (NP)- 15%
    Non Motile- 50%

    Morphology & Vitality
    Abnormal forms- 10%
    Normal Forms- 90%

    Sperm Concentration
    Total Sperm Count/ Ejaculate- 297 Million/ Ejaculate
    Sperm Concentration 85 Millions/ mL

    Please review my result for which i did test on 6/12/2017

  55. Ankit kashyap December 4, 2017 at 12:17 pm

    Please somebody tell about my report is normal or no
    Semen physical examination
    Quality 2.2 c.c
    Color white
    PH 7.3
    Liquefaction 30 mts

    Semen microscooy
    Total sperm concentration 75 million/cmm
    Visible sperm % of total sperm 70
    Total morality (PR NP) 70%
    Abnormal head 12%
    Abnormal piece 10%
    Abnormal tail 12%
    Abnormal defects 15%
    Total percentage of abnormal sperm 49%
    Pus cells 5-6/hpf
    Who fifth reference values fit semen evaluation
    95% confidzzence
    Volume 1.4-1.7 ml
    Total sperm number 33-46 million
    Concentration 12-16 million
    Vitality 55-63%
    Progressive motility 31-34%
    Total motility 38-42%
    Normal morphology 3-4%

  56. Divine November 27, 2017 at 7:33 pm

    Dear Dr
    My semen result are as follow

    Morphology=35%(abnormal forms)
    Motility=65%(active motile sperm)
    Sperm Count=70.0 X10^6 sperm cells/mm^3
    WBC=Nil
    Epithelial cells = +
    Viscosity = slightly viscoid
    Volume= 3mls

    How good is this for pregnancy?

  57. Divine November 27, 2017 at 7:32 pm

    Dear Dr Sandra
    My semen result are as follow

    Morphology=35%(abnormal forms)
    Motility=65%(active motile sperm)
    Sperm Count=70.0 X10^6 sperm cells/mm^3
    WBC=Nil
    Epithelial cells = +
    Viscosity = slightly viscoid
    Volume= 3mls

    How good is this for pregnancy?

    • Sara SDx
      Sara SDx January 25, 2018 at 7:37 pm

      This looks pretty healthy. Are you trying to conceive?

  58. keith November 9, 2017 at 7:08 pm

    Hi there, was wondering if you could review my results
    Morphologic Analysis
    NORMAL = 1
    Amorphous head = 56
    Tapered = 0
    Acrosome Defect = 16
    Pin Head = 0
    Abnormal Midpiece = 19
    Tail defect = 8

    Initial Semen Analysis
    Volume = 2.0
    c x 10/ml = 120
    % motile = 55
    Progression = 20
    TMC = 132
    Debris found
    Agglutination found = left a note with verify heavy Agglutination
    Viscous = checked off

    Final Sperm Preparation
    volume = 1.0
    c x 10/mL = 53
    Isolate = checked off
    % motile = 94
    Progression = 30
    TMC = 49.82
    % not bound = 100

    24 hour survival
    % motile = 87
    progression = 20 or 2.0 cant tell

    • keith November 13, 2017 at 2:08 pm

      Doctor doctor aree youuu theerreeeeee 🙂 🙂

    • Sara SDx
      Sara SDx November 21, 2017 at 2:33 pm

      Are you trying to conceive?

      Overall, this looks pretty good. The morphology is lower than it should be but unless you’ve been trying for a long time, I don’t typically get too concerned about that.

      • keith November 22, 2017 at 1:56 pm

        Hey Doc, thanks for the response!, we have been trying for about 9 months, what is the definition of a long time?

  59. sk October 28, 2017 at 5:53 am

    hi….Dr. Sara..

    my seminal result

    PHYSICAL EXAMINATION
    Quantity ———————-2.00 ml
    Colour ————————-Whitish
    Odour————————–seminal

    CHEMICAL EXAMINATION
    Fructose———————-Positive

    Total sperm count——–35 mil/ml

    SPERM MOTILITY
    Active motile ————–30%
    Sluggishly motile ——–30%
    Non motile —————–40%

    when i was given to checked my sperm. that time i was very scared. please tell me about my sperm result.

    • Sara SDx
      Sara SDx November 7, 2017 at 5:14 pm

      anxiety while collecting a sample can impact results.

      These are on the lower side but conception should be possible. It may take longer than usual. You can download this app to learn things that you can do to improve.

      • sk November 8, 2017 at 7:44 am

        dear Dr sara…..

        My wedding took 3 years. My wife has been suffering from PCOS for the last 4 years. What should I do to become a father? It has been 3 years since the marriage that it should be a child now. They are tense for me.Let me guide you that I can become natural father.

  60. CJ October 25, 2017 at 2:56 pm

    Hi Doctor,
    Could you please let me know if any of this should be of concern for these results? Abstinence was 3 days:
    Element Name Result
    Appearance Grey White
    Viscosity Abnormal
    Liquefaction Complete
    Volume 1.7 ml
    Concentration 1 22 Mil/ml
    Concentration 2 25 Mil/ml
    Concentration Average 23.5 Mil/ml
    Conc % Difference -12.766 %
    % Motile Cells 1 64 %
    % Motile Cells 2 64 %
    Percent Motility Average 64 %
    % Motile Cells % Difference 0 %
    Forward Progression 2
    % Normal Morphology 4 %
    Total Motile Sperm 25.57 Mil
    Comments Streaks of sperm aggregation seen.

    • CJ October 25, 2017 at 2:58 pm

      By the way, this was an excellent article. Thank you for all the information!

    • Sara SDx
      Sara SDx November 7, 2017 at 5:06 pm

      This is on the lower end of normal. Conception should be possible, but I would like to see higher numbers if possible. You may want to download this app to see if there are any areas that you can improve on to increase your sperm count. The app can provide feedback on semen analysis results, track changes over time and has a health assessment to make recommendations of how you can improve. I think it would be a good place for you to start. You can also read this list of 20 ways to improve sperm count.

  61. VICTORIA GONZALEZ October 15, 2017 at 11:24 pm

    Hello, my husband recently took a semen analysis because he has never fathered any children. I have 4 from a previous marriage so we wanted to make sure he can before we attempt to try. Here are his results, do they look normal? I thought they did until I reached the abnormal/normal percentages but have read that that shouldn’t matter.

    Motility forward: 90
    Rapid progressive: many
    Sluggish progressive: few
    Motility move/twitch: 5
    Motility non-motile: 5
    Agglutination: absent
    Semen liquefaction: within 30 mins.
    Volume: 7.0 H
    Semen PH: 8
    Appearance: grayish-white opaque
    Count: 35.75
    WBC in semen: moderate
    Round cells: 3
    Normal %: 8
    Abnormal %: 92

    • Sara SDx
      Sara SDx October 20, 2017 at 4:47 am

      This is pretty good. His high volume makes the count look lower than it should. Motility is excellent. He shouldn’t have a problem

      • VICTORIA GONZALEZ October 20, 2017 at 6:50 pm

        That is great to hear. Thank you so much!

    • SMS October 21, 2017 at 9:40 am

      Hello Sara,
      Does the below look normal?
      Abstinence: 3 days
      Volumes: 3ml
      Count/ml:30,000,000
      Total Count:90,000,000
      Motility:
      1st hour: 35% rapid linear, 15% decreased, 10% in situ, 40% non motile
      2nd hour: 30% rapid linear, 15% decreased, 10% in situ, 45% non motile
      4th hour: 25% rapid linear, 15% decreased, 10% in situ, 50% non motile
      Morphology: 80% normal
      Neutrophil: 0/100sperm
      Round Cell: 1/100 sperm

      Thank you!

      • Sara SDx
        Sara SDx October 23, 2017 at 12:42 pm

        Overall, this looks fairly normal. It’s very slightly lower than I like to see but not concerning. If you are trying to conceive I would recommend taking any steps that you can to be healthy and improve your sperm health.

  62. […] tricky to understand. For a full breakdown of the semen analysis report, check out our article – Understanding your semen analysis. Here are some rules of thumb to help you decide if you should visit a male fertility […]

  63. […] After the resting period, a technician mixes the sample with a solution to dilute it. A few drops of the dilute sample are placed on a special ruled microscope slide called a hemocytometer which allows them to visually count the number of sperm present in a fixed volume (concentration). In addition to count, the technician may also grade the quality of movement of each sperm cell (motility), the shape of the sperm (morphology) and whether they stick together (agglutination). The sperm concentration is multiplied by the original semen volume to get a total sperm count. The technician will also look to see if other types of cells are present, such as white blood cells, which can indicate infection. All of the data gathered at the laboratory is given to the physician for consideration. See our page on Understanding Results. […]

  64. Kelli September 29, 2017 at 1:27 pm

    Hi Sara,

    Thanks for the informative read!

    My husband and I have been trying to have a baby since April with no success. I have no known fertility issues, regular periods and recently started tracking ovulation with OPKs and BBT. The first few months, I think I was ovulating later than I thought so that COULD be why we haven’t been successful. I sent my husband for a SA just to be safe.

    We haven’t received a copy of the labs yet but all the info we have from the phone call is:
    Count: 29 Million
    Motility: 41%
    Morphology: 2%

    My husband is a boat mechanic in Florida. He’s around gasoline & chemicals in the Florida heat all day. Could that be the problem?

    I was also a little confused because you wrote above that morphology is basically irrelevant when concieveing naturally but you seemed concerned about morphology when replying to some of the comments on here.

    Do we have a reason to be concerned/should we make another appointment to explore our options or just try to be patient a little while longer?

    Thank you!!!

    • Sara SDx
      Sara SDx October 2, 2017 at 5:06 am

      morphology is tough and strongly debated. First it depends on how the lab did morphology assessment. Second, research is a bit mixed on how big a role it plays. It can be significant.

      In your case, the volume would matter to have a better read on the situation, but if I assume volume is normal, I would look at these numbers and say small changes are likely to make a big difference across the board.

      Ideally, I’d like to see improvement in all three of those numbers. They aren’t so low that I would suspect a major medical issue. More lifestyle stuff that is causing a bit of a dip in sperm health.

      I would recommend downloading the sperm tracking app I’ve mentioned elsewhere on the site. It should outline biggest lifestyle risks.

      Heat and chemical exposure are on the list. And could cause numbers like this without other additional risk factors. You might look into testicular cooling. There are some convenient underwear called snowballs listed in the gadget section which I would highly recommend. I’ve seen a lot of men have success with those. Plus they find them pretty comfortable (especially men with hot jobs… some enjoy just for improved comfort)

      Another thing I might look into would be a quick assessment by a urologist to see if he has a varicocele. This might be a second line if defence. If you don’t see improvements with cooling or other lifestyle changes, that would be a suspect in my mind that you’d want to rule out.

      Not sure of your insurance situation but if you can swing it, you might want to test every month or two to track progress. There’s also a home kit I helped to develop (called Trak) at tracks sperm count that can be useful to see if things are headed in the right direction. If you are paying out of pocket for semen analysis, it might be a cheaper way to get feedback.

      Let me know if this was useful. Happy to discuss further. I don’t think you are at the point of treatment but getting those numbers up across the board (really any of them) would likely improve your chances in a given month.

      Xo.

      • Kelli October 2, 2017 at 4:41 pm

        Hi Sara,

        Thank you for your response!

        I will absolutely have him try out the snowballs underwear. We also went out this weekend and got him the One a Day for men and EmergenC. We’re also so changing our diet to add more berries and veggies and trying our best to cut out processed foods. He is limiting his alcohol intake to 2 beers a week. I really hope that makes a difference!

        I have health insurance but he does not. If we aren’t successful in the next couple of months, I don’t mind paying out of pocket for another analysis.

        Morphology is extremely frustrating. I’m really glad I came across this site and was able to communicate with you. Your response was very informative and helpful! I will reach out again if I think of any other questions.

        Thanks again!!! 💕

  65. Basil September 21, 2017 at 6:34 pm

    Hi Sara..
    Below are the results of my semen analysis
    Volume: 2.5 mL
    Viscosity: SLIGHTLY HIGH
    Liquifaction time: 1:00 HR
    p H: ALKALINE
    No. of Sperms: 80 M/ml
    No. of Motile Sperms: 28 M/ml
    Estimated Motility: 35%
    Active: 25%
    Weak: 10%
    Non Motile: 65%
    Morphology-
    Normal: 85%
    Abnormal: 15%
    Head Defect: 04%
    Pin Head: 02%
    Curled Tail: 03%
    Long Tail: 02%
    Bent Neck: 03%
    Swollen Neck: 01%
    Double Tail: 00%
    Double Head: 00%
    Movement-
    Forward: 70%
    Non Linear: 30%
    WBC: 6-8 /hpf
    RBC: OCCASSIONAL /hpf
    Debris: SEEN
    Spermatogenic Cells: Seen / hpf
    Sperm Agglutination: Seen

    I have been trying since 6 months. My wife is also under consultation for irregular periods.

    Could you tell me whether my Semen results are normal. Awaiting your advise.

    Thanks.

    • Sara SDx
      Sara SDx September 27, 2017 at 3:50 am

      It looks ok. Irregular periods can make it take longer to get pregnant. I would test again if you haven’t gotten pregnant by 12 – 18 months of trying

  66. Hina asif September 21, 2017 at 5:59 am

    Hi sara…my husband recently have his semen analysis. The report is as follow
    Colour: pale
    Liq. Time: 115 minutes
    Volume: 2.9 ml
    Total count: –*10(6)ml
    Motility: –%
    WBC’s: 5-6/HPF
    AGGLUTINATION: nil
    Bacteria/debris: +/nil
    Other observations :
    Liquefaction problem
    No alive or dead spermatozoa seen in sample and pellete

    Kindly explain this report and tell me is there any chance to conceive?

    • Sara SDx
      Sara SDx September 21, 2017 at 1:56 pm

      This report says that the technician was unable to see any sperm in your sample. This is a condition called azoospermia and effects about 1% of men. It has lots of causes and a urologist should do a full evaluation to see what is going on. In some cases it is treatable and other cases it isn’t.

      Without medical help, chances of conceiving are relatively low. But doctors are able to do wonderful things to help people.

      • Hina asif September 21, 2017 at 3:05 pm

        Thank you sara for your kind reply…..can you please suggest the best urologist as I am from Pakistan. We took some medications from a medical specialist in our area as my husband had some issues like severe anxiety, low testosterone level (in 1st test the T level was 4.7 later it becomes 6.6)…currently he had his semen analysis and it shows the problem of azoosphermia. Our doctor had certain doubts regarding the test so he suggested another semen analysis. Now we are waiting for the second result…
        We’re in a hopeless situation as we don’t know whether the treatment is possible or not? We’re looking for the best urologist to help me out in this critical situation….Need your guidance please as im married a year ago and we both husband wife are not mature enough to decide what is best for us….
        Thanks

      • Jessenia September 21, 2017 at 3:48 pm

        Hi Sara,

        Me & my husband have been trying to concieve for over a year and we went to doctors i got my blood test done and the results were fine & my husband got his semen sample done and he had to redo them as they apparently couldn’t see an sperm in the semen so he did another test and the result came back in today and we have to book an appointment as my husbands sperm is still low and am very worried and confused

        Theses are his results

        volume 1.5 mls

        progress motility %32
        
motility count 12 million

        Please let me know should be overworrying myself and stressing

        • Sara SDx
          Sara SDx September 27, 2017 at 3:48 am

          Sorry it took me a few days to get to this. I know this stuff is super stressful.

          So there is mixed news here… the good news first. Not finding sperm in the first sample could have sent you on a long journey. Azoospermia, lack of sperm (shooting blanks) is often treatable but it is usually an involved process that requires extra specialty doctors. Your second test revealed low sperm count but it is high enough that you have lots of options.

          Bad news, numbers are lower than they should be and natural conception has low chances (not impossible just pretty low)

          More good news, sperm counts in this range are often able to improve with lifestyle modification. I would recommend downloading a sperm tracking app and filling in details about lifestyle. It should give you health recommendations that could make a big difference. Generally, modifications take 2-3 months to show improvements in semen quality.

          If you find that you don’t have many high risks in terms of lifestyle, i would highly recommend getting checked for varicocele. Lots of men with numbers in these ranges have a varicocele that is causing problems. Lots of options to treat / correct.

          Hope this is helpful. Let me know Hood you have other questions. Good luck, friend. I know it can be an amazingly stressful, frustrating and even isolating journey. But one step in front of the other, you’ll get there. Xo

  67. Heer September 20, 2017 at 5:50 am

    Hye sara.
    plz see this semen analysis report. i hav doubt in head abnormalities. plz tell me howz this report can i conceive naturally with this?
    Abstinence 3 days
    Ejaculation Time 11:20
    Assay Time 11:35
    Volume 5.0 (ml)
    Consistency Normal
    Appearance Normal
    PH 8.5

    SPERM COUNT
    Total Count 34.0 million/ml
    Motile Count 24.0 million/ml
    Motile Percentage 70.59%
    Per Ejaculate 170.00 millions

    TEST PREPARATION DETAILS
    Method Puresperm
    Semen Volume 1.0 (ml)
    Total Count 14.0 million/ml
    Motile Count 13.0 million/ml
    Rapid Linear 70%
    Slow/ Nonlinear 30%
    Time Complete 12.35
    Final Volume 0.5 ml

    MORPHOLOGY
    Normal Forms 2%
    Head Abnormalities 97%
    Midpiece Abnormalities 1%
    Tail Abnormalities 0%

    MOTILITY
    Rapid Linear Progression 11%
    Slow/Nonlinear Progression 49%
    Non Progressive 11%
    Immotile 29%

    REFERENCE RANGES
    Volume 1.5 (1.4-1.7)ml
    Count 15 (12-16) million/ml 39 (33-46) million/ ejaculate
    Total Motility 40 (38-42)%
    Progressive Motility 32 (31-34)%
    Morphology 4 (3-4)Normal Forms

    • Sara SDx
      Sara SDx September 21, 2017 at 3:38 am

      This was a well done analysis. You have a petty good total motile sperm count. Your morphology is not the best. This could interfere with conception. It can be an indicator that you are doing something or are exposed to something that is noir good for sperm. Have you filled out the risk questionnaire? It might be able to pinpoint some risk factors… if it comes back with low risk, i would consider getting evaluated for a varicocele

      Are you currently trying? If so, how long?

  68. khan September 16, 2017 at 10:36 am

    Hi
    We are trying to conceive 2 years now.
    please analyse my semen test report
    Duration of Abstinence: 5 days
    Liquefaction Time(min): 30 min
    Appearance: Creamy White
    Consistency Thin (I am concerned about the thin semen. please describe)
    Volume 4.2ml
    Fructose Present
    a) Rapid Progression: 20%(I am concerned about the thin semen. please describe)
    b) Slow Progression:20%
    c) Non-Progressive Motility: 15%
    d) Immotile:45%
    Count / ml: 120 Millions
    Total count : 504 millions
    Normal:60%
    Abnormal : 40%
    Pus Cells : 4-6 (I am concerned about the thin semen. please describe)
    Red Blood Cells : 2 -4 (I am concerned about the thin semen. please describe)

    • Sara SDx
      Sara SDx September 18, 2017 at 2:15 pm

      I haven’t heard of thin semen causing issues with fertility. Overall, these numbers look pretty healthy.
      I am a little concerned about the presence of red blood cells. You may want to discuss this with the doctor. Otherwise, this looks healthy.

      • khan October 2, 2017 at 11:58 am

        Thanks sara. What about the motility. rapid progression is only 20 %. it should be 32 % according to WHO. I consult with doctor she said red blood cells are not big issue.

        • Sara SDx
          Sara SDx October 2, 2017 at 2:50 pm

          Your total count of 504 is higher than average, so slightly reduced motility in your case is probably not too big of a deal.

          If you are interested in improving your motility, there are a few things you can look at.

          1. Here’s a list of sperm friendly habits that are useful when you are trying to conceive.
          2. This app allows you to track your semen analysis results and answer questions about your lifestyle. It will give you guidance on things you can do to improve your sperm health.

  69. Dee August 30, 2017 at 1:27 pm

    hi sara
    abstinence 2 days
    ph ? 7.2 8.1
    volume 7.9 ml
    sperm morphology 5%
    sperm concentration 11 million / ml
    total sperm number 87 million
    progressive motility 1 %
    total motility 38 %

    • Sara SDx
      Sara SDx August 31, 2017 at 6:55 pm

      All these numbers are a little lower than I like to see. (except the volume is very high).
      I would check with a doctor to see if you have a varicocele. I would also fill out this quiz to see if you have any risk factors for reduced fertility.

  70. Sperm Morphology | Your Semen Analysis August 16, 2017 at 4:42 pm

    […] Understanding Your Semen Analysis […]

  71. Tyoor August 15, 2017 at 5:03 pm

    HI SARA

    My results are the following. I would greatly appreciate your comments.
    Abstinence 4 days
    Concentration: 125 million/ml
    Count : 314 million
    Progressive motility : 35 %
    Motile Ratio : 52 %
    Morph. Normal sperms : 44 %
    TZI : 1.10
    SDI : 0.60
    Vitality : 90 %
    Volume : 2.5 ml
    pH : 7.4
    Color : Gray Opalescent
    Odor : Normal
    Viscosity : Normal
    Liquefaction time : 20 min.
    Liquefaction state : Complete

    Thanks for your patience.

    • Sara SDx
      Sara SDx August 28, 2017 at 8:10 pm

      Overall, this looks pretty good. Does anything concern you specifically?

      • Tyoor September 5, 2017 at 5:23 pm

        The analysis report said that Progressive motility and Motile Ratio have failed values,
        Is this comment (Failed) is right ?? and may causes delayed pregnancy ???

  72. Munjal August 14, 2017 at 6:28 pm

    Hi,
    My Semen report is as below:
    What is your say about this?
    Age: 39 yrs

    Period of Abstinence: 3 days
    Method: History on TRF
    Time of collection: 12.32 PM
    Examination Time: 12.47 PM
    Volume: 2 mL
    pH: 8.0
    Fructose: detected
    Color: Gray-white
    Liquifaction: 15 minutes
    Viscosity: Normal
    Motility: 50
    Motility-Progressive: 45%
    Motility-Non progressive: 5%
    Motility-Immotile: 50%
    Viability: Normal

    Sperm Count: 183 million/mL
    (method: microscopic examination)

    Normal Forms: 20%
    Abnormal Forms: 80%
    (method: microscopic examination)

    Aggultinates: Not detected
    (method: microscopic examination)

    Red Cells: Not detected
    Pus Cells: 4-6
    Epithelial Cells: Not detected
    Crystals: Not detected
    Amorphous Deposit: Not detected
    (method: microscopic examination)

    Bacteria: Not detected
    (method: microscopic examination)

    • Sara SDx
      Sara SDx August 28, 2017 at 8:02 pm

      This looks healthy to me. Do you have any concerns?

  73. RaShawn J July 22, 2017 at 1:05 pm

    My SO had his semen analysis results yesterday and I wanted to know if these numbers are enough to conceive naturally.

    Volume – 3.3 mL
    Color – Yellow
    Liquification – < 20
    Clumping – None
    WBC – 0-1
    RBC – 0
    Concentration (per mL) – 25 Million
    Motility – 57%
    Motility Grading – 2-3+
    Morphology – 27%
    PH – 7.5

  74. Reggie July 18, 2017 at 6:44 pm

    Hey Sara,

    My doctor mentioned that it might be difficult for me to have children based on my numbers, what can I do to improve them or what do you think?

    Total Volume: 3.0 mL
    PH Levels: 7.5
    Concentration (in mL): 21 million
    Motility Percentages:53%
    Motility Grading: 2-3+
    Morphology of sperm: 23%
    Liquification: < 20 Mins
    Clumping – None
    WBC – 0-1

    • Sara SDx
      Sara SDx August 28, 2017 at 5:04 pm

      Have you been trying to get pregnant? If so, how long?

      These numbers are lower than I like to see but they are not abysmal. It could take longer to conceive but I think it is totally possible. There are lots of things you can do to try to boost your count. Here’s a quick list of my most common recommendations. If you’d like a more personalized report, I helped develop a tool that you can answer questions and get detailed feedback about the top things you can do. You can also try downloading this app which provides both coaching and semen analysis result tracking.

  75. JustinPMDawn July 18, 2017 at 2:53 am

    Hi Sara,

    Would you please tell me what you think? I’m 35 years old, have a 3-1/2 year old boy, non-smoker, weekend drinker (7-8 beers per week).

    Volume Semen: 5.2 mL
    Sperm per Ml: 95 x10(6)/mcL
    Count Sperm: 494 x10(6)/mcL
    Motility Total: 321 x10(6)/mcL
    Normal Morph%: 5
    % Prog Motil: 65
    Progression: Very Good

    My wife got worried because the Doctor said i should see a reproductive Endocrinologist of some sort because of the low Morphology. However, based on what i read in your article and my research, i should have plenty to get the job done. She previously had Endometriosis, which is supposedly fine now. And as i mentioned, we already have a 3-1/2 year old son.

    Thanks very much for your input, and I thoroughly enjoy reading your articles!!

    • Sara SDx
      Sara SDx August 28, 2017 at 4:59 pm

      The morphology is on the low end but not terrible. Your other parameters look quite good.

      If you can lay off the alcohol while trying to conceive, I would recommend it. The morphology is an indicator that the DNA is not replicating quite as it should. Which means that the sperm may have other genetic issue. The liver processes converts vitamins we eat (like folate) into building blocks for DNA which cells use when they are replicating. If there isn’t enough of these building blocks around the DNA replication process is compromised and can cause defects in the resulting cells. (which is why they tell all women to get enough folate and avoid alcohol when trying to conceive, because early embyros are at risk of birth defects if there is a deficiency.) If you are drinking a large number of drinks in a single evening, the liver gets overwhelmed and turns the attention to getting alcohol out of the system.

      You can help speed improvement of sperm by taking a prenatal vitamin (or a daily vitamin) or eating lots of fruits and veggies. Overall, the lifecycle of a sperm is about 72 days so it takes a few weeks to get healthier sperm into the pipeline.

      Hope this is helpful. Happy to discuss other thoughts if you have them….

  76. Peyton July 3, 2017 at 5:47 pm

    Hey Sara,

    What is your opinion on these results.

    Color- yellow
    Viscosity- normal
    Ph- 7.6
    Liquefaction – complete
    Volume- 4.0
    Sperm concentration – 26
    Total sperm count- 104
    Progression- A=0 B=67.5 c= 4 d = 28.5
    Percent motility – 71.5
    Total motile count- 74.3
    Morphology- 1
    Predominant head defect- large, amorphous
    Predominant tail defect- thick codpiece, bent
    Round cells- 0.6

    • Sara SDx
      Sara SDx August 15, 2017 at 9:12 pm

      hmm.. It’s kind of mixed…. I think there are decent chances of conceiving, but I do see a few areas that make me feel like it could take longer than usual.

      I would recommend taking this questionnaire or downloading this app to see if there are any easy things you could do to boost numbers even a little bit. It could make a big difference for getting pregnant.

  77. Ritesh June 24, 2017 at 7:43 pm

    Volume 2.5
    Ph 8
    Total sperm 72 million/ ml
    Motility
    RLP 20%
    SLP 30%
    NP 15%
    IMM 35% GRADE 1 ST
    MORPHOLOGY
    NORMAL FORMS 70%
    HEAD ABNORMALITY 15%
    MID PIECE 05%
    TAIL ABNORMALITY 10%
    HPF 1-2
    AGGLUTINATION – ABSENT

    • Sara SDx
      Sara SDx August 15, 2017 at 4:12 pm

      Looks good.

  78. Abdo June 20, 2017 at 2:07 pm

    Hi Sara, i’m 26 years old been trying for the past 5 months. my semen analysis is:

    Abstinence Period 4 Days
    Receiving Time 10:15 PM
    Analysis Time 10:45 PM

    Appearance Normal
    Volume 4 ml
    pH 8
    Viscosity Normal
    Liquefaction 30 min

    Sperm Count / ml 36,875,000
    Total Sperm Count/ejaculate 147,500,000

    Motility 46 %
    Progressive (PR) 34 %
    None Progressive(NP) 12 %
    Immotile 54 %

    Leucocytes Absent
    RBCs: 0-1 H.P.F
    Spermatogenic Cells 1-2 H.P.F

    Agglutination Absent

    Normal forms 19 %
    Abnormal heads 70 %
    Abnormal Midpieces 0 %
    Abnormal Principle pieces 11 %
    Excess Risidual Cytoplasm 0 %

    • Sara SDx
      Sara SDx August 15, 2017 at 4:11 pm

      Overall, this looks pretty healthy. Given that you’ve only been trying a few months and this result looks pretty good, I feel pretty confident that you should be able to conceive.

      When trying to conceive, it is a good idea for a man to take good care of his health to ensure that his sperm are as healthy as possible. Here is a quick quiz you can take to see if there are any areas of your health that you could improve and here is a short article of 20 simple things you can do to optimize your sperm health.

  79. JOHN June 18, 2017 at 11:22 pm

    Hello Dr. Sara,
    I was tring to get baby last 4 years and my result was as follow:
    volume 6.5
    ph 8.5
    visosity normal
    concentration 39m/ml
    morphology:
    normal 14%
    abnormal 86%
    immotile 75%
    motility 25%
    WBC 2
    RBC 4

    • Sara SDx
      Sara SDx August 2, 2017 at 9:50 pm

      It’s on the low end of normal. Have you taken the risk assessment to see if you have any risk factors?

  80. obafe June 11, 2017 at 7:01 am

    Hello Sara
    here is my semen.
    pH semen 8.0
    appearance creamy
    volume 1.5ml
    viscosity normal
    liquefaction 50 min
    clot absent
    motility actively 35%
    sluggish. 5%
    motility inactive 60%
    sperm morphology normal 90%
    sperm morphology abnormal 10%
    sperm cell count 18.0 Millon/ml
    trying to conceive for 2years pls
    help. the doctor said my sperm is slow in swimming. help analysis my semen pls.am still using d oligocare. thanks

    • Sara SDx
      Sara SDx August 2, 2017 at 9:05 pm

      Maybe try filling out this questionnaire or downloading this app to get some recommendations for how to improve your sperm count.

  81. obafe June 3, 2017 at 8:04 am

    Hello Sara
    here is my semen.
    pH semen 8.0
    appearance creamy
    volume 1.5ml
    viscosity normal
    liquefaction 50 min
    clot absent
    motility actively 35%
    sluggish. 5%
    motility inactive 60%
    sperm morphology normal 90%
    sperm morphology abnormal 10%
    sperm cell count 18.0 Millon/ml
    trying to conceive for 2years pls help. the doctor prescribed me oligocare tablet. pls tell me about dis tablet. thanks

    • Sara SDx
      Sara SDx June 5, 2017 at 6:16 pm

      Oligocare is a vitamin supplement that can help improve sperm health.

      Have you filled out this questionnaire? What were the main risks that it identified?

    • obafe June 8, 2017 at 4:54 am

      Hello Sara
      here is my semen.
      pH semen 8.0
      appearance creamy
      volume 1.5ml
      viscosity normal
      liquefaction 50 min
      clot absent
      motility actively 35%
      sluggish. 5%
      motility inactive 60%
      sperm morphology normal 90%
      sperm morphology abnormal 10%
      sperm cell count 18.0 Millon/ml
      trying to conceive for 2years .the doctor said the movement of my sperm is slow dat why he said I should use oligocare for 3month.help me check my semen analysis. thanks Sara n God bless

      • Sara SDx
        Sara SDx August 1, 2017 at 3:42 pm

        Oligocare could help. You may want to fill out this questionnaire to see if there are other changes that you can make to help improve things.
        Was this your first semen analysis?

  82. Shane May 29, 2017 at 10:36 pm

    I hope you can help me understand possibility but I’ll call her X and said she is pregnant and 100 percent sure it’s mine. Unfortunately she is in another state and I’m getting no information. She told me at 3 weeks after we were together. I had a vasectomy nearly 17 years prior. I immediately went to the hospital for a semen analysis and came back none seen. I went back for another a week later with the same results. It’s now been 10 weeks and now it’s twins! No proof and negative with me when requesting her Practitionets number and money has been brought up a couple times.

    I have read much on the failed vasectomies and percentages but my urologist said based on my results there is no failure. Appreciate your time and all I can do is wait but it seems highly unlikely or at least such a small possibility. I am 46 and she is 42. Thank you

    • Sara SDx
      Sara SDx June 2, 2017 at 3:55 pm

      Given 2 semen analysis with zero sperm seen, I would agree with the urologist that the vasectomy was a success. You can always request paternity testing.

  83. Jerry Duvall May 24, 2017 at 11:35 am

    Hey Sara, what’s you view on these results? I was abstinence for 4 days beforehand.

    Volume – 3.3 mL
    PH – 8
    Concentration (mL) – 30 million
    Motility Percentage – 37%
    Morphology – 18%
    Color – Yellow
    Clumping – Minimal

    Been trying for 3 years, 35 years old, non0smoker, non-drinker however I do tend to sit 8 hours a day at my job and was stressed about the baby thing for the past year.

    • Sara SDx
      Sara SDx May 25, 2017 at 4:17 pm

      its not bad. definitely in the fertile range but lower than optimal. Taking breaks at work, increasing fruits and veggies in the diet, trying to exercise a bit more and finding outlets to lower stress should up your numbers slightly and help improve odds.

      3 years is a long time to be trying so I don’t think this is the whole story but doing what you can on your side to improve odds will help.

      Does she have any issues? How regular are you able to have sex in general?

      This babymaking stuff can be tough. Happy to be a sounding board for you.

      • LK May 28, 2017 at 10:00 am

        Hi doc sara
        Im worried!can you review the result of semen analysis of my husband and if i have a chance to get pregnant coz i have also hormonal imbalance
        He’s 30 and i’m 27
        Abstinence 3 days
        Appearance: N/S
        Liquefaction: <30
        Viscosity: N/S
        Volume: 2.0
        pH: 8.1
        Concentration: 32
        Motility: 58
        Progressive 24
        Non progressive 34
        Total sperm count: 64
        Total motile sperm count: 37
        Vitality: 70
        Morphology
        Normal: 1
        Immature: few
        Round cells: 0.8
        White blood cells <5
        Agglutination:0
        Debris: +2
        Classification: mild astheno- teratozoospermia
        Majority with head defects (small and tapered head)
        Presence of gel bodies
        Thank you 🙂

        • Sara SDx
          Sara SDx June 2, 2017 at 3:44 pm

          Between these numbers and your hormone imbalance, I would say that it could take time for you to get pregnant, but it is not impossible.

          You might want to fill out this form to see what he can do to improve his fertility health.

          You can also talk to your doctor about ways that you can try to improve your hormones to help improve chances on your side.

      • Jerry Duvall July 1, 2017 at 11:27 am

        Thanks Sara, my doctor recommended I take conception xr with motility support. Do you think this would help? So far I lost 6 pounds and I’m due to retry the semen analysis in the next two weeks. As for my wife, she tested fine from her tests but that was years ago so she may need to try again. Since then we both also gained weight due to stress and sedentary lifestyles so that probably hurts chances as well.

        On a side question, I noticed that between two different semen analysis doctors I went to both had their own standard for determine good results..should I look for results based on WHO 5?

        • Sara SDx
          Sara SDx August 15, 2017 at 9:10 pm

          It’s hard to judge from the outside if a lab has a rigorous protocol or not. In general, I would consider results in the middle of a range. So if they report a count of 30 million — it could really be anywhere between 20 – 40 million. So, when looking at multiple semen analysis over time, seeing a difference can be hard especially if they are done at different labs. However, big jumps like 30 million to 50 or 60 million are likely to be real.

          Congrats on losing weight. Anything you can do to get both of your health moving in the right direction is helpful for the process and good for the soul in general. There is a lot of stress in trying to conceive and taking good care of yourself can go a long way on a lot of fronts.

          Regarding the motility boost supplement. I’m generally convinced that proper vitamins and antioxidants are helpful in improving sperm count and health. I like to see people get these nutrients primarily from food. But supplements can ensure that you get 100% of what you need. So, it doesn’t hurt.

          Another thing I’ve seen a lot of guys do to boost numbers is intentional cooling. I just did a pretty in depth review of the scientific literature and was pretty impressed that a significant number of men were able to double or triple sperm count by daily cooling. It doesn’t work for everyone but not a bad thing to try if you are open to it.

  84. Teratoman May 7, 2017 at 7:53 pm

    Hi Sara, what’s you view on these results? (6 days abstinence). Doc diagnosed teratozoospermia.

    Volume – 5.6
    Viscosity – High
    Concentration (ml) – 78.2 million
    Concentration (total) – 437 million
    Progressive – 51
    Non progressive – 10
    Immotile – 39
    Normal Morphology – 0
    Head defects – 100
    Mid defects – 37
    Tail defects – 8

    We’ve been trying for 2 years, I’m 33 years old, perfectly healthy, relaxed, non smoker.. I binge drink maybe twice a month, but not enough to cause this much damage surely? 100% head defects?! That’s gotta be something catastrophically wrong with the production process right? I’ve been reading up on this but cant find any solid explanation for this kind of result. Just theory. Very frustrating 🙁

    • Sara SDx
      Sara SDx May 16, 2017 at 5:02 pm

      It is very frustrating. There isn’t a ton of research out there. Unfortunately sperm research is a bit limited. But here are some ideas

      I might suspect 2 issues for you. 1 it could be genetic in cause. There are certain genes that have been implicated in formation of the sperm head. I don’t know a ton about it but it could be useful to talk to andrologist about more comprehensive testing. Are all the defects exactly the same? There are a lot of types of head defects so it would be nice to learn if they are all the same or not. There might be some genetic tests available to help further diagnose if the issue is genetically caused.

      Regarding binge drinking. It may have an impact. It depends on how much you drink. High amounts of alcohol overwhelm your liver. The liver is responsible for breaking down B vitamins in your diet into molecules essential for the replication of DNA. Fast dividing cells like sperm can have formation issues if they do not get proper amounts of these key vitamins. Additionally, testosterone levels are partially controlled by the liver. Binge drinking can throw hormones out of balance which normally won’t directly impact sperm (unless it is really bad) but it can impact overall sexual / reproductive health. If you are really frustrated, I might give yourself a challenge of no drinking for 6 months. Test again at 3 and see if you see any changes in morph.

      Either way, there are options for conception but it would be good to figure out the root cause. Cause it would be a lot simpler if it was a lifestyle issue rather than a genetic one …. helpful?

  85. Pangea May 5, 2017 at 3:19 pm

    hi, i was wondering if you could look at these results, my husband did these a few weeks ago. we have two children, one 7 year old concieved the first cycle off of birth control and a 3 year old concieved the first ovulating cycle of clomid. i have pcos, and am currently being treated for it with ovulation induction and metformin. thanks
    voume 3.0
    ph7.5
    viscosity, mild
    concentration 101/mio/ML
    total number 303 mil
    motility: a: 4%
    b: 21%
    C: 18%
    D 57%
    morphology was not included. this was a three day hold and my husband used a sauna for nearly an hour on monday or tuesday, test was on thursday. no excess weight, smoking or drinking, and he exercises daily. would timed intercourse with my ovulation induction or IUI be a better choice? we have an appointment to see a dr next week about the results

    • Sara SDx
      Sara SDx May 16, 2017 at 4:37 pm

      sorry for the delay in responding.

      Overall, the count is high enough that even with the relatively low % of A motility there are still plenty of fast swimmers in there. An IUI should almost always have a better chance than natural conception because sperm are injected past the cervix and therefore closer to egg.

      Given that you conceived quickly with clomid last time I would imagine that it would work similarly but life is a miracle and you can’t fully control the process (unfortunately) I think biologically speaking you stand a good chance of conceiving either way and would recommend a talk with your husband about what you both feel most comfortable with. There’s a lot of factors to consider …

      Wish I could give you a more definitive answer. I’ll be keeping you both in mind and hoping that things work however you decide to move forward.
      I’m happy to dialog further if you have more thoughts bouncing around in your head. I know it can be nice to have a sounding board 🙂

      • Pangea August 31, 2017 at 11:22 am

        Just wanted to let you know, a follow up. No additional testing was done, we conceived the very next cycle and I’m almost 16 weeks with testing indicating baby is chromosomal normal. It was a timed intercourse cycle with ovulation induction, letrizol, no trigger shot needed, egg release date on it own, two were grown one released. FInding out the sex tomorrow. THird ovulatory cycle with this fertility dr (don’t ovulate normally). Just wanted to give others hope. Not the best numbers, but 5 ovulations and 3 (so far) healthy babies.

        • Sara SDx
          Sara SDx August 31, 2017 at 6:59 pm

          Congrats. Sending lots of love to your belly and your little bean!! Please keep us posted with good news!

      • Antoinette Steen October 20, 2017 at 9:26 am

        Hi Sara

        I as wondering if you could have a look. We have two two children.first one was conceived after 14 months and DH had low sperm count etc but we conceived after changing lifestyle . Second child was conceived on month 2 of trying. 3 years later and we have been trying for a year to conceive. On a few months I have got a positive pregnancy test only for it to fade away and start bleeding after a few days .

        Sample Volume 6.9ml
        pH 8

        Sperm concentration 1.1M/ml
        Total Sperm Number 7.9 M

        Motility : Rapid progressions 26%
        Sluggish progression 21%
        Non progressive 14%
        Morphology 0%

        So doesn’t look like good reading.

        Thanks
        Antoinette

        • Sara SDx
          Sara SDx October 20, 2017 at 1:03 pm

          This is a pretty low reading. It’s pretty slim to get a natural conception with numbers like these… But, if you conceived a couple of times I’m sure it is on the low end of his range. Are you currently needing to do lifestyle changes?

  86. Tanveer May 5, 2017 at 6:45 am

    Hello!
    I and my wife are trying to conceive for last 15 months.
    In this regard, I would really appreciate if you could have a look at the undermentioned report result and give your views/comments/suggestions:

    Quantity : 3.0 ml
    Color: Gray White
    pH: 7.0
    Viscosity: Thin
    Total Sperm count: 90 million
    Motility: 70%
    Normal Morphology: 75%
    Red blood cells: Nil
    Leucocytes: occasional
    Fructose: positive

    Regards,

    • Sara SDx
      Sara SDx May 16, 2017 at 4:30 pm

      overall, I don’t see anything in this result that concerns me. Given that you have been trying for a while, I would make sure that your wife has an evaluation and that you repeat this test in about a month to confirm the results (sperm levels fluctuate so it is useful to get 2 measurements to confirm that you are good)

  87. sohailmafcon32 May 2, 2017 at 9:47 am

    Dear,,

    I had 4 babies, BUt all died during the 5 to 7 months of the pregnancy, May I know the reason behind this, Is is due to semen? or any other problem?
    Regards

    • Sara SDx
      Sara SDx May 16, 2017 at 4:09 pm

      Sorry for the delay in responding.

      I am terribly sorry to hear about your difficulties. Usually, late miscarriages are not due to sperm issues. A couple of ideas you might want to discuss with your doctor. You might want to get tested for rH factor which can harm babies later in pregnancy. You might also have some issues with the placenta or your cervix that can also cause late term loss.

      Are you able to go to a doctor regularly when you are pregnant?

  88. j April 28, 2017 at 3:10 pm

    hi, can comment on my husband semen analysis? is absence of linear progressive sperms make natural conception difficult?

    Appearance:normal
    Liquefaction: normal
    Consistency: normal
    volume: 3.2ml
    pH: 7.5
    concentration: 31X10 6 /ml
    Total motility (a+b+c) : 71%
    Progressive motility (a+b) : 71%
    a. linear progressive : 0
    b. slow linear: 71%
    c. non progressive:0
    dimmotile: 29 %
    Total sperm count: 99.2 X 10 6
    Total motile count: 70.4X 10 6
    Normal morphology: 2%
    round cells, WBC: –
    debris : 2+

    • Sara SDx
      Sara SDx April 28, 2017 at 9:10 pm

      You have a lot of slow linear. They may have warmed up the sample fully when analyzing so I’m not too worried about the progressive. However, he also has a count and morphology that is on the lower side. I think natural conception is possible but it could take longer than usual.

