Sperm Motility

By |2016-03-18T00:51:03+00:00March 18th, 2016|Categories: Semen Analysis|Tags: , |400 Comments

MotilityThey are called swimmers for a reason. Sperm cells are one of nature’s great fascinations. In order to make a baby, they must make an incredible journey traversing toxic obstacles, a labyrinth full of dead ends and sneak past white blood cells that stand guard before reaching the awaiting egg. For life to happen, a sperm cell must be good at swimming. Unfortunately, there are a lot of things that can cause sperm to not swim very well or at all. Because of this, motility is a standard measurement taken during a semen analysis. This article explains how sperm motility is measured, how many motile sperm are necessary for conception, causes of low motility and what men can try to do to improve sperm health.

How Many Swimmers Do You Need to Make a Baby?

Ultimately, just one. But, that’s the smartass answer. In reality, fertilization is like a game of darts with bad eyesight. Sperm have some idea of where to go (due to hormones excreted by the egg) but due to the difficulty of the journey, most end up swimming into nothing. For a better chance of hitting the bullseye, you’d probably want to send in more than one. Andrologists have done a great deal of research to understand the optimal number of motile sperm you’d want to send in. But, remember, it isn’t a strict number you need to get someone pregnant, numbers just represent chances of getting pregnant (hitting the bullseye). In the end, conception can happen against great odds or doesn’t happen even under optimal circumstances. Studies show that sometimes pregnancy can even with low numbers of motile sperm. It also has been shown to NOT happen even when a man has tons of swimmers.

How Motility is Measured During a Semen Analysis

Measuring sperm motility can be a difficult task. Typically, sperm cells are counted and categorized by both speed and direction of movement. To understand the challenge, imagine you were to take a swat at a beehive and record how many bees flew away in a straight line and how many hovered around. Because analyzing sperm motility is difficult, there is a lot of variation from lab to lab and from report to report. You should understand that motility numbers need to be taken with a grain of salt because the numbers are a bit fuzzy, and that’s because the field is full of inconsistent and sometimes subjective methods and standards.

No matter the counting method, the semen sample has to be collected. Collection done right is crucial, and we’ve discussed this elsewhere, but here’s a quick recap. First, is making a high quality sample. Prepare to drink lots of water, and to try your best to get excited (difficult to do if you’re collecting in a doctor’s office). Abstain from ejaculation 2-10 days before producing a semen sample for analysis. While collecting the sample, avoid lotions, lubricants or oils as most are toxic to sperm and can cause results. Make sure you collect all of the ejaculate, especially the first part; that has most of the sperm. Finally, the motility analysis should be done soon. Sperm motility decreases the longer it is outside your body, so be sure the sample is analyzed within 1-2 hours of collection.

Standard Motility Analysis Technique

In the “standard” method, a technician uses a regular microscope slide to count about 100 cells[1]. Of those 100 cells, the technician categorizes them into:

Non-motile: these sperm are not moving. On a semen analysis report, this will sometimes be abbreviated as IM or be called “immotile” or “grade d.”

Non-progressive motile: sperm that are moving but not going anywhere; they are just wiggling, also labeled as NP or “slow” or “grade c.”

Progressive motile: sperm that are moving and actually getting somewhere. Also called PR, or “fast.” Some semen analysis methods call for the technician to divide these progressively motile cells into 2-3 subcategories. You will still sometimes see “grade a/b” or “medium/fast” on such reports. Some believe that judging these subcategories by sight is too subjective, but some extremely well-trained technicians can categorize by sight quite well.

Since the technician counts 100 cells, the number counted for each category represents the percentage of sperm that fall into each category. The technician counts another 100 cells on another slide and makes sure the numbers make sense before reporting to the doctor or patient.

There are some drawbacks to this method, however. One is the obvious human error. A technician counts by looking at the cells under a microscope in a field of view. Sometimes, they can be mistaken. Only well-trained technicians end up being precise[2], [3]. Inexperienced ones can make a lot of mistakes. Because the work is mentally challenging, even well-trained technicians can get tired when straining their eyes to count sperm. Another major source of error is called a statistical sampling error—the idea that the fields of view they’re looking at may not be representative of the whole semen sample. To reduce sampling error, a technician can count more cells, but often if they do, the operator fatigue becomes a bigger factor.

