Understanding your Semen Analysis Results

Semen analysis results can be confusing. This article explains each parameter measured, what’s normal and potential reasons for abnormalities.

how semen analysis works

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.
Sara SDx

Author: 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 thoughts on “Understanding your Semen Analysis Results”

  1. 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

  2. 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

      1. 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.

  3. 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?

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

  4. 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.

  5. 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%

    1. 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?

      1. 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

        1. 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. 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?

    1. 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.

      1. 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?

      2. 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?

        1. 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. 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.

    1. 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?

        1. 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. 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

  9. 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.

    1. 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. 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

    1. 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. 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!

    1. 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. 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

  13. 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

    1. 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. 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!

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

  15. 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!

    1. 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. 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

    1. 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?

      1. 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

        1. 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. 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

    1. 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. 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.

    1. 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. 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%

    1. 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. 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

      1. 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

        1. 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?

      2. 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

        1. 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?

    1. 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..

  21. 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?

    1. 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. 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.

    1. 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.

      1. Already he was going for accupunture. He stopped eating sweets and sugar. Reduced his weight. Does he need to take medicine for this?

  23. 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

    1. 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. 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

  25. 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

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

  28. 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

  29. 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.

    1. 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. 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).

    1. 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. 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. 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

  33. 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.

    1. Good luck.

      You might consider testicular cooling and downloading this app for more ideas on ways to improve.

      Also… I’m working on building a new forum to help people connect and share experiences. Male fertility research is lacking, so is community and support. By coming together and sharing we might be better able to crack this nut. Would love for you to contribute to the conversation.

      https://www.dontcookyourballs.com/forums/forum/male-fertility/

  34. 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.

    1. 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?

  35. 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

  36. 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

    1. 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?

  37. 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

  38. 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

  39. 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.

  40. 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

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

  41. 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

    1. 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.

  42. 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

  43. 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!

  44. 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?

  45. 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 %

  46. 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

  47. 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

  48. 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.

  49. 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

  50. 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

  51. 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.

  52. 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

  53. 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

  54. 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%

  55. 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?

  56. 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?

  57. 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

    1. 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.

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

  58. 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.

      1. 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.

  59. 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.

    1. 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.

  60. 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

    1. 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!

  61. 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!!!

    1. 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.

      1. 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!!! 💕

  62. 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.

    1. 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

  63. 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?

    1. 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.

      1. 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

      2. 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

        1. 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

  64. 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

    1. 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?

  65. 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)

    1. 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.

      1. 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.

        1. 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.

  66. 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 %

    1. 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.

  67. 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.

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

  68. 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)

  69. 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

  70. 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

    1. 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.

  71. 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!!

    1. 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….

  72. 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

    1. 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.

  73. 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

  74. 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 %

    1. 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.

  75. 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

  76. 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

  77. 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

    1. 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

  78. 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

    1. 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.

  79. 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.

    1. 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.

      1. 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 🙂

        1. 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.

      2. 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?

        1. 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.

  80. 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 🙁

    1. 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?

  81. 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

    1. 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 🙂

      1. 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.

      2. 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

        1. 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?

  82. 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,

    1. 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)

  83. 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

    1. 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?

  84. 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+

    1. 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.

      1. 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%.

        1. 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?

          1. 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.

          2. 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.

          3. 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?

      2. 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

        1. 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.

  85. 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

    1. 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.

  86. 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?

  87. 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.

  88. 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.

    1. 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

  89. 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.

      1. 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…

  90. 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

  91. 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

  92. 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%

  93. 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

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

        1. 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.

  94. 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.

    1. 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.

          1. 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.

  95. 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

    1. 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.

  96. 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%

  97. 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

  98. 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

    1. 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

  99. 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

    1. 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?

  100. 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

      1. 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

  101. 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%

    1. 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%

      1. 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.

        1. 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.

          1. 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.

  102. 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.

    1. 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.

      1. 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

  103. 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

    1. 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.

  104. 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

    1. 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.

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

      1. 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.

  106. 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.

  107. 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

    1. 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.

  108. 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.

  109. 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.

    1. 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.

  110. 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

  111. 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?

    1. 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.

      1. 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?

        1. 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?

      2. 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?

        1. 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.

          1. 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!

          2. 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.

          3. 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!

          4. 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.

          5. 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.

    2. 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.

  112. 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. 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.

    1. 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.

  114. 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.

      1. Thanks for reply , my concern is active motility percent and pus cell count. My wife doctor has also shown cocern over my report.

  115. 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

    1. 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

      1. 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.

        1. 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.

  116. 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

      1. 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?

        1. 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.

  117. 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

  118. 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.

    1. 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?

  119. 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

    1. 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?

  120. 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

  121. 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..

    1. 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.

  122. 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!

    1. 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.

  123. 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.