      I would recommend downloading this app or filling out this questionnaire to find out what his risk factors are and see if there are things you can do to improve his sperm. If his risks are low, you should go to a urologist to check for a varicocele which can contribute to lower sperm levels.

      • j April 29, 2017 at 2:29 am

        hi.
        thanks for your comment.
        may i know why you said the count is on the lower side?
        because the total sperm count is 99.2 X 10 ^6 (normal lab range is > 39 X 10^ 6)
        and the motile count is 70.4 10^6

        ya.. i agree that the morphology is low, should be > 4%.

        • Sara SDx
          Sara SDx May 1, 2017 at 11:35 pm

          As a general rule, I like to see total above 100, motility above 50% and morph above 10%

          The cut-offs for labs are generally lower. My focus is around optimal fertility rather than infertility. If a semen analysis is lower, it doesn’t mean that he is infertile necessarily, it means that the chances are less. If he can take steps to improve his health and his fertility, then generally, the chances for the couple improve.

          If the numbers are really low — less than 5-10 million motile sperm and lower than 4% morph, then I get concerned about infertility and generally recommend a full evaluation by a urologist to check hormones, genetics and other things to understand what could be causing that.

          Morph is kind of a wild card that I consider with all the rest of the numbers because labs don’t always do a good job measuring it and studies have shown mixed results about how important it is. So I look at it with less weight than total motile.

          In your case, fast progressive would be an issue but given that slow linear is so high I want to think there might be a testing error. However, because the other numbers are not as high as I like to see I still think there might be room for improvement. Taking the risk assessment can help determine if there are risk factors that are easily addressed. If so, you might see improvement on all numbers. If not, then maybe just trying to generally be healthy and trying a few more months and testing again to see if the results come back similarly.

          Does that help clarify?

          • Sara SDx
            Sara SDx May 1, 2017 at 11:44 pm

            The other suspicious thing to consider would be varicocele, as I mentioned before. Often I see varicoceles cause bigger impacts on morphology and variable impact on count and motility. So if he is generally healthy, you might consider getting checked for that.

            Some natural remedies (beyond surgical treatment) can include vitamin supplements and testicular cooling. These might be worth considering anyways as they tend to help improve all parts of semen quality (count, motility and morphology).

            Just a thought… hope this is helpful. Happy to dialog further.

          • j May 3, 2017 at 2:51 pm

            Thank you so much sara for such a good explanation. Your explanation really cleared my doubts.
            My husband had 3 semen analysis done in 2 different lab. All the result are almost the same as above ( no fast progressive sperm). so, i dont think is testing error or lab handling problem. This peculiar result make me worried.
            Sperm morphology count varies in his 3 semen analysis. One of them show 11% normal morphology.
            He had no risk factor.
            Thanks for expert comment and suggestions. I really appreciate that.

          • Sara SDx
            Sara SDx May 3, 2017 at 8:24 pm

            Hmm. To me that sounds suspiciously like a varicocele. I would definitely get that checked.

            How long have you been trying? Do you know if there are issues on your side?

      • annie65 May 10, 2017 at 2:02 am

        Hi Sara i am in desperate need of help so this is my husband’s report please help us he doesn’t wana see a doctor but I need to know if we can still concive.
        sperm volume 3.5
        sperm pH 8.5
        sperm WBC <1
        sperm concentration 57.7
        progressive rapid morality 2
        progressive slow morality 9
        non-progressive morality 8
        immotile 80
        Sperm, motile, total 19 (L)
        normal forms% 34 (L)
        Abnormal forms% 65 (H)
        round forms% 1

        • Sara SDx
          Sara SDx May 16, 2017 at 5:17 pm

          Yes, he should be able to conceive but something is affecting his sperm health. I would recommend that he fill out this questionnaire or download this app to see what things in his life could be impacting sperm health that he can try to do on his own. If he notices discomfort in his testicles (especially after long periods standing), it could be a varicocele causing a problem.

  89. Jerry April 23, 2017 at 3:48 pm

    Comment…please help analyse these parameters for me
    Thank you
    .Semen- highly viscous.
    PH- 8
    Pus cells-3.4
    Active motile-60%
    Sluggishly motile-5%
    Non-motility-35%
    Total count-28.6 million
    God bless

    • Sara SDx
      Sara SDx April 24, 2017 at 7:34 pm

      A little lower than I like to see, but possible to conceive. You might want to fill out this questionnaire or download this app to see what you might be able to do to improve.

      Happy to answer any questions you might have.

  90. Shereen April 19, 2017 at 1:54 pm

    Hi Sara,

    My hubby and i are try for 5 year now. I’m worried that we can’t get pregnant s
    Can you please review his semen analysis and if there is still a chance for us

    Liquefaction: 20 <60
    Semen HP: 7.7 <7.2-8.5
    Viscosity: 200 <2-50mm
    Volume: 5.6 <1.5ml
    Sperm count: 0.5
    Total sperm count: 2.80
    Supravital index: 51
    Colour: white grey

    Comments:
    GelatiOligozoospermia
    Viscosity to High

    How can we go about this? Is there something that he can use to help him with this?

  91. Zain April 19, 2017 at 7:43 am

    I’ve done 2 semen analyses.& Before 6 month i had vercocelele problem on my left side.
    So i had done my vericocele surgery. i have two reports, One Before surgery & One after surgery.
    Both Report details are as follows

    First Report Details.
    23August2016
    Length of Abstinence: 7 days
    Volume: 2.0 ml
    Color: Grey Opalescent
    Reaction: Alkaline
    Viscosity: Normal
    Liquefication Time: > 20 minutes
    Microscopy

    Sperm Count: 102,0 MILL/ML >20,000,000 ml
    Pus cells: 1-2 /HPF
    RBCs: 0-1 /HPF
    Epith Cells: Nill
    Progression: GOOD (3) Range(0-4)
    Others: ABNORMAL FORMS 20%
    MOTILITY

    20.mints 60.mints 120.mints

    Active: 35% 30% 20%

    Sluggish: 20% 15% 10%

    Non Motil: 45% 55% 70%

    …………………………………………………..

    Second Report Details.

    2/Feb/2017

    TEST Result Unit Ref.Range

    Sample Data
    Abstinence Period: 5 Days 2-7
    Receiving Time: 6.25 P.M
    Analysis Time : 6.55 P.M

    Physical characters:

    Appearance: Normal Normal
    Volume: 2.5ml >1.5 millions/ml
    PH: 8 >7.2
    Viscosity: Normal
    Liquefaction: 40 H min >30 min.

    Sperm Quantitification:

    Sperm Count /ml: 104,000,000 sperm/ml >1.5 million/ml
    Total sperm
    count/ejaculate: 260,000,000 sperm/ejaculate >39 millios

    MOTILITY Assessement:(after Liquefaction)

    Motility: 60% >40%
    Progressive(PR): 30 L % >32%
    Non progressive: 30%
    Immotile: 40%

    Microscopic Examination:

    Leucocytes: 3-5 million/ml >1 million/ml
    RBCs: 1-3 H.P.F
    Spermatogenic: 1-3 H.P.F
    Agglutination: Absent Absent

    Sperm Morphology:

    Normal forms: 60% >4
    Abnormal heads: 10%
    Abnormal Midpieces: 10%
    Abnormal Principle pieces: 10%
    Excess Risidual Cytoplasm: 10%

    In between tests,Just only take Daflon & Cataflam antiobiotic was taken.
    So Let me knows something about my both reports.It looks ok. &
    should I see some improvement varicocele surgery???
    and anything else I should try or be concerned about?&
    Now we are trying for a baby, so plz suggest this result is good for me.
    Thanks in Advance.

  92. cybervincey April 11, 2017 at 4:25 pm

    Hi Sara,

    I had my semen analysis done, and from the looks of it in reference to the nominal values my guys did great.

    However, one thing concerns me, in the Morphology, it says 96% abnormal with Amorphous head, tapered head, thick neck, torticolis and short tail.

    My wife and i have been married for 6 years now and been trying to conceive, she has PCOS and have resigned her work recently to lessen the stress.

    My question perhaps is, with my guys morphology what are the chances? i know its vague or too broad but what does the morphology means? can it be cured or do i have test it again – i know i have to quit smoking after this.

    • Sara SDx
      Sara SDx April 19, 2017 at 4:41 pm

      Here’s an article about morphology.

      PCOS can be tough to conceive. There’s a lot you can do to try to overcome it. I had it and eventually was able to get my cycle in shape.

      For you, I would say taking steps to be healthier can help improve your morphology and won’t hurt your overall chances. In general, improvements on any parameter (count, motility or morphology) should help improve chances. There is a great app that covers all the science behind what can improve your sperm that you can download or there is an online quiz you can fill out to see what things you might be able to do to improve your morphology. Usually when morph is low and count and motility are high, I look at diet, heat exposure and toxins (alcohol, cigarettes, various drugs or medications, and chemical exposures) as potential areas that can be worked on.

      You could try testing again in a few months to see how things are going if you haven’t gotten pregnant.

      Let me know if there’s anything else I can help answer or support with.

      Sara

  93. Zaini36 April 1, 2017 at 11:55 am

    I’ve done 2 semen analyses.& Before 6 month i had varicocele problem on my left side.
    So i had done my varicocele surgery. i have two reports, One Before surgery & One after surgery.
    Both Report details are as follows

    1st Report Details.
    23August2016
    Length of Abstinence: 7 days
    Volume: 2.0 ml
    Color: Grey Opalescent
    Reaction: Alkaline
    Viscosity: Normal
    Liquefication Time: > 20 minutes
    Microscopy

    Sperm Count: 102,0 MILL/ML >20,000,000 ml
    Pus cells: 1-2 /HPF
    RBCs: 0-1 /HPF
    Epith Cells: Nill
    Progression: GOOD (3) Range(0-4)
    Others: ABNORMAL FORMS 20%
    MOTILITY

    20.mints 60.mints 120.mints

    Active: 35% 30% 20%

    Sluggish: 20% 15% 10%

    Non Motil: 45% 55% 70%

    …………………………………………………..

    2nd Report Details.

    2/Feb/2017

    TEST Result Unit Ref.Range

    Sample Data
    Abstinence Period: 5 Days 2-7
    Receiving Time: 6.25 P.M
    Analysis Time : 6.55 P.M

    Physical characters:

    Appearance: Normal Normal
    Volume: 2.5ml >1.5 millions/ml
    PH: 8 >7.2
    Viscosity: Normal
    Liquefaction: 40 H min >30 min.

    Sperm Quantitification:

    Sperm Count /ml: 104,000,000 sperm/ml >1.5 million/ml
    Total sperm
    count/ejaculate: 260,000,000 sperm/ejaculate >39 millios

    MOTILITY Assessement:(after Liquefaction)

    Motility: 60% >40%
    Progressive(PR): 30 L % >32%
    Non progressive: 30%
    Immotile: 40%

    Microscopic Examination:

    Leucocytes: 3-5 million/ml >1 million/ml
    RBCs: 1-3 H.P.F
    Spermatogenic: 1-3 H.P.F
    Agglutination: Absent Absent

    Sperm Morphology:

    Normal forms: 60% >4
    Abnormal heads: 10%
    Abnormal Midpieces: 10%
    Abnormal Principle pieces: 10%
    Excess Risidual Cytoplasm: 10%

    In between tests,Just only take Daflon & Cataflam antiobiotic was taken.
    So Let me knows something about my both reports.It looks ok. &
    should I see some improvement varicocele surgery???
    and anything else I should try or be concerned about?&
    Now we are trying for a baby, so plz suggest this result is good for me.
    Thanks in Advance.

    • Sara SDx
      Sara SDx April 19, 2017 at 3:39 pm

      These look pretty healthy for conceiving. How long have you been trying?

      • Zaini36 April 20, 2017 at 5:56 am

        Thanks for giving me your good comments.
        and i think we have a good news this month.
        anyway thanks again and remember me in your prayers…

        • Sara SDx
          Sara SDx April 24, 2017 at 7:00 pm

          I will.

          Please come back and tell us if you have good news.

          XO

          • Zaini36 April 26, 2017 at 8:20 am

            Yup I Have a Good News.
            Thankx God.

  94. LahAbo53 March 31, 2017 at 6:27 pm

    Hello DR, Sara

    I greatly appreciate your help towards everyone who is having issues with fertility.
    I recently did a Semen analysis and below is my report.

    Collection Date 14-MAR-2017
    Collection Time 11:45
    Time of Analysis ^14^:^03
    Sexual Abstinence Duration 3
    Liquefaction Specimen liquefied upon receipt in the testing laboratory.
    Viscosity Liquefied form, small discrete drops from transfer pipette.
    Volume 3.5 mL
    Sperm Count 62 X 10E6/mL
    Motility 20 %
    Motility may be decreased due to delay in processing from time of collection (2 hours 20 Mins).
    Cellularity Smears are sparsely cellular.
    The cellularity of the smears is not consistent with the recorded counts, probably reflecting
    loss of material during staining.
    Background Material Occasional immature cells (Spermatogonia/ spermatocytes/spermatids) and white blood cells
    are observed. The number of these cells is within normal limits.
    Sperm Abnormal % 30
    Morphology Variation in size of heads and or tails. Malformation of the acrosomal/postacrossomal region.
    Pathologist Interpretation It is noted that the morphology was normal

    In it it says the motility is low and they have put a note saying that it might be due to the fact that the test was done 2 hours and 20 mins after collection ?. Do you think that’s the case with the low motility ? . I’m planning to test again in the coming weeks.

    Many thanks,
    Lah

  95. babu March 28, 2017 at 6:27 am

    Hi almost one year trying for baby.please reply
    Here is my report.
    Sperm count :20 million per cum
    Volume is 3.2 ml
    Color is grey white
    Viscosity is normal
    Liquefaction time is 30 mints
    Motility is 45%
    Rapid progression is 20%
    Slow progression is 15%
    Non progression motility is 10%
    Immotile is 55%
    Morphology is normal

    • Sara SDx
      Sara SDx April 19, 2017 at 3:34 pm

      It’s a little on the low side. You should be able to conceive but this might be contributing to the delay.
      You might consider filling out this questionnaire or downloading this app to find out what you can do to try to improve your results.

      Has your wife / partner been evaluated?

  96. Kavin March 26, 2017 at 6:21 am

    Hello Doctor,
    I need your kind help to read my SEMEN Test Results Please…
    Color: creamy white
    Ph: 8.0
    Volume: 2.0 mL
    Viscosity: <2 CM
    Liquefaction Time: < 60 Min
    No Sperm Aggregation
    No Sperm Aggultination
    Rapid progressive Motilty: 75%
    Non-progressive : 10%
    Non-Motile: 15%
    Fructose: Present
    Sperm Viability: VIABLE
    Sperm WBC: 1-2 HPF
    Sperm RBC: Absent HPF
    Epithelial Cells: Absent
    Sperm Bacteria: Absent
    Sperm Concentration: 109.0 x10^6/ml
    Round Cell Concentration: 0.8 x10^6/ml
    Total Sperm Count: 218.0 x10 6/ejac
    Normal Mature: 80%
    Abnormal Mature: 20%
    Immature Forms: 02%
    Abnormal Head: 20%
    Abnormal Neck: 10%
    Abnormal Head & Tail: 20%
    Abnormal Head & Neck: 15%
    Abnormal Neck & Tail: 10%
    Abnormal Head, Neck & Tail: 25%
    Spermatocyte : 0%
    PMN Cells: 0%

    • Sara SDx
      Sara SDx April 19, 2017 at 3:31 pm

      Looks pretty healthy. Is there something that concerns you?

  97. Nat March 20, 2017 at 9:10 am

    Dear Dr. Sara

    I recently had a few sperm tests and after my first one I was diagnosed with varocele in both testes, inwhich 17 veins removed from 1 side and 14 from the other. This operation took part in September and my recent sperm test has improved significantly from what it was. Can you please tell me your thoughts from these results.

    Volume: 4ml
    pH: 7,7
    Concentration : 18 mil / ml
    Total sperm 72 Mln

    Sperm Motility
    Fast Progressive – 1%
    Slow Progressive – 37%
    Non Progressive – 5%
    Immotile – 57%

    Sperm Viability – Viable – 60% , Dead – 40%

    Morphologically normal – 2.7%
    Pathalogical shape – 97.3%
    Head defects – 96%
    Neck defects – 21%
    Tail defects – 15%
    Cytoplasmic – 2%

    What do you think of these results and are they worth worrying about? We are trying for a family and wondered the next steps, I am 27 years old too.

    Thank you

    • Sara SDx
      Sara SDx April 19, 2017 at 3:06 pm

      Is this the old results or the new ones?

      • nat May 28, 2017 at 3:00 pm

        Thesee are the most recent results. Beforehand I had 0 % fast progressive and morphologically normaly was 2%

        • Sara SDx
          Sara SDx June 2, 2017 at 3:52 pm

          It is good to see improvement. I’d like to see more progressive motile and more normal but that should continue to improve with time. I might recommend getting tested again in a few months if you don’t conceive.

  98. Gowtham46 March 11, 2017 at 3:37 pm

    Hi Dr.Sara, I’ve mentioned my semen analysis in below, am looking forward to become a father, kindly let me know about my result.

    PHYSICAL EXAMINATION
    … VOLUME – 4.5 ML
    … COLOUR – OPAQUE WHITE
    … VISCOSITY – VISCOUS
    … LIQUEFACTION TIME – 30 MIN

    CHEMICAL EXAMINATION
    … FRUCTOSETEST – POSITIVE
    … PH – ALKALINE

    MICROSCOPIC EXAMINATION

    PERCENTAGE OF MOTILITY
    … a) AFTER LIQUEFACTION – ACTIVE (60%) – SLUGGISH (20%) – IMMOTILE (20%)
    … b) 3rd HOUR – ACTIVE (40%) – SLUGGISH (10%) – IMMOTILE (50%)
    … c) AVERAGE GRADE OF MOTILITY – IV

    … ABNORMAL FORMS (200 SPERMATOZOA EXAMINED) – 15%

    … PUS CELLS – 5- 7/HPF SEEN
    … RBC NIL – OCCASIONAL SEEN
    … EPITHELIAL CELLS – 0-2/HPF SEEN

    … MISC. FINDINGS – NIL
    … SPERM AGGLUTINATION – NIL

    Awaiting for your response.

    • Sara SDx
      Sara SDx March 13, 2017 at 2:45 pm

      Volume, motility and morphology all look relatively normal. I don’t see a sperm count in this report so I can’t tell you for sure.

      • Gowtham March 14, 2017 at 11:24 am

        Sorry I forget that,

        Sperm count – 87 millions /ml.

        • Sara SDx
          Sara SDx March 15, 2017 at 10:08 pm

          That’s pretty good.

          • Gowtham March 16, 2017 at 3:31 am

            Thanks Sara. But we are trying for baby more than 1 year. we are not sure where is the problem. Even we have consulted with the doctor but still. I’ve taken the Risk assessment test. I’m in the lower risk side.

            Kindly guide me.

          • Sara SDx
            Sara SDx March 17, 2017 at 2:19 pm

            Has your wife / partner been evaluated?

  99. jer March 8, 2017 at 4:06 pm

    Hi sara
    I had a hynia surgery when I was still a child…many yrs later after marriage I have still not been able to conceive. test result shows azospermia which is as a result of blockage (bilateral varicosele). This is six months after the surgery and the test result is still the same. Although the operated part is still swollen. Please I want to know what your advise is and if there is hope for me? My test result shows
    Colour: greyish white
    Viscosity: watery
    Ph 8.0
    Motile cells:0%
    Non Motile cells: 100%
    Volume : 3ml
    Odour : seminal
    Semen count : 3.0 x 10^6 cells/ml.
    Please I need your advise

    • Sara SDx
      Sara SDx March 9, 2017 at 3:09 pm

      I’m confused. A varicocele is not a blockage — it is enlarged viens. Did you have surgery for the blockage or for treating the varicocele.
      Hernia surgery can cause blockages separate from varicoceles. Both can cause issues with sperm.

  100. Ahmed March 7, 2017 at 8:27 pm

    Hi Sara,
    I am not sure where my question disappeared all of a sudden. Can you help me with this analysis

    This was my sperm test result and i am not sure what it exactly means
    DAYS ABSTINENCE 3.0
    SEMEN VOLUME 1.0 – 5.0 mL 2.6
    SPERM PH >=7.2 8
    SEMEN COLOR Grey Opalescent
    Odor Normal
    SEMEN VISCOSITY Moderate
    Test Result Reference values
    Concentration 11.42 >= 15 million/ml
    Total Sperm Count 29.69 >=39 million/ejaculate
    Progressive motility (PR) 23.25 >= 32%
    Totale motility (PR – NP) 44.81 >= 40%
    Morphology Index 66.67 >= 4%

  101. oba34 March 6, 2017 at 6:31 am

    hello Sara,
    here is my semen.
    pH semen 8.0
    appearance creamy
    volume 1.5ml
    viscosity normal
    liquefaction 50 min
    clot absent
    motility actively 35%
    sluggish. 5%
    motility inactive 60%
    sperm morphology normal 90%
    sperm morphology abnormal 10%
    sperm morphology agglutination
    present
    pus cell semen 2-4
    Red blood cell semen 0-1
    gram reaction1 gram positive
    cocci
    sperm cell count 18.0 Millon/ml
    pathogen isolated staphylococus

  102. Kelly March 4, 2017 at 12:51 am

    Hi Sara,
    I hope it’s okay to ask. It’s really nice of you to help people interpret their results in that worrisome time between getting them and speaking to a doctor. Could you help me out with this one?
    pH – 8.3
    Concentration (10×6) – 16
    Motility – 47%
    Rapid & Linear – 9%
    Velocity (0 none – 4 rapid) – 3
    Linearity (0 none – 4 linear) – 2
    Viability – n/a
    % Normal Ovals – 3
    Round Cells (10×6) – 0.1
    WBCs (10×6) – 0.05

    On the results we got, they listed normal pH as going to 8.3 but I’ve seen other places say 8. I’ve seen that that can be a sign of prostate infection and heard linearity problems can be a sign of that, too. Do you think that is a possibility?

    Thanks again,
    Kelly

    • Sara SDx
      Sara SDx March 7, 2017 at 4:23 pm

      Hey Kelly
      A few things. 8.3 seems fine to me. An infection would generally show an elevated WBC of 3 or more. You are well within normal range there so I don’t have any reason to suspect infection unless he has some symptoms.

      I don’t see a volume listed but concentration is on the low side. So I would suspect that it could be contributing. Motility is hard to interpret here but it doesn’t look that great either.

      I might recommend that you download this app to walk through all the questions to find out what you might be able to do to improve. Overall, it looks like it is in the “improveable” range.

      How long have you been trying to conceive?

      Happy to talk further and help you think through next steps

      S

  103. kingoba March 2, 2017 at 4:47 am

    hello Sara,
    here is my semen.
    pH semen 8.0
    appearance creamy
    volume 1.5ml
    viscosity normal
    liquefaction 50 min
    clot absent
    motility actively 35%
    sluggish. 5%
    motility inactive 60%
    sperm morphology normal 90%
    sperm morphology abnormal 10%
    sperm morphology agglutination
    present
    pus cell semen 2-4
    Red blood cell semen 0-1
    gram reaction1 gram positive
    cocci
    sperm cell count 18.0 Millon/ml
    pathogen isolated staphylococus

    • Sara SDx
      Sara SDx March 7, 2017 at 3:58 pm

      Looks like you may have an infection. You should discuss this with a doctor and get it treated. Then repeat the semen analysis in a few months. Are you actively trying to conceive?

  104. oba1 February 27, 2017 at 10:55 pm

    hello Sara,
    here is my semen.
    pH semen 8.0
    appearance creamy
    volume 1.5ml
    viscosity normal
    liquefaction 50 min
    clot absent
    motility actively 35%
    sluggish. 5%
    motility inactive 60%
    sperm morphology normal 90%
    sperm morphology abnormal 10%
    sperm morphology agglutination present
    pus cell semen 2-4
    Red blood cell semen 0-1
    gram reaction1 gram positive cocci
    sperm cell count 18.0 Millon/ml
    pathogen isolated staphylococus

    • Sara SDx
      Sara SDx March 9, 2017 at 4:03 pm

      You should see a doctor about a possible infection, then retest in a few months after you’ve been able to treat it.

      • kingoba March 11, 2017 at 6:27 pm

        hello Sara,
        here is my semen.
        pH semen 8.0
        appearance creamy
        volume 1.5ml
        viscosity normal
        liquefaction 50 min
        clot absent
        motility actively 35%
        sluggish. 5%
        motility inactive 60%
        sperm morphology normal 90%
        sperm morphology abnormal 10%
        sperm morphology agglutination
        present
        pus cell semen 2-4
        Red blood cell semen 0-1
        gram reaction1 gram positive
        cocci
        sperm cell count 18.0 Millon/ml
        pathogen isolated staphylococus
        l have trying to convince since 2015 .pls indicate my name in ur reply pls

        • Sara SDx
          Sara SDx March 13, 2017 at 2:48 pm

          It looks like you might have an infection. I would discuss this with your doctor, get some treatment and then test again.

  105. Mohammed February 23, 2017 at 2:31 pm

    Hello Doctor
    This was my sperm test result and i am not sure what it exactly means and can you explain if anything needs to be done.
    DAYS ABSTINENCE 3.0
    SEMEN VOLUME 1.0 – 5.0 mL 2.6
    SPERM PH >=7.2 8
    SEMEN COLOR Grey Opalescent
    Odor Normal
    SEMEN VISCOSITY Moderate
    Test Result Reference values
    Concentration 11.42 >= 15 million/ml
    Total Sperm Count 29.69 >=39 million/ejaculate
    Progressive motility (PR) 23.25 >= 32%
    Totale motility (PR – NP) 44.81 >= 40%
    Morphology Index 66.67 >= 4%

    • Mohammed March 7, 2017 at 8:30 pm

      Hi Sara,
      I am not sure where my question disappeared all of a sudden. Can you help me with this analysis

      This was my sperm test result and i am not sure what it exactly means
      DAYS ABSTINENCE 3.0
      SEMEN VOLUME 1.0 – 5.0 mL 2.6
      SPERM PH >=7.2 8
      SEMEN COLOR Grey Opalescent
      Odor Normal
      SEMEN VISCOSITY Moderate
      Test Result Reference values
      Concentration 11.42 >= 15 million/ml
      Total Sperm Count 29.69 >=39 million/ejaculate
      Progressive motility (PR) 23.25 >= 32%
      Totale motility (PR – NP) 44.81 >= 40%
      Morphology Index 66.67 >= 4%

      • Sara SDx
        Sara SDx March 9, 2017 at 4:00 pm

        These numbers are on the low side and could be impacting your chances of getting pregnant. Are you currently trying?

        You might want to download this app to get some advice for what you can do to improve. You might also want to visit a urologist for a full evaluation to see if you might have a varicocele.

        I’m happy to talk through your health / habits to help you make a plan for improving.

        • Ahmed March 9, 2017 at 7:55 pm

          Yes, have been trying for a while now and married for 10 years. Also had an IVF and it failed. I am happy to discuss this more in detail if you want. Let me know how you want this to be discuss. If my number are on low side how come they did IVF earlier. Can you guide through it. Thanks Please advise.

          • Sara SDx
            Sara SDx March 13, 2017 at 2:19 pm

            IVF is often used when there is a low sperm count. You don’t need as many sperm to have success with IVF as you do when you are trying on your own. IVF isn’t successful 100% of the time. It can take a few tries to get it to work. Taking steps to improve your health can help improve your chances naturally, with an IUI or with an IVF.

            Have you filled out the questions in the app or on our fertility risk questionnaire? Maybe there are things you can do to help improve your results.

  106. Fateh February 21, 2017 at 12:35 pm

    Hi Sara,

    I am being sharing my wife concerns with you, that what doctors are informing me & Your’e giving your valuable feedback I would like to thank you for all that.

    I am being planning for a new born baby since from past 1.5 years I am being married.

    Recently this month Feb, As consulted to doctor, as per Scan reports, my wife was diagnosed she has Polycystic Overy symptoms, hence no eggs were found to convince.

    Then doctor had prescribed her “FERTYL SUPER 100 mg (for 5 tablet)” to be taken at morning along with tablet “OVIGYN DSR” (for 30 Tablets), for egg development, since then in period of 1 week she had developed a eggs, as per latest 2 days ago scan report the eggs were observed to be very small in size.

    Now doctor has informed to meet again after 5 days to see the eggs size development and doctor has said she might suggest Injections if size is not increased.

    I am so concerned about it & confused why Injection is required if eggs have developed in ovaries?

    Here I would like to understand from your:
    1.Will the size of eggs get increased, by continuing tablet “OVIGYN DSR” for next remaining days?
    2.Does she requires any Injections for making eggs much healthy in size?
    3. Is it still difficult for her to conceive?

    Please advice & share some important points from your end, based on my wife above listed conditions to conceive baby.
    your feedback are most valued. Thanks.

    • Fateh February 28, 2017 at 6:52 am

      Hi Sara,

      Please help me answering my comment was left without answer. I will be more thankful

      I am being planning for a new born baby since from past 1.5 years I am being married.

      Recently this month Feb, As consulted to doctor, as per Scan reports, my wife was diagnosed she has Polycystic Overy symptoms, hence no eggs were found to convince.

      Then doctor had prescribed her “FERTYL SUPER 100 mg (for 5 tablet)” to be taken at morning along with tablet “OVIGYN DSR” (for 30 Tablets), for egg development, since then in period of 1 week she had developed a eggs, as per latest 2 days ago scan report the eggs were observed to be very small in size.

      Now doctor has informed to meet again after 5 days to see the eggs size development and doctor has said she might suggest Injections if size is not increased.

      I am so concerned about it & confused why Injection is required if eggs have developed in ovaries?

      Here I would like to understand from your:
      1.Will the size of eggs get increased, by continuing tablet “OVIGYN DSR” for next remaining days?
      2.Does she requires any Injections for making eggs much healthy in size?
      3. Is it still difficult for her to conceive?

      Please advice & share some important points from your end, based on my wife above listed conditions to conceive baby.
      your feedback are most valued. Thanks.

      • Sara SDx
        Sara SDx March 7, 2017 at 3:54 pm

        Polycystic Ovarian Syndrome is a condition where the eggs do not fully mature. Usually it is caused by imbalances in hormones. Sometimes these imbalances are due to medical reasons and sometimes they are caused by lifestyle things like diet, being overweight or too much stress.

        The medicines prescribed by the doctor are designed to help the hormones become balanced and should cause the body to start developing eggs.

        Sometimes those medications do not work well enough. Injections are usually hormones that the body is missing and they will force the body to develop the eggs.

        You will have to wait and see with the doctors to see if the tablets are helpful for making eggs develop.
        If the eggs do not develop it will be difficult for her to concieve. You may need injections. It is good to talk about this with your doctor.

        There are things you can do together to help improve her hormones. Regular exercise, good sleep at night, reducing sugar in the diet and lowering stress level can also help hormones.

        Let me know if you have other questions. Happy to help

        Sar

  107. Matt B February 16, 2017 at 4:19 pm

    Hi Sarah,

    My wife and I have been trying for about 3 months now and I wanted to get a SA to make sure everything was in working order. I’m 34 and my wife is 31, we are both fairly active and don’t smoke. I wanted to know what you’re thoughts are on the results I got back from my labs? Also, we aren’t sure what the cell debris comments means or if thats a big deal? Thanks a bunch!

    Volume: 2.5 ML
    Concentration: 27
    Total Count: 67.5
    Motility: 42
    Normal morphology: 6
    White Blood Cells: <1
    Immature Sperm: <1
    Total Motile: 28.4
    Total Motile Normal: 1.70
    Progression: 2-3

    Comments: Cell Debris Present

    • Sara SDx
      Sara SDx February 28, 2017 at 1:57 am

      cell debris is common and not really an issue. Some guys have higher amounts than others. It’s an interesting and potentially useful note but not really too big of a deal.

      Overall, my thoughts are it’s a little on the low side but in the normal range. Since you’ve been trying just a few months I wouldn’t get too worried about it. It might take slightly longer than average to conceive but you should be able to.

      You might consider downloading this app or taking our fertility risk assessment to see if there are any lifestyle risk factors that you can work to address. You might be able to bump your numbers up a little and increase your chances of conception. I’m happy to talk through the risk report if you take it to see if there is any thing you could do to boost numbers even just a little.

  108. Michael February 15, 2017 at 2:41 pm

    Hi Sara,
    Could you please help me with the analysis?? Is there any problem involved in the following semen analysis??

    Volume: 4 ml
    Liquefaction time: 40 minutes
    PH : 8
    Viscosity: Normal
    Sperm Concentration: 70 million/ml
    Progressive motile: 20 %
    Non progressive motile: 30 %
    Total motility: 50 %
    Non motile: 50%
    (Morphology)
    Normal: 68%
    Head defects: 12%
    Impression: Asthenozoospermia

    • Sara SDx
      Sara SDx February 28, 2017 at 1:47 am

      I am not sure why they wrote Asthenozoospermia. The motility looks fairly normal. I’m a little confused. Did you talk to a doctor about it? Overall, I would say this looks healthy.

  109. Deepak February 14, 2017 at 6:23 am

    Hi, does high blood pressure medicine “amlodipine” and antidepressant “Escitalopram” decreases sperm motility or does these have any kind of effect on sperm?

    • Sara SDx
      Sara SDx February 28, 2017 at 1:43 am

      Studies are limited but both may have an impact. Have you had a semen analysis? Have you spoken to your doctor?

      • Deepak March 2, 2017 at 4:23 pm

        I spoke about this to my doctor & I was told that these medicines doesn’t affect fertility,
        however I got low progressive motility of 20% in my semen analysis test,
        Now I don’t know what to do.

  110. ARUN February 13, 2017 at 8:32 am

    Hi,
    i am Arun(29years) and i done my semen analysis, and result come like this.

    PERIOD OF ABSTINENCE- 3DAYS
    VOLUME-1.5ML
    COLOUR-GRAYISH WHITE
    REACTION-ALKALINE
    VISCOSITY-NORMAL
    QUALIFICATION TIME-35MIN

    MORTILITY:
    ACTIVELY MORTILE-50%
    SLUGGISHLY MORTILE-30%
    DEAD-20%

    PUS CELL-3-5/HPF
    R.B.C.s.-0-2/HPF
    TOTAL COUNT-150MILLIONS/ml
    Now we are trying for a baby, so plz suggest this result is good for me.
    Thanks in Advance.

    • Sara SDx
      Sara SDx February 28, 2017 at 1:35 am

      It looks ok. How long have you been trying?

  111. James February 13, 2017 at 5:57 am

    Hello Dr. Sara,

    1st analysis with 4 day abstence
    volume is 2ml
    19 million/ml
    55% motile
    30% progressive motility
    normal forms ( Kruger strict Criteria) 5 %

    2nd analysis with 3 day abstinence
    volume is 1.7 ml (collection error, first portion of the ejaculate was not collected inside the tube)
    4 million/ml
    40% motile
    15% progressive motility
    normal forms ( Kruger strict Criteria) 3 %

    3rd analysis with 4 day abstinence (different clinic, previous clinic closed)
    volume is 2
    31 million/ml
    54% motile
    Rapid Forward Progressive 0%
    Moderate Progressive 24%
    Motile non progressive 30%
    Abnormal forms 32%

    Then hormonal test was conducted
    FSH 12.28 IU/L
    LH 6.74mIU/ml
    PRL 9.7 ng/ml
    TESTO 12.13 nmolI/L

    All tests are 3 months apart. First test was taken after 6 months of trying to conceive. Now it has been over 16 months and still no luck.

    I have a 2.3 mm varicocele in the left testicle , but I don’t complain from any pain

    • Sara SDx
      Sara SDx February 28, 2017 at 1:35 am

      The semen tests show that you are a little on the low side and it could take longer to conceive. The hormone tests are difficult to interpret because they are in different units than I am used to seeing.

      A varicocele can impact sperm quality. You can look into treatment — there are several options that a urologist could consider. You can also consider some natural treatments to help improve sperm quality. Many men with varicocele’s are able to see improvements in sperm by regularly cooling their testicles (using ice packs a couple times a day or cooling underwear). They can also see improvements by increasing the antioxidants in their diet. Increasing the fruits and vegetables that you eat each day or taking a vitamin supplement can also help things.

      You might also consider downloading this app to get a personalized report on how you can improve your sperm count and track your semen results over time to see if they are improving.

  112. khan February 4, 2017 at 9:35 am

    Hi we are trying to conceive 13 months now. My semen analysis is volume 2 ml , Count 70m/ml , Total 140 million, Rapid progression 40% , Slow progression 25%, Non progressive 5 %, Immotile 30%, Morphology is 55% normal shape. I think volume reading is not correct because sample container was graded and semen volume should be 4 to 5 ml. Because it was more than teaspoon. abstinence was 6 days.

  113. gomezvinu62 February 4, 2017 at 5:32 am

    HI Sara, the following is my semen analysis, am looking forward to become a father, with these results am i standing a chance for it…please reply

    SEMEN ANALYSIS
    Collection time 7.05 am
    Received in lab 7.10 am Within one hour of collection

    MACROSCOPIC EXAMINATION
    … Volume 2 ml
    … Colour Opaque grey
    … pH 8.0
    Liquefaction time > 4 hour
    … Viscosity Increased
    MICROSCOPIC EXAMINATION
    Sperm concentration 70 millions
    SPERM MOTILITY
    Progressive motile (PR) 05 %
    Non progressive motile (NP) 55 %
    Total motility (PR+ NP) 60 %
    Nonmotile 40 %
    Morphology (per 100 sperms)
    … % Normal 60 %
    … % Head defects 30 %
    … % Midpiece defects 05 %
    … %Tail defects 05 %
    Agglutination (+++)
    OTHER CELLS
    Pus cells/Germ cells 1-2
    RBC Nil
    Epithelial cells Nil
    Microorganisms Nil
    IMPRESSION Asthenozoospermia.

    • Sara SDx
      Sara SDx February 10, 2017 at 5:46 pm

      Overall the semen analysis is healthy but there are a few issues with it. The sperm seem to be getting stuck together and the semen is a little viscous. This is making it tough for the sperm to swim well. I don’t have any recommendations off the top of my head for what to do about this. I would suggest you talk to a urologist to get some more feedback about what you might be able to do to correct it.

  114. Durgesh February 3, 2017 at 8:34 am

    Hi Mam, i am trying for a child. My age is 31 now.My seminal analysis result is
    Volume-3.0ml
    Color-Whitish
    Reaction-Alkaline
    Liquifaction time-normal
    Total Sperm count-2.2 millions/ml of SF
    Active motile – 60%
    Sluggish Motile – 20%
    Non motile – 20%
    Abnormal head (+)
    Abnormal Tail(+)
    PUS CELL – 20-25/HPF
    RBC – NIL
    EPITHELIAL CELLS – (+)
    PROSTATIC GRANULES – – Reduced

    Please reply

    • Sara SDx
      Sara SDx February 10, 2017 at 5:14 pm

      It’s on the low side. I would recommend a full evaluation by a urologist who specializes in male reproduction.

  115. Joerg January 31, 2017 at 7:05 pm

    Hi,

    I just found this site and I find it very helpful in that I can see others going through the same items that I currently am.

    Here is my situation, and I’m wondering if anyone can help.

    My wife and I have been trying to conceive for 2 cycles, and thus far, we haven’t succeeded. So, this past month I got my SA done, and I got the following results:

    Motility = 35% (50% and above was said to be good)
    Volume = 2.5 ML (above 2.0 was said to be OK)
    Concentration = 31 (20-250 was said to be OK)
    Morphology = 0

    I am 33, she is 32. Neither of us smoke, I drink around 10-15 drinks a week (with the majority coming on the weekend). And I cycled about 4 hours a week 3 months ago.

    Obviously, the morphology one freaks us out.

    So, I have made an appointment with a urologist to see what they say.

    How important is morphology, and is it essentially hopeless?

    • Sara SDx
      Sara SDx February 4, 2017 at 6:12 am

      Drinking can contribute to poor morph. This is especially true if you are drinking a lot at one time.

      Morphology isn’t a headline number but it can cause issues. I would recommend stop drinking until you get pregnant or at least cut back to 1 drink a day or less.

      Add a multi vitamin or prenatal vitamin 1x a day.

      Test again in 3 months if you haven’t gotten pregnant.

      I’m pretty sure you’ll either get pregnant or see much better numbers next time.

      • Joerg February 5, 2017 at 12:20 am

        Thank you for the quick response. I’ve already reduced the drinking to 2 a week (1 on Friday the other on Saturday), and started taking zinc and selenium vitamins, in addition to the probiotics, one a day multi vitamin, and magnesium pills I have been taking for a long time. Do you still think I need a pre natal? If so, what do you recommend?

        Hope this works! I’ve also read motility below 50 isn’t good, but, I read that the 2010 WHO standar said above 32 is good. Any thoughts in that?

        • Sara SDx
          Sara SDx February 10, 2017 at 4:56 pm

          So regards to the supplements. My recommendation would be not to over do it. You want to get good healthy doses of at least the following — folate / folic acid, zinc, selenium and antioxidants (Vit C, Vit E, CoEn Q10, Vit A). Generally I recommend pre-natals because they are formulated with this in mind and generally have good dosing. A multi will probably have most of it too. Depends on the brand. Most vitamins are water soluable so if you take too much it is ok. There are a few exceptions. Selenium is one of them. Too much can be bad for you, so I would recommend doing a little research.

          I would also recommend when possible trying to up your dietary intake of fruits, vegetables and seafood. There are a ton of nutrients in these foods that work together to improve your health in ways that vitamins / supplements can’t really replicate.

          In terms of looking at parts of a semen analysis in isolation, I think it is counter productive. What you really care about it the total number of healthy sperm cells. If you look at the “average healthy semen sample” the stats would be approx

          3ml of semen (low cut-off 1.5)
          70 M/mL sperm cells (low cut-off 15M/ml)
          50% motile (low cut-off 30%)
          20% normal forms (low cut-off 4%)

          Helpful?

      • Joerg February 10, 2017 at 1:58 pm

        Hi, I actually got the remainder of my results yesterday, and they are as follows:
        Volume – 2.5 ml
        pH – 7.2
        Liquefacation Time – 40 minutes
        Agglutination – 0
        Sperm Cluming – None
        Concentration – 31 million/ml
        Motility – 35%
        Progression Rating – 2.5
        Vitality – 77%
        Round Cells: 0-1
        Erythrocytes: 0
        Normal Morphology: 0
        *Multiple Defects: 97
        *Head Defects: 0

        Summary: Volume 2.5 ml
        Concentration: 31 million
        Motility: 35%
        Total Sperm Count: 78 Million
        Total Motile Count: 28 million
        Total Motile Normal: 0

        Any additional thoughts on my results? Again, I was drinking 10-15 drinks (beer) a week before the exam for the better part of 3 months (which included a vacation for 2 weeks, the holidays, and a kitchen remodel that had lots of debris floating around the house). I also would cycle quite a bit, sit with my legs crossed a lot, and I had a terrible habit of chewing on plastic pens. I have stopped all of that behavior and started taking zinc, selenium, and vitamin c.

        Hopefully by cutting out those habits, I should see some improvement. Anything else I should try or be concerned about?

        • Sara SDx
          Sara SDx February 10, 2017 at 4:19 pm

          So those things could have all impacted sperm. The change in habits should definitely help.

          Some easy additional ideas are: You might try to enrich your diet with fruit and veggies to increase the amount of antioxidants. That should help to speed recovery. If possible you might try jogging as a replacement for cycling. I wrote this article on 20 simple things you can do as a general good place to start if you are trying to improve.

          You could download this app to track your semen analysis results as well as get some lifestyle tips. I worked with a number of top urologists and researchers to build out the recommendations in it and I think it could be helpful. (I’d also love to get your feedback on how to make it better, it is still a work in progress. 🙂

          If you want to talk more in-depth. Happy to email. Let me know.