Computer Aided Motility Analysis

To solve operator fatigue, and to remove subjective errors due to judgement calls in determining what is and isn’t progressive, non-progressive, or immotile, andrologists often use cameras and computers to reduce these problems. A camera recording of a microscopic view can help in having multiple eyes look over a sample, and confirm that the numbers are correct. Additionally, operator fatigue and subjectivity can be reduced by simply having a computer do the counting. Such methods are known as Computer-Aided Semen Analysis, or CASA [4].
CASA comes in multiple brands and packages and, depending on what kind your doctor has, is able to measure a bunch of different things about the semen samples. When looking at motile cells, CASA offers a distinct advantage over manual methods[5],[6]. Computers are able to take a recording of a field of sperm, and determine not only which ones are moving, but how fast and in what manner they are moving. The CASA system is then able to take those individual readings and compile them into some summary numbers that gives information about the motile cells being observed. Sometimes, the individual speed measurements for your sperm are measured, and then categorized. You might sometimes see different categories, and numbers associated with the motile categories. Different CASA systems use different thresholds for each category. A common threshold for differentiating sperm speeds is 25 μm/s.[7]

Clearly our benevolent and all-knowing Skynet overlords are infallible. Meh. No. Computers are dumb. CASA has its pitfalls. Andrologists have to make sure that the CASA they’re using is calibrated. Comparing results from different CASA systems can sometimes be difficult[6], [8], [9]. Cameras that record at different speeds sometimes report very different numbers[8] for the same sample. Computer algorithms that calculate VAP (how fast the sperm is swimming) could differ ever so slightly and result in different numbers even for the same sample.[10] There’s no fixed standard for categorizing sperm speed. CASA sometimes mistakenly counts non-sperm debris in your semen as sperm, tending to overestimate the total count (and thus underestimating % motile). The most reliable and consistent number in CASA systems, is concentration of all motile sperm. This number has the highest consistency between systems, camera types, and algorithms. CASA is at least great at finding the moving cells.

Recording Motility Measurement on the Semen Analysis Report

So, motility measurements have their hangups. As a result, the numbers on what you’re supposed to expect are a little inconsistent from study to study. The World Health Organization standards,[1] which is used as the gold standard, requires andrologists to report percent motile cells, rather than cell concentration, so most studies only report percent motile. This leaves the motile concentration and total motile count a mystery in big summary studies.[11]–[14] This is a problem because studies showing the likelihood of getting pregnant show that motile concentration and total motile count, rather than percentage,[7], [15] is the most important factor to look at for motility.

No matter what method being used, your semen analysis report you receive from your doctor will contain similar numbers. However, the manner in which motility numbers are reported can sometimes differ, depending on what philosophies of semen analysis your doctor or andrologist ascribes to. Below are some terms that you might see on a semen analysis report. This list is not expansive, so if you see a term on your own report that you are not familiar with, you should ask the doctor who ordered the test to clarify.

% Motile: This is the most common number you’ll see reported. This is the percent of cells that are motile. You’ll also see this number divided into other classes, such as progressive motile, etc. However, this number does not tell you how many motile sperm you have in total in your semen.

Motile Concentration: The number of cells that are motile in a volume of semen. Usually reported in cells per milliliter (cells/mL) or millions of cells per milliliter (M/mL or × 106cells/mL). You can calculate motile concentration by multiplying the sperm concentration by the % motile.

Total motile sperm count (TMSC): The total amount of motile sperm in your ejaculate. This is calculated if the volume of your total ejaculate is also measured. This is essentially a measure of your “full load” of motile cells you’d be delivering in an ejaculate. Recent studies suggest that this is probably the most important number[7], [15], [16] in your semen analysis report. This number can also be divided into different grades. It is super easy (and much more accurate) for a CASA to divide your sperm cells into “fast” or “slow” using clear speed cut-off values. If this number is not present on your report, you can calculate this number yourself.

VAP: Average path velocity. Sperm wiggle around as they move, but they have a general path they’re moving in. This number is the average speed the sperm is moving at along that general path. This is often report in microns per second, or μm/s.

Calculating your Total Motile Sperm Count

If you have your volume measurement and your motile concentration measurement, it can be calculated by the following:

TMSC = Motile concentration × Semen volume

If you only have % motile, you need use your total sperm concentration to calculate TMSC:

TMSC=(% motile)/100 ×Total sperm concentration × Semen volume

How Many Swimmers Does It Take to Make a Baby?