    1. 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.

  124. 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?

    1. 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.

  125. 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

    1. 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

  126. 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

    1. 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

  127. 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.

  128. 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

    1. 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.

      1. 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

        1. 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.

  129. 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

  130. 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

    1. 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?

  131. 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

  132. 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 %

  133. 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

  134. 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

    1. 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

  135. 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 %

  136. 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

    1. 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

  137. 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

    1. 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?

      1. 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.

  138. 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?

    1. 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?

  139. 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.

    1. 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.

  140. 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 ?

    1. Overall this looks pretty healthy. Numbers could be better but its definitely in the fertile range. Is there anything that particularly concerns you?

      Sara

  141. 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.

  142. 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

  143. 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.

        1. 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.

  144. 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?

  145. 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

  146. 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.

  147. 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

  148. 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%)

    1. 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?

      1. 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

        1. 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.

  149. 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

  150. 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.

  151. 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

  152. 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

    1. 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.

      1. 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.

  153. 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.

    1. 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?

      1. 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…

  154. 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

      1. 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%???

  155. 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

    1. 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?

  156. 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

  157. 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!

    1. 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.

  158. 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 %

    1. 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?

  159. 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

  160. 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

  161. 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

  162. 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

    1. 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.

  163. 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

  164. 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

  165. 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

    1. 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.

  166. 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

    1. 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.

  167. 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

    1. 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?

  168. 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.

  169. 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.

  170. 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%

    1. 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?

  171. 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.

    1. 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?

      1. Yes, we have been trying for few months now. Our doctor was concern about ” Morphology (Abnormal Forms). your thought?
        Thanks in advance
        Raj

        1. 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

  172. 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

    1. 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?

  173. 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.

  174. 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 %.

    1. 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

  175. 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?

    1. 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)

  176. 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

      1. 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 %

  177. 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.

    1. 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.

  178. 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?

  179. 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%

  180. 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

  181. 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

    1. 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.

      1. 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

  182. 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.

    1. Oh I should also mention, we did have a veryyyy early miscarriage (probably about 5 weeks) about 7 years ago, when we were 22.

      1. 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.

    2. 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.

  183. 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..

  184. 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

  185. 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.

  186. 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

    1. 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?

  187. 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

  188. 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

  189. 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

    1. 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.

  190. 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

    1. 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.

  191. 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

  192. 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 %

  193. 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

    1. 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.

  194. 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

  195. 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.

    1. 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?

      1. 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.

  196. 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

  197. 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

    1. 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?

  198. 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

    1. 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?

  199. 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.

  200. 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

  201. 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

    1. 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.

  202. 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.

  203. 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?

    1. 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.

  204. 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

    1. 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.

  205. 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

    1. 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?

  206. 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

    1. 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.

      1. 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 🙂

  207. 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

    1. 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…

      1. 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?

        1. 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…

          1. 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?

  208. 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

    1. 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.

  209. 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.

    1. 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.

  210. 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

    1. 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.

      1. 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.

        1. 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.

  211. 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

    1. 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.

  212. 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.

  213. 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.

    1. 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.

  214. 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

    1. 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.

      1. 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!

        1. 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?

          1. 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!

          2. 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.

  215. 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

    1. 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?

      1. 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

  216. 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?

    1. 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?

  217. 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.

    1. 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

  218. 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.

    1. 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.

  219. 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

  220. 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%

    1. 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?

      1. 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

          1. 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%

  221. 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?

    1. 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.

  222. 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!!

    1. 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…

  223. 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

    1. 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.

      1. 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!

          1. 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.

          2. 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.

  224. 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

  225. 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

    1. 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.

  226. 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?

  227. 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??***

    1. 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.

  228. 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)

    1. 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?

  229. Hi,is it normal to have 45percent norm forms 5percent gaint head5percent pin head 5percent others aggl positive

  230. 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%

  231. 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…….

    1. 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?

  232. 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.

    1. 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.

      1. Thank you Sara,

        The questionnaire link seems not loading after i click on GO button.

        Any tip for reducing the head defects?

  233. 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

    1. 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.

  234. 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 ????

    1. your count is a little lower than I would like to see. Have you filled out our risk assessment?

      You should definitely be able to become a father, but it might take a little extra time. Are you currently trying?

      1. I’m Try for the last one year. but i couldn’t .
        Please suggest some food to increase my count or any other issue.

  235. 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

  236. 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

    1. 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.

  237. 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

    1. 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?

  238. 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

    1. 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?

      1. 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.

  239. 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

    1. 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?

      1. yes sir m trying since 1 year,,,,,,,,,,,, my wife’s HB is 8.50 gram does it matters

  240. 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

  241. 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%

    1. 3 yrs finished after marriage can i be a father? how many percent do i have chance through this report please reply me..

        1. 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%