          • Joerg February 10, 2017 at 7:49 pm

            Thank you for the quick responses. I have a urologist appointment in 10 days to talk over my low morphology and to see if there are any issues that are causing it. Overall, I find a lot of mixed information regarding morphology, and it seems like my numbers aren’t all that bad besides the morphology. But, we’ll see. I’ll let you know how it goes with the urologist. Would you like me to put it on this thread, or would you prefer it on an email? I don’t want to clutter up the board!

          • Sara SDx
            Sara SDx February 15, 2017 at 3:25 pm

            sorry for the bit of delay….

            Yes, numbers are mixed for morphology for several reasons. 1 – not all defects are equal. 2. Standardized measurement of morphology is tricky.
            Because of this, there are mixed feelings about it in the field. Some people get all worked up about it. Some look at it as more of a secondary issue.

            Research is spotty but it seems outcomes can improve up to 10% normal. The WHO cutoff for “normal” morphology is 4% normal.
            It seems to be more clinically relevent when considering assisted reproductive options where it can impact success much more than it does for natural fertility.

            Morph issues can come from improper development of the sperm or from damage to the sperm after they are fully developed. Causes can include genetics, low testosterone, varicoceles and lifestyle factors like poor diet, heat or toxin exposure. Generally taking steps to address these things will also help improve other parameters — motility (some defects impair motility) and count.

            You can post to the thread. I think it’s valuable to the community to see. Sperm research is a little spotty and I think the more we can learn from each other’s experiences the better.

            Good luck with the urologist.

          • Joerg February 24, 2017 at 7:53 pm

            Hi,

            Just wanted to provide an update to you or anyone else that is following…

            I went to the urologist and he maintained that my numbers weren’t all that bad….and that morphology is not as important as once thought. He told me to take 1 gram of vitamin c a day, and 1 gram of l carnatine, as it has been shown to sometimes help poor morphology. He wants to do another SA to make sure it wasn’t a fluke, but, I am going to put that off until all the changes that I have made of late to cycle through. So, that will be in about 2 months or so.

            Hopefully I see some improvement!

          • Sara SDx
            Sara SDx February 28, 2017 at 12:03 am

            Thanks for reporting back. If you are thinking about supplements – vitamin E, folate, CoQ10 and selenium are also useful. I wrote an article about key nutrients. Best to get them from diet but supplements can help ensure you aren’t deficient in a particular nutrient (particularly true for folate)

            Good luck.

            If you want a convenient way to track sperm from home. I helped to found a start-up that allows men to monitor sperm on their own. The test only measures sperm count but it can be a way to get intermediate feedback on if changes are working. The companion app allows you to track both semen analysis results and home tests so that you can keep all the information in one place and see how things are going over time.

          • Joerg August 18, 2017 at 6:29 pm

            Hi All,

            Just wanted to provide another update on this, as it can be frustrating to not see any updates from people that are trying new things.

            So, after making the changes that I talked about above (save for the completely abstaining from alcohol one, but I did reduce it to about 7-10 beers a week and no binge drinking), I got another analysis…and they are way better.

            Volume: 2.9
            Total Count: 69/ml
            Motility: 49%
            Morphology: 4%
            Total Count 200.1:

            And everything else looked normal according to the urologist on my end.

            So, I really think that the not riding the bike, reducing drinking, eating better, and taking all of those pills paid off….

            So, that’s all I have to say…it was a very good conversation…the best I had in 7 months about the topic.

    • Joerg August 21, 2017 at 1:22 pm

      Hi,

      I just wanted to provide an update after some of the changes that I made as highlighted above. The only thing I really didn’t do that I mentioned I would do above is completely cut off drinking. Instead of the 10-15 a week, I brought it down to 7-10, and I rarely binge drink (which admittedly I was doing before probably 1-2 times a week).

      Anyways, I saw quite an improvement when I got tested last week. My numbers are as follows:

      Volume: 2.9 (previous was 2.5)
      Count: 69 million/ml (previous was 31)
      Motility: 49% (previous was 35%)
      Morphology: 4 (previous was 0)

      The urologist stated that he had no concerns at all with these numbers. So…I was elated to hear that and to see some type of improvement.

  116. khanjee January 31, 2017 at 5:36 am

    Hi we are trying to conceive 13 months now. My semen analysis is volume 2 ml , Count 70m/ml , Total 140 million, Rapid progression 40% , Slow progression 25%, Non progressive 5 %, Immotile 30%, Morphology is 55% normal shape. I think volume reading is not correct because sample container was graded and semen volume should be 4 to 5 ml. Because it was more than teaspoon. abstinence was 6 days.

    • Sara SDx
      Sara SDx February 10, 2017 at 5:08 pm

      Overall, this looks healthy. If you are concerned that the numbers aren’t correct, you could go in for a repeat test to confirm.

  117. KW January 26, 2017 at 1:38 am

    Trying for over 2 years. Have 3 1/2 year old that we tried for around 2 years for as well. Just got results back as follows:
    Volume 5
    PH 8
    Motility 24
    Progression 2
    Viability 50
    Normal Forms 33
    count 39.60

    What suggestions do you have? wife is not ovulating, wondering if we start clomid/femara, or if we need to do IUI or IVF.

    • Sara SDx
      Sara SDx January 27, 2017 at 3:06 pm

      This is a bit tricky. So your volume is high, count is borderline, motility a little low, morphology fair. If you do the math and calculate it out, you have 3.9 million progressively motile sperm. This is low enough to significantly impact chances but natural conception should be possible.

      Did you get a semen analysis last time trying?
      Have you been evaluated for varicocele?
      Have you taken our risk assessment — there might be a few things you could do to try to boost those numbers slightly. A small boost would make a big difference for your chances.

      If she’s not ovulating then you are not going to be able to conceive.

      Did you need clomid for last pregnancy?
      How long are her cycles typically — in the past year how many times has she ovulated?

      In general, I don’t see a need to jump to IUI / IVF especially if you were able to conceive naturally last time. But, there seems to be a few issues to address on both sides to improve chances.

  118. Delhi0104 January 14, 2017 at 3:44 pm

    Hi Dr, i am trying for baby. My age is 32. My first test result was.
    Volume- 2ml
    Colo- white opaque
    Viscous
    Alkaline
    Total- 112million/ml
    Active motile-20℅
    Sluggish motile- 35℅
    Non motile-45℅

    Morphology 78℅ normal
    Rbc-Nil
    Pus cells- 10-12/hpf

    Doctor game me antibiotic
    After 6 month again tested.
    Volume- 2ml
    Colo- white opaque
    Viscous
    Alkaline
    Total- 88million/ml
    Active motile-25℅
    Sluggish motile- 20℅
    Non motile-55℅

    Morphology 76℅ normal
    Rbc-Nil
    Pus cells- 6-8/hpf
    Please suggest.

    • Sara SDx
      Sara SDx January 21, 2017 at 5:39 am

      These numbers look healthy. Does something concern you?

      • Delhi0104 January 29, 2017 at 4:43 am

        Thanks for reply , my concern is active motility percent and pus cell count. My wife doctor has also shown cocern over my report.

  119. RG January 13, 2017 at 1:39 pm

    Dear Sara,
    I read all the information above, thank you it’s very helpful. But I’m still a bit confused about my husband’s test results. Please could you look at them and tell m what you think. My own test results say I am in good health, but we have been actively trying for almost 3 years and before that used natural family planning to avoid pregnancy, somewhat too successfully there were a handful of times we threw caution to the wind and never had a surprise baby!
    His results:
    Abstinence interval 4 days
    Ejaculation to analysis 45 min
    liquefaction time <45 min
    pH 8.3
    seminal fluid volume 5.6 ml
    sperm concentration 7.76 x10^6 /ml Semen
    Total Sperm number 43 x10^6 /ejaculate
    Progressive motility 15% @37 DegC
    Non-progressive motility 2% @ 37 DegC
    Immotile 83% @ 37 DegC
    Morphology <1% normal forms
    The information from the lab results make it look pretty bad. Do we have any chance? Does the less than 1% normal forms mean that all his sperm are unusable? He's now been taking FertilSan M for 4 months. Do you think this will help?
    Thanks for all you do,
    RG

    • Sara SDx
      Sara SDx January 21, 2017 at 5:38 am

      It’s borderline. It looks like it could be impacting chances but probably isn’t the whole story.

      Has he been evaluated for varicocele? This looks similar to results Ive seen in men with varicoceles.

      Did you fill out the fertility questionnaire? That could identify other risk factors.

      In general I’d like to see all the numbers go up slightly. Improving any one of them would improve chances.

      Morph is Def most concerning but also the most difficult one to tell how important it is. Different labs measure it differently. That said, you really want to be at least 4% normal. I don’t often pay attention to it unless the couple has been trying for a while or the other parameters are also lower than I like to see.

      I would stay on supplement. Investigate other factors (exercise, heat, toxins, alcohol intake, varicocele, etc) to see if there are other places you might try to focus improvements.

      I might also look into a work up on your side if you haven’t done so already. Given that you are in tune with your cycle and it’s been a while there might be something else in addition.

      Hope that helps. Happy to talk more

      • RG March 3, 2017 at 12:46 pm

        Hi Sara,
        my husband had an appointment with a urologist. His testicles are fine, no varicocele detected. He recommended an ultrasound and hormone tests, as well as thyroid and blood glucose tests. I have been tested already my 21 day hormone levels where normal and my abdominal ultrasound came back normal too, ovaries were good with one follicle developing. The urologist said that the problem could be in the manufacturing of the sperm, and I wonder if he has a testosterone problem. Hopefully the results of the ultrasound and blood tests for my husband will tell us the problem, but if they come back healthy do you know what the next steps would be? My GP has told me that I should not have any further tests, but I know there are procedures to check the fallopian tubes. Do you know if the abdominal ultrasound I had would have detected any problems with my fallopian tubes? Thanks so much for your advice.

        • Sara SDx
          Sara SDx March 7, 2017 at 4:17 pm

          So for hubs I would recommend at least Testosterone and FSH. I would also look into Y chromosome deletion genetic test. Sometimes a partial deletion of some genes in the Y chromosome can cause problems with sperm production.

          You might want to download this app and walk through the questionaire. It could give some good pointers on areas where he might be able to improve.

          For you, I would get an opinion on tubes. Maybe talk to OB or RE. If they are blocked then you will need IVF. If they are open then I might say it is likely to be primarily a sperm problem and you might see what you can do to try to improve it. The numbers aren’t so low that natural conception is impossible but monthly chances are pretty low so I do see it as a major contributor.

  120. spanglerm62075 January 12, 2017 at 11:31 pm

    Hi Dr.,
    We have been trying to conceive for 1 year

    Having trouble interpreting these results:

    volume: 1.2 mls
    abstinence time: 6 days
    viscosity: slightly increased
    sperm concentration (M/ml): 191
    pH: 7.9
    Progresive motility: 17%
    Total Motility: 53%
    Morphology normal: 10%

    Notes: Volume, viscosity, progressive motility

    • Sara SDx
      Sara SDx January 21, 2017 at 5:27 am

      Volume is a little low but otherwise this looks healthy. Did your wife / partner get evaluated as well?

      • spanglerm62075 January 28, 2017 at 4:49 am

        She’s apparently only ovulating every other month or so. We wanted to make sure everything was ok on my end before she took any medications to stimulate ovulation. We were thinking maybe I should try to hydrate and re-test?

        • Sara SDx
          Sara SDx February 7, 2017 at 2:26 am

          I think I would re-test to see if the low volume was a one time thing or recurring. I would also want to see if the other numbers stay in the same range. Maybe test again in a couple of weeks and let me know how it goes.

          Infrequent ovulation / irregular cycle can definitely contribute to troubles conceiving. I had this issue.

          Given everything I might suggest waiting one additional cycle to get a second semen analysis to confirm. Then starting on stimulation. Has she used any ovulation predictors? Those might be helpful in marking timing so that you can confirm “attempts” being made within the “fertile window.” Usually docs will limit the number of consecutive months on meds.

          Keep me posted. Hoping all goes well.

  121. Mike January 12, 2017 at 11:23 pm

    Hi Dr.,

    Having trouble interpreting these results:

    volume: 1.2 mls
    abstinence time: 6 days
    viscosity: slightly increased
    sperm concentration (M/ml): 191
    pH: 7.9
    Progresive motility: 17%
    Total Motility: 53%
    Morphology normal: 10%

    Notes: Volume, viscosity, progressive motility

    • Sara SDx
      Sara SDx January 20, 2017 at 5:44 pm

      All these numbers look pretty healthy. Are you having trouble conceiving?

  122. Simon January 7, 2017 at 9:57 pm

    Does watching porn and masturbating nearly every day have an influence on sperm count and quality? Before the sperm analyisis i did not ejeculate for four days.

    • Sara SDx
      Sara SDx January 11, 2017 at 5:34 pm

      Yes and no.

      Masturbating every day will temporarily lower your sperm count. Basically, it takes about 2 days to “refill” after an ejaculation. Frequent ejaculation will lower the number of sperm in any given sample. The more frequent, the fewer sperm in the sample.

      If you abstain, the sperm will build up — like you did for the test — and show you what your “normal” sperm count is.

      If you are trying to conceive, it is best to not masturbate but to only have sex with your partner. During her period, when she is not able to conceive, it would be ok to masturbate then.

      Does that make sense?

  123. Your Semen Analysis: Sperm Vitality January 4, 2017 at 9:46 pm

    […] where people get confused: sperm vitality is not the same thing as motility. While sperm vitality definitely contributes to motility- if sperm are dead, they’re […]

  124. maj December 30, 2016 at 8:17 pm

    Hi Sara,

    Hope you can help as i have some questions about my semen analysis:

    Volume: 4.04ml
    pH = 7.5

    After this i have 2 columns one that states ‘results’:

    Total Sperm Number 275
    Sperm Concentration: 68
    Progressive Motility: 80
    Sperm Morphology 3

    Then the other column states ‘Ref Range and Units:

    Total Sperm Number: 33-46 million/ejaculation
    Sperm Concentration: 12-16 million/ml
    Progressive Motility: 31-34%
    Sperm Morphology >/= 3.0 %

    I really don’t understand the numbers as they dont seem to add up to me, Can you help me better understand what is going on and if these results are as bad as i think they are? It says normal at the bottom but just dont get it.Thanks in advance

    • Sara SDx
      Sara SDx January 11, 2017 at 5:07 pm

      Sure I can help you understand.

      So — first total sperm. You should have a total of at least 33 million. You have 275 million. Much more.

      Sperm concentration — this number is harder to explain. It is the number of sperm in each mL of semen. You have a total of 4 mL of semen. In each mL you have about 68 million sperm. The cut-off for “low” sperm count is typically 15 million. This lab uses a number of 12-16 million. Again, you have a much higher number.

      Progressive motility — out of 100 sperm, how many are swimming straight forward. Minimally, they hope to see 30% swimming straight. You have 80% swimmming straight. this is really good.

      Sperm morphology — out of 100 sperm, how many have a normal shape — they want to see more than 3% normal. In your case, you have 3% normal. This is the cutoff. It’s not the best but since you are high on all other measurements, it isn’t too concerning.

      Are you currently trying to conceive? If so, how long have you been trying?

  125. JAMIL December 27, 2016 at 3:12 pm

    Hi, Dr. Sara
    plz check this one and than reply me that what should i can do for betterment …..
    volume=5.0
    Viscosity Normal
    count 82million/ml
    Mortality
    Active = 60% , sluggish = 20% non motile = 20%
    Morphology
    Normal = 80%
    abnormal = 20%
    PUS CELLS =08-10 /hpf
    so plz reply me …. is this normal or not … thanks

    • Sara SDx
      Sara SDx January 11, 2017 at 4:45 pm

      All of the measurements are a slightly above average. This looks very healthy.

  126. GOPAL December 25, 2016 at 11:42 am

    Hi Dr,
    I married a yr before, since then we’re trying for a baby… 3 months before, i got my semen analyzed, and was shocked to see from the report that i had only1-2 sluggish sperms. As Doctor prescribed me to take progenix and maxoza L – 5g twice a day and then recently i gave my semen for analysis, but not much significant improvement.

    Quantity : 2ML
    Color : Grey
    Viscosity : VISCUS
    Liquifaction : Prolonged
    PH : ALKALINE
    Sperm Count : <1 million/ ml
    Sluggishly motile: Occasional
    WBC: 2 Clumps pf pus cells seen.
    RBC : NIL
    Epethelial Cells: 1 – 2/HPF
    IMPRESSION: OLIGO ASTHENOSPERMIA

    I was browsing on oligoasthenospermia, it looks my case is extremely bad – and am becoming fatherhood is a big question now. Can you please comment, if I continue medication, will my condition improve at least for an IVF? What you think could be a possible cause of my situation.
    Am 30yrs and my wife is 28yrs old.

    Thanks for your time..

    • Sara SDx
      Sara SDx January 11, 2017 at 4:34 pm

      So typically men with sperm counts in your range are able to become fathers using IVF with a technique called ICSI.
      You should receive a full evaluation by a urologist who specializes in fertility to get a full understanding of what your options are. Sometimes there are things doctors can do to improve sperm and allow you to become a father by natural means. Other times the best route is to use IVF or other assisted techniques to help you both become parents.

      You can start by filling out this fertility questionnaire to see if you have any risk factors that are known to impact sperm.

      It is also important for your wife to have an evaluation to help make decisions.

      Let me know if there is anything else I can do to help. I’m here if you need me.

  127. Saradev December 23, 2016 at 1:58 am

    Hi Dr. Sara,

    We are currently trying to conceive. I’ve done 2 semen analyses.The details are as follows

    November 17
    Length of Abstinence: 7 days
    Volume: 5.4ml
    Color: Milky
    Liquefication Time: >60 minutes
    pH: 7.6
    WBC: 5-8/HPF
    RBC: 0-3/HPF
    Rapid Progression 12%
    Slow Progression 53%
    Nonprogression 5%
    Immotile 30%
    Total Motility 70%
    Sperm Morphology 70%
    Sperm Count 9.09 (10^6/ml)

    December 12
    Length of Abstinence: 2.5 days
    Volume: 5.4ml
    Color: Light Yellow
    Liquefication Time: >30 minutes
    pH: 8.0
    WBC: 0-3/HPF
    RBC: nil
    Rapid Progression 3%
    Slow Progression 53%
    Nonprogression 1%
    Immotile 43%
    Total Motility 57%
    Sperm Morphology 59%
    Sperm Count 3.29 (10^6/ml)

    In between tests, no antiobiotic was taken. Just Vitamin E, Multivitamins, Korean Ginseng and on the 2nd semen analysis I was on my 4th day of Fertilaid.

    What else can be done to improve our numbers? This is our 8th cycle TTC naturally.

    Thank you!

    • Sara SDx
      Sara SDx January 11, 2017 at 4:05 pm

      Sorry for the delay in responding. I have been traveling and am only able to get to questions.

      It looks like there is definitely something going on. My first recommendation is that you should fill out our fertility questionnaire to identify risk factors. There are a lot of reasons that your sperm count could be a little low and that questionnaire might help identify some of them.

      In term of easy things you can start doing right away, here’s a great article on the most common things men can do to boost their sperm count.

      3rd, It is probably a good idea to get a full evaluation by a urologist who specializes in male fertility. The workup should include a physical exam and a blood test for hormone levels and genetics.

      I’m happy to talk through the report from the questionnaire if you still have questions.

  128. Fateh December 22, 2016 at 10:29 am

    Hi Sara Good Afternoon to you.

    Since I am not becoming a father and my wife also has irregular periods, it’s 11 months getting married.

    Hence doctor had prescribed me a SEMEN analysis 2 month ago and I had shared with you the results posted on this site, you had shared your thoughts informing the report looks preety healthy and you had advised me to have intercourse 2 to 3 times a week. Same we did.

    The concern now my wife had missed her periods it was almost for 45 days, I was in assumption that she is conceived,

    surprisingly 2 days ago she got her periods bleeding was heavy and sometimes it was sold with pain, when consulted doctor they tell its due to Hormonal imbalance she miss her periods; and all her scanned diagnose reports are positive she gets convinced slowly doctors advice.

    Her weight is 64 and Age 21 years.

    Please advice: We are anxious and planning for Baby, why this Hormonal imbalance happen or any other test need to be undergone for my wife and me.

    I would be more thankful. Please advice.

    • Sara SDx
      Sara SDx January 20, 2017 at 5:37 pm

      Her doctor would be best to give her advice on how to deal with hormone imbalances.

      In general, it is a good idea to avoid things like bread, sugar or white rice and eat more vegetables and protein.
      Exercise like long walks or jogging can be helpful for both you and her.

      Sometimes it can take a little while to get pregnant, especially if the periods are so irregular.

      My best advice is to enjoy each other and enjoy your relationship. Try to not get too stressed out about having a baby and make space to enjoy sex.
      You are doing a great job supporting her and working together to have a baby. I would follow up with her doctor to see what else they recommend. I am happy to talk about any advice they give you.

  129. Noman ahmed December 22, 2016 at 3:28 am

    Hi.
    Im 25 years d and my wife 21. We are trying conceive from last 7 months. I have done sememen analysis test 2 days ago. Results are as under.
    Volume : 1ml (its not usualy as low)
    Its was whitish grey and thick and took 15 min to liquify ph is 7.7
    Sperm count is 140million/ml
    Puss cell 1-2hpf. Epithelial cell a few
    Immotile 40, non progressive 05, slowly progressive 05, rapidly progressive 50, acrosomal cap 60, abnormal heads 10
    Mid pieces 70, tails 75
    Please tell is normal?
    What is the problem?

    • Sara SDx
      Sara SDx January 20, 2017 at 4:31 pm

      volume is a little low, but otherwise looks pretty healthy. If you usually have a little more volume then I wouldn’t be worried. It can take 12 months for young healthy people to conceive. Keep trying. Ideally, you should have sex 2-3 times a week.

  130. Aumi December 21, 2016 at 10:39 am

    Hi…
    Here is my report
    AUTOMATED SQA PARAMETER
    Ph-8
    Volume-1.6 ml
    Sperm concentration(count) – 69.1 mil/ml
    Total motility (pr + np ) – 58%
    Total progressive motality (pr) – 45%
    Non progressive motility (np) – 13%
    Immotality – 42%
    Morphology normal – 14%
    Motile sperm concentration (msc) – 39.7 mil/ml
    Progressive motile sperm con.(pmsc) – 30.9 mil/ml
    Functional sperm concentration(fsc) – 9.3 mil/ml
    Velocity (average path velocity) apv – 11 mic/sec
    Sperm motality index (smi) – 143
    Fructose – positive

    TOTAL PER EJACULATION
    total sperm number – 110.6 mil/ej
    Total motile sperm (pr + np ) – 63.3 mil/ej
    Total progressively motile sperm (pmsc) – 49.4 mil/ej
    Total function sperm(fsc) – 14.9 mil/ ej
    Total morphology normal – 15.5 mil/ej

    The report has highlighted that
    Functional sperm concentration(fsc), sperm motility index (smi) and normal morphology are abnormal.i mean they have just highlightened that particular lines by marker pen…

    And one more thing…i m suffering from anxiety neurosis since 8 years and i m taking their medication regularly…and since last 5 years i m suffering from blood pressure and high cholesterol…it both disease is consequences of anxiety neurosis..i m also takin medication for them..however they remains normal since 2 years….i m also overweigh due to medication…..
    We are planning for a child…i had fear about my child will be born with hereditary disease…like blood pressure…anxiety ….and cholesterol……what should i do….should i wait….pls pls guide me..and pls tell me about my semen report

    • Sara SDx
      Sara SDx January 10, 2017 at 6:00 pm

      Overall, this actually looks pretty healthy to me.

      A lot of factors influence genetics and whether a child will inherit conditions that you have. If you are very nervous about it, you can schedule time with a genetic counselor who can help you determine risks of passing on hereditary conditions.

      The best thing you can do for your child and for your fertility is to take steps to be the healthiest you can be. Exercising, eating well, sleeping well, reducing stress, etc. These things can improve the health of your body and your sperm. They can also make you feel better inside and more ready to take on the responsibility of fatherhood. You have already done a great job by getting a test done to see where you are at and making sure that you are giving your future child the best chances at good health.

      Let me know if you have other questions or concerns. I’m happy to help you talk through them

  131. khan December 15, 2016 at 5:01 pm

    Quantity-5ml
    Viscosity-higher than normal
    Time of liquefaction-30min
    Reaction-alkaline
    Fructose-present
    Total sperm count-8million/ml
    Motality
    active 10%
    Sluggish-30%
    Non motile-60%
    Morphology- 10% abnormal orms
    Viability-60% viable forms
    Pus cells-8-10/h.p.f.
    R.B.C.- absent/h.p.f
    Epithelial cells-2-4/h.p.f
    Is report good or bad
    And if bad solution is available or not..??
    Plz reply

    • Sara SDx
      Sara SDx January 10, 2017 at 5:22 pm

      It is borderline. 8 M/ml is pretty low, but your volume is high.
      Total sperm count is 40 million which is borderline.
      10% active motile = 4 million active sperm cells total.
      This is a borderline result. It could take you a while to conceive but I think it is possible.

      Are you currently trying? How long?
      Have you taken our fertility questionnaire to find out our risk factors? I would guess that there are things you can do to improve. I’m happy to talk through ideas if you need them.

      Sara

  132. Akbar December 14, 2016 at 11:54 am

    Hi Sara,

    As per your given suggestion few months ago.

    I would like to update a good news/disappointment matter with you, I had initiated pregnancy test at home by getting a kit; as per instruction given on over leaf;

    I had initiated the pregnancy test with urine sample , result was shown with Two lines appearing at “C & T” in color pink once added 3 drops of urine sample,

    slowly the other line at “T” in device disappeared, and the pink color got spreaded. Only One pink line was appearing at final stage.

    Hence I am so disappointed/confused , requesting your comment on same what went wrong. THANK you.

  133. babybluecute December 14, 2016 at 8:24 am

    Hi Sara,

    My partner and I are try for almost a year now. I’m worried that we can’t get pregnant since i’m a poly cystic.
    Can you please review his semen analysis and if there is still a chance for us

    Macroscopic Analysis
    Liquefaction Time: Incomplete even after 2 hours
    pH: 8
    Appearance: Homogeneous, yellowish-opalescent
    Viscosity: Highly viscous
    Debris +2

    Microscopic Analysis
    Volume: 3.5 ml
    Sperm Concentration: 35×10^6/ml
    Total sperm count: 122.5×10^6/ejaculate
    Total Motility: (PR+NP): 80%
    Total Motile Count: 98×10^6
    Progressive Motility (PR): 54%
    Non-progressive (NP): 26%
    Immotile: 20%
    Sperm Vitality 90%
    Agglutination none
    WBC <1
    Normal forms:2%

    Abnormal forms 98% (Amorphous & Small heads, bent neck, Tapered & pyriform heads and double tails

    I'm concern with his liquefaction time, viscosity and the abnormal forms

    • Sara SDx
      Sara SDx December 21, 2016 at 4:10 pm

      Poly cystic + slightly low sperm count + low normal forms = reduced chances

      You should be able to get pregnant but all of these things together might make it a little difficult. I’m not too worried about the viscosity or liquifaction time. It seems like the sperm cells are able to swim ok. But there is a relatively lower number of them and lots of abnormal ones.

      How is both of your weight and diet?

      I had polycystic and found that losing weight, increasing my exercise and reducing carbs was incredibly helpful in balancing my hormones (eventually I was able to conceive and now have 4 children).
      These things are also really good for sperm — food rich in vegetables and low in carbs can help improve sperm. Healthy body weight, limiting alcohol, and regular exercise can also help sperm.

      Here’s a full quiz you can take to help identify potential things that could be lowering sperm count and normal forms.

      • babybluecute January 4, 2017 at 8:04 am

        Thank you Sara for your response,

        Both our weight are in the normal range. For the diet part it’s also okay but since with our circumstance we need to reduce the carbs intake like what you have suggested.

        My obgyne suggested to take birth control pills for 3 months (saying that it will also help lessen the polycystic) and my partner is take glutathione, zinc and vitamin c to help improve his sperms.

        I’ll give him the quiz to answer so we would identify the potential things lowering his sperm count and normal forms

        • Sara SDx
          Sara SDx January 11, 2017 at 5:24 pm

          Great. It sounds like you are taking good steps to try to improve things. Don’t give up. I also had polycystic and by taking good care of my health I was able to get pregnant.
          If you have any questions about the results of his quiz and what else he can do I’m always here to help. Good luck.

  134. Sara SDx
    Sara SDx December 14, 2016 at 6:51 am

    This doesn’t look to bad. Abnormal forms may be an issue but I wouldn’t think so unless you’ve been trying for around a year. My recommendation would be to read about all the things that can harm sperm and try to do your best to avoid them (heat, alcohol, cigarettes, too much sitting, lack of exercise, high sugar diet, no vitamins, etc) then retest in a few months if you don’t get pregnant

  135. Sam December 13, 2016 at 10:29 pm

    Hi Doctor, need an advice on my report.
    As per reference range provided in Lab report , Volume ( >=2 ml) and Normal Morphology (>14%) seem to be lower side.
    Also, can you please explain what Head Def,% 83 % measure indicates ? (shown below)
    Thanks in Advance.

    Semen Analysis, Basic
    Age :35 Yrs
    Abstinence Period 7 days
    Appearance WHITE
    Liquefaction Time 00:16 hh:mm
    Volume 1.4 mL (Low Range >=2.0 ml)
    Viscosity Note: Normal Distinct Drops.
    pH 7.6
    Motility 74

    Quality of Motion:
    Rapidly Progressive 69 %
    Sluggish 5 %
    Note:
    nonprogressive=11%
    Immotile 15 % 01

    Concentration 331.7 Million/mL

    Normal Morphology, % 9 Low
    [Strict Morphology (Kruger et al. 2004)
    >14% Excellent fertility potential
    5 – 14% Good fertility potential
    < 5% Poor fertility potential]

    Head Def,% 83 %
    Midpiece Defect, % 8
    Tailpiece Defect, % 0

    • Sara SDx
      Sara SDx December 14, 2016 at 6:20 am

      Your concentration is so high, and they are swimming well. these other things shouldn’t matter too much. I wouldn’t worry

      Are you currently trying to conceive? If so, how long?

  136. AshSha December 10, 2016 at 9:25 pm

    Hi Doctor, need an advice on my report

    this is my report please suggest..

    We have been married for over a 1.4 years now, still no kids. hence took this test..

    Volumne:3.5ml
    Liquefacion time: 30 mins
    Viscosity : Normal
    Reaction : Alkaline
    Fructose : Present
    Total sperm count : 52.8millions/ml

    Motility:
    Active : 40%
    luggish : 10%
    non-Motile : 50%
    Morphology:20% Abnormal

    Others:
    Plus cell 2-5/hpf

    Please suggest your opinion on this report

    • Sara SDx
      Sara SDx December 13, 2016 at 6:00 am

      My opinion is that it looks reasonably healthy.

  137. BOBBY December 2, 2016 at 12:43 pm

    Semen Analysis please tell me suugest me how to go a head

    lIQUIDFICATION tIME 40MINS

    Volume is 3.0ML

    COLOUR GREY WHITE

    ODOUR MUSTY

    PH 8.0

    REACTION ALKALINE

    VISCOSITY VISCOUS

    MOTILITY ACTIVE 25% SLUGGISH 10% DEAD 65%

    PUS CELLS 20-25/HPF , R.B.C 6 -8 HPF Epithelical Cells 3-4/HPF

    Morphology

    normal forms 38% Head Defects 30%, Mid piece defects 08% Tail Defects 24 %

    • Sara SDx
      Sara SDx December 13, 2016 at 6:06 am

      I don’t see sperm count listed. Everything else looks pretty normal.

      • bobby January 9, 2017 at 12:10 pm

        doctor 6.0Millions

  138. Nimesh November 30, 2016 at 11:26 am

    Dear Mam,
    Please find below my report and share your thoughts.

    i did Semen Examination

    Appearance Pale Milky
    Liquefaction Time 18
    Viscosity Moderate Degree
    PH 7.8

    Fructose Positive

    Sperm Motility
    Rapid Progressive 25
    Non Progressive 10
    immotile 65

    Sperm Count 15

    Normal Sperms 62
    Abnormal Sperms 38

    Pus Cells Absent
    Red Cells Absent
    Epithelial Cell Absent
    Agglutination Of Sperm Absent

    • Sara SDx
      Sara SDx December 13, 2016 at 6:10 am

      A little on the low side. Id recommend taking steps to try to improve. Have you taken our risk assessment?

  139. Shahbaz November 29, 2016 at 6:43 pm

    Hi Sara …could you pls help me with my reports as I am quite worried about my vitality..

    Amount: 3 ml
    Color:- grayish white
    Reaction:- alkaline
    pH:-8
    Liquification time:-30 min
    Count(per ml):- 28 million/ml
    Total count:-84 millions
    Vitality:- 14%
    Progressive motility:-28%
    Sluggishly motile(sperms):-40%
    Normal forms:- 15%
    WBC :-1-2/ ml

    • Sara SDx
      Sara SDx December 13, 2016 at 6:12 am

      Over all its not to bad. Could definitely benefit from talking steps to improve. Have you filled out our risk assessment? That would be a good place to start

  140. BOBBY November 25, 2016 at 8:28 am

    Semen Analysis please tell me

    lIQUIDFICATION tIME 40MINS

    Volume is 3.0ML

    COLOUR GREY WHITE

    ODOUR MUSTY

    PH 8.0

    REACTION ALKALINE

    VISCOSITY VISCOUS

    MOTILITY ACTIVE 25% SLUGGISH 10% DEAD 65%

    PUS CELLS 20-25/HPF , R.B.C 6 -8 HPF Epithelical Cells 3-4/HPF

    Morphology

    normal forms 38% Head Defects 30%, Mid piece defects 08% Tail Defects 24 %

    • Sara SDx
      Sara SDx December 14, 2016 at 6:46 am

      I don’t see count. Hard to say without that. Other numbers look ok.

  141. Anne November 22, 2016 at 8:36 am

    Is there anything else concerning aside from the abnormal forms? Can we still be pregnant?

  142. […] Understanding Your Semen Analysis […]

  143. Matt November 16, 2016 at 5:34 pm

    Hi Sarah,

    we are trying to concieve and had the following results. What do you think our options are? Thanks so much for your help

    Volume ml 4.50
    pH 7.50
    Appearance Normal
    Viscosity Highly Viscous
    Liquefaction Complete
    Density x106 /ml 1.50
    Total count x106 6.75
    Motility %
    Progressive 15.0
    Non progressive 5.0
    Immotile 80.0
    Normal forms % 1.00

    • Sara SDx
      Sara SDx December 15, 2016 at 5:58 am

      I think it would be good to see a male fertility specialist for a full evaluation. Bad news is these numbers are low. Good news is that there may be things the doc can do to help you improve and even if not you have enough sperm to give you a few options for next steps. Let me know if you’d like to talk through next steps in more detail or if you’d like a Dr recommendation

  144. Candice November 8, 2016 at 11:51 pm

    Hi. We are currently trying to conceive. below is my husbands semen analysis. Any help or comments would be appreciated. Thanks.

    Volume: 2.5 ml
    viscosity: abnormal
    liquefacation time: >30 mins
    semen ph: 8
    sperm count: 42.2 million
    sperm motility: 55%
    progressive motility: 44%
    normal morphology: 90%
    abnormal morphology: pin head, broken neck
    wbc: few
    rbc: rare
    bacteria: none seen

    • Sara SDx
      Sara SDx November 10, 2016 at 5:31 pm

      It’s on the low side of normal but still pretty healthy and doesn’t cause me any concern. How long have you been trying? Does something concern you in particular?

      • Candice November 11, 2016 at 4:56 pm

        Thanks Sara for your comment. We have been trying for 8 months (3 of which I have been tracking bbt, using opks and having intercorse on prime fertility days). He just had a follow up SA done. The 1st sample was done after abstaining for over 10 days. The doctor didn’t tell us that 3-5 days were optinal. This 2nd sample was done after 3.5 days of abstinence. Here are the results:

        Volume: 1 ml
        viscosity: normal
        liquefacation time: arrival
        semen ph: 8
        sperm count: 37.4 million
        sperm motility: 80%
        progressive motility: 80%
        normal morphology: 85%
        abnormal morphology: Amorphous head ( some pinhead observed)
        wbc: few
        rbc: none seen
        bacteria: none seen

        This seems to be better than the last results. However my doctor still has him seeing a urologist to check. Are these results really not good? Also, what does the amorphous head part mean. I am concerned about that. Thanks you in advance for your advice.

  145. Ammuslih November 5, 2016 at 12:22 pm

    Hey Sara,
    I repeated my SA and got better counts 4 ml X 35 million = 140 million but still facing a problem with morphology 3%.. progressive motility is 32%.. me and my wife are visiting an ART clinic and the doctor told us we can go for either IUI or IVF (we have been married for 2 years) with the success rates (IUI 15%) (ICSI 55%).. I am really confused between IUI and ICSI.. any help?

    • Sara SDx
      Sara SDx November 10, 2016 at 5:15 pm

      IUI is a procedure where you masturbate to create a sample and doctors will place the sperm directly in the uterus near to the egg. This increases the chance that the sperm will reach the egg.

      ICSI is where she takes injections every day. They take eggs out of her body. You provide sperm. They select a single sperm and actually inject it into the egg to make an embryo. They place the embyro back in her body and she continues medication to help the new embryo stay.

      Does this explanation help you?

      Chances go up with ICSI but the procedure is also significantly more invasive. The good news is that both procedures are fairly common practice and the clinic should be very good at doing them.

      What was the motility of the sperm in the recent analysis?
      How regularly do you have intercourse?

  146. GM November 5, 2016 at 9:49 am

    Dear Sara,
    My husband had his Semen Analysis result 6 months ago as:

    Volume 1.5
    PH 7.8
    Viscosity Normal
    Sperm Count/ml 41
    Sperm Count; Total 61.5
    Sperm Motility, Total 29.4
    Rapid Progressive; Class A 5.9
    Progressive; Class B 20.6
    Total progressive; Class A+B 26.5
    Non-progressive; Class C 2.9
    Non-motile; Class D 70.6
    Live Ratio; Class A+B+C 29.4
    Normal Morphology L 1%
    abnormal Morphology H 99%
    Amorph 87
    Giant Head 1
    Pin Head 5
    Short Tail 4
    Excess Residual cytoplasm 7
    Round Cells 8-10
    WBC 0.2

    I have to add he has LEFT SIDE VARICOCELE (grade 2). We have tried to conceive for four months and the timing were correct in all four months and we are sure about my ovulation as I check it with basal body temperature and ovulation predictor kits. According to the result of his test and sonography, is it possible for us to conceive naturally and we have to be patient only? or do we need any special intervention?
    Thanks in advance for your help.

    • Sara SDx
      Sara SDx November 10, 2016 at 5:09 pm

      His sperm parameters are slightly impacted by the varicocele, particularly morphology and to a lesser extent motility. This is pretty common. I definitely wouldn’t recommend intervention at this point but you will want to be proactive and keep an eye on it. These parameters suggest conceiving may take longer than usual — 4 months is still pretty early in the process.

      To increase sperm health for varicoceles, I typically recommend a diet rich in antioxidants (or supplements) and regular cooling of the scrotum (you can use a bag of peas or a guy with this problem actually invented underwear designed for this.

      If you want an easy way to track progress at home, I also am co-founder of a start-up that invented a home tracking system for sperm count. It won’t tell you if the morphology or motility are increasing but it can help you see if sperm count is going up or down which would be a helpful tool in deciding whether or not to go back in for another semen analysis.

      The good news is, I totally think you can conceive naturally. It will just take time. Taking steps to try to improve may just speed the time up.

  147. Ameen October 31, 2016 at 12:17 pm

    Hi,
    I did a sperm analysis test and I am not sure if they are okay. The details are as follows
    Appearance : Creamy White,
    Consistency : Thin,
    Volume : 4ml,
    PH : 8,
    Rapid progression : 15%,
    Slow progression : 20%,
    Non-progressive Motility: 20%,
    Immotile : 45%,
    Count/ml : 40 million,
    Morphology Normal: 55%,
    Abnormal : 45%, ,
    head defects : 15%,
    tail defects : 15%,
    neck and mid piece defect: 09%,
    Cytoplasmic Droplets: 03%,,
    Headless ‘Pinhead’ : 03%,

    Pus Cell : 2-4,
    Red blood cells: 1-2

    Can you put some reflection on my results ?

    • Sara SDx
      Sara SDx November 10, 2016 at 4:51 pm

      Overall this looks pretty healthy. Numbers could be better but its definitely in the fertile range. Is there anything that particularly concerns you?

      Sara

  148. Deepak October 26, 2016 at 3:27 am

    Dear Madam, i came up here some months back with my 2 semen analysis reports. Thank you for your answers.
    I again did my 3rd semen analysis on 24.10.2016. The results are SURPRISING!!
    I am giving my previous reports in brackets.
    Abstinence: 6 days
    Volume: 2.5ml (3ml Jan) (4ml April)
    concentration: 101mil/ml, (59mil/ml Jan) (50mil/ml April)
    motility: progressive 83% (A: 25% B: 10% Jan) (A: 25% B: 10% April)
    pH is normal 7.8
    morphology: 90% normal (50% normal- Jan) (50% normal- April)
    vitality: 70%
    color: white opalescent
    WBC: 3.8mil/ml ( there is no mention about the WBC in previous reports, which were done in another lab)

    I wonder how the motility and counts increased drastically. i only took 2 teaspoons of honey and dates regularly everyday along with my regular meals.
    worried about the WBC counts.
    please comment.
    Thanking you in anticipation.

  149. kashif October 19, 2016 at 3:55 pm

    Please tell me if my semen analysis is normal?We are trying to conceive 2 years
    Quantity: 2.5ml
    colour: greyish white
    Liquefaction Time 30mint
    Abstinence 7 Days
    viscosity< normal
    ph: .
    total sperm count : 125 millions
    motility/active: 60%
    sluggish; 20%
    non motile: 20%
    morphology: abnormal forms 10%
    pus cells: 4-5 hpf
    Rbcs nil

  150. Akbar October 17, 2016 at 8:30 am

    Hi Sara,

    Thank you very much for your valuable feedback and suggestions..

    Please let me know my wife Menstrual date is on every 25th of the month… Which are those Days till what period (i.e. Before Menstrual date 25th or after Menstrual).

    We should have regular sex for high chances of conceiving baby?

    I will be thankful to you. Please update. Thanks.

    • Sara SDx
      Sara SDx October 19, 2016 at 4:49 am

      Yes. Regular sex. Maybe 2-4 times a week if possible. Especially important from 1st – 15th of the month.

      • Akbar October 19, 2016 at 11:39 am

        Appreciated.. Thank you very for the update value for it. Thank again.

        • Akbar December 13, 2016 at 6:58 am

          Hi Sara,

          As per your given suggestion above.

          I would like to update a good news/disappointment matter with you, I had initiated pregnancy test at home by getting a kit; as per instruction given on over leaf;

          I had initiated the test for my wife, result was shown with Two lines appearing at “C & T” in color pink once added 3 drops of urine sample,

          slowly the other line at “T” disappeared, and the color spreaded on device. Only One pink line was appearing at final stage.

          Hence I am so disappointed/confused , requesting your comment on same what went wrong. Thank you.

  151. Kaiyee October 12, 2016 at 3:44 pm

    Hi Sara,

    I’ve left comments above but would be great for your further reply. My husband analysis captioned below again for your easy reference:

    Abstinence: 3
    Volume: 2.2
    pH: 8.0
    Viscosity: normal
    Count: 170
    Motility (%): 00 Rapid / 79 sluggish / 11 non-progressive / 10 immotile
    Normal Morphology (%): 01

    Your previous reply “Makes me wonder — how is his diet? Does he smoke or drink? Is he exposed to high temperatures on a regular basis?….Has he been evaluated for varicocele?”

    My husband does not smoke, and only have a glass of sth socially..yes we are in a hot country but his office is very cold and he works under quite a lot of stress everyday..the doctor has prescribed him with L-Carnitine does that helps to elevate varicocele..?