The amount of motile sperm you make has a strong correlation with being able to get a woman pregnant. It is also not the only important factor. Other factors include total sperm concentration, morphology, etc. Semen analyses need to be taken in as a whole rather than depend on one single number. The consensus on motility seems to focus on TMSC, which is the total load of motile cells delivered in an ejaculate.

One large study of subfertile couples indicates that chances of pregnancy increase substantially when the man’s TMSC is above 5 million cells [15]. Many andrologists classify categories of fertility based entirely on TMSC. The categories are as follows:

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.

These categories are usually just guides that doctors use to decide if you’d be in need of fertility treatment options, and don’t represent clear cut offs. Studies show that increasing TMSC generally correlates with increasing chances of pregnancies [7], [11], [17].

Is my sperm motility normal?

The best answer comes from the World Health Organization, which reports worldwide measures of semen parameters. The WHO reports motility only in percentage, so it is difficult to say what the typical total motile count is. In general, 50% of men worldwide have a total motile percentage above 61%. Only 5% have less than 40% motility measurement, so if you’re below that, this might cause concern.

Motility tends to decrease with age, with it peaking sometime before age 25 and gradually lowering over time [18]. Additionally, some men experience seasonal variations in their motility measurements [19], due to the importance of temperature on sperm production.

What Could Go Wrong?

Low motility numbers is referred to as asthenospermia. Asthenozoospermia can range from zero motile sperm to low numbers. The WHO defines asthenozoospermia as falling below 40% motility, but some prefer 20 million total motile count as a measure instead [1], [15].

In the general population, many men in Western countries suffer from suboptimal semen quality, as much as nearly 80% have some aspect of their semen analysis below optimal numbers [20]. It is not clear what percentage of that were due to low motility. However, by looking at subfertile or men diagnosed as infertile, we can see how low motility can impact fertility. 81.4% of one large population of men diagnosed with infertility have astenozoospermia [21].

Furthermore, your motility numbers and other semen parameters can all be normal but you might still have a problem with motility. The limitations of laboratory measurements means that there’s lots of factors missing when a technician analyzes your semen. Perhaps your sperm can’t survive the environment of your partner’s body, or your sperm have something wrong with their hyperactivation mechanism, the process where a sperm senses an egg nearby and goes into turbo-motility mode [22].

What Causes Low Motility?

The causes are many, and we can only briefly describe them here. Watch for follow-up articles that go more in-depth.

Genetic factors can produce low or non-existent motility. Some genes that directly make the sperm move (such as proteins in the tail) can be mutated [23], the production factory in your testicles could be mutated, or some metabolic diseases can cause impaired sperm production by causing your body’s hormones or nutrition to be out of whack, also causing you to make immotile sperm in the testicles [24].

Next, there’s metabolic and environmental factors. What you eat or what condition your body is in may affect motility. Sickness [24], poor nutrition [25], smoking [26], heat exposure, and toxin exposure [27] all could impact motile sperm count.

What can be done about low motility?

If you’ve found you have genetic-based reason for low motility, treatment might be possible for some hormonal disorders, but often you’d need to resort to assisted reproduction techniques if you have a genetic reason for low or no motility.

Environmental factors can be changed, and that sometimes has an impact on count and motile count. Avoiding cigarettes, alchohol, heat, and eating healthier can sometimes improve motile count. Some supplements can also boost motile counts. Antioxidant vitamins, such as Vitamin A, E, or C can have a positive impact on motility [28]. Vitamin D promotes the factors that directly cause sperm tails to wiggle, and intake of that vitamin can also have benefits for your motility [29].

Keep in mind, that when you are getting checked up on your semen parameters, that motility count is super important, but it is not the sole deciding factor in your ability to get pregnant. Read up on all these other factors, such as morphology, total count, and semen quality elsewhere.