    The doctor said he has lots of sperms so 1% normal of 170 count iis not as bad as 1% of say 20 counts..but I just wonder, if all of them are sluggish and zero rapid ones..does that mean none of them can fertilise an egg??

    Would really appreciate your reply again, what else can he do to improvise the quality of his swimmers quicker and faster?

    • Sara SDx
      Sara SDx October 19, 2016 at 4:29 am

      Does he have a varicocele?

  152. Lakhbir singh October 12, 2016 at 12:34 pm

    Thanks Dr.yes I did and it answer that your life style is perfect and normal,only few risk factor like using laptop and sitting too long for work Ian issue which I am going to avoid from last 2 months.thanks once again

  153. Lakhbir singh October 7, 2016 at 9:19 am

    Test Latest Result Unit Ref. Values
    Physical Examination
    Colour White White to Grey
    Volume 2.0 ml 2 – 5
    Consistency Viscid Viscid, Opalescent
    pH 8.0 7.2 – 8.0
    Liquefaction Time 30 Minutes 20 – 60 Microscopic Examination
    Total count 17 Million/ml =/> 20
    Rapidly Motile 50 % =/> 50
    Sluggish Motile 15 %
    Normal sperm morphology 60 % > 60
    Abnormal sperm morphology 40 % < 40
    Pus cells/HPF 18-20 0 – 5 RBCs /HPF Nil Nil
    Non-Motile 35 %
    Comments Oligozospermia.

  154. khan October 7, 2016 at 6:57 am

    Please sara answer ?We are trying to conceive 9 months.
    volume 3ml
    Viscosity thin
    liquification time 30min
    concentration 38mil/ml
    total count 114 mill/ml
    rapid progressive 30%
    slow progressive 20%
    non progressive 10%
    immotile 40%

    morphology 55% normal

  155. johnny October 3, 2016 at 8:50 pm

    Hi, I’m 18
    How bad is it?

    Volume 0.5 mL
    Abstinence More than 3 Days
    Color Greyish White
    pH: Alkaline
    Liquefaction Time 30 Min

    Viscosity : Viscous

    Sperm Count 8 Mill/ml

    RBC: 8-10 / HPF
    Abnormal Forms: 15%
    Spermatogenic Cells 2-3/HPF
    Pud Cells 2–25/ HPF
    Viability: 20% viable sperms

    Active progressive motility ( 5%),( After 2 Hours 0%),
    Slow or sluggish progressive motility (5%) (2 Hours 0%),
    Twitching or shaking non-progressive (10%), (2 Hours 5%)
    Immotile (80%), (2 Hours 95%)

    • Sara SDx
      Sara SDx October 6, 2016 at 3:55 pm

      The volume is a little low…so is count. It’s not terribly low and definitely something that can be improved.

      A few questions
      1. Did you catch the whole sample?
      2. How long did you abstain prior to testing?
      3. Are you currently trying to conceive? if so, how long?
      4. Have you taken our fertility quiz? If so, did it list any major risks?

      • khan October 7, 2016 at 6:55 am

        Please tell me if my semen analysis is normal?We are trying to conceive 9 months.
        volume 3ml
        Viscosity thin
        liquification time 30min
        concentration 38mil/ml
        total count 114 mill/ml
        rapid progressive 30%
        slow progressive 20%
        non progressive 10%
        immotile 40%

        morphology 55% normal

        • Sara SDx
          Sara SDx October 11, 2016 at 8:04 pm

          Its on the low end of normal. You should be able to conceive. Sometimes it takes a little longer that we would like.

          A few tips
          – You might increase chances if you take steps to try to improve your count
          – Try to have sex 3-4 times a week — too much (every day or multiple times ar day) or too little (less than once a week) can reduce your chances of conceiving.

          If you don’t conceive in another 3 months I would go back for a follow up test to see if things are the same or if they’ve changed at all. I would also have your wife / partner go for a full evaluation to check for any issues on her side.

          Good luck. I hope to hear good news soon.

  156. Abdul October 3, 2016 at 5:20 pm

    Hi Doctor,

    This is my semen analysis report.Please tel me my semen report are good or bad?. If it’s not good please give me the suggestion whether i need to take any tablets or treatment.

    Volume : 2cc
    Colour : OPAQUE GREY
    ReAction : ALKALINE PH OF 8.0
    Liquification : LIQUIFICATION HAS TAKEN TIME WITHIN 30 MIN FROM THE TIME OF COLLECTION
    VISCOSITY : MODERATE VISCOUS

    MOTILITY

    VERY ACTIVE : 20 %
    ACTIVE : 40 %
    SLUGGISH : 25 %
    NON MOTILE : 15 %
    PUS CELLS : 1-2/ hpf
    SPERM COUNT : 53 MILLION SPERMS/CC

    • Sara SDx
      Sara SDx October 6, 2016 at 3:51 pm

      Its ok. Are you currently trying for a baby?

  157. nemo October 3, 2016 at 6:18 am

    Sperm Concentration 2,500,000/ml
    Total Count 10,000,000 / Ejaculation
    Sperm Vitality 40 %
    Total motility (PR+NP) 60 %—(PR) 40—- (NP) 20%
    Total Abnormal Forms 35 %
    Round Cells 5-8 /H.P.F.
    Red Blood Cells 1-3 /H.P.F.

    • nemo October 3, 2016 at 6:22 am

      please tell me if it is normal?? i have tried to concieve for 12 month

    • Sara SDx
      Sara SDx October 6, 2016 at 3:49 pm

      This is a little on the low side. I might recommend that you fill out our questionniare to see if you have any major risk factors and go to a doctor for a full evaluation.

  158. KS79 October 2, 2016 at 3:48 pm

    Hi,

    Can you please review my results (I am 37 years old)?

    Volume 2.0 ML
    Colour: CREAMY
    Transparancy: THIN
    pH: 9.0
    Microscopic
    Total Sperm Count: 60.0
    Actively Motile: 40
    Sluggish : 20
    Non-Motile: 40
    Pus Cells 2-3
    Epithelial Cells 0-1
    Red Blood Cells C

    • Sara SDx
      Sara SDx October 6, 2016 at 3:47 pm

      Looks ok. Are you currently trying to conceive? is there something that worries you?

  159. Akbar September 27, 2016 at 7:12 am

    Hi Sara Good Afternoon to you.

    Since I am not becoming a father and my wife also has irregular periods it’s 9 months getting married. Hence doctor has prescribed me a SEMEN analysis below my results.

    Request your feedback on quality is my sperm fertile and in good condition… I am worried about MORPHOLOGY : 74% and sperm Volume : 1.9 ml is it in Normal range ? please let me know. Thanks.

    Days of post EJC : 4 days 0
    Time of collection : 7.55 PM
    Time of received : 7.59 PM
    PHYSICAL EXAMINATION :
    Volume : 1.9 ml Colour : Opaque grey
    Ph : Alkaline Viscosity : Normal
    Liquefaction : After 30min of incubation at 37Ç.
    Seminal Fructose : Positive
    (Reducing substance)
    PROGRESSIVE MOTILITY (PM) : 60%
    (Lower Reference Range: PM alone 30%, PM + NP – 40%)
    NON-PROGRESSIVE MOTILITY (NP) : 10%
    NON MOTILITY : 30%
    COUNTS / ml :106.0 mlln / ml
    (Lower Reference Range : 12 – 16 mlln / ml)
    COUNTS / Ejaculate : 201.4 mlln / ejaculate
    (Lower Reference Range: 33 – 46 mlln / Ejaculate).

    MORPHOLOGY : 74% of the sperms are within normal 0
    limits.
    (Lower Reference Range : 30% by conventional method.
    Strict criteria not used.)
    ABNORMAL FORMS
    Abnormal Head : 17% Abnormal Tail : 09% Others :
    00
    (Pus cells :5-6 /hpf)

    IMPRESSION :
    (Semenogram report (Manual) :NORMAL SEMENOGRAM

    • Sara SDx
      Sara SDx October 6, 2016 at 3:39 pm

      This looks pretty healthy.

      Conceiving can be difficult with irregular cycles. It is important to have regular sex throughout the cycle to give yourselves the best chances of conceiving.

      Taking steps to reduce stress, eat healthy (especially low sugar / carbs and increase vegetables), exercise, get good sleep, and avoiding caffeine, cigarette smoke, alcohol and harsh chemicals can help improve ovulation regularity and boost sperm health, which will help your chances of conception.

      • Akbar October 17, 2016 at 8:29 am

        Hi Sara,

        Thank you very much for your valuable feedback and suggestions..

        Please let me know my wife Menstrual date is on every 25th of the month… Which are those Days till what period (i.e. Before Menstrual date 25th or after Menstrual).

        We should have regular sex for high chances of conceiving baby?

        I will be thankful to you. Please update. Thanks.

  160. Kaiyee September 27, 2016 at 2:26 am

    Hi Sara,

    Got my husbands semen analysis and apparently something is wrong with the motility and morphology…

    Abstinence: 3
    Volume: 2.2
    pH: 8.0
    Viscosity: normal
    Count: 170
    Motility (%): 00 Rapid / 79 sluggish / 11 non-progressive / 10 immotile
    Normal Morphology (%): 01

    The diagnosis is Teratozoospermia. Seems that the count is quite good but there’s none rapid motile ones at all, all are sluggish. With this plus only 1% normal morphology, is there chances of getting natural fertilization? We have been trying for babies for months..

    Thanks a lot.

    • Sara SDx
      Sara SDx October 6, 2016 at 3:32 pm

      Makes me wonder — how is his diet? Does he smoke or drink? Is he exposed to high temperatures on a regular basis?
      Lifestyle can really impact sperm health. since he has lots of sperm, if we can figure out what is causing them to develop abnormally, should be able to improve chances of conception dramatically.

      Have you taken our fertilty questionaire? If so, did it list any risks?
      Has he been evaluated for varicocele?

      • Kaiyee October 8, 2016 at 1:38 am

        Thanks for your reply 🙂

        My husband does not smoke, and only have a glass of sth socially..yes we are in a hot country but his office is very cold and he works under quite a lot of stress everyday..the doctor has prescribed him with L-Carnitine does that helps to elevate varicocele..?

        The doctor said he has lots of sperms so 1% normal of 170 count iis not as bad as 1% of say 20 counts..but I just wonder, if all of them are sluggish and zero rapid ones..does that mean none of them can fertilise an egg??

        I duno what else I can do to help him improve the quality of the swimmers…

  161. kashif September 27, 2016 at 12:33 am

    Please tell me if my semen analysis is normal?We are trying to conceive 2 years
    Quantity: 2.5ml
    colour: greyish white
    Liquefaction Time 30mint
    Abstinence 7 Days
    viscosity< normal
    ph: .
    total sperm count : 125 millions
    motility/active: 60%
    sluggish; 20%
    non motile: 20%
    morphology: abnormal forms 10%
    pus cells: 4-5 hpf
    Rbcs nil

    • Sara SDx
      Sara SDx October 6, 2016 at 3:29 pm

      It looks ok.

      Do you have sex on a regular basis?
      Does your partner have regular cycles?

      • kashif October 7, 2016 at 11:19 pm

        thanks for replying. yes i do sex in week 4 days some time regular,but my partner not have regular cycles.some time .
        2ndly my report is also ok or need some treatment please what does means morphology: abnormal forms 10%???

  162. Mrwest93 September 26, 2016 at 4:07 pm

    Hello met and my wife have been trying to conceive for 2yrs. She was currently on the depo shot for 2 yrs. prior to trying. I recently had a semen analysis done. But she performed oral sex for the collection. Do you think that was a contribution to the results. Oh and we were absence for 4 days prior.

    Volume: 0.8
    Viscosity: increased
    Sperm concentration:31.3 m/ml
    Ph: 8.5
    Motility:16%
    Morphology normal:2%
    Viability:n/a

    • Sara SDx
      Sara SDx October 6, 2016 at 3:24 pm

      If there was any chance that any slipped out prior to getting it to the cup, it could impact result. Sperm live in the first few drops of the ejaculate so you really need to get it all there. It can be tough to get the whole sample. The volume is a little low so it makes me wonder if you didn’t get it all.

      2 yrs is a while to try to conceive — these numbers suggest that you have reduced fertility. Have you filled out our questionnaire? If so, did it highlight any risks?

  163. raohan September 25, 2016 at 4:56 am

    my name is sandeep kumar n my report
    Test NameResultStatusRef. RangeUnit
    SEMEN ANALYSIS
    Physical Examination,Semen
    Volume 2 1.5-5.0 mL
    Colour PEARLY WHITE
    Reaction ALKALINE
    Microscopic Features
    Total Sperm Count 16 60.00-150.00 Millions/ cc
    Rapid Prograssive Motility 70
    Sluggish Progressive Motility 10 %
    Immotile 20 %
    abnormal Forms 10 %
    Pus Cell 1-2 / HPF

  164. Futureseakers September 24, 2016 at 9:29 pm

    Hi Sara,

    I wonder if you could help us understand my partners results and options.

    So, to fill you in my partner suffered Mumps Orchitus resulting in Tesicular Apathy.
    Since he recovered he has experienced pain in the damaged testi, symptoms of low T & fertility concerns.
    He is awaiting blood tests for low T, and has been offered. Surgery to remove the damaged testi & possible testosterone injection / gel but wants to know how Will both effect his fertility & ability to naturally concive?

    Sperm results:

    Volume: 3.4ml
    No of sperm per ml of semen: 21.8 10*6/ml
    Progressive motility 80%
    Total motility 83%
    Time from sample to test: 40 min
    Acidity 8.0
    Nucleated cells not sperm 0.2
    Abstinence 3D
    Comment: 4% normal forms (note) WHO 2010 lower reference

    Values:
    Sperm volume 1.5 mL.
    Sperm concentration 15
    Million per mL.
    Total sperm numbers 39
    Million per ejaculate.
    Progressive motility 32%
    Total motility. 40%
    Days of abstinence 2-7 days
    Vitalility 58%
    Sperm morphology 48%, normal forms

    My cycle is very regular 28days , no birth control for 1 year, use tracking app ‘Clue’ ( which is great! )

    We drink rarely and both keep fit, with a healthy diet.
    He’s a non smoker & I gave up a year ago.

    We would really love some insight and knowledge to help understand the results, risks & options we are 30 years old… And trying to fully understand what is best for his recovery, treatment & future 🙂

    Thank you!

    • Sara SDx
      Sara SDx October 6, 2016 at 3:19 pm

      Thank you for such a great overview! I love Clue! I know the creators of it. Amazing woman.

      A few thoughts…

      Testosterone is a bad idea. First find out what the T levels are. I would also get FSH and LH levels if possible. If they are low, my first line of defense would be something like clomid, HcG or some other medication that doesn’t negatively impact the testicle. You should consult an endocrinologist or a urologist who SPECIALIZES in fertility. If you give me a general idea of where you live, I can make some recommendations in your area.

      2nd. If considering removal due to pain or ongoing damage, I would highly recommend banking sperm several samples if possible. Just a good insurance policy until you are through child-bearing time.

      3rd… he has enough sperm for natural conception but numbers are a little lower than optimal. This means that it could take a little while for you to conceive together. There are a number of things he can try to do to hack his count to get numbers to be the best they can be — lots of exercise (but not too much), good sleep, diet rich in antioxidants and key nutrients, and actively cooling the testicles on a regular basis (check out snowballs — another startup I love love love.).

      If you can post blood work I might have some more ideas based on what hormones are doing.

      Hopefully this helps. Let me know if you have any other questions I’m really happy to help.

  165. Ashir September 24, 2016 at 9:26 pm

    Hi Sara..

    Thanks for your reply. After I got my previous Semen Result, i visited a doctor and told my concern about red and white blood cells.. He prescribed me Cipro 500mg for 5 days. Recently i revisited lab for Semen Analysis (The result is given below).. Red Blood Cells went down but White Blood Cells went up quite high. My question is whether i need to be worried about this situation (quite high white blood cells) although all the other things seem quite normal. My age is 37 where as my wife is 30 years old. Another question is Whether person with higher white blood cells can have normal volume, sperm count, motility, morphology and can the couple conceive? Sorry for being too lengthy..

    Volume 6 mL
    Abstinence 3 Days
    Color Normal
    pH 7.5
    Liquefaction Time 45 Min

    Viscosity : Normal

    Sperm Count 80 Mill/ml
    Spermatocytes 110 x10^6/L
    Total Sperm Count 480 Mill/Vol

    Agglutination Negative

    RBC 75 Upto 100×10^6/L
    WBC 1100 Upto 250×10^6/L

    Neutrophils 70 %
    Lymphocytes 30 %

    Rapid progressive motility (30 Min 40%),(3 Hours 25%), (6 Hours 15%)
    Slow or sluggish progressive motility (30 Min 20%) (3 Hours 25%), (6 Hours 20%)
    Twitching or shaking non-progressive (30 Min 10%), (3 Hours 10%), (6 Hours 10%)
    Immotile (30 Min 30%), (3 Hours 40%), (6 Hours 55%)
    Total Motility (30 Min 70%), (3 Hours 60%), (6 Hours 45%)

    Morphology
    Normal Forms : 40 %
    Abnormal Forms : 60 %.

    Small Heads 20 %
    Round Heads 5 %
    Tapered Heads 5 %
    Large Heads 5 %
    Amorphous Heads 0 %
    Duplicate Forms 5 %
    Neck Defect 15 %
    Cytoplasmic droplet 0 %
    Tail Defect 5 %

    • Sara SDx
      Sara SDx October 6, 2016 at 3:06 pm

      This semen analysis looks pretty good with exception of the white cells.

      Typically, high white cells like this indicates an active infection — particularly since it is mostly neutrophils — which are responsible for fighting active infections.

      Prescribing Cipro was a good course of action – how long after completing Cipro course did you do this test?

      In regards to fertility, white cells shouldn’t cause a problem. Count, motility, morphology are all really healthy looking. How long have you been trying to conceive?

  166. Kera September 23, 2016 at 9:38 pm

    Please let me know your thoughts on the my husband’s analysis for our iui :
    Volume : 1.5
    pH: 8.1
    Viscosity : Moderate
    Color: White
    Debris: Slight
    Round Cells: 0.48
    RBC: Absent
    WbC: NA
    Bacteria: Absent
    Agglutination: Slight

    Preprocessing:
    Total Concentration: 57.4
    Total Sperm in Sample: 68.9
    Motile Percent: 65%
    Total ProgressiveSperm: 22.5
    Progressive Percent: 33$
    Viability: NA

    POST processing:
    Volume postwash : 0.9
    Sperm Concentration: 32.2
    Total sperm in sample (post wash): 25.7
    Motility: 95%
    Progressive Motility: 60%
    Progressive Sperm in sample: 15.5

    • Sara SDx
      Sara SDx October 6, 2016 at 2:58 pm

      For an IUI these numbers are great. Did they use this sample for the procedure?

  167. JOe September 23, 2016 at 9:29 am

    Hi Sara,
    Can you please provide feedback on my report? I am a bot worry

    Total volume: 4.2
    Ph: 8.1
    Liquefaction: yes
    Agglutination:0
    Sperm count: 14
    Total Motility :42
    Progressive:24
    Non-progressive:18
    Immotile:58
    Morphology 2
    98
    MAR test :neg

    IgG % HEAD :50
    IgG%MIDP:50

    Round cell count/HPF :2
    Bacteriology:no
    Significant organisms:no

    Thank you

  168. Khan September 21, 2016 at 8:46 am

    Please tell me if my semen analysis is normal?We are trying to conceive 9 months.
    volume 3ml
    Viscosity thin
    liquification time 30min
    concentration 38mil/ml
    total count 114 mill/ml
    rapid progressive 30%
    slow progressive 20%
    non progressive 10%
    immotile 40%

    morphology 55% normal

  169. JOe September 16, 2016 at 6:49 pm

    forgot to mention that there are x beside OLIGO, ASTHENO and TERATO

  170. JOe September 16, 2016 at 5:51 pm

    Hi Sarah,
    Can you please provide feedback on my report? I am a bot worry

    Total volume: 4.2
    Ph: 8.1
    Liquefaction: yes
    Agglutination:0
    Sperm count: 14
    Total Motility :42
    Progressive:24
    Non-progressive:18
    Immotile:58
    Morphology 2
    98
    MAR test :neg

    IgG % HEAD :50
    IgG%MIDP:50

    Round cell count/HPF :2
    Bacteriology:no
    Significant organisms:no

    Thank you

    • Sara SDx
      Sara SDx October 6, 2016 at 2:33 pm

      So, there is some stuff going on but it isn’t as bad as it initially appears.

      The sperm concentration is low, but not super low. The WHO cut-off for low sperm count is 15. Yours is at 14.
      **BUT**
      Your semen volume is on the higher side – 4.2 mL. Average is closer to 2mL.
      So — doing the math your total sperm count is 58.8 million sperm.
      The progressive motile are what really matter — that’s 24% which means that your total motile count is 14.1 million strong swimmers. To conceive naturally, it is best to have above 5 million strong swimmers, but chances of conception increase as you have more. Ideally, you would like to get that number above 20 million. So, you are in a grey area.

      Morphology is also on the semi crappy side. The cut-off is 4, ideally you’d like the number to be up around 10.

      A couple of questions.
      1. Are you trying to conceive? if so, how long?
      2. have you taken our fertility questionnaire? If so, did it tell you any major risk factors?
      3. have you been checked for a varicocele? If you do not have any risk factors, a varicocele could cause slightly abnormal semen anaylsis result.

      If you’d like to try to improve, I helped to design an app to help guys boost sperm health.

  171. jimmy September 16, 2016 at 6:32 am

    Hello
    can you provide me feedback on my report – good or bad

  172. jimmy September 16, 2016 at 6:31 am

    Physical Exam
    Liquification time – 30
    viscosity – slight

    colour – whitish
    volume – 3.0 ml

    Microscopic exam.

    total count – 110.0 millions/cc
    total motility – 60
    actively progressive – 30
    immotile– 40
    Non-progressive – 30

    normal morphology – 60
    abnormal head forms – 20
    abnormal tail forms –10

    pus cells – 5-7 / HPF
    rbc cells – 2-3 / HPF

    • Sara SDx
      Sara SDx October 4, 2016 at 5:39 pm

      Looks pretty good. Are you trying to conceive?

  173. gopal September 14, 2016 at 3:44 am

    Hello
    can you provide me feedback on my report – good or bad

    Physical Exam
    Liquification time – 30
    viscosity – thick
    Reaction – alkaine
    colour – Grayish white
    volume – 2.0 ml

    Microscopic exam.

    total count – 92.0 millions/cc
    total motility – 85
    actively progressive – 75
    sluggishly progressive – 10
    Non-progressive – 15

    normal morphology – 80
    abnormal head forms – 18
    abnormal tail forms – 02

    pus cells – 0-1 / HPF
    testicular cells – 1-2 / HPF

    #9953620754

    • Sara SDx
      Sara SDx September 16, 2016 at 3:54 am

      Looks pretty good. Are you worried about anything in particular?

  174. Sweetu September 11, 2016 at 11:56 am

    Hi Doc,
    This is my husbands semen analysisis report..
    Absentinence 3days
    apperance – greyish white
    Volume- 2 ml
    liquefaction time – 120mins
    Viscosity – highly viscous
    PHsemen – alkaline
    Fructose – present
    totsSperm count – 21.6 million/ ml
    Progressive – 45%
    non progressive – 10%
    Immotile – 45%
    Normal – 60%
    Abnormal forms – 40%(pin, large&double head, double & coiled tail form)
    Pus cells – 2-3/hpf
    Epithelial cell – 2-3/hpf
    Rbc – occassional
    Pls help we are trying to conceive since a year..we

    • Sara SDx
      Sara SDx October 4, 2016 at 5:09 pm

      The sperm count is a little on the low side, the viscosity and liquefaction are a little concerning. You might want to talk to a doctor about improving those.
      Count / motility overall look good but steps to be healthier might help to improve to more optimal number. You can also fill out our questionnaire for personalized list of things he can do to boost sperm.

  175. Anuj September 11, 2016 at 11:45 am

    Dr Sarah,
    Can you please provide your on feedback on my result below? Is IUI possible based on this results

    Tests: (1) SEMEN ANALYSIS (SEMEN)
    DAYS OF ABSTINENCE 3DAYS
    Self LIQUIFICATION :Incomplete After 3/4 Hour
    VOLUME :1.0 mL
    PH 7.5
    Viscocity : Increased ++
    Sperm Count : The number of spermatozoa per ml : 10 Millions.
    Total number of sperms per ejaculate : 10 Millions.
    Viability : 50 % spermatozoa alive at the end of 3/4 hours
    Total Forward Progressive: 40% after 3/4 Hours and 26% after 2hours
    Active sperms in the ejaculate (at the end of 3/4 hour) : 4 millions

    • Sara SDx
      Sara SDx September 15, 2016 at 3:54 am

      I’m not a doctor, but these look like reasonable numbers for an iui. Usually people say over 1 million swimming.

      If you schedule one, i would do what I could to help keep sperm healthy. The more swimmers you send in, the better your chances.

  176. richard September 8, 2016 at 10:22 pm

    Hi Doctor, Could you please interpret this result for me. Appearance-Opaque (grey), Colour- Grey, Volume-2ml,Pus cell-0-2hpf, Culture- yielded no growth, Living cells-70%, Dead cells- 30% Motility- rapid progressive motility-10%, slow progressive motility-35%, non-progressive motility-15%, Immotility- 10%, mean progressive motility -good . Liquefaction- complete within 1hr.Normal cells 60%, abnormal cells 40%. ABNORMALITIES; Macrocephale 05%, cytoplasmec droplet 10%, mid piece defect 10%, acephalic 05%, bent tail 10%. sperm cells concentration 32.5x 10 raise to power six cells1ml, total sperm cells counts- 65.0×10 raise to power6 cells2ml

    • Sara SDx
      Sara SDx October 4, 2016 at 5:03 pm

      You have a total of 65 million sperm. 10% or 6.5 million swim fast, 35% or 23 million swim a little slower.

      60% of them have good looking tails, heads, etc. 40% have bent tails or strange looking heads.

      Overall, the goal is to have over 5 million fast, good looking swimmers. You are in that zone. Chances increase as you get higher numbers of good looking swimmers. Taking steps to get healthier, avoid alcohol, heat, chemicals and other stuff like that can help you boost your sperm health. But you should be able to conceive with these results.

      Does that help? Are you currently trying to conceive?

  177. rogerraj September 7, 2016 at 4:00 pm

    Hi Sarah,
    Can you please provide feedback on my report? good, bad, ok ?
    Tests: (1) SEMEN ANALYSIS (SEMEN)
    DAYS OF ABSTINENCE 3DAYS d
    METHOD OF COLLECTION MASTURBATION
    TEMPERATURE 23 Cel
    APPEARANCE NORMAL
    LIQUIFICATION 100 %
    VOLUME 2.0 mL
    PH 8.0
    SPERM COUNT [L] 49 10*6/mL
    MOTILE 80 %
    ! NONMOTILE 20 %
    ! –GRADE 4 [A] 5 %
    ! –GRADE 3 [A] 25 %
    ! –GRADE 2 30 %
    ! –GRADE 1 [A] 20 %
    ! –GRADE 0 [A] 20 %
    ! DELAYED MOTILITY 6 HOURS
    –PERCENT MOTILE [H] 60 %
    MORPHOLOGY SEE BELOW
    –NORMAL FORMS 32 %
    ! –ABNORMAL FORMS [H] 68 %
    METHOD see below
    CLASSIFICATION METHOD: WHO, 1999, 4TH EDITION.

  178. V.P. September 6, 2016 at 9:08 pm

    Hi Mam,
    Semen analysis report:-
    Abstinence- 7 days.
    Specimen- after 20 minutes.
    GENERAL EXAMINATION:-
    Qnty— 2.0 ml.
    Colour– grayish-white
    Reaction– alkaline.
    Viscosity– normal.
    &
    Total sperm count- 8 million/ml.
    Basic motality- 35.0%
    At the end of 1 hour- 29.0%
    At the end of 2 hours- 23.0%
    At the end of 3 hours- 17.0%
    Morphology- 35.0%
    :Other data:
    Epithelial cells- few seen.
    Leucocytes- 2 to 4/H.P.F.
    Red blood cells- not detected.
    Organisms- not detected.
    Test for fructose- :

    Kitna chances hain..?
    Please suggest me.

    • Sara SDx
      Sara SDx September 8, 2016 at 1:04 pm

      Numbers are on the low side. Have you taken our fertility questionnaire to see what you’re disk factors are?

  179. Sam September 1, 2016 at 9:12 pm

    Hello Doc, really appreciate a second opinion if you have a moment? Kinda worried about this…

    My test results are as follows:

    Volume 1.5 ml
    PH 8.5
    Liquefaction: Normal
    Viscosity: Increased AB
    Immotile: 65%
    Non-progressive Motility: 9%
    Progressive Motility: 26%
    Sperm Count: 39.1 ml
    Mid-Piece Abnormality: 18
    Head Abnormality: 89
    Tail Abnormality: 7
    Leukocytes Semen 2
    Germ Cells Semen 1
    Cytoplasmic Droplets Semen 4
    Abnormal Sperm Morphology: 90%
    Normal Sperm Morphology: 10%

    Comment Morphology Semen
    Lower Reference Limit for Morphology: 4% Normal Forms
    Viability Percent: 65%
    Lower Reference Limit: 58%

    • Sara SDx
      Sara SDx September 8, 2016 at 1:09 pm

      It’s a little on the low side but conception is possible just might tale longer than average. Are you currently trying? Have you taken our fertility questionnaire to see what your risk factors might be?

  180. raj123 August 31, 2016 at 9:31 pm

    Hi Sarah,
    Can you please provide feedback on my report? good, bad, ok ?
    Tests: (1) SEMEN ANALYSIS (SEMEN)
    DAYS OF ABSTINENCE 3DAYS d
    METHOD OF COLLECTION MASTURBATION
    TEMPERATURE 23 Cel
    APPEARANCE NORMAL
    LIQUIFICATION 100 %
    VOLUME 2.0 mL
    PH 8.0
    SPERM COUNT [L] 49 10*6/mL
    MOTILE 80 %
    ! NONMOTILE 20 %
    ! –GRADE 4 [A] 5 %
    ! –GRADE 3 [A] 25 %
    ! –GRADE 2 30 %
    ! –GRADE 1 [A] 20 %
    ! –GRADE 0 [A] 20 %
    ! DELAYED MOTILITY 6 HOURS
    –PERCENT MOTILE [H] 60 %
    MORPHOLOGY SEE BELOW
    –NORMAL FORMS 32 %
    ! –ABNORMAL FORMS [H] 68 %
    METHOD see below
    CLASSIFICATION METHOD: WHO, 1999, 4TH EDITION.

    • raj123 September 2, 2016 at 7:37 pm

      any feedback?

    • Sara SDx
      Sara SDx September 8, 2016 at 1:00 pm

      This one is easier to read. It’s hard to tell if there are issues grade 4 is lower than is like to see, but total progressive motile is still within a fertile range. Are you currently trying?

      • rogerraj September 8, 2016 at 4:29 pm

        Yes, we have been trying for few months now. Our doctor was concern about ” Morphology (Abnormal Forms). your thought?
        Thanks in advance
        Raj

        • Sara SDx
          Sara SDx September 28, 2016 at 6:23 pm

          Morphology is totally within the normal range. It’s a subjective measure and labs all do it differently. If you are concerned about it, you can always repeat the test to see if numbers change.

          Since you haven’t been trying for too long I wouldn’t worry too much.

          My recommendation would be to eat healthy, get exercise and good sleep at night, try to have sex regularly and minimize stress and exposure to drugs, alcohol, cigarettes, heat and harsh chemicals. If you don’t get pregnant in 3-4 months you can repeat the test to see where you stand. You can also fill out this questionaire to get a personalized report of things that you can do to try to optimize fertility.: http://www.dontcookyourballs.com/risk

          • rogerraj October 4, 2016 at 9:06 pm

            Thanks Sara!

  181. noman javed August 31, 2016 at 8:26 pm

    hi sir please tell me is my semen analysis report is normal liquefaction 40…. co.lor. off white consistency. viscous ph 8.0 volume 2.5ml total sperm count 30millions/ml morphology 45% normal head defect 20% midpiece defect 20% tail defect 15% motility (a)active 20% (b)sluggish 35% (c)non motile 45% wbc 1-2/hpf

    • Sara SDx
      Sara SDx September 7, 2016 at 11:30 pm

      A little on the low side, but you should be able to conceive. You might want to check out some our articles on boosting sperm health. Are you currently trying for a baby?

  182. raj123 August 31, 2016 at 7:33 pm

    Dr Sarah,
    Can you please provide your on feedback on my result below?

    Tests: (1) SEMEN ANALYSIS (SEMEN)
    DAYS OF ABSTINENCE 3DAYS d *1
    METHOD OF COLLECTION MASTURBATION *2
    TEMPERATURE 23 Cel 20-25 *3
    APPEARANCE NORMAL *4
    LIQUIFICATION 100 % 70-100 *5
    VOLUME 2.0 mL 2.0-6.0 *6
    PH 8.0 7.2-8.0 *7
    SPERM COUNT [L] 49 10*6/mL 60-200 *8
    MOTILE 80 % >60 *9
    ! NONMOTILE 20 % 50 *11
    ! –GRADE 3 [A] 25 % >50 *12
    ! –GRADE 2 30 % 20-50 *13
    ! –GRADE 1 [A] 20 % 0-10 *14
    ! –GRADE 0 [A] 20 % 0 *15
    ! DELAYED MOTILITY 6 HOURS *16
    –PERCENT MOTILE [H] 60 % >45 *17
    MORPHOLOGY SEE BELOW *18
    –NORMAL FORMS 32 % 30-100 *19
    ! –ABNORMAL FORMS [H] 68 % 0-29 *20
    METHOD see below *21
    CLASSIFICATION METHOD: WHO, 1999, 4TH EDITION.

    • Sara SDx
      Sara SDx September 7, 2016 at 11:28 pm

      It’s a little hard to read, but nothing stands out as abnormal. Is there anything that concerns you?

  183. app_testingoptions – Trak August 30, 2016 at 10:45 pm

    […] For additional information, check out this page on Understanding Results. […]

  184. Ashir August 30, 2016 at 12:37 am

    Hi.

    We are trying to conceive since 6 months. In the following My Semen Analysis Report i have concern about RBCs and WBCs, is this normal or there is something to be worried about?

    Volume 6.5 mL
    Abstinence 4 Days
    Color Normal
    pH 8.0
    Liquefaction Time 30 Min

    Viscosity : Normal

    Sperm Count 65 Mill/ml
    Spermatocytes 130 x10^6/L
    Total Sperm Count 422.5 Mill/Vol

    Agglutination Negative

    RBC 100 Upto 100×10^6/L
    WBC 450 Upto 250×10^6/L

    Neutrophils 60 %
    Lymphocytes 40 %

    Rapid progressive motility 40%
    Slow or sluggish progressive motility 20%
    Twitching or shaking non-progressive 10%
    Immotile 30%
    Total Motility 70%

    Morphology
    Normal Forms : 50 %
    Abnormal Forms : 50 %.

    • Ashir August 30, 2016 at 12:46 am

      Also if you can kindly analyse my overall Semen Analysis Report?

    • Sara SDx
      Sara SDx September 7, 2016 at 4:50 am

      Looks pretty healthy to me. 6 months isn’t too long. Do what you can to be healthy, have sex regularly (3-4 times a week), avoid too frequent ejaculation. If you don’t concieve in 6 more months, get tested again

  185. Kleo August 27, 2016 at 5:43 pm

    Hi Sarah, would you please let me know what you think of these parameters: volume: 3 ml, concentration 60, total number 180, progressive: 46%, normal forms 2%, length of abstinence: 1 day. My husband and I have been trying to conceive for 16 months. I’m 35 and he is 36. I have had all possible tests done and all came back clear. We don’t drink or smoke and having a healthy lifestyle. Would his low morphology have impact on our chances? Is there anything he can do to improve it?

    • Sara SDx
      Sara SDx September 7, 2016 at 4:45 am

      Morphology could be contributing. Might not be the whole story, but definitely a suspect. He might want to get checked for varicocele. Sometimes morphology problems in otherwise healthy men can be caused by those. I would recommend he get check by a urologist. There are a couple of easy things to try in the meantime. .. vitamins and testicular cooling (check out gadgets page > snowballs underwear)

  186. MUHAMMAD August 25, 2016 at 6:02 pm

    HI SARA,
    please analyse my report..

    QUANTITY:2.0 ml.
    COLOUR :GREYISH WHITE
    VISCOSITY :VISCOUS
    TIME OF LIQUIFICATION :30 MIN
    pH: 7.5
    FRUCTOSE: POSITIVE
    TOTAL COUNT: 45 MILL/ML
    LIVE COUNT:30 MILL/ML
    SPERM PER EJACULATE:90 MIL
    PERCENTAGE MOTILE SPERM: 67 %
    RAPID LINEAR PROGRESSION:06 %
    SLOW/NON LIN PROGRESSION:54 %
    NON PROGRESSIVE:40 %
    NORMAL FORM morphology:45 %
    LARGE OVAL:15 %
    SMALL OVAL :30 %
    AMORPHOUS :10 %
    GERM CELL :02
    WBC’S :02
    RBC’S:00
    SQUAMOUS CELLS:00

    • Sara SDx
      Sara SDx August 26, 2016 at 2:30 pm

      looks ok. Does something concern you?

      • MUHAMMAD August 26, 2016 at 7:10 pm

        my wife had a miscarriage. so doc advice me to do semen analysis. so just wanted to know the difference b/t there:
        PERCENTAGE MOTILE SPERM: 67 %
        RAPID LINEAR PROGRESSION:06 %
        SLOW/NON LIN PROGRESSION:54 %
        NON PROGRESSIVE:40 %

        • MUHAMMAD August 26, 2016 at 7:12 pm

          its been 7 month to our marriage

  187. Abhinendra August 25, 2016 at 6:19 am

    Hello Dr Sara,
    I have done semen analysis and My test result as follows, could you advise about my test results, Is any defect in my report ?.

    Physical Examination
    1. Volume: 2ml
    2. Absitinence : 3days
    3. Color : Mmilky White
    4. Viscosity: Normal
    5. Liquefication Time : 30 mins

    Chemical Examination
    1. Fructose(Qualitative) : Positive
    2. Reaction: Alkaline
    3. Occult Blood : Negative

    Microscopic Examination
    1. Total Sperm Count : 100 Millions/cmm
    2. Total Mortality : 70%
    Grade I : Minimal forward Progression : 05%
    Grade II : Poor to fair activity : 05%
    Grade III : Good Activity, Tail movement visualized : 10%
    Grade IV : Good Activity, Tail movement difficult to visualized: 70%

    3. Abnormal forms : 10 %
    4. Erthrocytes : Absent
    5. Leucocytes : Occasional
    6. Epithelial Cells : Absent

    Waiting for your reply…
    Thank You.

    • Sara SDx
      Sara SDx August 26, 2016 at 2:29 pm

      The motility is pretty low. It seems like sperm are having a hard time swimming. Did you have any recent exposure to high temperature?
      I might consider retesting in a few weeks to see if this is a consistent issue.

  188. BILA August 24, 2016 at 10:10 pm

    MY REPORT IS
    volume 4.5 ml
    count 27 million/ml
    motility:active 65%
    sluggish 10%
    immotile 25%
    morphology is normal
    some pin headed found
    consistency : viscous
    written in report
    is it normal?

    • Sara SDx
      Sara SDx August 26, 2016 at 2:27 pm

      Looks relatively healthy. It’s on the lower end of normal. Are you trying to conceive?

  189. Ram August 22, 2016 at 5:19 pm

    Yes I done the semen analysis and my question is with this below result i will able to become father? my wife get pregnant? pls advise me….am 37 year old my wife is 23yesar old. in fast my has 2 time miscarriage.
    semen analysis:
    Volume(ml): 1.8ml
    Pus Cells: 01/hpf
    Liquefaction: 30min Normal
    Live(%): 66%
    Fructose: Positive
    Dead (%) 34%
    Sperm Conc.(millions/ml) :91 mill/ml
    Total Ejaculate: 164 millions
    Total Progressive (a): 43%
    Non Progressive (b) 07%
    Immotile : 50%
    Total motility (a+b) (Total Progressive +Non Progressive): 50%
    Rapid Progressive: 01%
    Slow Progressive: 42%
    Final report saying : Final Impression – ASTHENO-ZOOSPERMIA
    Normal Forms: 05%
    over all Defects: 95%
    Head Defects: 72%
    Mid Piece and Neck Defects: 22%
    Tail Defects: 01%

    • Ram September 17, 2016 at 7:42 am

      Hi Am sorry am not got the reply can reply and Advise me

      Thank you

  190. abid August 20, 2016 at 6:51 am

    hi respective doctors.
    i just recieve my semen analysis report.
    everything is ok but these things are not.
    colour creamy white
    non motile 40%
    puscells 15-20
    rbc 2-4/hpf

    • Sara SDx
      Sara SDx August 25, 2016 at 4:00 pm

      Not a doctor. Have you visited a urologist to check for infection?

  191. Aravind August 18, 2016 at 11:43 am

    Hi Sara ,
    We are TTC for 1 and half year . I did recent semen analysis and got below results

    Sperm Count : 6million/ml
    Slow Progression : 15%
    Rapid progression : 0%
    Normal morphology : 1%

    We met andrologist he suggested to do DNA Frag test and ROS
    DNA Fragmentation test is 45%
    ROS : 320 .

    Doc has given Maxoza -L ( 1 Sachet morning and 1 Sachet night) which have started from 10 days .
    Am eating dry fruits , sprouts , fruit bowl . and excersing 1 hr daily

    Am currently 29 and my wife age is 25 . My wife is healthy and everything is normal with her . Her cycles are regular (28 days) and it is like alarm after every 28 days for her .
    As we met Andrologist he verified all the previous records and told that I have a testicular dysfunction which generally cannot be repaired .
    He told that current count and parameters can be maintained and might improve 10% based on medications .

    He has suggested us for IVF with ICSI as the closest option .

    Please have a look and let us know your suggestions . It would be great if you can suggest about how much percentage we have chances of pregnancy by going
    with suggested approach .

    If my semen parameters are very bad and cant be used for IVF (with ICSI ) as well , I will think of donor sperm as well .

    Thanks
    Aravind

    • Sara SDx
      Sara SDx August 25, 2016 at 3:55 pm

      With this result IVF with ICSI and previous testicular dysfunction is probably the best best.

      Did you do a hormone test as well? Did you have genetic screen? How did he diagnose testicular dysfunction?

      In addition to the things you are trying, I would consider adding testicular cooling. This can help the testicle function at its best possible level. I think you have a good chance with ICSI given that you have sperm and your wife is regular.

      • Aravind August 29, 2016 at 6:48 am

        Hi Sara ,
        Thanks for your reply .
        Yes , all my hormone levels are normal . I had posted all values 6 months back in this page

        how much % we have chances of pregnancy .

        Thanks
        Aravind

  192. Melynda August 17, 2016 at 2:29 pm

    Hi There,
    My husband is 29, I am 29 as well and he just got a semen analysis, as I was just diagnosed with PCO (not syndrome, as I have normal blood work, periods, ovulate regularly etc), and so he got a semen analysis to go along with my referral to the fertility clinic as we have been trying for a year with no luck so far.
    Can you please interpret his report?
    Appearance Normal
    Liquification Normal
    Consistency Normal
    PH 8.3 (normal 6.5-10)
    Volume 6.0 ml (>2 normal)
    Sperm Concentration (M/ml) 65.0 (ref > 20 M/ml)
    Total sperm count (M) 390 (ref >40M)
    Motility within 1 H
    Rapid progressive % 50 (ref 25%)
    Slow Progressive % 2 (ref 50% RP + SP)
    Non Progressive % 1
    Immotile % 48
    Vitality % 92 (ref 50)
    Morphology Kruger Normal 4% (ref > 5)
    Abnormal Heads 96%
    Abnormal midpiece 24%
    Abnormal Tail 23%
    Leukocytes 0.2 M/ml (ref <1M/Ml)

    My main concern is the morphology and the motility.. that half seem to be perfectly motile, and then half are dead??
    Any insight would be so great, thanks so much.

    • Melynda August 17, 2016 at 3:44 pm

      Oh I should also mention, we did have a veryyyy early miscarriage (probably about 5 weeks) about 7 years ago, when we were 22.

      • Sara SDx
        Sara SDx August 25, 2016 at 3:51 pm

        this is good news… if you’ve conceived before… then the aforementioned issue may not be a problem. I still might look in to it just to see.

    • Sara SDx
      Sara SDx August 25, 2016 at 3:50 pm

      This looks quite healthy. The only concerning area that I see is morphology but it is still within the normal range. I might ask the lab if they could characterize the head defects. Certain head defects are genetically caused and can interfere with the sperm’s ability to fertilize an egg. (missing acrosome). Because the % of head defects is so high I would investigate that. Otherwise, this looks healthy.

  193. HARRY August 16, 2016 at 8:20 pm

    HI, DR. SARA
    I RECEIVED MY SEMEN ANALYSIS TODAY 08/16/16.

    VALUE STD RANGE
    VOLUME 0.3 1.5- 5.0
    SPERM COUNT 0 >19
    MOBILITY 0 >49
    PROGRESSIVE MOBILITY 0
    GRADE OF MOBILITY 1 3-4
    ROUND CELL/HPF <4 0-4
    APPEARANCE PALE AND CLEAR
    pH 7.0 7.2-8.0
    VISCOSITY 2 0-1
    LIQUEFACTION 40 0-30
    DEBRIS 1 0-1
    VOLUME, SMN <1 29
    UNITS: %
    I KNOW THIS IS NOT NORMAL REPORT, BUT I HAVE A QUESTION IS IT POSSIBLE TO HAVE A BABY AND BECOME A FATHER. MY WIFE HAS OVARIAN CYST AND FALLOPIAN TUBE TOO. I KNOW ITS REALLY HARD FOR US NUT IS THERE ANY TREATMENT AVAILABLE FOR ME TO MAKE MY SPERM HEALTHY.
    THANK YOU IN ADVANCE..

  194. HARRY August 16, 2016 at 8:06 pm

    HI, DR. SARA I’M 30 YR OLDER, I DID MY SEMEN ANALYSIS TWICE BELOW MY LATEST REPORT.
    VALUE STD RANGE
    VOLUME:- 0.3 1.5 – 5
    SPERM COUNT:- 0 >19
    MOBILITY:- 0 >49
    PROGRESSIVE MOBILITY: 0
    GRADE OF MOBILITY:- 1 3-4
    ROUND CELL/HPF:- <4 0-4
    APPEARANCE:- PALE AND CLEAR
    pH:- 7.0 7.2- 8.0
    VISCOSITY:- 2 0-1
    LIQUEFACTION 40 0-30
    DEBRIS:- 1 0-1
    VOLUME, SMN <1 29
    UNITS: %

    THIS IS MY REPORT AND I KNOW THIS IS NOT NORMAL BUT ITS LOWER TO ABNORMAL BUT I HAVE A QUESTION, IS THERE ANY TREATMENT AVAILABLE TO MAKE SPERM HEALTHY IN MY CASE

    • Sara SDx
      Sara SDx August 25, 2016 at 3:46 pm

      Have you been to a urologist? Here’s a list of things you should do to find the right treatment for your case.

      • HARRY September 1, 2016 at 3:24 pm

        I’m planning to go this month. But is it possible treatment for me being a father.

  195. ali110 August 11, 2016 at 2:36 pm

    dear MADAM
    this is my semen analysis report. I wonder about ab normal value. is it normal or not?
    Volume: 4.5 ml
    Liquifaction after 30m: 30
    PH: 8
    total sperm count: 95 million/ml
    motile: 65%
    non motile: 35%
    ab normal sperm: 41 (pin head:5%,giant head:11%,amorphus:19%, double head:1%)
    bent neck: 4%
    double tail: 1%
    thanks.

    • Sara SDx
      Sara SDx August 25, 2016 at 3:40 pm

      yep. completely normal

  196. Scott August 9, 2016 at 7:50 pm

    Hi Sara

    I would be ever so grateful if you could review my results below and give me your thoughts?

    I am 31 and had my share of partners over the years (not actively trying) but none have ever been pregnant and thus taking the test!

    Semen sample volume: 2.8ml

    Semen viscosity: Low

    Semen pH: 8.0

    Sperm forward progression: 44%

    Percent non-progressive sperm: 7%

    Percentage non-motile sperm: 49%

    Sperm morphology: 3%

    Total sperm count: 45.0 10*6/mL

    Thank you in advance for any help or comments ?

    Scott

    • Sara SDx
      Sara SDx August 24, 2016 at 9:45 pm

      There are some borderline numbers here but nothing I would be too concerned about.

      Volume – dead average
      Count – slightly above average but well in the fertile range
      forward progression – low end of normal but good
      Total motile count 55 million. Anything above 20 is considered “good”
      Morphology — on the low side. Cutoff is 4% but since the test to measure it is fairly subjective, unless you’ve been trying for a long time or had multiple analysis with low morph numbers I usually don’t worry too much.

      Most of the things that impact count, motility and morphology are the same. Biggest offenders — heat sources, poor diet, alcohol and drugs, lack of exercise, obesity, certain medications, etc. Many guys vary from day to day, week to week, so I would take steps to be healthier if there are areas for you to improve on. Otherwise, I would get another test done in the future when you actually start trying.

      In some cases, varicoceles can cause somewhat depressed semen parameters, so if you are a healthy guy and concerned about what could be causing the morph issue, you could schedule with a urologist just to check to see if there is a varicocele present. They typically don’t recommend treatment for them unless they are painful or actively causing significant fertility troubles but it might be a “nice to know” if you are concerned.

      Does this help?

  197. jay August 6, 2016 at 5:24 pm

    PHYSICAL EXAMINATION
    VOLUME : 4.0 ml
    COLOUR : GRAY WHITE
    LIQUFICATION TIME : 30 MINUTE
    REACTION : ALKALINE
    MICROSCOPIC EXAMINATION
    SPERM TOTAL COUNT : 76 million/ml
    SPERM MOTILITY
    ACTIVLY MOTILE : 30 %
    SLUGGISHLY MOTILE : 20 %
    NON MOTILE : 50 %
    PUS CELL : 4-6 /hpf

    • Sara SDx
      Sara SDx August 12, 2016 at 12:52 am

      Looks good

  198. mandeep August 4, 2016 at 5:12 pm

    totsl count is 25 is it good or bad ?

    • Sara SDx
      Sara SDx August 22, 2016 at 3:45 pm

      It’s on the low side. I would want to see it higher but at this number, motility matters…whats your motility?

  199. fasd ali August 2, 2016 at 12:27 pm

    HI
    I am 30 year old recently i done my test. can you please clear me the meaning of the report and also please help for next steps

    VOLUME : 4.0 ML
    PH : 8.0
    CONSISTENCY : NORMAL
    SPERM COUNT : 128 MILLION
    WEB COUNT : 4-6 / HPF
    RBC COUNT 2-4 – HPF
    SPERMATOCYTES : 4-6 / HPF
    MORPHOLOGY OF SPERMATOZOA
    NORMALFORM : 85 %
    PIN HEAH : 2%
    ROUND HEAD : 2%
    DOUBLE HEAD :3%
    LARGE HEAD : 3%
    MOTILE: 10
    SLUGGISH : 20
    IMMOTILE: 70

    • Sara SDx
      Sara SDx August 22, 2016 at 3:42 pm

      Looks pretty healthy. Are you trying to conceive?

  200. Scott July 28, 2016 at 6:50 pm

    Hi Sara

    I would be ever so grateful if you could review my results below and give me your thoughts?

    I am 31 and had my share of partners over the years (not actively trying) but none have ever been pregnant and thus taking the test!

    Semen sample volume: 2.8ml

    Semen viscosity: Low

    Semen pH: 8.0

    Sperm forward progression: 44%

    Percent non-progressive sperm: 7%

    Percentage non-motile sperm: 49%

    Sperm morphology: 3%

    Total sperm count: 45.0 10*6/mL

    Thank you in advance for any help or comments 🙂

    Scott

    • Sara SDx
      Sara SDx August 12, 2016 at 12:49 am

      These numbers are on the lower side of normal. Overall, I would expect you to be able to conceive. You could get pregnant right away when trying or or could take time. The most concerning number here is the morphology. Ideally, you’d like to be closer to 10% but the number is relatively subjective and unless you’ve been trying for a long time moat doctors don’t worry too much about it.

      Volume is normal. Forward progression normal. Count, slightly below average. Chances of conception increase with count until you reach 55M/mL. You are close, so I wouldn’t worry too much.

      Overall, I would say you are probably fine but if you do start trying you might be mindful of diet, heat, alcohol, etc to help sperm be in best shape.

  201. Richard July 27, 2016 at 10:09 am

    HI Doctor,

    34yr old male here trying to concieve for a year with no luck. Am concerned by high abnormal forms – can you let me know opinion?(In report it said normal values were 96%)
    Volume – 3.2 mls
    pH – 7.2
    Sperm Motility 75%
    Non progressive motile 5%
    Inmotile 20%
    Total Sperm Count 90 million/ml
    Abnormal Forms 99%

    Thanks

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

      Abnormal forms are tricky. Sometimes they matter, sometimes they don’t. In your case, I suspect they could be contributing to difficulties conceiving. Has your wife / partner been evaluated? How frequently on average do you have intercourse? Do you monitor her cycle?

      If abnormal sperm is contributing, it could be genetically caused or it could come from lifestyle. Common recommendations to improve forms include nutrition supplements / multivitamin to help ensure sperm develop normally. I usually recommend pre-natal vitamins.

      Testicular cooling is also a pretty good strategy. Sperm are pretty sensitive to heat and many guys have a lot of luck with interval cooling a couple times a day.

      Other recs include avoiding cigarettes, alcohol, harsh chemicals and soy. Reducing sugar intake. Cardio to get blood flowing and squats to boost T levels.

  202. Deepak July 27, 2016 at 9:17 am

    Dear Madam,
    I had already asked you about my seman report. thanks a lot for the replies.
    sperm count: 59mil/ml (jan), 50mil/ml (april)
    motility: 35% [A:25%, B:10%, C:35%, D:30%]
    Morphology: 50%
    pus cells: positive
    Alkaline.
    we are trying to conceive for the past 15 months. can we try IUI? Is my total motile normal sperm count is ok for IUI? how much is my total motile count?
    whether natural iui or stimulated IUI – which one should we go? will it be successful?
    We are planning to do IUI in Christian Medical College hospital, vellore, India.
    this is creating problems in my family. my whole family is very eagerly waiting for a good news from us.
    Thank you

  203. Jayprakash July 26, 2016 at 12:40 pm

    My Age is 35 and i m trying to conceive

  204. Jayprakash July 26, 2016 at 12:39 pm

    hi Sara,
    Pls find below my Semen analysis report pls tell me it is normal or abnormal

    Sperm Count : The number of spermatozoa per ml : 42 Millions.
    Total number of sperms per ejaculate : 63 Millions.
    Viability : 70 % spermatozoa alive at the end of 1/2 hours
    Motility of spermatozoa :(at 37 C)
    ——————————————————————————————————————————————————
    Nature of motility (W.H.O.) MacLeod After After
    Grade 1/2 hours 2 hours
    ——————————————————————————————————————————————————–
    A Rapid Linear Progressive IV & III 20 % 10 %
    ——————————————————————————————————————————————————–
    B Sluggish Linear Progressive II 40 % 35 %
    ——————————————————————————————————————————————————–
    A+B Total Forward Progressive 60 % 45 %
    ——————————————————————————————————————————————————–
    C Non Progressive I 5 % 3 %
    ——————————————————————————————————————————————————–
    D Non Motile O – % – %
    ——————————————————————————————————————————————————–
    Active sperms in the ejaculate (at the end of 1/2 hour) : 37.8millions

    Total number of abnormal spermatozoa : 58 %

    • Sara SDx
      Sara SDx August 4, 2016 at 3:51 pm

      Things look pretty healthy. Are you having trouble conceiving?

  205. Mukesh July 25, 2016 at 2:29 pm

    Your comment is awaiting moderation.
    Hello Sara,

    Seman Qty: 2ml
    Colour : Milky White
    Liquification : 25 Min
    Consistency : Normal
    Reaction : Alkaline

    Total Sperm Count : 18M/ml

    Active motile : 10 %
    Sluggishly motile: 10%
    Dead : 80 %
    pus cells: 6-8 /hpf
    epithelial cell : 2-3/hpf
    RBC : 2-3/hpf
    germinal cell : nil

    please tell me that, is the possible pregnancy with this results? this test after 12 hour or ejaculation/

    Mukesh

    • Sara SDx
      Sara SDx August 22, 2016 at 3:17 pm

      Are you currently trying to conceive? If so, how long have you been trying.

      These numbers are a little low but 12 hours is pretty short amount of time and usually counts are lower immediately following ejaculation. If you want a more accurate picture of your fertility, you need to abstain for 48 hour prior to getting tested.

  206. Joban July 25, 2016 at 5:11 am

    Hi sara..kindly see my seman anylyses
    Quantity… 2ml
    Viscocity… viscos
    Colour. Cloud white
    Ph.. 7.6
    Sperm count. . 5.6 cr/ml.
    Motality. 70%
    Morphology. Normal shape

  207. Daniel L July 22, 2016 at 2:02 pm

    Hi can you help me interpret these results and if there is anything I can do to improve my values. Thanks in advance,

    Volume (ml)- 3.4
    Appearance- Normal
    Viscosity- Slightly High
    Ph- 7.5
    Motility
    Total Motility- 35%
    Progressive Motility-26%
    Non Progressive- 9%
    Immotile- 65%
    Sperm Conc- 55.8
    Morphology (% normal) 4%

    I am worried about the motility values and possibly morphology. Any input would be great.

    • Sara SDx
      Sara SDx August 4, 2016 at 3:32 pm

      The results look within a healthy range. Depending on your lifestyle it may be possible to improve them (eating more vitamins, exercising, avoiding heat, alcohol, smoke and chemicals)

      Motility and morph are on the lower side of normal but sperm count is higher. This would suggest that lifestyle could improve numbers but you are overall in the healthy range and shouldn’t have too many problems conceiving

      Are you currently trying for a baby? If so, how long?

      • Daniel L August 5, 2016 at 3:41 pm

        Thanks very much Sarah, I am going for a second test this week and have tried to avoid alcohol and increase my veg intake, hopefully this helps my morph and motillity. We are currently trying and have been for around 8 months.

        PS this is great of you to share your knowledge to people like myself who need questions answered and to be reassured.

  208. vishnuvardhan atmakuri July 20, 2016 at 6:43 pm

    Hi

    This is vishnu my semen analysis report is:
    volume: 1.5ml
    concentration: 45 milion/ml
    Motility:
    Active: 70%
    Sluggish: 10%
    Non motile: 20%
    Normal morphology:80%
    Liquefaction time: 45 minutes
    is every thing normal? or can i undergo medications

    • Sara SDx
      Sara SDx August 4, 2016 at 3:26 pm

      The volume is a little low but it looks healthy. I don’t think you need medication. Are you currently trying to conceive?

      • vishnuvardhan atmakuri August 14, 2016 at 8:19 am

        Thank u very much sara
        Yes we are trying to conceive

  209. Ali July 18, 2016 at 10:28 am

    Dear Sara,

    I am 31 year old. We are trying to conceive from 2 years.

    Here is my Semen Analysis Report;

    Quantity (ml.): 3ml

    Color: Whitish

    Viscosity: Viscous

    Liquefaction Time (min): 3hrs

    Ph: Alkaline

    Sperm Count (millions/ml): 50

    Pus cells (/hpf): 4-6

    Motility (%): 45

    Actively Motile (%): 35

    Sluggishly Motile(%): 10

    Abnormal Forms (%): 20

    Non-Motile: 55

    Dear Sara I appreciate your time and opinion regarding my report above. It looks like Liquefaction time is too high. What could be reason of this? Looking your comprehensive analysis and comments.

    Thanks in Advance.

    Regards,

    Engr. Ali Khan

    • Sara SDx
      Sara SDx August 3, 2016 at 1:37 pm

      Sorry for the delay in responding. Ice had a large cue of comments that I’ve been working through.

      Looking at these stats I would generally think that you should be able to conceive, but 2 years is a long time. So I feel something might be going on. From this, the viscosity is high and liquefaction is long. This can cause sperm to get trapped in semen and reduce the number that actually are able to swim to the egg.
      I would consider getting retested then visiting a urologist to figure out what’s going on. Often there are meds that can help with this. Sometimes an infection of the prostate can cause this.

      Given the length of time, I’d also recommend that your wife receive a full evaluation to make sure she doesn’t have issues on her side.

      A few questions to rule out simple things:

      1. Have you been together every month for the 2 years?

      2. How often are you intimate?

      3. How regular are her cycles and how long are they usually?

  210. Karthik July 18, 2016 at 7:41 am

    Hi Sara,

    My report is as below. Can you please help me to understand how the report is.

    Volume : 1.4 ML
    Ph: 7.5
    Appearence : Normal
    Viscosity : NO
    Liquefaction : 15 mins
    Densitiy : 87*10^6
    Spermatozoa Motility : 61 %
    Motility Grading ( progressive%)
    Fast : 14 %
    Slow : 39%
    Non Progressive : 8 %
    Non-motile :39%

    Morpholoty(Strict Kruger Criteria)
    Normal Forms : 7 %
    Head Defecets 53 %
    Mid piece defects 32 %
    Tail defects : 6 %
    Immature Cells 2 %

    Viability (%) 69 %
    Agglution : No
    WBC: NO
    Round cells : 2-5 HPF
    Debris : Little

    • Sara SDx
      Sara SDx August 2, 2016 at 9:45 pm

      This report is a little tricky. Volume and progressive motility are a little lower than I like to see, but count is relatively healthy. Doping the math, it looks like numbers are plenty sufficient to enable conception but you could take slightly longer than average. Are you currently trying to conceive? If so, how long have you been trying?

  211. Mudasir July 17, 2016 at 6:37 am

    HI
    I am 32 year old recently i done my test. can you please clear me the meaning of the report and also please help for next steps

    Semen
    Appearance = Creamy white
    Volume =6.0 ml
    Liquefaction time = 20 Minutes
    Viscosity = Normal
    pH = 7.5
    Sperm agglutination= absent

    Spermatozoa
    Sperm Concentration = 160 x 10^6/ ml
    Total Sperm count(per ejaculate) 960 x 10^6

    Motility:
    Progressive PR = 50%
    Non Progressive NPR= 20%
    Total(PR+NPR)= 70%
    Immotile =30%
    sperm vitality(if motility<40%) = NA
    Normal forms: 60%

    Non Sperm Cells
    Spermatogenic Cells 1-3 /h.p.f
    W.B.C =
    0.4 x 10^6/ ml
    R.B.C = 6-8/ h.p.f

    Thanks in advance.

  212. Mudasir July 16, 2016 at 9:05 am

    Hi Doctor Sara
    Please let me know my sperm count is sufficient=
    my age is 32 year

    Semen
    appearance= creamy white
    volume=6.0ml
    Liquefaction time=20minut
    viscosity= normal
    ph==7.5
    sperm agglutination= absent

    spermatozoa
    sperm concentration= 160 x10^6/ml
    total sperm count 960 x10^6

    Motility
    Progressive PR=160×10^6/ml
    none progressive NPR=20%
    total motile (PR+NPR)=70%

    Immotile=30%

    sperm vitality (if motility <40%= NA
    Normal forms=60%

    spermatogenic cells 1-3 hpf
    W.B.C=0.4 x10^6/ml
    R.B.C =6-8 h.p.f
    please let me know if any abnormal.

    thanks

    • Sara SDx
      Sara SDx July 25, 2016 at 11:19 pm

      Yes. It is well above average.

  213. Christoph Kapper July 13, 2016 at 6:16 am

    Hi,
    Me and the Mrs are trying to conceive our first (15 months so far) and i got my tests done but don’t know what they mean really some help would be appreciated to give some indication as to next steps

    appearance Normal
    Liquefaction Normal
    Viscosity Normal
    volume 3.4 ml
    ph 8.3

    Sperm count 8.86million/ml
    Leucocytes none

    Vitality stain
    dead 74%
    Live 26%

    Motility
    PR: Progressive 17%
    NP: Non-Progressive 21%
    IM: Immotile 62%

    Cheers

    • Sara SDx
      Sara SDx July 15, 2016 at 5:59 pm

      I’ll see if I can help you clarify what these mean. In terms of fertility, the goal is generally to have as many healthy, swimming sperm cells as possible.

      Your sample was 3.4 ml of semen. This is close to dead average.
      Your sperm count was 8.86 million in each mL. If you multiply this by the volume (3.4ml) you get a total of 30.1 million sperm.
      To look at how many are healthy swimmers, you multply the total by the % progressive motile = 5.12 million progressively motile cells.

      Overall, this number is on the low end but natural conception is possible. Guidelines like to see a total progressive motile count above 5 million and chances increase with increase in counts up past 20 million. So, there are a few options from here. You are pretty good candidate for IUI procedure — the sperm are likely a very strong contributing reason why you haven’t been able to conceive. IUI success with low sperm counts (in this range) show higher success rates than other fertility issues.

      You can also take some steps to try to boost count and motility. There are lots of things that will help. Here’s a quick list of 20 things that are easy enough to try. You could also take our risk assessment to get a full list of personalized reccomendations based on your risk factors and current health. If you find that you have no risk factors, you may have a varicocele which can be diagnosed and treated by a urologist. Varicoceles are one of the most common causes for reduced sperm health in men that are otherwise very healthy.

  214. Yemi July 11, 2016 at 12:29 pm

    AM 40 YEARS OLD,
    SEMINAL FLUID ANALYSIS
    TIME OF LIQUIEFICATION =30MINS
    COLOUR= GREY OPAQUE
    VOLUME= 5.0
    PH = ALKALINE
    COUNT =69000000MILLIOM/ML
    MORPHOLOGY= NORMAL 70% AND ABNORMAL 30%
    MOTILITY= FULLY ACTIVE 60%,SIGHTLY ACTIVE 20% AND DEAD 20% IN ONE HOUR.
    ODOUR =SEMINAL
    VICSOSITY =HYPERVISCOUS
    PUS CELL 6-8
    EPITH CELLS = 1-2
    RBC =NIL
    YEAST CELLS =NIL
    BACTERIA= NIL
    COMMENT FROM LAB IS NORMOSPERMIA

    WIFE IS FINDING IT HARD TO GET PREG.

    • Yemi July 13, 2016 at 9:30 am

      Dr Sara,

      kindly reply my message as i look forward for your comments.

    • Sara SDx
      Sara SDx July 15, 2016 at 4:22 pm

      These numbers look pretty healthy. How long have you been trying to get pregnant?

  215. Rachel July 10, 2016 at 3:27 am

    Hi Sara. My husband (42) and I (33) have been actively trying to conceive for 8 months. He’s now had 2 or 3 semenalyses and has been prescribed levofloxacin to attempt to improve voscosity and levels of mucus/wbc.

    color- gray white
    volume- 2 ML
    viscosity- [1+ and then 2+ in the second test]
    ph- 8
    Morphology- 27% {we were told he should have at least 50%}
    Motility- we were told he ‘passes’ the test of 50%
    Number- 44mill in 1st test, 52mill in 2nd
    Liquifaction- >30min

    He was also told that his urine and semen cultures both were normal, but that both showed a lot of mucus.

    Any insights?

    • Sara SDx
      Sara SDx July 15, 2016 at 4:20 pm

      Interesting … levelfloxacin is a pretty strong antibiotic that is pretty commonly used to treat infections like UTIs or infections of the reproductive tract. Did they get a white blood cell count?

      Overall, these numbers for the semen analysis look to be in the healthy range and if he did have some sort of infection, they may improve slightly. If you haven’t conceived in a few months, you might go in for another test to see if treatment helped. I might request more detailed numbers if you do another one — particularly I’d want to see progressive or active motility. I would also ask what the actual liquefaction time was.

      Overall, I would assume, looking at these numbers that he wouldn’t have a terribly tough time conceiving.

      Hope this helps, let me know if you have additional questions. Good luck.

  216. Ansar July 4, 2016 at 10:31 am

    Im 28 years old, kindly see my SEMEN ANALYSIS Below,

    Vol-3.0
    Motility (1 Hr)
    Active (progressive) – 02%
    Non Progressive – 03 %
    Non Motile – 95%
    Sperm Count Per/Ml – 08/Mill
    Total Sperm Count – 24 million

    Kindly note that, this semen analysis was during the Ramadan time hopefully that’s the reason sperm count is too low. Kindly reply what’s the issue on this report

    • Sara SDx
      Sara SDx July 5, 2016 at 11:38 pm

      Both count and motility are lower than I would like to see and will impact your chances of conceiving. Now that Ramadan is finishing, I would suggest taking regular vitamins and increasing your exercise to try to improve. You can also read this list of other things to try to boost both count and motility. And you can take this quiz to see if you have any risk factors that might need to be addressed by a doctor.

  217. Simon July 3, 2016 at 5:59 pm

    Hi Sara,

    how important are WHO Grade A vs. Grade B sperms?

    How would you rate the following result:

    Volume: 6.5 ml
    Concentration 38Mio./ml.
    WHO A: 3%
    WHO B: 47%
    WHO C: 11%
    WHO D: 39%

    normal forms: 6%

    Thanks

    • Sara SDx
      Sara SDx July 5, 2016 at 11:33 pm

      It looks like overall, your sperm are pretty healthy. Normal forms and A grade are a little lower than I would like to see but shouldn’t cause too much problem conceiving. Generally, numbers like this make me think you might want to try a multivitamin or adding a few veggies to diet to improve sperm health a little to optimize your chances… overall though, it looks pretty healthy.

      To answer your specific question about A and B, generally guidelines on progressive motility are A+B so people tend to look at them together. A grade sperm are faster and a little healthier so it is useful to see the breakdown but its pretty subjective — both are swimming forward…. Does that help clarify?

  218. Manoj July 3, 2016 at 1:08 pm

    Hi Doctor,
    Please let me know my sperm count is sufficient, My wife is having regular cycle she once had ectopic and her left tube got removed since it got burst, she is normal and having regular period after that.

    Please look in my sperm analysis and share your thoughts which would be highly appreciated and helpful.

    Sperm Concenteration – 42.6Million/ML
    Motility
    Rapid Progressive – 24%
    Moderate Progressive – 17%
    Sluggish Progressive – 13%
    Non Motile – 46%
    Agglutination – NIL

    Thanks a lot for your time. One of my doctor said i have S.Oligospermia. Please advice
    Thanks
    Manoj

    • Sara SDx
      Sara SDx July 5, 2016 at 11:29 pm

      Not a doctor, but happy to provide feedback…

      Your sperm look to be sufficient. I don’t see a volume on here. Unless it is low, you should be good to conceive. Chances increase each month as your sperm count gets higher so it doesn’t hurt to try to take steps to improve but this looks ok.

      • Manoj July 13, 2016 at 9:53 am

        Your time and effort is much appreciated, Thanks a lot 🙂 My wife had ectopic, is there future chances for her to get ectopic if my count remains same.

        Thanks in advance again 🙂

  219. Jay June 29, 2016 at 10:57 pm

    Hi Sara,

    I left you a comment a little bit ago asking a few general questions since I hadn’t gotten my results back. I have them now and will post for your review below. Please take note that the day of the semen collection, I had ejaculated at least once, but I believe twice… the last time being shortly before the appointment.I had also been ejaculating consistently in days prior. I had not been informed to abstain prior to the test and didn’t think to do it myself.

    Here are the results… I really don’t understand them.

    Physical Characteristics

    Liquification: 00:17:00 hh:mm
    [WHO Manual 4th Edition}

    Color: Grey – Opalescent

    Viscosity: None to sight

    PH: 7.0
    Semen Analysis Volume: 3 mL
    Concentration: 23.7 MILLION/mL
    Cryptozoospermia: N/A
    Total Count: 71.1 MILLION/EJAC

    Progressive Motility (A+B): 7
    Progression: A. Rapid 7
    B. Slow 0
    C. Non Progressive 1
    D. Immotile 92
    WBC: 0 MILLION/mL

    Morphology: Criteria Tygerberg (Kruger)

    Normal Form: 2
    Abnormal Head: 64
    Abnormal Mid Piece: 22
    Abnormal Tail: 12

    —————————————————————————————————————

    I have an upcoming appointment with a Urologist and I’m not sure what to ask/seek at this appointment.

    Also, my wife and I have been trying to conceive for a few years now. In the beginning of our relationship, we had sex almost daily, multiple times a day. During that time, she had been pregnant twice and suffered miscarriages for both. As of lately, we haven’t had sex nearly as often… Maybe once every 2 to 3 weeks for various reasons.

    We recently split up, and she had sex with another person and got pregnant. She got an abortion as to not have that persons child, however, when we actually did the math from the time of intercourse to the time of the abortion for her and that person, it was only 12 days. The begining stages of pregnancy could be seen on ultrasound images which we’re told can only be done when you’re at least 4 weeks pregnant…and about 4 to 5 weeks prior to her abortion, we engaged in intercourse. Based on this, we believe that the child was mine and she didn’t know/realize it… any input you may have about this timeframe is welcomed as well.

    Anyway, I’m anxiously awaiting your reply!

    Thanks
    Jay

    • Sara SDx
      Sara SDx July 1, 2016 at 9:19 pm

      Ok, there’s a lot here.

      1st — the SA results
      Volume – average
      Count – slightly low
      Motility – low
      Morphology – low

      Overall – total progressive motile is a around 5 which is in the realm of reduced chances of conception, but conception is definitely possible. Morphology is sometimes a sign of DNA issues which could be contributing to miscarriages and time to conceive.

      Given that you ejaculated 2x the day before and in the days leading up to it, I’m guessing your results are probably in actuality much better than what we see on this report.

      I wouldn’t want to comment too much on what might have happened but I can give a little basic biology. Implantation typically occurs between 6-12 days after conception. Ultrasound at this stage would show a tiny dot but not a sac. So, it would show up but just look like a mass of cells. Typically, if an ultrasound was performed the pregnancy would have been dated.

      Your chances of conceiving may have gone up if you are ejaculating less frequently. Optimal interval between ejaculations is something on the order of 2-3 days. More frequently and you will have reduced numbers. Less frequently and you will have higher count but more dead sperm.

      Hope this is helpful. Let me know if you have additional questions…

      • Jay July 3, 2016 at 9:03 am

        Actually, I ejaculated 2 times the day of the appointment before going. Lol.

        Also, the last time my wife and I had sex was bout 4 weeks prior to discovering she was expecting.and at that time I hadnt ejaculated for a while.

        Anyway, im now eating better, drinking more water, reducing stress and sleeping more. Im also taking this vitamin/herbal supplement called Fertilaid for men, and another 2 that are supposed to help increase count and motility. .. have you heard of these?

        Your breakdown gives me hope…. is there anything I can do to fix morphology?

        • Sara SDx
          Sara SDx July 5, 2016 at 7:57 pm

          I’ve heard of fertilAid. It seems like a decent option. People have reported success with it here.

          Morphology issues mean that the sperm are some how not developing correctly. Either a problem with DNA replication or sperm maturations. Major causes include — genetics (which you wouldn’t be able to do much about) or nutrition plays a big role in DNA replication, so vitamins help so does limiting alcohol (which prevents the liver from properly processing nutrients) … Heat, testosterone levels, toxin exposures can all impact sperm as they mature.

          Testicular cooling, increased exercise and blood flow, reducing exposure to endocrine disruptors and other toxins (harsh chemicals, certain medications, cigarettes, etc), decreasing stress, improving sleep quality and lifting weights can all have a slight impact on how sperm develop.

          Overall, each person is different. Some people show very little improvement with lifestyle interventions like these but a lot of people can see significant jumps with even small changes to things that their body is sensitive to. In general, I like to tell people to learn to listen to their body, it will guide you. If you feel healthier, stronger, more alive, it’s probably making a difference at the cellular level and your sperm will be happier.

          Sounds like you are on a good track to improving life quality. I’m not sure if the two of you are still trying to conceive but if you are and don’t get pregnant in the next 3 months or so, you could go back in for a check and see if there has been any progress. I would give lifestyle interventions like these 6 months to fully see how they are going to impact things but you might be able to see if there are signs of improvement in 3 months or so. If you are super curious, you could go in earlier with a normal abstination period (2-5 days) and see what your baseline looks like.

          Hopefully this helps. Let me know if you have other questions…

          • Jay July 8, 2016 at 7:56 pm

            Thanks for the information.

            I have an appointment with the urologist on 7/13. I’m going to abstain for 3 or 4 days prior just in case they want to perform a new test. I will report back on this thread with any new information.

            I appreciate the help. Do you take donations?

  220. Ahmad June 28, 2016 at 6:28 pm

    Dr. Sara , here are my results, please comments on it, and advise how to improve them to either conceive normal or through IUI.

    Volume 1.5
    Liquification Time 30 min
    Viscosity Normal
    PH 7.4
    Total Count 82 m/ml
    Motility 35%
    F.Forward 00%
    S. Forward 05%
    Lateral 30%
    Non Motile 65%

    Normal forms 20%
    Cephalic 30%
    Mid-piece 20%
    Tail 30%
    WBC 02-04/HPF
    RBC 0-1-2

    Post Wash 2 M/ 60 % Motile

    • Sara SDx
      Sara SDx July 5, 2016 at 5:33 pm

      Overall, these results look healthy with the exception of forward progression. Forward progression is important for both natural conception and IUI. I might recommend getting remeasured to see if the forward progression is consistently low. You might want to take steps to try to improve… how long have you been trying to conceive?

      How long was your abstinence when you collected this sample?
      Did you collect the sample at the clinic or at home?
      These things can impact progressive motility.

  221. Nadim June 22, 2016 at 2:32 am

    Dear Sara,

    I am 29 my wife is 23 year old we are trying to conceive about 11 month, My wife had regular period before weeding, now sometimes her period happen after 40 – 60 days and she feel pain in her abdominal during period and sex, please give your advice.

    • Sara SDx
      Sara SDx June 22, 2016 at 2:50 pm

      She should visit a gynecologist to get an exam done to make sure that things are ok. Sometimes pain can indicate a problem that would make conceiving difficult.

      Also, long periods are a symptom that her hormones are imbalanced and conception can be very difficult.

      Long periods can be caused by a diet that is high in sugar or carbs (like bread, rice, sweets, etc) or alcohol. It can also be caused by stress.

  222. Pkilo June 20, 2016 at 7:11 pm

    Good Evening i have two semen tests done and have now recieved my andrology report are you able to help me with my results please.

    Report 1:

    motility very few motile sperm seen (15 million/ml)
    morphology N/A (>4% normal forms)
    colour normal
    M.A.R. Test N/A

    Report 2
    Motility insufficient sperm seen for a reliable asessement
    volume 9.4ml (1.5 ml)
    viscosity normal
    sperm count very occasional sperm present
    morphology very occassion sperm present for assessment
    colour yellow frothy
    M.A.R test n/a

    Many Thanks in advance

    • Sara SDx
      Sara SDx June 21, 2016 at 3:33 pm

      These results are a little unusual. I might suggest you try to repeat the test at a different lab. Overall it looks like you have a very high semen volume and a relatively low sperm concentration.

      It is likely impacting your chances of conception but it is hard to know for sure what is going on.

      You can take our risk assessment to see if you have any factors that could be impacting your sperm production.

      • Pkilo June 22, 2016 at 8:44 am

        Many Thanks for your prompt reply. My husband will take the risk assessment test. However, the test has been done twice at the same lab… going to a different lab how will this make a difference? sorry a little frustrated been trying to conceive for over 15 months now. Are there any supplements he can take? He is currently taking Zinc and We are taking pregnacare.

        • Sara SDx
          Sara SDx June 23, 2016 at 3:40 pm

          the lab didn’t do a complete analysis either time and it is hard to interpret these results.

          It appears that he has a high semen volume and a lower sperm count. Because there are just a few sperm in a large amount of semen they have not been able to get a very accurate sperm count, nor have they been able to assess the sperm motility or morphology.

          I am recommending a different lab because a more rigorous lab should be able to complete the analysis and give you results that are more clear to understand.

          In the meantime, I would imagine that there are some fertility issues related to sperm. A multivitamin that contains folic acid, vitamin C, vitamin E, zinc, selenium, and coEnzyme Q10 would be probably a little better than just taking zinc alone.

          The risk assessment is pretty important to help identify things that could be causing his sperm count to be lower than it should be.
          He should consider visiting a urologist who specializes in male fertility to get a complete evaluation.

  223. Michael Miller June 18, 2016 at 11:12 am

    Hello Doctor,

    Married (for first time) 8 months ago and trying to conceive since then. I am a healthy very active 53 year old. Here is analysis after 72 hours abstinence. I appreciate any thoughts or advice:

    Volume 3.5
    Liquification Time 50 min
    Viscosity 13 cm
    PH 7.4
    Concentration/ml 62 million
    Total concentration ejaculate 217 mln
    Progressive motility (PR) 19%
    Non-progressive motility (NP) 20%
    Immotile 61%
    Normalforms >50
    Pathological forms <40
    WBC 37-38
    RBC 0-1-2
    Spermatophages 4-5
    Germ cells 0-1

    I currently in an Eastern European country, and results are in Russian, so that makes it more difficult to interpret. My wife is a healthy 36 year old and we have sex every day when she is not menstruating.

    Motility percentages are not good, but multiplying against total number of sperm, healthy numbers seem they should still be high.

    Thanks again

    • Sara SDx
      Sara SDx June 21, 2016 at 3:23 pm

      Hi Michael,
      I’m not a doctor but I do look at a lot of semen analysis. I agree with you that overall numbers look pretty good. 8 months is not too long to be trying. Are her cycles regular? Does she experience any pain during menstruation or other times?

      You could try abstaining a few days a week — maybe sex 4 times a week rather than every day. It could be that the ejaculation is too frequent and is not giving your body enough time to “refill the tank” with healthy sperm. I could imagine that results could be significantly lower if you only had a 1 day abstinence period.

  224. Bobi June 17, 2016 at 11:47 pm

    Dear Dr Sara,
    We are trying to conceive for a year and a half. I was pregnant in march 2015 but had a miscarriage. About a mont ago my husband did a semen analisis and it turns out that he has sem count 17.5, sem volume 7, ph 8, grade A rapid mot 70, grade B slug/slow 6, grade C non-prog 2, grade D non-mortile 22, WBC 40-50, oval heads 69, many WBC’s noted on stained slide. Since then he is just not the same, he feels guilty that we can not conceive. Like he is not man enough. He has a child from previous marriage, me too. I am checking ovulation and it is present every month. What are our chances, because it’s like everything is falling apart. Please what is your advice.

  225. kavitha June 15, 2016 at 6:36 am

    my husband had his semen analysis test. his results are

    Physical examination : Pearly white
    Appearance : opalescent
    Valume : 1 CC
    Reaction : Alkaline
    Viscocity : Viscoid
    Time of collection : 4:40 PM
    Time of liquefaction : 25 min

    Total sperm count : 00 millions

    motility : 00%
    morphology : Abnormal forms : 100%(Juvenile forms, PIN Heads)

    others :
    Pus cells : 2-4/HPF
    Epithelial cells : 1-3/HPS

    AZOSPERMIA.

    So please advise, what does it mean is not possibility for pregnant ?
    What will we do for get pregnant.

    We are too worried about this. please help us. Thanks.

    • Sara SDx
      Sara SDx June 21, 2016 at 3:10 pm

      This report shows that your husband currently does not have any sperm. It is a fairly common condition and is usually treatable by a urologist.
      You will need to visit a doctor to help you.

      Here are the main steps
      1. Take the risk questionaire on this site and print out the report – -this will list major risk factors that could be contributing.
      2. Repeat semen analysis to make sure that there were no problems with the test
      3. Visit a urologist who treats fertility issues – he will conduct a blood test to check hormone levels and genetic risks, he will also do a physical exam to see if there are any problems that are preventing the sperm from getting out of the body.

      After those three steps you should have a good idea of what your options are for achieving pregnancy.

  226. MD June 14, 2016 at 6:57 pm

    Hello Sara,

    My husband and I have been trying to conceive for about 15 months with no success. We have been diagnosed with unexplained infertility, but I had some questions about the semen analysis. Our RE said it looked fine, but I just wanted to make sure especially about the progression. The numbers are below. Any help would be greatly appreciated. Thank you.

    Volume: 3.9
    Concentration: 121
    Percent Motile: 60%
    Progression: 2/2+
    PH: 8.0
    Viscosity: Normal
    Percent Normal Morphology: 5
    Round Cells: 0.3
    Total Motile Sperm: 283

    • Sara SDx
      Sara SDx June 21, 2016 at 3:06 pm

      Volume – around 50th percentile
      Count – around 80th percentile
      Motility – around 60th percentile
      Total motile sperm — very high

      Percent normal is within the normal range but it is low. (10th percentile) In general, this does not flag as abnormal.
      In your case, since you’ve been trying to conceive for 15 months, I would suspect it could be factoring in. Morphology is hard because the test is very subjective. It’s kind of like a dog show for sperm — they look at 100 sperm and count how many of them are “perfect” Slight defect with the tail or the neck and the sperm gets called abnormal.

      Morphology issues can be genetic (if the defect is all the same thing) or they can be due to lifestyle (alcohol, nutrition, heat exposure, stress, testosterone levels, etc) all of which can impact sperm while they are developing and cause them to develop abnormally. You could take our risk questionnaire to see if there are any risk factors that you might be able to address (some strange thing can impact sperm)

      It’s almost always recommended to add multivitamin / pre-natal vitamin to diet because antioxidants protect sperm from toxins and nutrients help encourage proper DNA production. Here is a list of other simple things that have been studied and shown to improve sperm health.

      • MD June 22, 2016 at 3:39 pm

        Thanks Sara. I spoke with our fertility clinic about how they test and why they consider anything above 4% normal. This is what they said:

        We follow the World Health Organization criteria in deciding which sperm are “normal” vs. “abnormal,” which is extremely strict criteria compared with other tests. This is why we consider anything 4% or above “normal” to be a good result, because we are using such strict criteria of what constitutes “normal,” that most of the sperm do not meet it and are thus deemed “abnormal.” A test that does not have as strict standards will expect a higher percentage to be “normal.” Does this make sense?

        At any rate, your result of 5% normal based on our WHO criteria is actually a very good result.

        Still a little confused about it all. There is just so much to understand and so much information out there. Do you know anything about the WHO criteria?

        Thanks for all your help!

        • Sara SDx
          Sara SDx June 27, 2016 at 2:12 pm

          It is in the “normal range” but it is not a very good result.

          Here’s a breakdown of how the WHO came up with the numbers… They recruited about 2,000 men from around the world who had fathered children in less than 12 months of trying to conceive and performed a semen analysis on them. They looked at each factor – count, motility, morphology, etc. They created a population curve to see what was the “normal” range.

          Basically, they put all the numbers in a long line from lowest to highest and said that the lowest 5% of the numbers were “abnormal” so in the case of morphology — 95% of the men had results higher than 4. The range of morphology in the study was like 2 – 48% normal. Which means that men who had 2% normal forms were able to father children in less than a year. It shows that men can have very low morphology and still become fathers. However, if you look at what was truly “normal” 50th percentile — it was around 14% normal forms.

          So, in general, I don’t get very concerned about morphology because it often isn’t that big of a factor, but there are cases where certain types of defects in the sperm can contribute to fertility problems. Because you have been trying for a while, and the morphology is at 5% normal (which is the 10th percentile) I would take a closer look at what was going on with it.

          The good news is that morphology can improve more quickly than sperm count because new habits can impact sperm that are already in development. Generally, heat, alcohol, smoke, chemicals, medications, nutrition are major things that can impact morphology.