References

[1] WHO, “WHO laboratory manual for the examination and processing of human semen,” World Health, vol. 5th Ed., p. 286, 2010.[2] A. a Pacey, “Quality assurance and quality control in the laboratory andrology.,” Asian J. Androl., vol. 12, no. 1, pp. 21–5, 2010.[3] C. H. Yeung, T. G. Cooper, and E. Nieschlag, “A technique for standardization and quality control of subjective sperm motility assessments in semen analysis.,” Fertil. Steril., vol. 67, no. 6, pp. 1156–1158, 1997.[4] S. T. Mortimer, “CASA–practical aspects.,” J. Androl., vol. 21, no. 4, pp. 515–524, 2000.[5] R. P. Amann and D. Waberski, “Computer-assisted sperm analysis (CASA): Capabilities and potential developments,” Theriogenology, vol. 81, no. 1, pp. 5–17, 2014.[6] W. Krause, “Computer-assisted semen analysis systems: comparison with routine evaluation and prognostic value in male fertility and assisted reproduction.,” Hum. Reprod., vol. 10 Suppl 1, pp. 60–6, 1995.[7] L. Larsen, T. Scheike, T. K. Jensen, J. P. Bonde, E. Ernst, N. H. Hjollund, Y. Zhou, N. E. Skakkebaek, and A. Giwercman, “Computer-assisted semen analysis parameters as predictors for fertility of men from the general population. The Danish First Pregnancy Planner Study Team.,” Hum. Reprod., vol. 15, no. 7, pp. 1562–1567, 2000.[8] S. Boryshpolets, R. K. Kowalski, G. J. Dietrich, B. Dzyuba, and A. Ciereszko, “Different computer-assisted sperm analysis (CASA) systems highly influence sperm motility parameters.,” Theriogenology, vol. 80, no. 7, pp. 758–65, 2013.[9] M. J. Tomlinson, K. Pooley, T. Simpson, T. Newton, J. Hopkisson, K. Jayaprakasan, R. Jayaprakasan, A. Naeem, and T. Pridmore, “Validation of a novel computer-assisted sperm analysis (CASA) system using multitarget-tracking algorithms,” Fertil. Steril., vol. 93, no. 6, pp. 1911–1920, 2010.[10] D. Mortimer, “ComputerAided Sperm Analysis and Sperm Kinematics,” in Practical Laboratory Andrology, Oxford University Press, 1994, pp. 135–143.[11] G. M. Buck Louis, R. Sundaram, E. F. Schisterman, A. Sweeney, C. D. Lynch, S. Kim, J. M. Maisog, R. Gore-Langton, M. L. Eisenberg, and Z. Chen, “Semen quality and time to pregnancy: the Longitudinal Investigation of Fertility and the Environment Study.,” Fertil. Steril., vol. 101, no. 2, pp. 453–62, 2014.[12] J. S. Youn, S. H. Cha, C. W. Park, K. M. Yang, J. Y. Kim, M. K. Koong, I. S. Kang, I. O. Song, and S. C. Han, “Predictive value of sperm motility characteristics assessed by computer-assisted sperm analysis in intrauterine insemination with superovulation in couples with unexplained infertility.,” Clin. Exp. Reprod. Med., vol. 38, no. 1, pp. 47–52, 2011.[13] C. L. Barratt, M. J. Tomlinson, and I. D. Cooke, “Prognostic significance of computerized motility analysis for in vivo fertility,” Fertil. Steril., vol. 60, no. 3, pp. 520–525, 1993.[14] D. S. Guzick, J. W. Overstreet, P. Factor-Litvak, C. K. Brazil, S. T. Nakajima, C. Coutifaris, S. A. Carson, P. Cisneros, M. P. Steinkampf, J. A. Hill, D. Xu, and D. L. Vogel, “Sperm morphology, motility, and concentration in fertile and infertile men.,” N. Engl. J. Med., vol. 345, no. 19, pp. 1388–1393, 2001.[15] J. a M. Hamilton, M. Cissen, M. Brandes, J. M. J. Smeenk, J. P. de Bruin, J. a M. Kremer, W. L. D. M. Nelen, and C. J. C. M. Hamilton, “Total motile sperm count: a better indicator for the severity of male factor infertility than the WHO sperm classification system.,” Hum. Reprod., vol. 30, no. 5, pp. 1110–21, 2015.