          It might not be the whole story of why you guys are having trouble, it probably isn’t but it could be a contributor.

          Does this clarify?

          • MD June 27, 2016 at 2:49 pm

            Yes, this helps. Thank you. I guess I just don’t understand why a fertility clinic, whose job it is to help us, would say that it is actually a good result when it is not? What do they gain from that?

            As for ways of improving, my husband already eats well, exercises, started taking a multi vitamin and doesn’t smoke. Does he need to cut out alcohol completely?

            Thank you again for all you help!

          • Sara SDx
            Sara SDx June 28, 2016 at 2:03 pm

            It’s a gray area answer. Some people will say no big deal, some would say it’s a little concerning. It’s like being 10-15lbs overweight. For a lot of people that wouldn’t have too terrible of an impact on their overall health, for others, it can really start having negative consequences. We are each unique individuals and generalizing across the population can be hard.

            I don’t think you need to cut out alcohol completely but I would avoid multiple drinks in a row. I might also recommend testicular cooling (snowballs is an easy option for this)

            Hopefully you see improvements. Keep me posted, and as always, if you have questions feel free to ask.

  227. Raj June 14, 2016 at 3:37 pm

    Hi Sara,

    My Name is Raj 31 years old and my wife name is sraththa 24 years old. 3 years over married. Please find the below my semen analysis report and can you please let me know if its enough for make the pregnant.

    PHYSICAL EXAMINATION
    Liquefaction: 20MINS
    Appearance: OPAQUE
    Volume: 1.0 ML
    Viscosity: NORMAL
    Ph: 8

    MICROSCOPICEEXAMINATION
    Sperm Concentration (mil/ml): 22MIL/ML
    Agglutination: ABSENT
    Clumbing: ABSENT
    Granular Debris: PRESENT

    SPERM MOTILITY
    Total Motility: 64%
    Rapid Progressive Motility: 26%
    Sluggish Progressive Motility: 33%
    Non Progressive Motility: 05%
    Non-Motility: 36%

    SPERM MORPHOLOGY
    Normal Sperms: 26%
    Abnormal Sperms: 74%

    CELLULAR ELEMENTS
    Epithelial Cells: 1-2/HPF
    Pus Cells: 2-3/HPF
    RBCs: 0-1/HPF

    IMPRESSION
    COMMENT: NORMOSPERMIA

    • Sara SDx
      Sara SDx June 21, 2016 at 2:55 pm

      yes. It is enough to get pregnant. The count and volume are a little lower than I would like to see but you can conceive with it. Are you currently trying to get pregnant?

      • Raj June 30, 2016 at 9:35 pm

        Yes thanks sara, The problem is i got married sep 2013 sfor the 1st six months we had postpone the pregnancy afterwards we tried. But sep 2014 got miscarriage also again sep 2015 got miscarriage and the doctor advised to my wife to do laproscopy…so in october 2015 my wife did laproscopy. after 3 months rest in may month onward we started to trying to concieve but every month we have got failure….please suggest thanks

  228. muthukumar June 14, 2016 at 9:36 am

    My Test reports:

    volume(ml):0.5
    viscosity:0
    Liufication time:<30 min
    agglutination:1+
    ph:7
    sperm count:35 ml
    total sperm ejaculation:18 ml
    motility(%)=8
    activity(%)=3(moderate),5(slow)
    PUS cells=1-4/hpf
    Epithelial cell
    RBC's cells=1-2/hpf
    morphology:normal 35%,abnormal 65%

    It is good for fertility?

    • Sara SDx
      Sara SDx June 21, 2016 at 2:54 pm

      Your volume, count and motility are a little low. Did you collect the whole sample in the cup? Did the amount that came out seem like what you normally have?

  229. Josh June 13, 2016 at 5:41 pm

    Hi All,

    I wanted to take a moment and thank Sara for her dedication to this message board and knowledge she provides. I felt the need to come back and post my story so that hopefully it can provide hope to many of you who are going through a tough time with infertility. After 2+ years of dealing with infertility issues, my wife (has PCOS and irregular cycles) and I recently found out she is pregnant (currently 12 weeks). During this time we both had multiple tests to try to pinpoint our infertility issues, including 6 sperm analysis test for me which indicated low motility/count (total healthy count on avg b/w 2-6 million). We were told by one Urologist that IVF was our only hope and went through 1 IUI cycle which was recommended by her OBGYN. I am currently 32 and my wife is 31 and we both are what I consider healthy in terms of weight and our diet and I excise on average 5 days a week. We thought we were doing everything right to increase of chance of achieving pregnancy but month after month we were let down. Long story short, to both of our disbelief we ended up achieving pregnancy naturally. I credit this website and Sara’s positive posts that helped keep me going even after the doctors said IVF was our only hope. I’m not sure exactly what helped us get pregnant but I will list the supplement pills I took for 3+ months (most from Sara’s recommendation)….L Arginine/vitamin E/vitamin C/Omega 3 fish oil & a mega men multivitamin (all ordered through Puritans Pride). It truly did seem like the moment we stopped worrying (I know easier said then done), it happened for us. The only other thing I believed help was trying to keep in faith and prayer even when at my lowest. Anyways, I hope this helps those going through infertility issues stay positive and believe that IT CAN HAPPEN no matter what the doctors say. Thanks again to Sara and this great website.

    • Sara SDx
      Sara SDx June 20, 2016 at 5:35 pm

      Josh,
      I’m so happy for you. Thanks for coming back and sharing your news. Posts like this are so heart-warming and are one of the big reasons I get up in the morning. Blessings on your pregnancy. I will be sending thoughts of good health for both of you as you go through it.

      xo
      Sara

  230. Bobi June 12, 2016 at 7:15 pm

    Dear Dr Sara,
    We are trying to conceive for a year and a half. I was pregnant in march 2015 but had a miscarriage. About a mont ago my husband did a semen analisis and it turns out that he has sem count 17.5, sem volume 7, ph 8, grade A rapid mot 70, grade B slug/slow 6, grade C non-prog 2, grade D non-mortile 22, WBC 40-50, oval heads 69, many WBC’s noted on stained slide. Since then he is just not the same, he feels guilty that we can not conceive. Like he is not man enough. He has a child from previous marriage, me too. I am checking ovulation and it is present every month. What are our chances, because it’s like everything is falling apart. Please what is your advice.

    • Sara SDx
      Sara SDx June 21, 2016 at 2:39 pm

      Bobi,

      I am sorry that this is so hard for you both.

      His semen analysis results are not that bad. If you do the math, his total motile count is in the good range — 7ml X 17.5m/ML X 70% rapid motile = 85 million total good swimmers in the sample. This is in the normal range. The WBCs are concerning and he might have some sort of UTI or prostate infection that could be interfering or causing problems. I would recommend that he get checked with a urologist.

      It is good news that you have both conceived before, this means that the systems have worked on both sides. You also conceived together. Miscarriages most commonly occur by chance and not an indication of systemic problems. It usually means that wrong sperm met the wrong egg and they didn’t combine correctly.

      To help your relationship, I might recommend a break from trying to conceive for a few months to focus on loving each other and restoring intimacy. Having sex for fun rather than babymaking and remembering to take care of each other can reduce your stress and help you both feel better.

      Hope this helps. I’m happy to answer any additional questions that you might have.

  231. vicky June 12, 2016 at 12:42 pm

    Sorry pus cell 4-6

  232. vicky June 12, 2016 at 12:38 pm

    PHYSICAL EXAMINATION:
    quantity : 2.5ml
    Colour : milky white
    Viscosity: wnl
    Reaction: alkaline
    Liquefaction: 19 minutes

    MICROSCOPIC EXAMINATION
    TOTAL COUNT: 28 Million/ML

    MOTILITY COUNTS

    active: 30%
    Sluggish: 30%
    Non motile: 40%
    Morphology : 65%
    Epithelial cells: 1-2/HPF
    Pus cells: 44-6/HPF
    Erythrocytes : nil/HPF

    • Sara SDx
      Sara SDx June 21, 2016 at 2:17 pm

      A little lower than I would like to see, but not terrible. Are you currently trying to conceive?

  233. Ram June 11, 2016 at 10:29 am

    Volume(ml): 1.8ml
    Pus Cells: 01/hpf
    Liquefaction: 30min Normal
    Live(%): 66%
    Fructose: Positive
    Dead (%) 34%
    Sperm Conc.(millions/ml) :91 mill/ml
    Total Ejaculate: 164 millions
    Total Progressive (a): 43%
    Non Progressive (b) 07%
    Immotile : 50%
    Total motility (a+b) (Total Progressive +Non Progressive): 50%
    Rapid Progressive: 01%
    Slow Progressive: 42%
    Final report saying : Final Impression – ASTHENO-ZOOSPERMIA
    Normal Forms: 05%
    over all Defects: 95%
    Head Defects: 72%
    Mid Piece and Neck Defects: 22%
    Tail Defects: 01%

    • Sara SDx
      Sara SDx June 20, 2016 at 5:28 pm

      Rapid progressive and abnormal forms both a little concerning but not too bad.

      It appears that you have some minor thing that could be impacting your sperm health. Do you drink alcohol, smoke or have exposures to high temperatures or harsh chemicals? Do you exercise regularly? How often do you eat fruits and vegetables?

      • Ram June 29, 2016 at 6:00 pm

        Hi,
        i will not smoke and drink, but i have poor habit of having fruits and vegetables, weekly trice started exercise of basics also am a vegetarian, kindly suggest me how to improve , is it any chances of successive pregnancy ?

        Thank you
        Ram

        • Sara SDx
          Sara SDx July 5, 2016 at 5:37 pm

          Have you taken our risk assessment?
          Did you get a semen analysis done?

          • Ram July 24, 2016 at 4:48 pm

            Hi

            Yes I done the semen analysis and my question is with this below result i will able to become father? my wife get pregnant? pls advise me….am 37 year old my wife is 23yesar old. in fast my has 2 time miscarriage.
            semen analysis:
            Volume(ml): 1.8ml
            Pus Cells: 01/hpf
            Liquefaction: 30min Normal
            Live(%): 66%
            Fructose: Positive
            Dead (%) 34%
            Sperm Conc.(millions/ml) :91 mill/ml
            Total Ejaculate: 164 millions
            Total Progressive (a): 43%
            Non Progressive (b) 07%
            Immotile : 50%
            Total motility (a+b) (Total Progressive +Non Progressive): 50%
            Rapid Progressive: 01%
            Slow Progressive: 42%
            Final report saying : Final Impression – ASTHENO-ZOOSPERMIA
            Normal Forms: 05%
            over all Defects: 95%
            Head Defects: 72%
            Mid Piece and Neck Defects: 22%
            Tail Defects: 01%

  234. ram June 11, 2016 at 10:06 am

    hello dr sara can you please help me this is good or Bad In semen analysis?

    Time – 20 Mints
    Colour – Grey White
    Volume – 1.5 ML
    Viscosity – Mild
    Reaction – Alkaline

    Microscopic – Total Sperm Count – 24 Million
    Time 15 mints
    Rapid – 18 %
    Sluggish -25 %
    Non Motile – 57 %

    Sperm Viability

    Morphology – Normal
    Pus Cells – Plenty of Pus cells / HPF

    Epithelial Cells – 3-5/HPF
    RBC – Nil

    I don’t know the above clearly

    Please explain what i do next?

    • Sara SDx
      Sara SDx June 20, 2016 at 5:21 pm

      Hi,
      I’m not a doctor, but I can help you try to understand what your results mean.

      Semen volume – 1.5 mL – a little low but normal

      Total sperm count — 24 million. Hard to tell. Normally this is reported in million per mililiter. If this is truly a total count, then the number is pretty low. If it is a concentration, it is a little on the low side (true total count would be 36 million)

      Motility — low end of normal

      Overall, the report shows everything is a little lower than I would like to see. It could take longer to conceive than average, but it shouldn’t prevent you from becoming a dad.

      There are lots of things you can do to try to improve. You can take this quiz to get a personalized report of what you need to work on the most. You can also review this list of 20 things that will improve your sperm count.

  235. Eniar74 June 10, 2016 at 7:35 am

    Hi Sara,

    My husband and I have been trying to conceive for 5 months. I have been checked for fertility issues and everything has come back okay. My husband just had a semen analysis done on June 3rd and I am agonizing over the results and what they mean for us conceiving. Our Dr apt isn’t for a couple days to discuss the results.

    Time since collection – 174 minutes
    Semen Liquefaction – Complete
    Semen Viscosity – Normal
    Semen Colour – Normal
    Semen Volume – 0.8mL (>1.4mL)
    Sperm Concentration – 72.4 million/mL (>14.9 10*6/mL)
    Total Sperm Count/ejaculate – 57.9 million/ejaculate (>38.9 10*6/ejac)
    Motility – 51% (>39%)
    Motility Progressive – 31% (>31%)
    Morphology – 7% normal ( >3% normal)

    My husband states he has always had low volume. We have been using instead cups to try and conceive. What do you think of his SA? How can we improve semen volume and motility progressive? Any advice would be appreciated. Thanks in advance for your help!!

    • Sara SDx
      Sara SDx June 20, 2016 at 5:06 pm

      Sorry for the delay. I had a huge backlog of comments that I’ve been working through… Here are some initial thoughts.

      Volume is the only thing that concerns me in this report. Low volume doesn’t necessarily equate to fertility issues. Viscosity and liquefaction are normal which seems to indicate that seminal glands are working normally.

      Progressive motility looks ok to me. Often men with low volume have poor motility due to rapid evaporation of the sample.

      If volume has been low consistently I’m not sure quite what the cause could be. Typical suspects are problems with glands, infection, low T, poor nutrition, dehydration and frequent ejaculation. There are some guys that I’ve seen who just have low volumes. You could check in with urologist to see if they have any recommendations.

      Can you elaborate on the cups you’ve been using to TTC? What are they? How long have you been using them? With low volume, a concern could be losing some of the sample due to transfer from one container to another…

  236. MD June 8, 2016 at 4:35 pm

    Hello Doctor,
    My husband and I have been trying to conceive for about 15 months with no success. We have been diagnosed with unexplained infertility, but I had some questions about the semen analysis. Our RE said it looked fine, but I just wanted to make sure especially about the progression. The numbers are below. Any help would be greatly appreciated. Thank you.

    Volume: 3.9
    Concentration: 121
    Percent Motile: 60%
    Progression: 2/2+
    PH: 8.0
    Viscosity: Normal
    Percent Normal Morphology: 5
    Round Cells: 0.3
    Total Motile Sperm: 283

    • Sara SDx
      Sara SDx June 17, 2016 at 4:17 pm

      I’m not a doctor, but I can share a few thoughts….

      I don’t quite understand the progression — how it is reported here. you might ask clarification for how they typically measure progression.

      Morphology is borderline and given the time it’s taken for you to conceive, I would consider it could be a factor. I might ask if they have a break-down of defects or if you do a second analysis I would ask for it. T

      Overall, total motile sperm is in the high range and I wouldn’t flag this analysis as particularly suspicious.

      It wouldn’t hurt for hubby to start a multi-vitamin to try to improve morphology. Esp if you are considering any assisted reproduction techniques — chances increase with better morph for both IUI & IVF.

      • MD June 21, 2016 at 7:34 pm

        Thank you. We have already done a few IUIs that haven’t worked, but I was told that my husbands washed sperm looked good. I don’t understand why they wouldn’t have told us that the morphology is borderline especially if there is a way to help it and if its particularly important for IUI and IVF. I had my husband start on a multi vitamin a few weeks ago but our next IUI is scheduled for July and I am worried that is not enough time to improve things. Any other suggestions for improving morphology? Thank you!

        • Sara SDx
          Sara SDx June 21, 2016 at 7:41 pm

          You could try testicular cooling. Lower temperatures can help. A comfortable solution would be Snowballs underwear but you can also just use a good old sack of frozen peas.

          Other suggestions are in this article on boosting count — generally, suggestions for count and motility apply to morphology as well.

          • Darlene July 3, 2016 at 12:45 pm

            Hello Dr Sara. My fiance and I are trying to conceive. He is 30 and I am 37. I know my age is up there that’s why I am tryin gso hard to conceive. I just strated trying last month. Here are his results, please let me know if he is good:

            Color: Gray/White
            Viscosity: Normal
            Liquefaction: Complete within 60 mins
            Volume: 1.5 ml
            Concentration: 79*10^6/ml ( Doctor Sara does this mean the sperm count? If not, what’s the difference between sperm count and concentration? )
            Percent Motility: 52%
            Forward Progression: 3
            Morphology: 9%
            Immature Germ Cells: 0.0%
            White Blood Cell: 0.0%
            Total motile Sperm: 61.6 *10^6/ml (Dr Sara, what is the difference between total motile sperm and percent motility?)

            Thank Doc in advance.

          • Sara SDx
            Sara SDx July 5, 2016 at 8:04 pm

            Darlene,

            I’m not a doctor but happy to try to answer your questions.

            1. The difference between percent motile and total motile sperm count:

            Motility is measured by counting 100 sperm. They count how many out of 100 are moving at all (motility) and how many are swimming in a straight line (forward progression). In your case, they counted 48 were not moving, 52 were moving and 3 of them were swimming in a straight line.

            Total motile count is doing math to estimate how many sperm in the whole sample are actually moving. So in your case you have 79 million sperm in each ML of semen. The whole sample was 1.5 ml. If you multiply 79 X 1.5 = 118 million sperm in the whole thing. To estimate how many were swimming they mutiplied that number by 52% = 61,600,000 moving sperm in the whole sample. This isn’t an actual number but an estimate how many swimmers you have total.

            In general, these are not terrible numbers and you should be able to conceive. The progressive motility is lower than I would like to see it and could make it take a little longer than average. You might want your fiance to consider taking some steps to improve his health – exercise more, eat veggies, take vitamins, etc. stuff like that — to try to improve the overall sperm health which would help you conceive faster.

            Hopefully this is helpful. Let me know if you have any other questions.

  237. Hari June 8, 2016 at 11:21 am

    Hi
    I am hari
    My age 31years

    Specimen produced at 11.30am
    Specimen received at 11:40 pm
    Abstinence 4 days

    MOTILITY-80%
    Sluggish-15%
    Head -5%
    Micro scopy- 1-2 plus cells/hdf
    Morphology – normal
    Total sperm count -76 million /ml

    Doctor told my semen analysis result is normal condition

    Can u check and tell once again my semen analysis result
    Pls
    I am waiting for ur reply
    Thnk u

    • Sara SDx
      Sara SDx June 17, 2016 at 4:12 pm

      looks pretty healthy to me.

  238. Mohith June 8, 2016 at 8:34 am

    Hi dr Sara
    Could you please help me to understand my semen analysis
    VOLUME 3 ml
    Viscosity high
    Liquification time >1.00 hr
    PH ALKALAINE
    NUMBER OF SPERMS 80million/ ml
    Number of motile sperms 36 million/ ml
    Estimated motility 45%
    Active 30%
    Weak 15%
    Non motile 55%
    Morphology
    Normal 85%
    Abnormal 15%
    Head defect 06%
    MOVMENT
    FORWARD 70%
    NON LINEAR 30%
    WBC 1-3
    RBC NIL
    DEBRIS SEEN
    SPERM AGGLUTINATION SEEN
    SPERMATOGENIC CELLS SEEN
    IS THERE ANY BIG ISSUES WITH VISCOSITY
    PLEASE HELP ME
    WITH YOUR OPINION

    • Sara SDx
      Sara SDx June 17, 2016 at 4:10 pm

      Are you currently trying to conceive?

      Overall the semen analysis looks healthy. The sperm are swimming well and have good form.
      viscous semen isn’t always a problem but it can be if it is too thick for sperm to swim in.

      Doctors can recommend medications that help to thin semen if this is a problem but in general, it is not necessary.

      • Mohith June 22, 2016 at 11:35 am

        Yes Sara
        We are trying to conceive

  239. madhavan May 30, 2016 at 6:30 am

    APPERANCE: GREY WHITE COAGULAM
    ODOUR: NASTY ODOUR
    REACTION: ALKALINE
    PH: 7.2
    VISCOSITY: WHITE POURING SEMEN
    SIQUIFICATION:WHITE IN30mts
    VOULME: 1.0ml
    PUS CELLS: 04-06 WHAT problem sir?

    • Sara SDx
      Sara SDx June 17, 2016 at 3:44 pm

      Could be an infection? Have you visited at doctor?

  240. Amy May 25, 2016 at 8:22 pm

    Hi Sara, maybe you could give an idea of what you think? Hubby and I are going to do an IUI this month and this was his first SA ever. In you opinion, will an IUI be plausible an option?
    Volume: 1.3%
    Liquification: Normal
    Sperm Count: 55 million/ML
    Motility: 25% (scares me!)
    Morphology: 52
    White blood cells: 0
    Red blood cells: 0

    ***Motility scares me the most. Thoughts??***

    • Sara SDx
      Sara SDx June 14, 2016 at 7:50 pm

      motility is little low, but generally the count is high enough that you should have enough swimmers, esp for for an IUI. These numbers don’t make me nervous for IUI. They are a little on the low side all said and done for natural conception but in IUI situation you are looking to get something like 5 million swimmers. With this exam you are in the neighborhood of 17M and the morphology looks great.

  241. Beeta May 25, 2016 at 9:41 am

    Dear Doctor,
    I am 31 years old male, married for around 2 years. We had a miscarriage 4 months ago in just 2nd – 3rd week.
    Gynecologist advised it could happen due to unhealthy sperms.
    Later after trying 4 months, gynecologist advised me to get Semen Analysis of which I would like to get your feedback.

    Appearance Normal
    Viscosity Viscous (++)
    Liquefaction >60 minutes
    Volume 2.7 ml
    PH Normal
    Sperm Count 68 x10^6.ml
    Total Sperm Count 183.6
    Total Motility 55%
    Progressive Motility 30%
    Non Progressive Motility 25%
    Immotile 45%
    Sperm Morphology (Kruger) – Normal Forms 15%
    Sperm Morphology (Kruger) – Abnormal Forms Head Defects, Neck, Mid Piece Defects, Tail Defects , Excess Residual Cytoplasm
    Leukocyte Count 0.2 (10^6/ml)

    • Sara SDx
      Sara SDx June 14, 2016 at 7:45 pm

      Everything looks pretty healthy with the sperm. Miscarriages can happen due to DNA problems in either the sperm or the egg, some problem during fertilization or implantation. It’s hard to tell. The majority of the time it is just a random chance and shouldn’t be indicative of a bigger problem. Your semen analysis looks to be within the normal range on all parameters.

      How long did you try prior to getting pregnant the first time?
      Did your wife get an ultrasound prior to the miscarriage?

  242. Shumaila May 25, 2016 at 4:48 am

    Hi,is it normal to have 45percent norm forms 5percent gaint head5percent pin head 5percent others aggl positive

    • Sara SDx
      Sara SDx June 14, 2016 at 7:38 pm

      Yes. Those are totally normal numbers.

  243. VIKAS May 23, 2016 at 11:32 am

    PARAMETER RESULT BIOLOGICAL REF RANGE
    Specimen produced at 1:27 pm
    Specimen received at 1:27 pm
    Abstinence 5 days
    PHYSICAL EXAMINATION
    Sample Quantity Complete
    Volume (ml) 2.0 ml
    Color Creamish white
    Self liquefaction Complete by 30 mins
    Viscosity Gelatinous
    CHEMICAL EXAMNIATION
    Reaction (pH) 8.5
    Fructose Positive
    SPERM COUNT
    No. of sperms / ml 44 million/ml
    No. of sperms / ejaculate 88 million/ejaculate
    MOTILITY
    Progressive Motility (PR) 31% %
    Non-Progressive Motility (NP) 07% %
    Total Motility (PR+NP) 38% %
    Immotile sperms (%) 62%
    SPERM MORPHOLOGY
    Total Normal Forms (%) 68%
    Abnormal Head Forms (%) 24%
    Mid-portion abnormalities (%) 4%
    Tail abnormalities (%) 4%

    • Sara SDx
      Sara SDx May 24, 2016 at 3:22 pm

      looks healthy. do you have any particular questions?

  244. uttam saha May 23, 2016 at 6:50 am

    hello dr sara can you please help me in understanding my semen analysis?
    Quantity 2ml
    apppearence -grey white
    viscosity normal
    ph alkanline
    liquefication time 30 mins.
    total count 100million/ml
    *pus cell nil*
    *immature germ cells 8-10hpf
    others nil
    morphology normal 70%
    abnormal forms—–
    undiffrentiated%
    *head deffects 20%
    *middle piece defect 0.5%
    *tail defect 0.5%
    progressive motility 75%
    *non progressive motilty 0.5%
    non motile 20%
    dr sara do this report is normal for having a baby????
    please tell me about areas with * mark.
    thank you and regards…….

    • Sara SDx
      Sara SDx May 24, 2016 at 3:21 pm

      This semen analysis looks healthy.

      Pus cells — immune cells — usually should be 0. A high number might indicate an infection. You don’t have any. That is good
      immature cells — sperm cells that don’t have a tail yet. There are always some of these. you have a normal amount
      head defects — head size or shape is different than expected. There are always some defective sperm. You have a low number of head defects
      Same with middle piece and tail defects — you can learn more about defects here
      non-progressive motility — sperm that move, but don’t go forward. Always there are some like this — most of your sperm swim straight. That is a good thing.

      it is totally normal for having a baby. Are you currently trying?

  245. RAJA007 May 21, 2016 at 4:27 am

    Hi Sara,

    Below is the semen analysis, can you review and confirm if it is normal.

    Colour: Grey- Opaque
    Volume: 1.5 ML
    PH: 7.6
    Viscosity: Slightly Viscous
    Liquefaction: 45 minutes
    Sperm concentration : 38 million/ml
    Granular Derbis: Present

    Motility :
    Total Motile = 49%
    Progressive motile (PR) = 25%
    Non progressive motile (Np) = 24%
    Non motile = 51 %

    Morphology:

    Normal =10% Head Defects = 72 % Neck Defect =8% and Tail Defect =06 %
    Cytoplasmic droplets 04%

    Can you tell the above factors are normal? or needs any attention?

    Also below are something we found out of normal ranges? we already taken anti biotics for pus cells, had enough of water but still present. is anything wrong with below Pus cells in connection to Granular Derbis and HOS mentioned?

    RBC: NIL
    EPITHELIAL CELLS : 1-2 /hpt
    PUS CELLs : 3-4 hpt
    Granular Derbis: Present
    Hypo ASMOTIC SWELLING (HOS): 54%

    Thank you in advance.

    • Sara SDx
      Sara SDx May 24, 2016 at 3:14 pm

      Overall, its a little on the low end but not terribly worrisome. You are fully in the normal range and should have no problems conceiving — it might take a few extra months because you are on the lower side but shouldn’t impact ability to conceive. Are you actively trying? If you’d like to try to take steps to try to boost count, you can fill out this questionnaire to get personalized feedback about what you could work on.

      Additional measurements RBC, epithial, pus, granular debris — all look normal.
      I’m less familiar with HOS test but it looks to be within normal range.

      • RAJA007 May 25, 2016 at 3:16 am

        Thank you Sara,

        The questionnaire link seems not loading after i click on GO button.

        Any tip for reducing the head defects?

  246. Charles May 20, 2016 at 5:13 pm

    Hello, I had my semen analysis after 52hrs after intercourse. Here is the result.

    PH ..Alkaline 7.0
    Volume:2.5
    Consistency: Slightly-Viscous
    Motility: Actively motile cells 50%
    :Sluggishly motile cells:20%
    :Non-Motile:30%
    Morphology Normal: 85%
    Morphology Abnormal:15%
    Epithelial Cell: ++
    pus cell:3-5/hpf
    Total count:20.0*10^6/ml

    Please be blunt with me about the outcome. Thanks a bunch

    • Sara SDx
      Sara SDx May 24, 2016 at 3:07 pm

      Hi charles,

      The count is a little lower than I would like to see, but it is not devastatingly low. Overall, the sperm cells look pretty healthy. Are you currently trying to concieve, if so, how long have you been trying?
      Also, have you filled out our risk questionnaire? If you can let me know what it says, I might be able to give you some tips on how to boost count.

  247. Bala May 19, 2016 at 6:14 am

    Hi Sara,

    Please find below my semen analysis report for your review and suggestion
    Volume – 2 ml
    Colour – Opaque gray
    pH – 8.5
    Reaction – Alkaline
    Liquefaction Time – 30 min
    Total count – 23.05 million / ml
    Active motile – 60%
    Sluggish motile – 10%
    Non-motile – 30%
    Normal sperms – 10%
    Abnormal sperms – 90%
    Pus cell – 3-5
    RBC – 0-2

    whats ur opinion on my report and what is best advice u can suggest me to become father soon ????

  248. palash May 19, 2016 at 5:43 am

    Hi sara
    hi, i am palash..my semen analysis shows as below:
    volume: 3ml
    color: normal
    ph: alkaline
    viscosity: normal
    liquefaction: completely liquefied (after incubation at 37°C after 1 hour)
    sperm count: 48million/ml
    actively motile: 50% (motality within one hour of ejaculation)
    feebly motile: 10% (motality within one hour of ejaculation)
    non motile: 40% (motality within one hour of ejaculation)
    sperm morphology: 50% sperm abnormal, abnormality of head,body, tail
    leucocytes: 8-10/HPF
    epithelial cells: 2-3/HPF
    RBC: nil/HPF
    Germ cell: present
    Sperm clumping: present
    Fructose: present
    Opinion: Normozoospermia with infaction

    • Sara SDx
      Sara SDx May 24, 2016 at 3:01 pm

      looks pretty healthy. do you have any specific concerns? Are you currently trying to conceive?

  249. Nadim May 19, 2016 at 3:07 am

    Dear Sara,

    My semen analysis is bellow, i have some question that is WBC is 10-15 is this mean their is infection? is that cause sluggish sperm?
    i am waiting to your valuable advice thanks.

    Colour: Grey- White
    Volume: 2.3 mil
    PH: Alkali
    Viscosity: Normal
    Liquefaction: 45 minute
    Count: 126 m
    Motility Active: 38 %
    Motility Sluggish: 45 %
    Motility Dead: 17 %
    Morphology: 73% Normal
    WBS: 10-15

    • Nadim May 19, 2016 at 3:10 am

      And also is 38% active motility is enough?

    • Sara SDx
      Sara SDx May 24, 2016 at 2:32 pm

      There aren’t any units next to the WBS so it is hard to tell how many are there. It could indicate infection. If you have any other symptoms it is worth checking out.

      In your case, 38% active motile is ok. All your other measurements look pretty good so all in all, your sperm look healthy.

  250. srihari May 16, 2016 at 9:14 am

    Hai sir,
    My semen analysis report as follows :
    Liquifaction time: 30Minutes
    Quantity: 1ML
    Viscocity: Semi Viscous
    Reaction: Alkaline
    Microscopy:
    1.No Spermatozoa are seen
    2. Background shows few inflammatory cells
    Please explain what the report shows

    • Sara SDx
      Sara SDx May 24, 2016 at 2:19 pm

      The semen sample was slightly less than usual, but the consistency was ok. When they analyzed it under a microscope, they were unable to see any sperm. You may have a condition that is preventing your body from making sperm or that is preventing them from getting out of your body. You need to visit a urologist who specializes in fertility to do a complete assessment. You should repeat the semen analysis to see if they see sperm in it. Sometimes they don’t see any the first time, but they see some the second time. You should also get a few blood tests done to see what could be causing the problem. Usually doctors check hormone levels and screen for a few genetic conditions that can cause fertility problems in men. The doctor will also do a physical exam to check to make sure all the structures are working properly and talk to you about your medical history to see if something happened that could have caused this.

      Most of the time, there are things doctors can do to correct fertility issues for men, but you have to go to the right doctor who understands how men’s bodies work.

      I would recommend filling out this questionnaire and taking the report with you to the doctor. It will help you make sure you cover all the risk factors that could be contributing.

      Does that help?

  251. asif khan May 14, 2016 at 7:30 am

    Dear Doctor, i am 30 years old and married since since 1 year and 20 months , but my wife is unable to conceive. she has also irrigular periods some time 2 to 3 times a months and sometime only once in 2 months. she has visited a lady doctor 2 to 3 times and doctor says her ultrasound result show normal follicles and uterus and we intercourse2 to 3 times a week and i have also performed semen analysis test and i am sending you the result kindly guide me what can be the problem
    SEMEN ANALYSIS :
    quantity= 3ml
    colour= greyish white to pale yellow
    viscosity= viscid
    time of liquification= 30 mint
    ph= 7.5 to 8
    fructose = positive
    SPERM COUNT:
    total count=38 mill/ml
    live count=30 mill/ml
    sperm ejaculate=114 mil
    MOTILITY
    %age motile sperms= 79%
    rapid linear progression= 20%
    slow/non linear progression=40%
    non progressive= 40%
    MORPHOLOGY
    normal form=50%
    HEAD ABNORMALITY
    large oval= 10%
    small oval=10%
    amorphous=30%
    OTHER CELL
    germ cell=01
    wbcs=01
    rbcs00
    squamous cells=00

    • Sara SDx
      Sara SDx May 24, 2016 at 2:00 pm

      Overall, your semen analysis is in the normal range. It is on the lower side of normal, but I think you should have an ok time conceiving. It sounds like the issue is the irregularity of your wife’s cycle. Did the ob-gyn measure her hormones during the cycle? Has she always had this issue or is it something recent for her? Is she very healthy? Does she have high stress?

      • asif khan May 25, 2016 at 6:06 am

        yes she is healthy and fatty her irrigularty if period is not not recent to her she face this from the start and her harmone level have not been measured. and 2indly that i am having problem of frequent wet dreams ie once or two time a week if i m meeting with my wife.

  252. Chinder PAl May 11, 2016 at 10:35 am

    hello sir
    i m male 25 year

    here ar e my deails
    color-milky
    volume-0.5ml
    L time-30 minutes
    reaction :alkline
    micro scopic active:- 44% 50-70%
    sluggish 22%
    Dead 34%
    total sperm count-48%
    other:- 2-3 Puss cells seen/HPF

    whr is the problem coming to make pregnant

    • Sara SDx
      Sara SDx May 11, 2016 at 3:38 pm

      The volume is a little lower than I would like to see. Overall, the sperm look healthy. Are you currently trying? If so, how long?

      • chinder pal May 12, 2016 at 4:35 am

        yes sir m trying since 1 year,,,,,,,,,,,, my wife’s HB is 8.50 gram does it matters

        • chinder pal May 12, 2016 at 4:36 am

          if the sperm count is enough

        • Sara SDx
          Sara SDx May 20, 2016 at 2:49 pm

          It could cause an issue. She should talk to her doctor about trying to get pregnant. Do they know the cause?

  253. Madhu May 10, 2016 at 1:11 pm

    Hello Sara,
    Can you please give me your opinion on my results, i have 9yrs boy we are trying since last one year age( 30)

    Volume 1.5ml
    Ph :8.0
    Colour : Gray-white
    Liquefaction : 20min
    Viscosity :normal
    Motility :65
    Motility progressive : 60
    Motility nonprogressive :10
    Motility immotile : 10
    Viability : 70
    Sperm count : 64
    Normal sperms : 45
    Abnormal sperms : 55
    Head defects : 15
    Pin head :10
    Tail : 10
    Short tail : 10
    Curled : 10
    Red cells : not detected
    Pus cells : 5-7
    Epithelial cells : 1-2
    Impression – Normospermia

    • Sara SDx
      Sara SDx May 11, 2016 at 3:36 pm

      Looks pretty healthy. Does anything concern you specifically?

  254. Rizwan May 8, 2016 at 6:42 pm

    Hi SARA,
    my Age is 31 yrs 8 months

    SEMEN ANALYIS
    Total Volume —5.0 ml
    Reaction ——–ALKALINE
    Consistency—-VISCID
    Liquification Time— After 30 Minutes

    MORPHOLOGY
    Normal—65%
    Abnormal—-35%
    TOTAL COUNT — 106.0(one hundred six millions) Millions/ml
    WBC——4 – 6 /HPF
    RBC——-2 – 4 /HPF
    Epithelial cells——-FEW /HPF

    MOTILITY
    Active 1st hr.—–40%
    Sluggish 1st hr.—–15%
    Non-Motile 1st hr.—-45%
    Active 3rd hr.——-30%
    Sluggish 3rd hr.—–10%
    Non-Motile 3rd hr.—-60%

    • Rizwan May 9, 2016 at 4:31 pm

      3 yrs finished after marriage can i be a father? how many percent do i have chance through this report please reply me..

      • Sara SDx
        Sara SDx May 11, 2016 at 3:32 pm

        I don’t see a report — Maybe you could enter the volume, count, motility and morphology for me to review.

        • Rizwan May 11, 2016 at 6:49 pm

          my Age is 31 yrs 8 months
          3 yrs finished after marriage can i be a father? how many percent do i have chance through this report please reply me..
          this is my report actually i live away from partner because of my job nature i visit home once in an year for 2 months, wish to conceive but couldn’t get it yet
          whats ur opinion on my report and what is best advice u can suggest me to get conceived ????

          SEMEN ANALYIS
          Total Volume —5.0 ml
          Reaction ——–ALKALINE
          Consistency—-VISCID
          Liquification Time— After 30 Minutes

          MORPHOLOGY
          Normal—65%
          Abnormal—-35%
          TOTAL COUNT — 106.0(one hundred six millions) Millions/ml
          WBC——4 – 6 /HPF
          RBC——-2 – 4 /HPF
          Epithelial cells——-FEW /HPF

          MOTILITY
          Active 1st hr.—–40%
          Sluggish 1st hr.—–15%
          Non-Motile 1st hr.—-45%
          Active 3rd hr.——-30%
          Sluggish 3rd hr.—–10%
          Non-Motile 3rd hr.—-60%

          • Sara SDx
            Sara SDx May 20, 2016 at 2:55 pm

            The sperm look pretty healthy. I think the difficulty can be coming from not spending enough time together. It can take several months to conceive a baby. If you are not able to be together very often, it may take several years. To improve your chances, you should make sure her cycle is regular and have sex every other day during the middle of the month when she is most likely to get pregnant. There are various things she can use to help predict ovulation. These could help you make sure you have sex when she is most fertile and could increase your chances of conceiving.

            While you are away, continue to try to be as healthy as you can. The healthier you are, the better your sperm will be. Stronger sperm have a better chance of making a baby. Overall, your semen analysis looks very good and your chances of becoming a father are good. But you need to continue to stay healthy to keep those chances high.

            Good luck.

    • Sara SDx
      Sara SDx May 11, 2016 at 3:22 pm

      Looks very healthy. Are you currently trying to conceive? Does anything concern you?

  255. Jani Erb May 7, 2016 at 2:00 pm

    Hi Doctor Sara..

    Its great to see that your are replying to results and hence gives me courage to ask you about mine

    My result are below

    ph=9
    colour = normal
    viscosity= normal
    sperm count = 100 mill/ml
    total sperm count = 300 mill/ml
    total motality = 65 %
    Rapid progressive motality = 20% (30 mins)
    slow progressive motality = 25 %
    twitching l shaking motality = 20 %
    Immotile = 35 %

    Morphology = normal sperm = 55 %
    Erythrocyte = 15 %
    Leukocytes = 50 x10^6/L upto 250×10^6/L

    Your thoughts on above.I am worried about Leukosytes and ph value.

    • Sara SDx
      Sara SDx May 11, 2016 at 3:21 pm

      Leukocytes would make me a little nervous too. The sperm look great.

      Have you had recent injury, surgery, a cold, anything like that? You might have an infection either UTI or some other part of the reproductive tract. I might recommend visiting a urologist and bringing these results to get an opinion. pH could suggest a prostate infection. It’s not that elevated…. I see plenty with pH around 9. Again, I would schedule a visit with urologist just to check.

      Fertility wise, you look great.

      • Jani Erb May 15, 2016 at 9:25 am

        Dear..

        Appreciate your efforts for answering the questions.
        I had one accident when i fall down from 10 meter height(Luckily i survived).Could it be a factor ??????????
        I visited one Doctor he prescribed me some tablets for Leukocytes.

        Thank you..
        .

        • Sara SDx
          Sara SDx May 24, 2016 at 2:09 pm

          Wow, that’s a big fall. How long ago was it?

          The doctor should be able to treat the leukocytes. Overall, they shouldn’t interfere too much with fertility, but there are quite a few of them so its not a bad idea to try to treat them.

          I would recommend a follow up test in a couple months.

  256. Hakim May 7, 2016 at 1:41 pm

    Hi Dr. Sara..
    I am 32 yo. Here’s the result of my semen analysis:
    Period of abstinence: 2 Days
    Color: Grey opalescent
    Volume: 2.5 ml
    P.H: Alkaline
    Viscosity: Highly Viscous
    Liquefaction time: More than 1 hour
    Sperm count: 224 Million/ML
    Total sperm count: 560 Million/ejaculate
    Vitality: 80%
    Motility at the end of 1 hour:
    – Progressive: 40%
    – Non Progressive: 15%
    Sperm Morphology: Approximately 55% spermatozoa show normal morphology. abnormal forms show double tail, double head, angulated head and thick neck
    Other Finding: Round cells: 2-4/hpf, WBCs: 1-2/hpf, RBCs: 0-1/hpf. Clumps+

    Thank you in advance,

    • Sara SDx
      Sara SDx May 11, 2016 at 3:18 pm

      The only issue that I see here is viscosity and liquifaction time. These might not be a problem for conception. You have a lot of sperm and they are moving quite well. Are you currently trying to conceive?

  257. Juliet May 7, 2016 at 12:03 pm

    My periods are irregular. we have been trying for 3 years.
    APPEARANCE-CREAM WHITE
    VOLUME -4ML/S
    PH-8
    IIQUEFICATION-NORMAL
    VISCOSITY-HIGHLY NORMAL
    MOTILITY ACTIVELY-NORMAL
    INITIAL VIABILITY 70% AT 11.30AM
    FINAL VIABILITY- 50% AT 5,30
    MORPHOLOGY-MODERATE WITH BENT NECKS AND BIG HEADS
    TOTAL COUNT-64MIL/ML
    LEUCOCYTES-MODERATE
    RBC-NIL

    • Sara SDx
      Sara SDx May 11, 2016 at 3:16 pm

      Sorry to hear its been a long time. Sperm look pretty healthy…does anything here not make sense to you or concern you?

  258. Juliet May 7, 2016 at 11:58 am

    APPEARANCE CREAM WHITE

  259. TANU MALI May 6, 2016 at 2:49 pm

    HELLO Dr. Sara,
    MY SEMEN ANALYSIS REPORT IS
    QUANTITY: 2.7 ML
    REACTION :ALKALINE
    VISCOSITY:NORMAL
    LIQUIFICATION : ZERO HOUR

    MICROSCOPIC EXAMINATION

    TOTAL SPERMATOZOA COUNT = 65 MILLION
    MOTILITY
    ACTIVE:35%
    SLUGGISH:45%
    NON-MOTILE:20%
    QUANTITY OF MOTILLTY
    NORMAL:83%
    ABNORMAL:17%
    RED CELLS:NIL
    BACTERIA:NIL
    PUS CELLS:1-3/HPF
    EPITHELIAL CELLS:1-2/HPS

    PLZ TELL ME IS THIS RESULT GOOD OR BAD VERY WORRIED, HELP ME.

    • Sara SDx
      Sara SDx May 11, 2016 at 3:08 pm

      Looks pretty healthy to me. Are you currently trying to conceive? What makes you worried?

  260. Dons May 6, 2016 at 9:30 am

    He seldom eat fruits. I serve him a bit of broccoli and carrots on his meal. He plays basketball once a week. He’s 180lbs and 5’6ft.
    Is it also because of our age?

    • Sara SDx
      Sara SDx May 11, 2016 at 2:41 pm

      Age could be contributing on your side. Chances are lower for women as they get a little older. You can do a blood test to see how your eggs are doing if you are concerned about that.

      On his side, it looks like he could use to get in shape a little bit more and it would help. If he could eat more fruits and vegetables, try to exercise 1 or 2 more times during the week (even just going for a long walk) and lose maybe 15 pounds, I think it could help his sperm quite a bit.