[16] M. Brandes, C. J. C. M. Hamilton, J. O. M. van der Steen, J. P. de Bruin, R. S. G. M. Bots, W. L. D. M. Nelen, and J. a M. Kremer, “Severity of oligo-asteno-teratozoospermia no longer determines overall success rate in male subfertility.,” Int. J. Androl., vol. 34, no. 6 Pt 1, pp. 614–23, 2011.[17] M. J. Zinaman, C. C. Brown, S. G. Selevan, and E. D. Clegg, “Semen quality and human fertility: a prospective study with healthy couples.,” J. Androl., vol. 21, no. 1, pp. 145–53, 2000.[18] E. Levitas, E. Lunenfeld, N. Weisz, M. Friger, and G. Potashnik, “Relationship between age and semen parameters in men with normal sperm concentration: Analysis of 6022 semen samples,” Andrologia, vol. 39, no. 2, pp. 45–50, 2007.[19] G. M. Centola and S. Eberly, “Seasonal variations and age-related changes in human sperm count, motility, motion parameters, morphology, and white blood cell concentration,” Fertil. Steril., vol. 72, no. 5, pp. 803–808, 1999.[20] N. Jørgensen, U. N. Joensen, T. K. Jensen, M. B. Jensen, K. Almstrup, I. A. Olesen, A. Juul, A.-M. Andersson, E. Carlsen, J. H. Petersen, J. Toppari, and N. E. Skakkebæk, “Human semen quality in the new millennium: a prospective cross-sectional population-based study of 4867 men.,” BMJ Open, vol. 2, no. 4, p. e000990–, 2012.[21] S. M. CURI, J. I. ARIAGNO, P. H. CHENLO, G. R. MENDELUK, M. N. PUGLIESE, L. M. SARDI SEGOVIA, H. E. H. REPETTO, and A. M. BLANCO, “ASTHENOZOOSPERMIA: ANALYSIS OF A LARGE POPULATION,” Syst. Biol. Reprod. Med., vol. 49, no. 5, pp. 343–349, 2003.[22] R. M. Turner, “Moving to the beat: A review of mammalian sperm motility regulation,” Reprod. Fertil. Dev., vol. 18, no. 1–2, pp. 25–38, 2006.[23] L. Visser, G. H. Westerveld, F. Xie, S. K. M. Van Daalen, F. Van Der Veen, M. P. Lombardi, and S. Repping, “A comprehensive gene mutation screen in men with asthenozoospermia,” Fertil. Steril., vol. 95, no. 3, pp. 1020–1024.e9, 2011.[24] R. C. Martin-Du Pan, P. Bischof, A. Campana, A. Morabia, M.-D. P. R.C., B. P., C. A., and M. A., “Relationship between etiological factors and total motile sperm count in 350 infertile patients,” Arch Androl, vol. 39, no. 3, pp. 197–210, 1997.[25] P. Piomboni, R. Focarelli, a. Stendardi, a. Ferramosca, and V. Zara, “The role of mitochondria in energy production for human sperm motility,” Int. J. Androl., vol. 35, no. 2, pp. 109–124, 2012.[26] a. M. E. de Jong, R. Menkveld, J. W. Lens, S. E. Nienhuis, and J. P. T. Rhemrev, “Effect of alcohol intake and cigarette smoking on sperm parameters and pregnancy,” Andrologia, vol. 46, pp. 112–117, 2014.[27] H. Oliveira, M. Spanò, C. Santos, and M. D. L. Pereira, “Lead chloride affects sperm motility and acrosome reaction in mice : LLead affects mice sperm motility and acrosome reaction,” Cell Biol. Toxicol., vol. 25, pp. 341–353, 2009.[28] B. Eskenazi, S. a. Kidd, a. R. Marks, E. Sloter, G. Block, and a. J. Wyrobek, “Antioxidant intake is associated with semen quality in healthy men,” Hum. Reprod., vol. 20, no. 4, pp. 1006–1012, 2005.[29] M. Blomberg Jensen, P. J. Bjerrum, T. E. Jessen, J. E. Nielsen, U. N. Joensen, I. a Olesen, J. H. Petersen, A. Juul, S. Dissing, and N. Jørgensen, “Vitamin D is positively associated with sperm motility and increases intracellular calcium in human spermatozoa.,” Hum. Reprod., vol. 26, no. 6, pp. 1307–17, 2011.