      • Dons May 12, 2016 at 9:13 pm

        Thank you Sara, will do that.. 🙂

  261. Ankur May 5, 2016 at 6:58 pm

    Hi Dr,
    Please see the following.

    Period of abstinence: 3 days
    Volume 2.0
    Color: greyish white
    Viscosity : Abnormal
    Liquefaction time : 1hr

    Reaction 7.6
    Fructose : detected

    Total sperm count 110 mil/ml
    Motility: Active progressing : 50
    Non progressive : 20
    Non motile : 30
    Morphology:
    Normal : 70
    Abnormal : 30
    Abnormal head : 20 (Swollen : 10, Stunted: 5, Double : 5)
    Abnormal mid piece and tail : 10

    Pus cells : 1-2
    Epithelial : 0-1
    RBCs : Nil
    Auto agglutination: Absent

    The viscosity is abnormal, what should be done to have it less viscous? Any other advice plz.
    Thanks

    • Sara SDx
      Sara SDx May 11, 2016 at 2:33 pm

      Viscosity can change from day to day. If there was a real problem, you would see that the liquefaction time would be higher than 1 hour. Overall, this report looks pretty healthy. Are you trying to conceive?

      • Ankur May 12, 2016 at 2:39 am

        yes, we have been trying to conceive for more than 3-4 months

        • Sara SDx
          Sara SDx May 20, 2016 at 3:02 pm

          3-4 months isn’t a very long time. Sometimes it can take 6-12 months. I would suggest continuing to try for another 3 months. If you haven’t conceived by then, go back for another test to see if everything is the same. Is her cycle regular? Does she experience pain during her period?

          A few tips to improve chances — try to have sex every 2-3 days, take time to make it enjoyable, eat healthy food, exercise regularly and get good sleep at night.

  262. Dons May 5, 2016 at 2:23 pm

    Hi Sara..
    TTC or 12 months
    I am 37yo, he’s 35yo
    Here’s the result of my husband’s semen analysis:
    Apperance: Pearly white
    liquefaction time: 60
    Viscosity: Viscous
    Volume: 2.0
    PH: 9.0

    Concentration: 24
    Motility: 44
    Progressive: 29
    Non Progressive: 15

    Total sperm count: 48
    total motile sperm: 21.12
    vitality: 58
    Morphology
    Normal: 2
    Immature cells: rare
    round cells: 2
    WBC (No./100 sperm cells): 4
    Agglutination: 2
    Debris: Few

    • Sara SDx
      Sara SDx May 5, 2016 at 3:34 pm

      There are some minor issues… It is definitely possible to conceive naturally with these results but chances are lower. Everything is just a little lower than I would like to see. If your husband very healthy? — does he eat fruits and veggies? exercise regularly? smoke or drink? have a healthy body weight?

  263. Danish Ali May 5, 2016 at 9:04 am

    Hi Dr Sara SDx ,
    My Name is Danish Ali, almost three years complete of marriage but still we have no child , My semen analysis report is,
    Quantity: 2.5ml
    color: grayish white
    Transparency: Opaque
    viscosity: viscous
    time of collection: 1 min .5 sec
    ph: 7.5
    Fructose: Positive
    Sperm Count: 31 mill/ml
    Live Count: 10mill/ml
    Sperm pre Ejaculate: 78 mil
    {Mortality}
    % Motile sperm 33%
    rapid Liner Progression 00%
    Slow/Non Liner Progression 40%
    Non Progressive 60%
    {Sperm Morphology}
    Normal Form 40%
    Head Abnormality
    Small Oval 20%
    Pyriform 15%
    Amorphous 25%
    Mid Piece Abnormality
    (Other Cells)
    Germs Cells 02
    WBC’s 02
    RBS’s 00
    Squamous Calls 00

    • Sara SDx
      Sara SDx May 5, 2016 at 3:32 pm

      Your count is a little low and your sperm are having a hard time swimming. This would explain why it is taking you a long time to conceive. Have you taken our risk assessment to see what could be causing problems with sperm?

      • Danish Ali May 6, 2016 at 5:20 pm

        what u recommend me ???? and what your opinion on my report ? can v conceive with this report ???

      • Danish Ali May 6, 2016 at 5:21 pm

        Risk assessment not open 🙁

        • Sara SDx
          Sara SDx May 11, 2016 at 3:12 pm

          Were you able to answer questions?

          Try again… here is a full link —http://www.dontcookyourballs.com/risk

  264. SATISH May 5, 2016 at 4:19 am

    HY SIR
    MY SEMEN ANALYSIS REPORT IS

    PHYSICAL EXAMINATION

    APPEARANCE = WHITE
    VO;UME = 2.0 ML
    REACTION = ALKALINE
    LIQUIFICATION TIME =30 MINUTES

    MICROSCOPIC EXAMINATION

    TOTAL COUNT = 60 MILLION
    MOTILITY =45%
    TYPE OF MOTILITY =SLUGGISH
    MORPHOLOGY = —————
    INFLAMMATORY EXUDATE = PUS CELLS 3-4/HPF
    ANY OTHER ABNORMALITY =————-

    PLZ TELL ME CAN I BECOME A FATHER

    • Sara SDx
      Sara SDx May 5, 2016 at 3:30 pm

      It looks healthy enough to become a father. Are you currently trying?

  265. Tharanga Weerasinghe April 26, 2016 at 8:43 am

    I am 29 years old and i am married.. Result of my semen analysis are given
    ‘ Semen Analysis”

    Quantity = 5ml
    Appearance – Normal
    Viscosity – Normal
    Sperm concentration – 8.5millions/ml

    Motility (a+b+c) – 46.2%
    * Rapid Progressive Motility (a) – 1.5%
    * Slow Progressive Motility (b) – 5.9%
    * Non Progressive Motility (c) – 38.8%

    Immotility – 53.8%
    Morphology(% normal forms) – 19.8%
    Total Sperm Number – 42.5millions
    * motile Sperm (a+b+c) – 23 Millions
    * Total Progressive motile Sperm (a+b) – 6.5 millions
    * Total functional Sperm – 2.5 millions
    Sperm Motility Index(SMI) – 17
    Motile Sperm Concentration (MSC) – 4.6 millions/ml
    * Progressively Motile Sperm Concentration (a) – 0.8 millions/ml
    *Progressively Motile Sperm Concentration (b) – 0.5 millions/ml
    Functional Sperm Concentration (FSC) – 0.5 millions/ml
    Velocity (Average path Velocity – VAP) – 2 mic/Sec
    Pus cells – Occasional/H.P.F
    Red Cells – Nil/H.P.F

    Please tell me about condition??

    • Sara SDx
      Sara SDx April 26, 2016 at 6:05 pm

      Total progressive sperm at 6.5 million means that your chances of natural conception are lower but not impossible.

      The best thing to try to do is improve sperm count and motility. Have you taken our risk assessment questionaire? If you fill out the questions, it can give you a personal report that will tell you things that might be causing your sperm count to be a little lower or your motility to be reduced. You can also look at this list of 20 ways to boost your sperm count for ideas of things you can do to improve sperm.

      If you want to post a comment about what risks the questionaire identifies for you, I can also give you some additional advice if you’d like.

  266. b2003alubaid April 20, 2016 at 9:44 am

    Hi doctor Sara,
    I did basic semen analysis test, I want to know about this report.is there anything to worry about ? and what is your advice?

    Appearance: Normal
    Liquefaction time: 5 min.
    Ph: 7.4
    odour: Normal
    Viscosity: normal

    Debris: ++
    leucocyte: occasional
    Type: –
    Clumping: Nil
    Volume: 3.6 ml
    Round cells: occasional
    sperm viability: –
    sprem concentration: 0
    Total sperm count: 0.0

    Motility: –
    a. rapid progressive: –
    b. forward progressive: –
    c. slow progressive: –
    d. non progressive: –

    Sprem Morphology
    a. Normal forms: –
    b. Head defects: –
    c. Neck/mid-piece defects: –
    d. tail defects: –
    e. immature cells; –

    • Sara SDx
      Sara SDx April 20, 2016 at 2:23 pm

      This report shows that you have a condition known as azoospermia. It means that there are no sperm present in the semen. There are lots of causes of azoospermia and many of them are correctable by a doctor. The first step is to confirm that the semen analysis was correct. You should schedule an appointment at a urologist office and get a follow up semen analysis. You should also get a physical exam and a blood test to measure your hormones to see what is happening.

  267. haider khan April 19, 2016 at 12:33 pm

    Hi Madam,
    I did semen analysis test, i want to know about this report.
    viscosity>highly viscous.
    liquefaction >more than 1hour.
    color opaque.
    PH.>9.0
    VOLUME>3.0ML
    MOTILITY,ACTIVE40%
    MOTILITY SLUGGISH.15%
    non motile>15%
    percentage of motility.55%
    total sperm count>70.2%
    morphology, normal>65%
    morphology abnormal35%
    pus cells>8-12/hpf
    RBCs.5-7/hpf
    epithelial cells.rare…
    waiting for your reply.

    • Sara SDx
      Sara SDx April 19, 2016 at 2:02 pm

      In general, the sperm look healthy. You should be able to have a baby.

      However, The semen seems a bit off. You show some signs of a potential infection with your prostate. I would recommend visiting a urologist and taking these results with you to get an exam done to make sure you don’t have any infections.

  268. deepak April 18, 2016 at 1:45 pm

    dear doctor, thank you for the reply. the volume is 4ml, count: 59mil/ml(jan), 50mil/ml(april), motility:35%, rapid: 25%, morphology: 50% normal, alkaline, pus cells: positive. Her periods are normal. but occasionally she has heavy bleeding in mid of her fertile days (15 th day) which lead to embarassing situations. As we had a quarrel inbetween we couldnt go to the doctor together. will be meeting the doctor with reports this week. what could be the possible reason for the bleeding? thank you.

    • Sara SDx
      Sara SDx April 18, 2016 at 2:09 pm

      These look pretty healthy. I think you are pretty good.

      Heavy bleeding mid-cycle is a sign that something isn’t quite right. I would be eager to hear what her doctor says about that.

  269. SAMEER April 15, 2016 at 11:12 am

    HI SARA,
    I got my semen analysis done !!
    the report is as follows :

    LIQUIFACTION : 00:45
    VOLUME : 3.0
    VISCOSITY : LOW
    pH : 8.0
    SPERM CONCENTRATION : 100.0 MIILLION/ML
    MOTILE SPERM CONCENTRATION : 40.0 MILLION/ML
    TOTAL MOTILITY : 40 %
    a) progressive motility : 25
    b) Non progressive motility :75
    MORPHOLOGY : 6
    AUTOAGGLUTINATION : NEGATIVE
    LEUKOCYTES : 2-3
    FRUCTOSE : POSITIVE.

    END OF REPORT !!
    My AGE IS 27 YEARS.
    IS THIS A GOOD REPORT ?OR IS THERE ANYTHING TO WORRY ABOUT ?? !! we are tryin to plan a baby!!!

    • Sara SDx
      Sara SDx April 15, 2016 at 2:48 pm

      Looks pretty healthy. I don’t see anything to worry about here. Good luck on baby making. Send me good news when you get it 🙂

  270. deepak April 15, 2016 at 10:11 am

    dear doctor, got married last may. still my wife has not conceived. we dd have a break and we were not serious about baby in the early months. had my semen analysis this jan and april. both gave similar results. count: 50mil/ml, motility: 35%, fast: 25%, morphology: 50% normal, alkaline, pus cells: positive. is this ok as per who norms. is the total motile count ok to get my wife pregnant? thank you

    • Sara SDx
      Sara SDx April 15, 2016 at 2:53 pm

      What was the volume?

      Overall this looks pretty normal.

      Is her cycle pretty regular?
      Has she had any tests done on her side?

  271. Stephen April 13, 2016 at 5:28 pm

    as your advise i take the risk assessment quiz and the result is- at low risk…and some advice…thank u ..

    • Sara SDx
      Sara SDx April 13, 2016 at 5:51 pm

      Do you have any further questions, or do you think you have enough to put together a plan?

  272. Stephen April 12, 2016 at 9:49 pm

    i had a habit of smoking since 6 years but i quit it after the results..since 3 months….wat can i do to improve morphology…..

    • Sara SDx
      Sara SDx April 13, 2016 at 2:23 pm

      Quitting smoking should do a lot to help improve morphology. You can also take some antioxidants to help repair tissues and help sperm — some of the best supplements to take include vitamin C, Coenezyme Q10, Vitamin E and folic acid. If your life is busy, you can get these supplements typically in a multivitamin (though Coenzyme Q10 might need to be seperate) It is healthier if you try to get the nutrients in your food directly. Your body will absorb them better — here is an article on foods that contain key nutrients that are helpful for proper development of sperm. You should also aim to stay well hydrated — 64oz of water a day to try to flush toxins out of the system. You can tell if you are well hydrated by the color of urine. It should be clear. The darker it is, the more you need to drink.

      You can also try to get some cardiovascular exercise — team sports, jogging or quick walking — whatever can get you just slightly out of breath. Sustain it for about 20-40 minutes. Improved blood flow will bring fresh blood and help get toxins out of the system.

      If you’d like to try a hack, snowballs underwear are designed to actively cool the testicle improving count, motility and morphology. You can give yourself a little extra boost if you lower scrotal temperatures slightly a couple times a day.

      I would keep try these things for the next 3 months and then perhaps go in for another analysis and see where you are at.

  273. Stephen April 12, 2016 at 9:43 pm

    hi,
    i am 30 years .Trying for a baby since one year….my hormones and blood tests are normal.
    semen analysis report
    ph-8.1
    liquefacation-normal
    appearance-normal
    consistency-normal
    volume-1.5ml
    concentration per ml-60.0m
    total count-90.0m
    motility with in 1 hour -rapid progressive-51 %
    immotile,46%
    motility at 180 minutes-rapid progressive-50%
    vitality-88%
    immunology-clumbing %-0
    morphology-4%
    abnormal heads-96%
    abnormal midpiece-16%
    abnormal tail-7%
    leukocytes/100 sperms-0
    immature germ cells-0
    leucocytes-0
    microbiology-0
    cytoplasmic droplets %-0
    Is it normal.i m worried because there are 96% abnormal heads.my wifes periods are regular.hormone and blood tests are normal.pap smear done it is normal,swab test done it shows yeast infection and take medicine for that according to doctors order.i am worried about my morphology 4%,,ph 8.1, and wifes yeast infection.
    waiting for your advise
    .

    • Sara SDx
      Sara SDx April 13, 2016 at 2:36 pm

      So, surprisingly 4% normal morphology is still considered normal. It’s on the low end but many men have been able to father children with morphology values this low. I would be more comfortable if abnormalities were with tail rather than head but here’s what I might consider doing:

      1. Take our risk assesssment quiz — let me know what the results are and we can put together a 3 month plan to try to improve morphology.
      2. Yeast infections are easily treated and can cause problems. You should take your wife to get medication for yeast infection. It should take a couple of weeks to clear it up.

  274. sundar April 11, 2016 at 9:19 am

    I am 36 yrs. trying to conceive. My Semen result is
    Color : Oopaque Grey
    Volume : 2.5 Ml
    Viscosity : Normal
    Liquification Time : 60Mins
    Sperm Count : 82 millions/ml
    Actively Motile : 72%
    Sluggish motile : 18%
    Non-Motile : 10%
    Abnormal sperm cells : Not seen
    Pus cells : 10 – 20/Hpf
    Epithelial cells : 1 – 2 /Hpf
    Red blood cells – 0 – 1 /Hpf

    Kindly guide me with my report.

    • Sara SDx
      Sara SDx April 12, 2016 at 3:59 pm

      Overall, this looks healthy. How long have you been trying to conceive?

  275. Martin April 11, 2016 at 8:34 am

    Dear Sara,
    Would you be able to provide a feedback please? Sorry for asking again, but we would like to get it before we go and see the urologist.
    Thank you,

  276. George April 7, 2016 at 9:19 am

    Dear Mam – Please help and reply

  277. John April 6, 2016 at 3:27 pm

    I am 30 year old male. Married for 3 years. Planning for baby and below is my semen analysis details.
    Can you please let me know if it is normal or need any medical assistance.

    * Abstinence: 5 days
    * Sample Volume: 1.8 ml
    * Viscosity: Normal
    * Liquification Time: 30 minutes
    * WBC concentration: < 1mil/ml
    * ph: 8.0
    * Fructose: Present
    * Agglutination: Absent
    * Vitality: 70%

    * Semen concentration (Count) : 91.2 million/ml
    * Motility (Grades PR + NR): 43%
    * Progressive motility: 32%
    * Non-Progressive Motility: 11%
    * Immotility: 57%
    * Morphology Normal: 07%
    * Motile sperm concentration: 39.1 million/ml
    * progressively motile sperm conc.: 29.4 million/ml
    * Functional Sperm: 4.8 million/ml
    * Velocity: 10 mic/sec
    * Sperm Motility Index: 106

    * Total sperm number: 164.2 million/ej
    * Total motile sperm: 70.4 million/ej
    * Total progressively motile sperm: 52.9 million/ej
    * Total functional sperm: 8.6 million/ej
    * Total morphology normal: 11.5 million/ej
    * Impression: NORMOSPERMIA

    • Sara SDx
      Sara SDx April 12, 2016 at 3:19 pm

      This looks pretty healthy. I think you are good for baby-making.

      Some tips to optimize health / chances of conception while trying to conceive

      1. Enrich your diet with fruit (citrus and berries especially) veggies, seafood and nuts. These food contain nutrients that support DNA production. Healthy DNA will help baby get off to the best possible start
      2. Take time to nurture your relationship — closeness with your partner and regular intimacy will both help your chances of conceiving but also help you both grow closer as you prepare to go through pregnancy, birth and raising a child. Starting a family is very exciting and having a strong foundation with your partner will make the road easier no matter what bumps may lie ahead
      3. Take time to get good sleep, regular exercise and activities that reduce stress. Again, these are helpful for conception but also for preparing your life to have space for a new person.

      Good luck. Let me know if you have any specific questions about the semen analysis…. I can’t see a single issue with it. Important to know that semen quality changes over time and is responsive to your health and lifestyle. I have seen sperm donors who have had very solid semen reports tank their count temporarily with unhealthy activities — just something to be mindful of.

      S

      • Joseph April 24, 2016 at 5:03 am

        Thanks Sara for your reply.

        We are trying from 1 year, but no luck. Doctor has prescribed PATERNIA+ 1000mg. i am taking it from past 2 months.
        Also as u mentioned i have started taking Veg foods (citrix and berries) . hope it increases the semen quality.

        • Sara SDx
          Sara SDx April 25, 2016 at 10:11 pm

          I will keep my fingers crossed for you.

          Hopefully there is good news soon. I’m happy to help answer any other questions if you think of them. I hope you will conceive soon.

  278. Martin April 6, 2016 at 2:17 pm

    Dear Sara,

    Allow me to provide more information about us, as I said, I am 31, my wife is 28 (she is also undergoing some tests now). We have had unprotected sex for about 6 years, and actively trying to conceive for 8 months (temperature, ovulation tests…).

    I own a restaurant, and I therefore have some drinking habits, I also smoke, but overall, I am fit, sleep very well, and I exercise (probably not enough).

    Giving my results (described above), what would be your diagnosis? would you say that improvement is possible with special medication, and improve of lifestyle, or it is too low, that we will have to consider IUI, or even IVF?

    I am sorry for bothering you with all of those question, and have read most of the above threads, but nothing too significant about “agglutination”, and on top of that we are expatriate in a country where treatment can be difficult (very expensive too), and language a big barrier, therefore I really wish we could get some of your opinion.

    Thank you so very much,

    • Sara SDx
      Sara SDx April 12, 2016 at 3:07 pm

      I am just seeing this…. given drinking and smoking habits… these are definite contributors to sperm health. Not all men with these habits have sperm issues but studies have shown that as a population drinkers and smokers both have lower sperm counts and lower motility than men who do not. I would recommend cutting back and if possible quitting. Improvement is definitely possible. I would also recommend taking a pre-natal or other supplement that could help speed recovery. I would also recommend adding vegetables, fruits (particularly citrus and berries) seafood and nuts to your diet. These foods are strong in nutrients that can help repair sperm from oxidative stress caused by smoking. It won’t completely undo damage, but it can help.

      6 years is a long time. Especially given how young you are. Were you drinking / smoking etc during the whole period? If your sperm quality has been suppressed the whole time that could explain why you haven’t conceived because your numbers are low enough to significantly hinder chances of natural conception. How have her cycles been? Regular? What tests has she completed?

      If you have a android phone, I would recommend the Trak app to help evaluate other lifestyle factors and provide specific recommendations for improvement. I helped to design this app with a number of leading urologists in the country, it is still a work in progress but it would have a lot of the basics in there to help guide specific improvements that you could make. Also, if you do end up downloading it, I would love feedback…. I am working to improve the design and would greatly welcome any feedback that would help make it better.

      You can also take the risk questionnaire that I mentioned before and let me know if there are other issues identified there that could be contributing. I am happy to help brainstorm additional strategies to improve sperm quality. Like I said, it can take 3-6 months to see improvement, but being good to your balls is generally being good to your body and in the end will help you be a bit healthier. In the long run, that will be important…. you will need lots of energy to run after your mini-me 🙂

      • Martin April 14, 2016 at 2:48 am

        Dear Sara,

        First, I would like to thank you for taking the time to provide such in depth feedback to my 2 messages. Allow me to revert regarding few of your questions:

        – Leukocyctes — 5-9 — does it say if it is HPF or M/mL? –> It is said HPF
        – Abstinence was 5 days.
        – We haven’t completed the questionnaires, but we have an appointment with the urologist later today and for sure we will go over the basic questionnaire I believe.
        – My wife took the hormones blood test, and all came back normal, and her cycles are pretty normal (28 to 32 days), and she started monitoring the temperature for 2 months, so we should be able to identify the ovulation.

        I am planning on cutting down the smoking and drinking for sure, but it will be difficult given my job. I might think about acupuncture to help.

        I hope the doctor we will see will be as positive as you are about our mini-us… Even 3 to 6 months sound like a long time, I do hope that it won’t come down to medical assistance in our case.

        On another note, yes, I have downloaded the track app, (good job! :-)), but given the few parameters you can enter about your semen analysis, I am not sure if my final 21 percentile is really accurate. Although, I think I will use the app in the future to track the progress of my lifestyle.

        I might be in touch again after our appointment with the doctor to give further up-dates.

        Thank you very much,

        Adele

        • Sara SDx
          Sara SDx April 14, 2016 at 2:12 pm

          Thank you for the feedback on the app. I am working on improving the statistics in the semen analysis section. Currently, the 21 percentile comes from count alone. Not sure how it would measure out with all parameters…. count, motility and volume are all in the same range in the lower normal. Morphology is actually greater than 50 percentile.

          I can understand that it could be hard given your profession. Do what you can. Both of those substances are pretty poisonous to sperm. Supplements can help minimize impacts but won’t completely over-ride them. Getting each of the factors (count, motility and volume) up by just a little on each will dramatically improve your chances. You are in a zone where chances go up dramatically with small improvements.

          HPF makes me less concerned about potential infection, it doesn’t hurt to bring it up with the doc though just to make sure.

          You can print out the results from the questionaire to bring with you to the doctor. It can be a useful point of discussion to help guide additional recommendations.

          Let me know how things go.

          Sara

  279. Rahul April 6, 2016 at 2:03 pm

    Hi Doc,

    Me and wife are trying to conceive for 3 months now. I have done semen analysis and results are given below:

    Quantity : 7ml
    Liquifaction Time : 3 Hrs
    Viscocity : Normal
    Fructose : Present
    Ph : 7.0
    Total sperm count : 96 mill/ml
    Rapid linear progressive : 40%
    Sluggish linear progressive : 35%
    Total forward progressive : 75%
    Non progressive : 8%
    Non Motile : 17%
    Head Abnormality : 40%
    Neck Abnormality : 30%
    Tail Abnormality : 30%
    Total Abnormal form : 10%
    Immature cells : Occasional
    Epithelial Cells : 1-2 /hpf
    Pus cells : 2-3 /hpf
    RBCs : Occasional /hpf

    I heard liquifaction time doesn’t play that much crucial role in conceiving…is it true?
    Also overall, does report look normal or there is something to worry about?

    • Sara SDx
      Sara SDx April 12, 2016 at 2:51 pm

      Hi Rahul

      I am not a doctor, but happy to give some insights.

      First, this looks pretty healthy. Volume and count are above average. Motility and morphology are normal.

      Liquefaction time is a little long. Typically this doesn’t cause a problem if the sperm are able to survive the 3 hours until complete liquefaction. The fact that they were able to get these results makes me feel not too concerned about it. I would continue trying another 3 months. If you don’t have success in 3 more months, I would test liquefaction again. If it is still a long time, you can look into some things that can help reduce liquefaction time but I for now I think everything looks very healthy and you should continue trying.

      Some tips to optimize your chances each month — 1st, it is important to have regular intercourse throughout the cycle to keep your sperm supply fresh. Ideally, you should aim for about 3 times a week or every other day. Every day can be too much and not give the tank a chance to refill. Less than once a week is too little and sperm will be less healthy and less likely to make a baby. 2nd, especially during the fertile period, it is a good idea to try to make sex as exciting as possible. Take your time and enjoy each other. This can both partners optimize chances on conceiving. On your side, a more exciting time can help improve the quality and quantity of sperm in the ejaculate. On her side, a strong orgasim can help draw the sperm up into the body making the job of swimming to the egg easier on the sperm.

      Both of you should eat healthy, get regular exercise, sleep well and try to avoid stress to improve chances of conceiving and to support baby’s health. You may also both consider taking pre-natal vitamins to optimize DNA health and get baby off to the best start possible.

      Good luck. Keep me posted. Happy to answer any additional questions.

  280. Martin April 6, 2016 at 8:19 am

    Dear Doctor,

    I am 31. It is really good to see that you can provide feedback following test report. I really need a second opinion. We have been trying to conceive for some time now, and still no success, the urologist wants to see us next week, but would you mind sharing your thoughts about the below?

    Color: offwhite
    Seminal fluid quantity:1.2
    Viscosity: mild
    Sperm count: 36 10^6/ml
    Liquifying time:30min
    PH:7.8
    Sperm survival rate: 32%
    Sperm motility A:3% B:18%
    Leukocyte:5-9
    Sperm agglutination:++
    Normal sperms:33%

    I guess a second semen analysis would be conducted, but based on your professional experience, would you say that we might need IVF?

    Thank you very much,

    • Sara SDx
      Sara SDx April 12, 2016 at 2:37 pm

      Martin,
      Sorry it has taken me a while to get back to you. I had a large study that I was working on last week and didn’t have much time to respond to comments. I am not a doctor, but I am quite happy to give you my thoughts. Hopefully these are still helpful…

      1. Count — not clinically low, but low enough to impact chances
      2. Motility – progressive motility is pretty low, combined with a slightly low count, means that this further reduces your chances.
      3. Morphology – healthy
      4. Leukocyctes — 5-9 — does it say if it is HPF or M/mL?

      Doing the math — total progressively motile = 1.2 million. In general, the goal would be to get this number over 5 to improve likelihood of natural conception. Over 20 to optimize your monthly chances.

      My general impression is yes, sperm quality is impacting your ability to conceive. Do you need IVF? IUI? It depends… Here are some factors to think about and talk about with the doc.

      1. What is the cause of what is going on? Is it correctable? Generally when I see semen analysis like this I would look at lifestyle factors — diet, exercise, body fat, smoking, drinking, sleep habits, stress, heat exposure, etc. Are there things in your life that are impacting your overall health or your sperm? Your motility seems to be the largest contributing factor. Sperm motility is a pretty sensitive measure. It varies a lot and can be more impacted by recent habits.

      – What was the abstinence period prior to this analysis?
      – have you taken the risk assessment questionnaire? Has it identified any major risks?

      If you are in great health, the next thing I would investigate is the potential for a varicocele. This is something the urologist will look for. It is an enlarged set of veins in the scrotum that can occasionally cause damage to sperm. If it is a varicocele there are both surgical and natural treatment options depending on how large it is and other issues associated with it.

      2. The next factor that I would look at to consider next steps is how long you’ve been trying and what is going on with your partner. Has she been evaluated? Are there any potential issues on her side? If there are not any issues on her side at all — she ovulates normally, is of similar age to you, has a healthy hormone profile and doesn’t have any detectable issues, then you are a good candidate to either improve your sperm and get pregnant naturally or if you don’t want to wait to improve sperm quality (it takes 3-6 months) you can attempt an iui in the meantime. Your numbers currently put you in the sweet spot for IUI. You are a little low for natural conception (but you may want to repeat the semen analysis to confirm low motility) but success rates for IUI look pretty good for men with total motile counts in your range. Your morphology is good so it makes you a solid candidate for IUI to work. You could also try the Stork, which is basically a cheaper at home version of an IUI. I would recommend this route if her cycles are very regular and you feel confident in predicting ovulation.

      If she has issues on her side that are also contributing, then you have to consider the whole picture. If those issues are resolvable with IUI, maybe that’s the right route. Could be that IVF would be a better option depending on what’s going on with her. Babymaking is a team sport and you have to evaluate the whole team to get the best picture of what strategy is going to be effective. I tend to shy away from IVF unless it seems very necessary. At a first blush, I wouldn’t recommend it in your case, but I don’t have the full details so I can’t say for sure.

      3. Other Questions to address with the urologist:

      a – leukocytes is a bit of a mystery — it doesn’t give units, but you might want to discuss this with dr. It could indicate a minor infection with epididymus or prostate which can in turn impact semen quality.

      Happy to help with any additional questions.

  281. Ajay sharma April 5, 2016 at 11:41 am

    Dear Sara mam
    Plz view my HSA report and give me suggest.
    Is it positive or nagative for conceive
    Age- 25
    Volume- 1.5 ml
    Colour- whitish
    PH- Alkaline
    Liquefaction time- 30 min
    Total count- 98 million/cc
    Active- 45%
    Sluggish- 25%
    Non motile- 30%
    Normal- 75%
    Abnormal- 25%
    Pus cell- 2-3/HPF
    Epithelial- Nil/HPF

    • Sara SDx
      Sara SDx April 12, 2016 at 2:14 pm

      Looks pretty healthy. Are you currently trying to conceive? If so, how long have you been trying?

  282. Tarun April 4, 2016 at 6:36 am

    Hi Sara,
    Greeting !
    I’m 36 & we have one 7 year old boy & we are trying from 18month….my semen analysis as under ..
    Physical Examination :…..
    Valume : 2.0ml
    Colour : P.White
    Reaction : Alkaline
    Liquefaction time : 30 mts

    Microscopic Examination:……
    total Sperm count : 14 millions/ml
    Active Motile : 30 %
    Sluggish : 30%
    Non Motile 40%
    Pus Cells 4-6/hpf

    Morphological Examination :…….
    Normal Semen : 70%
    Abnormal Semen : 30%

    • Sara SDx
      Sara SDx April 11, 2016 at 6:56 pm

      Your sperm count is a little lower than I would like to see. You should be able to conceive within 24 months, but your chances are a little lower due to fewer sperm.

      There are many reasons that you could have a low sperm count. Most of the time in men that have had children in the past, low sperm counts are due to a change in lifestyle — poor diet, lack of exercise, increase stress, lack of sleep, increase of body fat, stuff like that. You can fill out this questionnaire to see if your lifestyle could be contributing to sperm issuse.

      Sometimes, men can have something called a varicocele, which is an enlarged vein in the scrotum. Varicoceles get bigger with time, so some men are able to conceive a first child, but then have problems with a second because the varicocele has gotten bigger and is interfering with sperm production. Varicoceles are typically diagnosed by a urologist who will find them during a physical exam. Some men are able to identify varicoceles themselves. If you feel your scrotum, it might feel lumpy like there is a bag of worms there. Or sometimes you can see purple veins through the skin. Men with large varicoceles often report that the testicles can get sore or heavy after a long day of standing. They can hang a little lower than usual. If you are very healthy or have a low risk in our questionaire, you might want to get checked for a varicocele. They are typically treated with simple surgery. You can also improve sperm though natural methods such as supplements, testicular cooling and acupuncture if you have a varicocele but do not want to treat it surgically.

      Over the last 18 months, have you been consistently trying or have there been breaks? How often have you typically been able to be intimate with your wife over the past 18 months?

  283. Kiran April 3, 2016 at 4:26 pm

    Hi Sara, kindly review this result.

    Appearance : Whitish
    Volume : 2.0 ml
    Liquefaction: 25 min
    Viscocity : 1
    Agglutination: 1
    Ph: 7.5
    TOtal sperm count: 48 mil/mL
    Active Motility @37c: 55%
    Sluggish @37c : 20%
    Non Motile: 25%
    Normal Morphology: 50%
    Pus Cells: 2-3/HPF
    Bacteria: PRESENT

    • Sara SDx
      Sara SDx April 11, 2016 at 6:23 pm

      It looks like you might have an infection that should get checked by a doctor.

      Sperm look healthy but you should follow up with a doctor to make sure that you don’t have an infection.

  284. sandeep April 3, 2016 at 6:42 am

    Sorry I forgot to mention my age doctor. I am 29 years old and my spouse is 24 years old. You are really doing a great job in helping people like us understand things better. Hatsoff for your patience in answering everyone.

    • Sara SDx
      Sara SDx April 11, 2016 at 6:22 pm

      Thanks. You are both a very healthy age and shouldn’t have any problems conceiving. It may take a few months, but enjoy it — having a good relationship with your wife is the best first step to having a happy family.

  285. sandeep April 3, 2016 at 6:12 am

    hi doctor i had done semen analysis
    Reports mention that i have low sperm motility asthenospermia. But its also mentioned that all my Total ejaculate parameters are normal.Below i am mentioning my report parameters
    Abstinence: 5days
    Volume:2.8ml
    Viscosity: Normal
    Liquification time : 30 minutes
    Vitality :56 %
    WBC concentration : <1mil/ml
    ph concentration: 8.0
    fructose: present
    Agglutination : absent
    sperm count : 115.9 million/ml
    motility : 31%
    progressive motility: 19%
    Non Progressive motility: 12%
    functional sperm concentration: 2.6 million /ml
    Motile Sperm : 36.4 million/ml
    Progressive motile sperm : 22.1 million/ml
    Morphology Normal : 5%
    Velocity : 7 mic/sec
    Total Sperm Number: 324.5 million/ej
    Total Motile Sperm : 101.1 million/ej
    Total Progressive motile sperm : 61.9 million/ej
    total functional sperm : 7.3 million/ej
    Total Morphology: 16.2 million/ej

    Please let me know whether Its normal or not. We are planning to conceive from last month.We had intercourse daily, on all the fetile days of my spouse.

    • Sara SDx
      Sara SDx April 11, 2016 at 6:21 pm

      It is normal. It can take a few months to get pregnant — each month is about a 25% chance of conceiving.

      The best way to optimize chances of conception are to have sex about every other day from day 7 – day 20 of her cycle. If you have sex too frequently, you may have reduced count.
      Here’s a video talking about sex, sperm and trying to conceive for more tips on how to optimize conception.

      Good luck, Please keep me posted on how things go.

  286. Prabhat Shetty April 2, 2016 at 11:24 am

    Hi Doc,
    Sperm Count 53mill/ml
    Volume 1.1ml
    PUS Cells 05 hpf
    PH 8
    Live 46%
    Dead 54%
    Liquefaction 30 min Viscous
    Total Motility 38% in 1hr 25% in 2hr
    Morphology 4%
    Head Defects 74%
    Mid piece and neck defects 18%
    Tail defects 4%
    Hormone
    Free Testosterone 0.26 nmol/L
    SHBG 7.15 nmol/L
    Free Testosterone Index 106.28%
    Bio-available Testosterone 6.12
    Total Testosterone 2.19 ng/ml

    • Sara SDx
      Sara SDx April 6, 2016 at 4:14 pm

      Do you have specific question or concern?
      Are you currently trying to conceive?

  287. Petillo perilla April 2, 2016 at 5:11 am

    Hi Doc,

    Kindly advise my results

    normozoospermia

    Volume 1.2 (low volume ejaculation )

    sperm count : 72
    Vitality : 68
    Motility : 61
    progressive: 37

    • Sara SDx
      Sara SDx April 6, 2016 at 4:12 pm

      normozoospermia means “normal results”

      Volume lower than average
      Count slightly above average
      Motility slightly above average

      Overall, you should be able to conceive. Are you currently trying?

      • Petillo perilla August 26, 2016 at 9:34 am

        Yes we are trying. for 2 years now . all our intercourse finished in “Woman on top” positions as i cant get my orgasms on initial positions (missionary, dog style) is this a factor in trying in to conceive?

  288. Simon March 31, 2016 at 12:17 pm

    I had another sperm analysis and results were much worse than before. Even the sperm count was reduced by 50% (which was stable before) and morphology was the first time too low. Three weeks before the analysis I had a vaccination against measles, mumps and rubella. Can this be a reason for the bad result? I read that a side effect of that vaccination can be a swelling of the testicles.
    If it can be a reason for which time can this have an influence on my sperm quality?

  289. Shail March 30, 2016 at 6:54 pm

    Hi Sara,

    I had my Semen analysis done and below are the results:

    Quantity : 2 ML
    Reaction: Alkalin
    Consistency : Viscous
    Sperm Count : 40 Millions/ML
    Motility : 60%
    Actility Motile : 45%
    Slugishly Motile: 15%
    Non Motile : 40%
    Morphology : Normal
    Pus Cells : 1-2 /HPF
    Epithelial Cells : 1-2 / HPF
    RBC,s : Nil / HPF

    Could you pls help me to understand this report and is there any issues with the above report as we are trying to conceive since last 6 months and unable to get the results.

    Further, My wife has irregular Menstrul cycle and we tried ayurvedic medicines but that resulted in negative effect and she started more faster menstrul periods. Is this stoping us to conceive the Baby…

    Thanks in anticipation Sara…

    • Sara SDx
      Sara SDx April 5, 2016 at 8:38 pm

      Sorry for the delay in responding.

      Overall, it looks normal. The sperm count is slightly lower than I like to see (I like seeing it 60 or higher) but motility is very good and so is morphology. I would recommend looking to see if there are things that you can do to be a little healthier — a little less alcohol, more vegetables, less sugars and fats, a little more exercise, avoid cigarettes, heat and harsh chemicals to try to optimize sperm production.

      Overall, it seems like the irregular periods are more of a contributing factor. How long are they? How much do they differ from month to month?

  290. Aalam March 30, 2016 at 10:26 am

    hi
    I have my Semen analysis done, and while giving sample by mistake my semen get mixed with water
    and the report is negative so should i go for another semen analysis or not, due to mixer of semen and water the
    report may be disturb.
    so please reply me what to do?

    • Sara SDx
      Sara SDx March 30, 2016 at 5:28 pm

      Water will affect the results but maybe if you share your sperm count, volume, motility and morphology I would have a better idea if you need to repeat.
      How much water do you think got into the sample — just a few drops or a lot?

      • Aalam March 31, 2016 at 12:19 pm

        the quantity of water is alot. and i dont have report right now but in report my sperm count is 1.5 million/ml.
        and in sample the quantity of water and semen may be same. so i am thinking to do another semen analysis.

        • Sara SDx
          Sara SDx April 6, 2016 at 3:56 pm

          I think that is a good idea. Water added to the sample can impact a lot of things and the result is low enough that it would be good to get a more accurate reading of what is going on.

  291. Javed March 30, 2016 at 9:42 am

    Dear Dr,

    My semen report as follow. please give your feedback. thanks.

    Volume: 5.0 ml
    color : Normal
    Reaction: Alkaline
    Liquification: time 30 min
    Viscosity : Normal
    Sperm Count : 140 million/ml

    Sperm Motility

    Excellent: 35%
    Good: 20%
    Poor: 10%
    Non-Motile : 35%

    Morphology

    Pus cell : Nill
    Red blood cell: Nill
    Epthelial Cells : Nill

    • Sara SDx
      Sara SDx March 30, 2016 at 5:28 pm

      This looks healthy. It’s on the high side of normal. Are you currently trying to conceive?

      • Javed March 31, 2016 at 11:42 am

        am trying for last 15 months..

        • Sara SDx
          Sara SDx April 6, 2016 at 3:55 pm

          How often are you able to have intercourse?
          Has your partner been evaluated?

  292. Neo March 30, 2016 at 12:18 am

    Hi Dr. Sara

    I’m 30 and I had a semen analysis. What is the probability that we are able to conceive? We have tried about 1 year but didn’t succeed. Please advised. Thank you very much.

    Semen volume: 3.3mL
    Sperm concentration: 40 million spermatozoa/mL
    sperm motility: 30%
    sperm viability: 44%
    sperm morphology: 2 % normal sperm forms
    Antisperm antibody testing resulted negative for IgA and IgG.

    pH: 7.9

    Sperm Data
    Grade 0: 70%
    Grade 1: 3%
    Grade 2: 18%
    Grade 3: 9%
    Grade 4: 0%
    Tot Mot: 39.60

    Morphology
    Morph Type: Kruger
    Rnd Heads:7
    Tail Defects: 16
    Large Heads: 12
    Duplicates: 2
    Morph(%NI): 2
    Pin Heads: 9
    Tapered: 11
    Amorph: 98
    Neck Defects: 8
    %Abn 98
    %Vac: 5
    %Elong: 6
    %No Acro 15
    %CytoDrops: 7

    • Sara SDx
      Sara SDx March 30, 2016 at 5:37 pm

      I’m not a doctor, but I’m happy to help you try to understand what’s going on.

      Your semen analysis is a little on the low side. Morphology and motility are both pretty low and show that the sperm are getting damaged. There are a lot of things that could cause this — diet, medications, toxin exposure, being a little overweight, a varicocele, smoking, too much alcohol.

      The results are low enough that they can make it take up to 2 years to conceive a baby with regular sex. But eventually, you should be able to conceive. It would help if we could figure out what is causing the sperm to have problems and work to improve it. Have you filled out our risk questionnaire? It will provide good feedback if there is any known things in your life that could contribute to a poor semen analysis result. If it is something like diet, I would recommend some improvements to help you get healthier and help your sperm get to tip top shape. If you are already living very healthy, I might suggest visiting a urologist to see if you have a varicocele which is a enlarged vein in the scrotum that can sometimes cause semen analysis results like these.

      Let me know what the questionnaire says, and we can figure out next steps from there.

  293. Juvien March 26, 2016 at 7:16 am

    I dont know if he has low testosterone he dont have any test for that. Should he stop taking it?if it is male contraceptive it prevent him to have a chance for having a baby right?

  294. nad March 24, 2016 at 7:24 am

    I did another semen analysis

    Volume = 3.5 ml
    Liquefaction = 20 minutes
    Count = 74.0 million /ml
    Ph = 8.0
    Morphology:
    Normal = 65%
    Abnormal = 35%
    Active = 50%
    Sluggish = 20 %
    Non-motile = 30 %

    After one hour:
    Active = 40%
    Sluggish = 20 %
    Non-motile = 25 %

    After two hour:
    Active = 50%
    Sluggish = 10 %
    Non-motile = 50 %

    WBC = 3-4
    RBC = 1-2

    Me and my wife is trying since 1 year her test are also okay last August she got pregnant but missed after 6 weeks, please advise

    • Sara SDx
      Sara SDx March 28, 2016 at 3:43 pm

      This semen analysis is significantly better than the last one.

      I’m sorry to hear about the miscarriage. Those can be very hard. Good news about it is that it shows that all the systems work for both you and her — it is possible for you to get pregnant together. Most miscarriages are due to random issues with DNA and are not a sign of any major problems. Sometimes it can take a month or two for a woman’s body to heal but it seems like your wife should be able to get pregnant again soon.

      Give yourselves until August to try to conceive. In the meantime, it would be a good idea for both of you to take pre-natal vitamins to help make sure you get the new baby off to the best start possible. Continue to try to live healthy — avoid alcohol, cigarette smoke, and harsh chemicals. Also, try to avoid heat sources that raise the temperature of your testicles — this can damage sperm. Try to eat vegetables, get regular exercise, sleep well each night and try not to be angry or stressed out. Hopefully these tips help.