400 Comments

  1. Umeh A C June 18, 2018 at 5:45 pm

    Hello Dr,

    I just did my semen analysis and below is my result:

    Volume = 4.0mls
    Viscosity = normal
    Sperm count/concentration = 45.7
    Total sperm count = 182.8
    Appearance = opalescent
    Morphology = 30% normal 70% abnormal
    Rbc (semen) = nil
    Pus cells = numerous
    Ph = 8.0
    Motility :
    Rapid = 10
    Slow = 35
    Non motile = 5
    Dead = 50

    Pls is it ok?

    • Sara SDx
      Sara SDx June 20, 2018 at 3:45 pm

      Looks ok. Are you having trouble?

  2. Thomas June 13, 2018 at 2:46 am

    Hi Sara
    Me and my wife have been trying it for 2 years. I did an semen analysis last week and below are my results.
    She has a bicornuate uterus. Kindly give me your suggestions…

    Volume: 1 ml
    Liquefaction: 30 min
    Viscosity: Normal
    Progressive Motility: 39%
    Sperm count: 48M/ml
    Appearance: normal

    • Sara SDx
      Sara SDx June 20, 2018 at 1:28 pm

      Mostly, these numbers look ok. The volume is a little low and so is the motility. But total motile sperm count is in the “ok” range. I would guess that you might be contributing some to the difficulties conceiving.

      Good news is that many men in this range are able to make some good improvements with a few fertility focused habits. How is your health?

  3. ERIC June 11, 2018 at 7:03 am

    Hi,

    Vol = 2.5 ml
    liquefaction = 60 mins
    pH = 8

    Motility
    Progressively motile sperm = 30%
    Non – Progressively Motile = 35%
    Immotile = 35%

    Concentration
    Total count per ejaculate = 2.65 million
    count/ml = 1.06 millions/ml

    Morphology
    Normal Forms = 60%
    Abnormal Forms = 40%

    • Sara SDx
      Sara SDx June 19, 2018 at 5:56 pm

      Its low. You should visit a urologist if there is one near you.

      Male fertility doctors can do a full evaluation to figure out what is going on and how you can correct it.

      How’s your health?

  4. Are keshi June 10, 2018 at 9:34 pm

    Hi please help me my husband test result shows volume 3.0
    PH 8.0
    Progressive A 6
    Immotile 88
    Sperm concentration 20.0
    Vitality live 50 , dead 50
    Absentinece 5days

    • Sara SDx
      Sara SDx June 19, 2018 at 5:52 pm

      The count is a little low and the motility is really low. But the vitality is good. How is your husband’s health? — it could be impacting his sperm..

  5. marco June 10, 2018 at 12:28 pm

    hello pls
    can you tell me whether I have a healthy sperm?

    Volume ml 3.20
    pH 7,8
    Appearance Normal
    Viscosity Normal
    Liquefaction Complete
    Density x106 /ml 23.00
    Total count x106 73.60
    Motility %
    Progressive 86.0
    Non progressive 4.0
    Immotile 10.0
    Normal forms % 5.00
    Other Parameters
    Agglutination Nil
    Aggregation Nil
    Round Cells (x106 /ml) None
    Debris
    None

    • Sara SDx
      Sara SDx June 19, 2018 at 5:49 pm

      It looks pretty good. Are you having trouble conceiving?

  6. Hkhan June 10, 2018 at 10:05 am

    Plz review my report
    Volume 3 ml
    Sperm count 180 mil/ml
    Total 540 mil/ ml
    Total motility 45%
    Rapid linear 10%
    Slow/nin linear 50%
    Non progrssive 40%
    Morphology 40%
    Ph7.5
    Liquification 30 min

    • Sara SDx
      Sara SDx June 19, 2018 at 5:48 pm

      Looks healthy? Are you worried about something?

  7. Nitin Dhawan June 10, 2018 at 6:54 am

    Below is my sperm count repost – is it mormal ?
    Total Count:30,Actively Motil:60,Sluggish Motil:10,Non Motile:30,Abnormal Head:01,Abnormal Body:01,Abnormal Tail:01,Pus Cells:2 to

    • Sara SDx
      Sara SDx June 19, 2018 at 5:40 pm

      Its on the low side of normal. You should be able to conceive but it might take a few extra months of trying. Are you having trouble?

  8. uma June 9, 2018 at 11:18 am

    We are married before 1.5 years but till i don’t get pregnant below my husband report
    Active Sperms – 18%
    Sluggish Sperms-62%
    Dead Sperms-20%
    Sperm Count-49 millions/cumm
    Pus Cells-4-5/hpf

    Mam if any possibility to i’m getting pregnant

    • Sara SDx
      Sara SDx June 16, 2018 at 1:33 am

      I don’t see a volume here. His count is normal, the motility is a little lower than usual. Overall, I would say that it could be contributing to your difficulties getting pregnant. How is his health? Have you been visited your doctor?

  9. Imran June 7, 2018 at 11:48 am

    Hi I want to know whether my sperm analysis report is normal or not.

    Volume 3 ml
    Sperm Count 20 million
    Rapid Linear Progression 10%
    Slow Progression 15%
    Morphology 65%
    Pus Cells 1-2

    Can I am able to make women pregnant.

    • Sara SDx
      Sara SDx June 8, 2018 at 1:35 pm

      Are you having trouble getting a woman pregnant?