      I hope to hear good news very soon. Please keep me posted on how things go and as always, I’m here if you have any other questions.

  295. Juvien March 23, 2016 at 7:06 am

    The doctor give my husband medicine which is testosterone undecanoate (ANDRIOL) and concaze vit. Is that ok?

    • Sara SDx
      Sara SDx March 23, 2016 at 6:40 pm

      No. It is a testosterone supplement and is under research as a male contraceptive.

      Did he have low testosterone?

  296. Juvien March 23, 2016 at 1:18 am

    Hi sara
    I just want to ask if my husbands semen analysis is good or not we are try to concieve for 6months now..i have some test and it came out all normal.

    Volume 2.2ml
    Reaction- alkaline
    Viscosity- decrease
    Liquefaction time-liquefied upon recieve
    Collection time- 1:30
    Time recieve- 1:35
    Motiliy:
    30% motile
    35% less motile
    45% non motile
    Morphology:
    20% normal
    80% abnormal
    Pus cell 0-2
    Rbc 1-3
    Total sperm count 46,300,000

    • Sara SDx
      Sara SDx March 23, 2016 at 6:44 pm

      His sperm count is on the low end of normal. He should be able to conceive but it may take longer than average. Typically, with sperm counts in this range it can take up to 24 months to conceive.

      There are lots of things he can do to improve sperm. Improving sperm count takes time — 3-6 months to show improvements. For a more personalized assessment, you can take the following health quiz and it will give you a detailed report of things he can do to improve fertility.

      Does this help?

  297. Wale March 22, 2016 at 12:32 pm

    I have downloaded the App. Thanks for your unrelented attention.

    • Sara SDx
      Sara SDx March 22, 2016 at 1:52 pm

      Cool. Please tell me what you think of it. I am continuing to make improvements and if you have any suggestions for how to make the app better. Please let me know.

  298. Ahmed March 21, 2016 at 7:19 pm

    yes, for the normal forms because some doctors said should be more 50 % !! really i dont know now which results can considered as a normal.. is that related to the used material in the lab

  299. Wale March 21, 2016 at 11:44 am

    ***11 Months ***** pls

  300. Ahmed March 21, 2016 at 8:33 am

    Dear Sir,

    can you please advise on the below test result as im worried ,

    Apperance -normal
    voulume – 4 ml
    PH-8
    viscosity – normal
    sperm count/ml – 34,100,000 ref >=15m
    total sperm count – 136400000 ref >=39m
    motility- 60 % ref >=40%
    progressive – 50 % ref>=32%
    Non progressive – 10 %
    immotile – 40 %
    normal forms – 25 % ref>=4%

    thank you,

    • Sara SDx
      Sara SDx March 21, 2016 at 3:33 pm

      Looks pretty healthy to me. Is there something that worries you?

      • Ahmed March 21, 2016 at 7:20 pm

        yes, for the normal forms because some doctors said should be more 50 % !! really i dont know now which results can considered as a normal.. is that related to the used material in the lab

        • Sara SDx
          Sara SDx March 21, 2016 at 11:10 pm

          Normal forms is a controversial number. In a large study of recent fathers 50% of men had fewer than 15% normal forms. 50% is really high.
          However, that is according to a very strict definition of “normal” if the lab was a bit more loose on it’s definition of normal, then the percent should be higher, but looking at your results they use the 4% cutoff that was defined by the big study I just mentioned.

          I really wouldn’t worry too much about it. I think your normal forms are just fine.

          Are you currently trying to conceive?

  301. a.elsaed March 20, 2016 at 6:56 pm

    pls confirm about my report
    Volume 2 ml
    Viscosity Normal Viscosity
    colour – GREYISH WHITE
    ph – alkaline ph8
    liquefaction time – 30 min
    Sperm Concentration 15 000 000
    total count – 30 000 000
    Progressive motility (PR) 20%
    non-progressive – 30%
    Round Cells 7-9/hpf
    Red Blood cells – 3-5/hpf
    abnormal forms – 10%

    • Sara SDx
      Sara SDx March 21, 2016 at 3:32 pm

      It’s a little low. You should be able to conceive, but it might take a little longer than usual.

      Sperm count and motility can both be improved. Here’s a great article on boosting count and if you have an android phone, a great app that will give you personalized recommendations about how to improve your fertility. You can also take our online risk assessment, that will provide a report with things you can do to improve.

      Does that help?

  302. Wale March 19, 2016 at 7:11 am

    Pls Madam Sara I need your objective analysis in interpreting my seminal fluid analysis result which goes thus, Time of ejaculation =9:47am, volume ejaculated =2:0ml, Viscosity =Normal, Appearance=White Opaque, Consistency= Viscous, Liquification= 10mins, Ph= 8:0, fructose= Positive, Sperm concentration = 35mill/ml, Motility(a+b)=50%, Morphology = 90%, Sperm Agglutination= Absent, pus cells= 0-1/hpf, Epithilial cells= 0-1/hpf, RBC= Absent, Macrophages= Absent. I am 31yrs and my Wife is 26yrs and we have been trying to conceive for about 11 Months.

    • Sara SDx
      Sara SDx March 21, 2016 at 3:23 pm

      These numbers are a little lower than average and mean that it might take a little longer for you to conceive but you should probably be able to conceive within 2 years.

      There are lots of things you can do to try to improve your sperm count. Have you taken our risk assessment? If you have an android phone, you can also download this app to track your semen analysis results and get detailed recommendations for how to boost your count.

      Here’s a quick article with 20 things you can do to boost your count.

      Is this helpful?

  303. Khadir March 18, 2016 at 5:11 pm

    Hello Doc,

    Plz explain me how good or bad is my Semen analysis.

    Volume – 1.5ml
    pH – Alkaline
    Viscosity – normal
    Liquifaction time – 30 minutes

    Sperm count – 44 Millions/ml
    Motility – Grade 2-4>/=65%-(Normal reference)
    Morphology – Normal oval forms – 65% small head – 15%
    Abnormal forms – 20%(Large head, double head, without head double tail)

    Others – 1-2/ pus cells seen/Hpf

    Impression – NORMAL SEMINOGRAM

    • Sara SDx
      Sara SDx March 21, 2016 at 3:15 pm

      Your semen analysis is in the normal range.

      Your volume and count is a little lower than average. Your motility and normal morphology is better than average. Together, adding everything up, it looks about average.

      Are you currently trying to conceive?

      • Khadir March 22, 2016 at 6:05 am

        Dear Doc,
        Yes i am trying to conceive from a year can u tell me whats d reason for no.

        • Sara SDx
          Sara SDx March 22, 2016 at 2:09 pm

          Not sure what the reason is.

          Your semen analysis is borderline. It could take a little longer to conceive, but there may be additional issues. A few questions:

          1. How often do you have sex with your wife?
          2. Are her cycles regular?
          3. Does she experience a lot of pain during her period?
          4. How old are each of you?
          5. Did you spend any time apart during the last year?

          • Khadir March 23, 2016 at 9:45 am

            Dear Doc,

            1. Thrice or Twice a week we indulge
            2. Her cycles are regular only difference of a day or two
            3. On 1st and 2nd day of periods she experience more pain but not a lot of, then later days no.
            4. Our Age; Me 27 and She 26
            5. We are married from past 1.5 Yrs and for 1st 6-7 months we avoided conceiving then from a year we want to conceive so we started having unprotected. But we were not apart anytime.

          • Sara SDx
            Sara SDx March 23, 2016 at 6:52 pm

            You are both young. It seems like everything is on a good rhythm.
            Your semen analysis is in the normal range, slightly lower than I would like to see, but not bad.
            I would recommend that both of you take steps to be as healthy as possible and continue trying for another 6 months.

            Big things to try include:
            – eating a healthy diet. Low in rice, sugar and fat. High in seafood, vegetables and fruits.
            – start taking a prenatal or multivitamin to make sure you are getting key nutrients every day
            – workout (jog, walk or lift weights) at least 3 times a week
            – make sure both of your bodies have a healthy weight
            – Avoid alcohol, cigarettes, harsh chemicals or pollution, hot tubs, saunas and other sources of heat

            Keep enjoying your married life an try not to worry too much about conceiving. It can become very stressful for couples and stress can cause health issues and issues in the marriage.

            If you aren’t able to conceive in another 6 months, I would recommend getting another semen analysis to see how your sperm are doing and checking her fallopian tubes to make sure they do not have any problems.

  304. Zack March 18, 2016 at 4:51 pm

    Hello Sara,
    Can you please give me your opinion on my results outlined below? Especially defects and
    and abnormal Morphology And how to improve it?

    ABSTINENCE = 5 days
    APPEARANCE = Normal
    SEMEN VOLUME = 4.5 mL
    PH = 7.6
    MOTILE/ML = 43.2 x10(6)
    SPERM/ML = 90.0 x10(6)
    MOTILITY = 48 %
    GRADE = 3.0
    MOTILE SPERM/SPEC = 194.4 x10(6)
    VISCOSITY = 4
    AGGLUTINATION = 4.0
    ***********************************
    STRICT MORPH NL = 7.0 %
    ACROSOM DEFECT = 31.0 % ,MIDPIECE DEFECT = 5.5 % ,TAIL DEFECT = 48.0 %
    HEAD SHAPE ABNORMAL = 8.0 %
    DOUBLE FORMS = 0.5 %
    White blood c/ML = 0.45 X10(6)

    Thanks

    • Sara SDx
      Sara SDx March 21, 2016 at 3:13 pm

      This actually is a pretty good analysis. The morphology is in the normal range. I know it sounds strange but most sperm are a little abnormal. Looking at the types of defects, about half of them are tail defects, which would impact swimming, but your progressive motility is good. Acrosome defects are the main ones that we would be concerned about. Acrosome is the part of the sperm that enables the sperm to penetrate the egg. These aren’t too high…. and you have lots of sperm so I don’t feel like it’s too bad.

      You can probably take steps to improve morphology — eat more fruits and veggies, avoid alcohol, cigarette smoke and other chemicals, avoid overheating your testicles, get regular exercise.

      Are you currently trying to conceive? if so, how long?

  305. Rose March 17, 2016 at 12:19 am

    Hello. Could you please take a look at my husband’s recent analysis?
    Sperm Progression: 50%
    Sperm Slow Progression: 20%
    Sperm % Non-Motile: 10%
    Semen Volume: 2 ML
    Total Concentration 247 Mil/ML
    Viscosity ABNORMAL (20%)
    Liquefaction Normal
    Appearance Normal
    pH 8.0

    Thanks!

    • Sara SDx
      Sara SDx March 21, 2016 at 2:37 pm

      Looks healthy. Are you currently trying to conceive? Does something concern you?

  306. D.A. March 16, 2016 at 9:33 pm

    So we just had our 1st baby last year and are trying for a second child… I just turned 40 and wife’s OB suggested we do some fertility testing. Below are the results, which seem to look good except for the last bit of abnormal results for germ cells/leukocyte presence. Not sure how to interpret this and the doc won’t be getting back to us until next week. Any thoughts? In case it matters — I also got a blood test for my Free Testosterone that shows my levels are pretty low (20 pg/mL, which I guess is 2 ng/dL? Supposedly that’s low based on my limited research and the reference range of 47-244 pg/mL which the test quoted).

    Semen Volume 3.9 mL
    Reference Range:> 1.4 mL

    Semen pH 8.0
    Reference Range:> 7.1

    Semen Leukocytes < 1.000 10*6/mL
    Reference Range: 14.999 10*6/mL

    Total Sperm Number 396.000 10*6
    Reference Range:> 38.999 10*6

    Motility

    Immotile Sperm 43.0 %

    Non Progressive Sperm 10.0 %

    Progressive Sperm 47.0 %
    Reference Range:> 31.0 %

    Total Motility Prog+NonProg 57.0 %
    Reference Range:> 39.0 %

    Total Progressive Motility 186.120 10*6
    Reference Range:> 11.999 10*6

    Sperm Aggregation ABSENT
    Reference Range:ABSENT
    Sperm Agglutination ABSENT
    Reference Range:ABSENT

    Sperm Morphology
    STRICT (KRUGER) CLASSIFICATION
    Normal Sperm 11 %
    Reference Range:> 3.9 %
    Abnormal Sperm 89 %

    Total Normal Morphology 43.560 10*6
    Reference Range:> 1.999 10*6

    Leukocyte Smear Review
    PRESENT (Abnormal)

    Immature Germ Cells
    PRESENT (Abnormal)

    • D.A. March 16, 2016 at 9:38 pm

      FYI, Just caught a cut-and-pasting error — the leukocytes reference figure near the beginning should be “<1.0" per million, not "14.999"

      • Sara SDx
        Sara SDx March 21, 2016 at 2:37 pm

        your value was 14.9, correct? that is what I assumed

    • Sara SDx
      Sara SDx March 21, 2016 at 2:36 pm

      This looks pretty good. In terms of baby making, I wouldn’t suspect that you would have any issues given this. It’s on the high end of what I see.

      You are right leukocytes are a little high. This can happen for a few reasons. If you haven’t ejaculated in a while they can accumulate. They also can get in there if you’ve had a recent cold or surgery in the region. The number is high enough, that I might follow up with a urologist to check for infection in either the prostate or epididymus. A lot of time infections can go unnoticed and are easily treated with antibiotics. Leukocytes don’t really interfere with fertility and sometimes they can show up for no real good reason. Given how high they are, I would recommend a quick check to make sure everything is good but if you don’t have any pain or other issues, I wouldn’t worry too much about it.

      In regards to testosterone, did you get a total T level? Estrodial?

      Do you have any symptoms that concern you about your T levels?

  307. jitender March 15, 2016 at 10:47 am

    ello MAM

    pls confirm my reports are right and wrong
    Volume 1.5ml
    colour – whitesh
    ph – alkaline
    liquefaction time – 30 min
    total count – 100
    rapid prograssive – 70%
    sluggish prograessive – 10%
    non-progressive – 20%
    pus cells – 3-4/hpf
    abnormal forms – 12%

    MISS SARA I GOT MARRIAGE SINCE 4 MONTHS ME AND MY WIFE TRY TO A BABY BUT WE CAN’T DO IT PLS TELL MY REPORTS ARE NORMAL AND WHAT IS A MAIN POINT OF MAN RELATED OF BABY ON THESE MY AGE IS 26

    • Sara SDx
      Sara SDx March 15, 2016 at 2:37 pm

      Sometimes it takes a little while to make a baby happen. Your semen analysis shows that your sperm look pretty healthy and you should be able to conceive.

      Here are some tips to help you both conceive quicker:

      1. Have sex 3-4 times a week
      2. Enjoy the time you spend together. Take time to make it fun for both of you.
      3. Eat healthy — what you eat will contribute to the health of the new baby. Both of you should eat lots of vegetables. Fish or seafood are also very healthy. Avoid greasy food, too much rice or sweets.
      4. Exercise – getting your blood flowing and having a healthy wieght — will help both of you be the best shape to make a baby
      5. Get good sleep – sleep helps your body regulate your hormones. Hormones are important for helping your bodies e ready to make a baby.
      6. Track her cycle. There are only a few days a month when she can actually conceive. For some women, these days change slightly and for others it is the same month to month. You should keep a calendar to know when her cycle starts and see how many days pass starting from the 1st day that she bleeds. Ideally it should be 28-30 days or so. Chances are highest to conceive from day 10 – day 20.

      If you want to try more things to boost your sperm count — here’s a list of things to try.

  308. kaushik banerjee March 15, 2016 at 10:29 am

    hello madam, I am Kaushik. Age 29 years. recently I have done my semen test. the results are:
    total sperm count 51 million/ml
    morphology: 30% abnormal
    motility: 40% after 30 mins.
    ph: 7.4
    volume: 1.5 ml
    I have only one working testicle. is the above results are poor or am I fertile??? please reply….

    • Sara SDx
      Sara SDx March 15, 2016 at 2:29 pm

      This analysis isn’t terribly detailed but the numbers I see here look pretty healthy. I think that one testicle is doing a good job of doing the work of 2. I wouldn’t be too worried.

      Are you currently trying to conceive?

  309. Biju March 15, 2016 at 6:44 am

    Hi,
    Semen Volume is 3.0 ml
    Appearance is normal
    Liquefication time is 30 min
    Reaction is Alkaline
    Actively motile is 5%
    Sluggishly motile is 60%
    Dead is 35%
    Total sperm count is 10.3 million/ml
    Pus Cells is 1-2/hpf

    We are leading happily married life for 7 months. Actually we are expecting our baby soon. My age is 38 and my wife is 34. May I know the actual status and its remedies? Thank You in advance

    • Sara SDx
      Sara SDx March 15, 2016 at 2:27 pm

      Congratulations on the baby!

      Your semen analysis shows that your count is a little low and so is your motility. These values fluctuate quite a bit. Best things to do to improve them are eat a healthy diet with lots of fruits and veggies, exercise regularly, don’t carry too much extra weight, avoid alcohol, cigarettes and other chemicals, get enough sleep and try to not get too stressed out. In some cases, these problems can be caused by a varicocele. You can visit a doctor to get an exam to make sure you don’t have a varicocele if you’d like.

      Overall, since you have recently conceived, I would just recommend living a healthy life and I’m sure your sperm will be just fine. If you are concerned, you can go get it checked again in 6 months to see if it is still the same.

  310. Anooj March 12, 2016 at 7:24 pm

    Hello Dear Sara

    I am 32 year old and here is my semen analysis report. When I first tested my semen the liquefaction time was 31 hours and doctor prescribed medicine for 30 days.Here I have given the lab report after 30 days medicine.I have verecocele problem and I always feel heat in my scrotum at night.My question is ,Will the verecocele affect liquefaction time or not?

    Color -opaque grey
    Liquefaction – after 3 hours [earlier it was 31 hours now reduced to 3 hours ]
    pH – Alkaline
    PUS Cells – 6-8 HPF
    Volume – 1.2
    Viscosity – Thick
    Motility (quick) – 30%
    Motility (sluggish) – 20%
    Motility (Dead) – 50%
    Sperm Count – 130 Million/ML

    Normal Forms – 88%
    GIANT headed – 3%
    PIN headed – 4%
    Double headed – %
    Double tailed– 4%

    • Sara SDx
      Sara SDx March 15, 2016 at 2:20 pm

      Varicoceles do not cause slow liquefaction. Typically, they can cause problems with count, motility or morphology. In your case, it looks like all these numbers are pretty good. Liquefaction at 31 hours is a problem. Now that it is reduced to 3, I think your chances of conception are higher.

      Are you currently trying to conceive?

      • Anooj March 17, 2016 at 5:27 pm

        Thank you very much for your reply.yea,trying to conceive now but I am very much worried about my verecocele problem.Doctor asked me to continue medicine for two more months . hope this will solve my problem. I also feel bit worried about the volume and pH of the semen analysis report.Does this have any impact on pregnency?

        • Sara SDx
          Sara SDx March 21, 2016 at 2:42 pm

          pH is good.

          Volume is a little low. Medicine might help with that too. What medicine did he put you on?
          How much water do you drink a day? how often do you ejaculate?

          Does the varicocele cause you pain?

  311. ISR March 11, 2016 at 5:22 pm

    No, Thank you

  312. ISR March 11, 2016 at 4:48 pm

    Yes, tnx for your quick reply..

    • Sara SDx
      Sara SDx March 11, 2016 at 5:20 pm

      Cool. Let me know if you have any other questions.

  313. ISR March 11, 2016 at 1:32 pm

    PHYSICAL EXAMINATION (MANUAL)
    Volume – 2 Ml.
    Liquefaction Time : 30 MIN
    Viscosity : Normal

    CHEMICAL EXAMINATION (MANUAL)
    pH : 7.0
    Fructose Test : Positive

    MICROSCOPIC EXAMINATION
    Total Sperm count : 80 Millions/ml.
    Total Number in Ejaculate : 160 Millions.

    MOTILITY OF SPERMATOZOA : (MICROSCOPY)
    Nature of Motility – MacLeod Grade – After 1/2 hr.
    A. Rapid Linear Progressive. IV & III 50%
    B. Sluggish Linear Progressive II 30%
    A+B Total Forward Progressive 80%
    C. Non Progressive I 10%
    D. Non Motile. 0 10%

    ( the values are same for After 2 hrs also)

    Total Abnormal Sperms : 5%

    Abnormalities of head : 5%

    Abnormalities of Neck : 00%

    Abnormalities of Tail : 00%

    CELLULAR ELEMENTS & BACTERIOLOGICAL EXAMINATION (MICROSCOPY)
    Precursor : 1-2
    Pus cells : 2-3
    RBC : Absent
    Epithelial Cells : Absent

    GAINT HEAD
    Amorphous Deposits : Absent
    Gram’s Stalin : ==

    MISCELLANEOUS CHARACTERS (MICROSCOPY)
    Granular Debris : Absent
    Agglutination of Sperms : Absent
    Crystals : Absent
    Other Findings :NIL

    i am ISR 31 years, Please tell me the chances of fertility for this report

    • Sara SDx
      Sara SDx March 11, 2016 at 2:50 pm

      Looks pretty healthy.

      Does something concern you? Are you trying to conceive?

  314. Jeetenddra March 10, 2016 at 6:48 am

    tell me mam reply

  315. Maria March 9, 2016 at 9:02 am

    Hi! Just wanted to get your thoughts on my results:

    Liquefaction – Liquified upon analysis
    pH – 8.5
    Volume – 5.07
    Concentration – 109
    Count – 552.63
    Motility – 74%
    Motile Count – 408.95
    Progressive Motility – 68
    Non-Progressive – 6
    Immotile – 26
    Vitality – 89
    Agglutination – nil
    Normal Forms – 8%
    Abnormal – 92%

    Thank you in advance!

    • Sara SDx
      Sara SDx March 10, 2016 at 6:56 pm

      Looks pretty healthy. Are you currently trying to conceive? Does something here concern you?

  316. Ann March 8, 2016 at 8:31 am

    Hi Sara,

    Please find below my husbands Sperm Analysis report & let me know if its normal. We have been trying for 3 years to convenience.

    1. Liquification Time :> 2 hrs
    2. Volume : 2 ml
    3. Total Sperm Count :90 million
    4. Rapid progressive Motile : 20%
    5.Slow progressive Motile :30%
    6. Non Progressive Motile : 50 %
    7. Pus Cells : 10 to 15
    8. RBC :1 – 2
    9 Sperm Agglutination : isolated

    • Sara SDx
      Sara SDx March 10, 2016 at 6:32 pm

      It looks in the normal range — I calculated the total motile sperm count to be 36 million which should be plenty to conceive. You did not get an assessment of morphology which in rare cases can contribute even if count and motility are good (its pretty rare to see an independent morphology issue) which count and motility are healthy.

      The only thing on this report that makes me have any real questions is pus cells — it doesn’t report a unit of measure. If it is hpf it is probably not a concern, but if it is in M/mL, I might talk to a urologist to make sure that he doesn’t have a mild infection. Does he have any pain down there at any point?

      Have you done assessments on your side?

  317. Jeetenddra March 8, 2016 at 6:25 am

    hello MAM

    pls confirm my reports are right and wrong
    Volume 1.5ml
    colour – whitesh
    ph – alkaline
    liquefaction time – 30 min
    total count – 100
    rapid prograssive – 70%
    sluggish prograessive – 10%
    non-progressive – 20%
    pus cells – 3-4/hpf
    abnormal forms – 12%

    MISS SARA I GOT MARRIAGE SINCE 4 MONTHS ME AND MY WIFE TRY TO A BABY BUT WE CAN’T DO IT PLS TELL MY REPORTS ARE NORMAL AND WHAT IS A MAIN POINT OF MAN RELATED OF BABY ON THESE MY AGE IS 26

  318. Jeetenddra March 8, 2016 at 6:24 am

    hello sMAM

    pls confirm my reports are right and wrong
    Volume 1.5ml
    colour – whitesh
    ph – alkaline
    liquefaction time – 30 min
    total count – 100
    rapid prograssive – 70%
    sluggish prograessive – 10%
    non-progressive – 20%
    pus cells – 3-4/hpf
    abnormal forms – 12%

    MISS SARA I GOT MARRIAGE SINCE 4 MONTHS ME AND MY WIFE TRY TO A BABY BUT WE CAN’T DO IT PLS TELL MY REPORTS ARE NORMAL AND WHAT IS A MAIN POINT OF MAN RELATED OF BABY ON THESE MY AGE IS 26

  319. Jeetenddra March 8, 2016 at 6:20 am

    hello sir

    pls confirm my reports are right and wrong
    Volume 1.5ml
    colour – whitesh
    ph – alkaline
    liquefaction time – 30 min
    total count – 100
    rapid prograssive – 70%
    sluggish prograessive – 10%
    non-progressive – 20%
    pus cells – 3-4/hpf
    abnormal forms – 12%

    MISS SARA I GOT MARRIAGE SINCE 4 MONTHS ME AND MY WIFE TRY TO A BABY BUT WE CAN’T DO IT PLS TELL MY REPORTS ARE NORMAL AND WHAT IS A MAIN POINT OF MAN RELATED OF BABY ON THESE MY AGE IS 26

    • Sara SDx
      Sara SDx March 10, 2016 at 6:11 pm

      Your report looks very healthy. Even for healthy people it can take a bit of time to conceive. Sometimes up to 1 year.

  320. Mina March 7, 2016 at 9:04 pm

    Hi Sara
    Kindly find my below semen result
    volume 2,5
    Count 155 million
    progressive motility 31%
    Non progressive 18%
    Immotile 51%
    Morphology 51

    • Sara SDx
      Sara SDx March 7, 2016 at 10:47 pm

      Looks pretty good. Does something concern you?

      • Mina March 8, 2016 at 6:38 am

        volume 2,4
        concentration (152 ml )
        Total sperm no. (364,8 ml )
        progressive motility (pr) 31%
        Total motility (pr+np) 49,90 %
        Morphology 50.80 %
        vitality 60%

        progressive motility spermatozoa moving actively either linearly or in a large circle regardless of speed.
        Non progressive motility all other patterens of motility with an absence of progression ,I.e swimming in small circles the flagellar force hardly displacing the head or when only flagellar beat can be observed

        Immotile no movement

        I went to two dr one of them told me that is good and the another one told me that is Asthenozoospermia so what your opinion can I take any treatment.. knowing that I will marry after 3 months
        thanks sara 🙂

        • Sara SDx
          Sara SDx March 10, 2016 at 6:27 pm

          I wouldn’t worry about your fertility.

          Your semen result shows that you have over 100 million total progressively motile sperm and that over 50% are normal shaped. This is a very healthy semen analysis.

          It is important to know that sperm respond to your health — so as long as you live healthy – eat fruits and vegetables, avoid drinking too much, avoid cigarettes, get enough sleep and exercise, your sperm should be healthy when you are ready to conceive a baby.

          Good luck on your upcoming wedding. Enjoy this wonderful time. You should have no reason to worry.

  321. Sandi March 7, 2016 at 7:06 pm

    Hi Sara,

    Hoping you can help. Here are the results of a recent swim up report:

    Volume: 4.5
    Concentration: 77 million/ml
    Motility: 75%
    Total Motile Count: 259.9 million
    **** But here’s the kicker pre and post morphology 1% normal forms (strict)

    Because the TMC is sooo high, does the low morphology really matter for natural conception??

    • Sara SDx
      Sara SDx March 7, 2016 at 7:45 pm

      I wouldn’t think so, but how long have you been trying? Did you get a break down of the types of abnormalities found?

      • Muhammed March 10, 2016 at 12:24 pm

        Dear Sara,

        Kindly Find my below Semen Result

        Physical Examination:
        Volume 5ml
        colour Grayish white
        Reaction Alkaline
        Viscosity Normal
        Liquefication Time 30 mints

        Microscopic Examination:
        Motility:
        Progressive 15%
        non progressive 25%
        non motile 60%
        Total Count 80m/ml
        Morphology:
        Normal Spermatozoa 60%
        abnormal Spermatoza 40%

        Pus Cells 6-8 /H.P.F
        R.B.cs 0-2 /h.p.f.
        Epithelial Cells Nil /H.P.F
        Spermatogenic Cells 2-4 /H.p.f.
        Bacteria Nil
        Others Agglutination:++

        • Sara SDx
          Sara SDx March 10, 2016 at 7:06 pm

          Looks healthy. Does something concern you? Are you trying to conceive?

  322. Dinesh March 7, 2016 at 4:30 pm

    Hii Sara mam I’m waiting your reply
    Can you help me understand my report

  323. krishnakumar March 7, 2016 at 12:16 pm

    Hi Sara Pls reply to me

    we are trying now.

    23rd Feb 2016 i tested again the result showing below changes from earlier

    Physical Examination

    Colour- – Grey White
    Volume – 7.0 ml – (earlier 3.8ml)
    PH – 7.8 – (earlier 7.7)
    Viscosity- Normal
    Lliquefaction time:60 minutes – (earlier 30mints)

    Microscopic Examination
    Motility
    Grade A (Progressive Motility) – 20 % – (earlier -10%)
    Grade B (Non- Linear Motility) – 0% – (earlier -15%)
    Grade C (Non Progressive) – 20% – (earlier -10%)
    Grade D ( Immotile) – 60% – (earlier 65%)

    Sperm Count – 15million/ml – (earlier -62million/Ml)
    Total Sperm Count 150.0million/ejacu – (earlier 235.6million/ejacu

    Morphology
    Normal – 40%
    Abnormal – 60%
    Pus cells : 2-5/hpf – Earlier – 20-25/hpf
    R.B.Cs : 3-5/hpf
    Epithelial Cells 1-2/hpf

    Also please advice what i can do for increase motility

  324. Jeetenddra March 7, 2016 at 10:44 am

    hello sir

    pls confirm my reports are right and wrong
    Volume 1.5ml
    colour – whitesh
    ph – alkaline
    liquefaction time – 30 min
    total count – 100
    rapid prograssive – 70%
    sluggish prograessive – 10%
    non-progressive – 20%
    pus cells – 3-4/hpf
    abnormal forms – 12%

    pls tell my result is normal if any problm these test tell me what?

    • Sara SDx
      Sara SDx March 7, 2016 at 3:39 pm

      Looks good.

  325. T Sahib March 5, 2016 at 9:21 pm

    Hi Sara

    My sperm count is as under

    Volume 5ml
    Sperm count 350millions
    Active sperms 35%
    Moderate 25%
    Sluggish 40%

    Liquifaction time 25min

    After 1 hour

    Active 30%
    Moderate 30%
    Sluggish 40%

    Pus cells 3-5
    RBC 1-2

    Spermatagenic cells 2-4

    Is this normal or not and what should i do to get sluggish into active.
    Thanks

    • Sara SDx
      Sara SDx March 7, 2016 at 3:27 pm

      Looks great. Don’t think you have any reason to worry.

    • Sara SDx
      Sara SDx March 7, 2016 at 3:28 pm

      I would only note that there were red blood cells found in the sample. Usually this isn’t an issue, but if you are experiencing any pain down there you might want to get a physical exam to make sure everything is ok health wise.

  326. Dinesh March 5, 2016 at 2:59 pm

    Hii Sara mam I’m dinesh
    I’m waiting your reply
    Can you help me understand my report

    • Sara SDx
      Sara SDx March 5, 2016 at 7:31 pm

      I replied earlier. Look above

      • Leon March 5, 2016 at 7:54 pm

        Hi Sara,

        I cannot see a response to mine or Dinesh from yesterday.

  327. Abi Higgins March 4, 2016 at 9:49 pm

    Ok thank you. Both of us are non smokers, fit and healthy and eat a balanced diet… We will consider pre-natal vitamins

    • Sara SDx
      Sara SDx March 7, 2016 at 2:56 pm

      I would be more concerned about morphology if there were more head defects, but you only have 10% head defects which is pretty good. Tail and body defects usually impact swimming but your motility is good. So I think this is probably not going to impact conception. If you go another 6 months, I would do another semen analysis and get as detailed information as you can about morphology. I would anticipate that numbers will go up. Plenty of people can conceive with morphology numbers as low as 1% but it is something to keep an eye on.

      Good luck and let me know if any other questions pop up. Fingers crossed a positive comes your way soon. xoxo

  328. Dinesh March 4, 2016 at 7:04 pm

    Hii Sara mam., my Dinesh I’m 24 years old the say me you have to check semen analysis test. Mam can tell me what is inin my semen test report.
    Test :
    Quantity : 2.0ml
    Colour : milky white
    Time liquification : more than 2 hrs 20-30 minutes
    Ph reaction :alkaline 8.0
    Frustose : positive
    Total count :24 or more than 20 million /ml.
    Pus cells :1-2/HPF
    Precurser Cells :2-3/HPF
    Morphology :
    normal forms 65%
    Abnormal forms 35%
    Head 10%
    Body 10%
    Tail 15%
    Motility :
    lll & lV : 05 rapid linear progress %
    Il : 15 sluggish linear progress %
    I : 45 non progressive %
    O : 35 non motile %
    Mam can explain me my report normal or abnormal please mam.

    • Sara SDx
      Sara SDx March 7, 2016 at 2:59 pm

      Strange… I swear I wrote a long response but it looks like it didn’t post. Sorry about thta.

      Here is the feedback.
      Your sperm count is a little lower than I would like to see and the sperm at not swimming too well. Your total motile sperm count is about 2.5 million. This means that your chances of conceiving naturally right now are not very good. Good news is there are things you can do to improve.

      Did you take our risk assessment?

  329. Leon March 4, 2016 at 6:10 pm

    Hello Sara,

    Can you please give me your opinion on my results outlined below. We have been trying for about 18 months now I’m 30 and my wife is 25 (both healthy and non smokers).

    Results:

    Abstinence – 4 Days
    Semen Volume – 3ml
    Semen Appearance – Normal
    Semen Viscosity – Hyperviscous (What is this?)
    Round Cells – Present
    White Blood Cells – < 1 10*6/ml
    Percentage of Normal Sperm – (Result to follow?)
    Percentage rapid progressive sperm – 56%
    Percentage non progressive sperm – 7%
    Percentage non motile sperm – 37%
    Total sperm count – 91.00 10^6
    Total sperm per ejaculate – 273.0 Million
    Semen pH – 8.0

    Can you help please?

    • Sara SDx
      Sara SDx March 7, 2016 at 3:05 pm

      Hi Leon

      Here is some feedback.

      Hypervisous means that the semen is very thick. This can be a problem if it doesn’t liquefy and sperm can get trapped. However, it doesn’t seem to be a problem here. Your rapid progressive sperm is very high.

      All the rest of the numbers listed here are on the high end. The one factor they didn’t report yet is morphology (the shape of the sperm) this is a more detailed analysis. Usually for men with your number morphology is not a big deal but you should check just to make sure normal forms is greater than 2% or so. Sometimes there are genetic issues that only cause morphology to be bad. Given the rest of your numbers I wouldn’t suspect a problem but it would be good to check.

      So given that and how long you’ve been trying I would consider either issues on her end or compatibility issues. She is quite young which is good for chances. How regular are her cycles? How often are you able to be intimate on average? Do you ever use lubricants during intercourse? Does she have painful periods?

      • Leon March 7, 2016 at 11:47 pm

        Thanks for coming back to me Sara.

        My wife will be going through some tests going forward. We’ve used hormonal testing strips and she’s certainly ovulating, periods are pretty much 26-28 days religiously and she has no more pain that “normal”. She has also been taking pre conception vitamins.

        Do I assume as my numbers are high and my doctor has just said “everything’s normal no further action” that we should just carry on investigating my wife and I can relax on my own fertility worries?

        My wife’s appendix did rupture and there’s lots of scarring so the docs did warn her at 16 this could be an issue (doubtful). Her mother struggled to conceive for awhile when she was younger due to something that had to be lasered from her fulopian tube (the name escapes me but it can be hereditary apparently).

        As always thank you for all the support you give everyone. I doubt you realise you let many people sleep easy at night by responding here.

        • Sara SDx
          Sara SDx March 8, 2016 at 12:11 am

          I would say so. I can’t see anything that would even hint at concern for you. Double edge sword cause sometimes sperm is an easier problem to fix.

          If there is a genetic history of fallopian tube issues, that is something to look into. These days, fallopian tube surgeries are not as common. Typically tubal issues are resolved with IVF, but if you find that she has the same condition as her mother I might investigate the possibility of surgery and compare costs with IVF (esp if you are considering multiple children)

          It might not hurt for you to join your wife on the pre-natals — if for nothing other than solidarity — pre-natals can help with DNA formation and helps sperm “be the best they can be” not strictly necessary but it can help peace of mind.

          Please stay in touch as you go. I hope the two of you find an answer that leads you down a clear path that you both feel good about. It is with a deep labor of love that I do this work and I deeply cherish the warm comments you shared. I’ll be keeping you both in mind as you continue on your way. I have lots of friends in the business, as one might say, and would be happy to send you recommendations for next places to turn or 2nd opinions should you ever feel you need them.

          Blessings
          Sara

  330. Abi Higgins March 4, 2016 at 5:40 pm

    Please analyse my husbands sperm analysis.

    Volume 4.7mls
    PH 7.8
    Sperm count 64.0 (10^6/ml)
    Motility A (progressive) 42%
    Morphology 4% (below range)
    Round cells 0.0 (10^6/ml) [0.0010 – 5.0] below range
    5 days abstinence

    We’ve been trying to conceive for 10 months. Will we conceive naturally?

    • Sara SDx
      Sara SDx March 4, 2016 at 7:33 pm

      This looks pretty healthy with exception of morphology. Did they give you a break down of the defects? Morphology by itself doesn’t necessary cause fertility issues, but certain types of defects can prevent fertilization. Also morphology is known to vary from day to day and from lab to lab. Have you completed our risk assessment? It could give you some ideas of things that could be contributing to poor morphology — often diet, alcohol , smoking, and heat can cause problems. I might consider taking a few months with pre-natal vitamins and maybe testicular cooling.

  331. LALAZAR March 4, 2016 at 9:56 am

    which type of pain do you think. during intercourse or after .or any thing else?
    what effect of red blood cells on sperms or pregnancy?
    on polysystic ovaries , my wife have not regular periods.treatment is going on for three months..

    • Sara SDx
      Sara SDx March 4, 2016 at 4:16 pm

      Red blood cells don’t really impact sperm. But they can be a sign of infection. If you have any pain then I might suggest at least talking to a doctor about it. If there isn’t any pain, then it probably isn’t a big deal.

      Polycystic ovaries are most commonly caused by hormone imbalances in women. Some of the best things to do are to reduce sugar, bread and rice in diet, increase exercise and lower stress levels. Sperm do not have an impact on polycystic ovaries.

      • LALAZAR March 5, 2016 at 10:20 am

        i have pain after intercourse .but not rare. after some days gradually decrease.
        sometimes i feel pain in my tail bone ,legs,penis .but after some days i feel better

        • Sara SDx
          Sara SDx March 7, 2016 at 3:23 pm

          I think it would be a good idea to go visit a urologist to get checked to make sure that you don’t have an infection. An infection can cause pain after ejaculation and usually they are easy to treat.

  332. Krishna Kumar March 3, 2016 at 8:34 am

    Dear Sara,

    Yes we are trying now.

    23rd Feb 2016 i tested again the result showing below changes from earlier

    Physical Examination

    Colour- – Grey White
    Volume – 7.0 ml – (earlier 3.8ml)
    PH – 7.8 – (earlier 7.7)
    Viscosity- Normal
    Lliquefaction time:60 minutes – (earlier 30mints)

    Microscopic Examination
    Motility
    Grade A (Progressive Motility) – 20 % – (earlier -10%)
    Grade B (Non- Linear Motility) – 0% – (earlier -15%)
    Grade C (Non Progressive) – 20% – (earlier -10%)
    Grade D ( Immotile) – 60% – (earlier 65%)

    Sperm Count – 15million/ml – (earlier -62million/Ml)
    Total Sperm Count 150.0million/ejacu – (earlier 235.6million/ejacu

    Morphology
    Normal – 40%
    Abnormal – 60%
    Pus cells : 2-5/hpf – Earlier – 20-25/hpf
    R.B.Cs : 3-5/hpf
    Epithelial Cells 1-2/hpf

    Also please advice what i can do for increase motility

  333. LALAZAR March 2, 2016 at 10:15 am

    hi my semen analysis is
    volume 2 ml ph 8.0
    count /ml 105 million
    morphology
    normal 45%
    abnormal 55%
    motility 55%
    rapid linear progression 25%
    slow linear progression 20%
    non linear progression 10%
    immotile 45%
    pus cells 2-4
    red cells 1-2
    trying to conceive for 2 years but result is negative
    problem with my wife is polisistic ovaries
    how do u look my report?

    • Sara SDx
      Sara SDx March 3, 2016 at 5:14 pm

      Your report looks fine. The only thing that is a little concerning is the red cells. There isn’t units listed so I’m not sure if they are a big deal or not. Do you have any symptoms — pain or other issues?

      Polysystic ovaries can make it difficult to conceive. Does your wife have a regular cycle now?

  334. Stephan February 27, 2016 at 4:09 pm

    Dear Sara,

    My sperm test report has this line that i don’t understand:
    Precursor Spermatocytes : 8-10 HPF
    Would you please advise about what does this mean ? What is this unit HPF ? And what is a good average for this index ?

    Regards

    • Sara SDx
      Sara SDx March 2, 2016 at 5:16 pm

      This isn’t a very important line.

      precursor spermatocyctes are basically baby sperm that haven’t grown a tail yet. Everyone has at least some of them in every sample. There are usually more if you ejaculate frequently and less if you abstain for a long time.

      HPF refers to high power field. It usually means each time a person looks in the microscope they just count how many they see and write it down. In your case it was 8-10 baby sperm in each view.

      This seems average and isn’t really that useful to include in the report.

      • Stephan March 3, 2016 at 1:59 pm

        Thank you a lot ! that was extremely clear !

  335. George February 27, 2016 at 10:46 am

    Hi Doctor, I am George 39 years. I been Married 8 year and I have a daughter aged 5 1/2 years. Now since two years we are planning or another child by without Success. Recently I did a Semen Analysis and diagnosied as ” Asthenozoospermia”. Result says mobility as per WHO AB% 9 and after Liquefcation time 30 mins, the mobility says as WHO AB % as 80. Could you explain me this?

    Result summary :
    Volume – 1.5ml
    PH:8,
    conc (10-6/ml = 77
    Round Cells mill/ml= 4
    Total Sperm count = 115.5
    Mobility:
    WHOAB% 9
    WHOC%26
    WHOD%65
    Morphology :
    Normal Forms % 4
    Head Defects % 80
    Neck & midpiece defects % 6
    Tail defects % 10

    Thanks for the expected answers, Regards George

    • George March 6, 2016 at 10:55 am

      Hi Madam Sara – Could you please answer and advice on my results:
      Hi Doctor, I am George 39 years. I been Married 8 year and I have a daughter aged 5 1/2 years. Now since two years we are planning or another child by without Success. Recently I did a Semen Analysis and diagnosied as ” Asthenozoospermia”. Result says mobility as per WHO AB% 9 and after Liquefcation time 30 mins, the mobility says as WHO AB % as 80. Could you explain me this?

      Result summary :
      Volume – 1.5ml
      PH:8,
      conc (10-6/ml = 77
      Round Cells mill/ml= 4
      Total Sperm count = 115.5
      Mobility:
      WHOAB% 9
      WHOC%26
      WHOD%65
      Morphology :
      Normal Forms % 4
      Head Defects % 80
      Neck & midpiece defects % 6
      Tail defects % 10

      • George March 7, 2016 at 9:46 am

        Hi Madam Sara – Please reply and advice for the results

      • Sara SDx
        Sara SDx March 7, 2016 at 3:31 pm

        Hard to say, I’m guessing that they did a sperm wash and were able to purify the sample to 80% motility. Usually labs do this is preparation for IVF or IUI but I have seen that some labs do it for a semen analysis. I’m not sure why but they do.

        Your numbers are a little low. You should be able to conceive but something is hurting your sperm health — both motility a