      These numbers are borderline. You should be able to become a father, but it may take a little longer than usual. Here are some suggestions for improving sperm count if you are interested.

      • Mahbub June 9, 2018 at 2:48 am

        Please, I would like to know if my semen analysis result is normal.And where to improve necessary ?
        (Test date- July 31, 2014)

        Volume = 1.5 ml
        Colour = Whitish
        M.E
        Total Sperm Count =70 million/ml
        Motility = 80% motile 1/2 hour after collection.
        Morphology = 75 % Normal.
        Push cells = 02-04 /HPF

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

          Looks generally ok. Are you having a hard time conceiving?

      • Mo abdi June 11, 2018 at 9:12 am

        3 days absence
        Appearance white
        Viscosity normal
        Volume 1.8ml 2.5 7.5ml
        Reaction alkaline
        Liqufaction 25 minutes 15-40 minutes
        Sperm count 1 millions/ml 20milltions/ml
        Sperm concentration 1.8 milltuons/ejaculat 50 miltions/ejaculate
        Abnormal25% up to75
        Pus cells 4-6 hpf
        Red cells 0-2 hpf
        Spermatoggenic cells 2-4 hpf
        Vitality 10%
        Grade a 0
        Grade b 10
        Grade c 0
        Grade d 9

        • Sara SDx
          Sara SDx June 20, 2018 at 1:08 pm

          If you can, you should visit a urologist who focuses on men’s fertility to get a full evaluation to see what could cause this result. The numbers are pretty low. Many fertility experts can recommend treatments that will improve things.

      • Manni June 13, 2018 at 11:29 am

        Hi my normal forms have come back @ 1%
        Can I still become a father???

        • Sara SDx
          Sara SDx June 20, 2018 at 1:34 pm

          Hard to talk about that in isolation.

          1% isn’t a good number for morphology but it depends on the technician who did it and what the defects were to know how much it might impact your chances.

          What were your other numbers? How long have you been trying? Are you exposed to high heat, alcohol, pollution, chemicals or other things like that?

  10. SARAVANA June 6, 2018 at 8:35 am

    Please, I would like to know if my semen analysis result is normal

    Age:34

    Physical Examination
    ____________________

    Appearance : Grey
    Odour : Normal
    volume : 0.8ml
    Viscosity : Normal
    Liquefaction Time : 20mins
    Agglutination: Nil

    Chemical Examination
    ____________________

    pH : 8.0
    Fructose : Present

    Sperm Analysis
    ______________

    Sperm Concentration/ml : 68 mill/ml
    Speram Concentration/Ejaculate : 68.8 mill/Ejaculate

    Motility Morphology
    ________________ ______________

    Motile sperms : 60% Normal :12%

    a) Rapid Progressive :20% abnormal :88%
    b) Moderate Progressive :20% a) Head defects :25%
    c) Sluggish Progressive:10% b) Mid piece/Neck defects: 40%
    d) non Progressive:10% c) Tail defects :23%

    Immotile: 40%

    Others
    _________

    RBC : Nill

    Round Cells : 4-6Cells/HPF

    • Sara SDx
      Sara SDx June 8, 2018 at 1:29 pm

      The semen volume is a little lower than usual, but otherwise, this looks pretty healthy. Are you having trouble conceiving?

  11. Laura June 5, 2018 at 3:55 pm

    Hello,

    Can you help? We are going forward to ivf after 2 years of trying. My husbands results are:

    Vol:5.3mls
    8.1 mil/ml
    61% progressively motile
    2% n. Morphology

    We have been the above factors are the only issues currently. Can you help me interpret the results? We have been told ICSI would be best in terms of ivf.

    • Sara SDx
      Sara SDx June 6, 2018 at 4:50 pm

      I’m happy to help. What would you like to know?

      Volume > 5.3 is high
      8.1 count > low (but not extremely)
      61% progressive motile > good
      Total progressive motile > 25.75
      Morphology 2% > low

      Overall, these results (if they are consistent with the whole time you’ve been trying) would suggest that it would take longer than usual to conceive, but they are not, in my mind severe. You have lots of options here.

      • Yogesh June 8, 2018 at 5:07 am

        Semen quantity in cc 2.0 ml.
        Colour. Whitish
        pH Alkaline
        Viscosity Normal
        Total sperm count 92.0 million
        Viable sperms 55%
        Motile sperms 50%
        Grade of Motility IV
        Abnormal head 06%
        Abnormal mid – piece 05%
        Abnormal tail 04%
        Total percentage of abnormal sperms 20%
        Immature Spermatozoa (per hour) Nil
        Per cells 2-3/HPF

        May I be a father plz tell me

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

          Looks healthy. Are you having trouble getting pregnant?

  12. anwar June 2, 2018 at 8:51 pm

    hi doc, can you check this report and tell, is everything is good?

    SEMEN ANALYSIS

    MICROSCOPIC EXAMINATION:

    RECEIVING TIME : 9:55 AM
    VOLUME : 3.5 ml
    COLOR : Whitish
    VISCOSITY : Normal
    REACTION : Alkaline
    LIQUEFACTION TIME : Normal within 30 minutes

    MICROSCOPIC EXAMINATION:

    PUS CELLS : 1-2/HPF
    RBC : Nil
    EPITHELIAL CELLS : Nil

    SPERM MOTILITY (%):
    ½ HOUR 1 HOUR 2 HOURS
    ACTIVELY MOTILE : 45 45 40
    SLUGGISH MOTILE ` : 05 05 05
    .:NON MOTILE : 50 50 55

    SPERM MORPHOLOGY:
    NORMAL FORMS : 70 % NORMAL: 70 %
    ABNORMAL FORMS : 30 %

    SPERM COUNT 160 Million/ml NORMAL:>20 Million/ml

    time absence: 3 days

    • Sara SDx
      Sara SDx June 5, 2018 at 3:38 pm

      This looks very healthy.

  13. Arvind khairavkar June 2, 2018 at 7:02 am

    Hii mam
    Please tell me my result are as under
    Volume – 2.5
    Colour ( semen)-greyish White
    Liquification time -30 min
    Ph (semen) -7.2
    Fructose test -present
    Sperm count- 45%
    Active motile -30%
    Sluggishly motile :20%
    Non motile : 50%
    Put cell – 3-5

    Can you tell me my report is OK please?

    • Sara SDx
      Sara SDx June 5, 2018 at 3:33 pm

      Looks generally ok. Are you having trouble conceiving?

  14. vinay May 31, 2018 at 4:15 pm

    hi mam,
    iam 35,My recent semen analysis like this below ,I want know this is normal or abnormal
    we are not able to concieve long time.

    ph: 8
    sperm concentration : 58 mil/ml
    total motility : 50%
    Rapid progressive movement : 10%
    sluggish progressive movemnt: 30%
    non progressive : 10%
    non motlile: 50%

    • Sara SDx
      Sara SDx June 5, 2018 at 1:21 pm

      These look ok. How long have you been trying? Has your wife / partner been to her doctor? How often are you able to meet with your wife / partner?

  15. Ashley May 30, 2018 at 2:32 am

    Writing because we just got our results and our Dr is gone on vacation. He had leukemia 2005 and been clear since. Our results are as follows and reads exactly this Count >2 Seman Volume 2.2ml Initial Motility >38%. Please help us understand these numbers we already have a good understanding with them but just want to hear it sooner than June 25 from our Dr. thank you <3

    • Sara SDx
      Sara SDx June 5, 2018 at 1:55 am

      Count > 2 is unusual. Should have a value

      Often I see reports that say count <2 when they are using a machine to count sperm and there are some sperm but too few for the machine to accurately count. Usually in those cases, they don't report motility numbers.

      Motility greater than 38% is a good sign. Again, it's pretty weird not to tell you the numbers. You can see on this site how numbers are typically reported.

      As a cancer survivor, I would say the good news is -- there is sperm, it is swimming and healthy looking. Volume is also a healthy number which is another good sign.

      It is not clear from these numbers (as I read them in your post) if you are in the range of natural fertility or if you are in IUI territory.

      Wish I could tell you more. Let me know if this helps or if you have some clarifications, I might be able to give better feedback.

  16. Mojo May 23, 2018 at 2:04 pm

    Hi doc. Please check if result is ok,

    Total volume: 1.5 mL
    Total cell count: 133,400,000/cumm
    Motility
    Normal Motile: 30%
    Non Motile: 20%
    Sluggish: 50%
    Morphology
    Normal: 60%
    Abnormal: 40%
    Pus Cell: 4-6/hpf
    Red blood cell: none/hpf
    Bacteria: none

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

      looks ok. Are you worried about something? Are you having trouble conceiving?

      • Mojo May 25, 2018 at 9:36 pm

        You mean my overall result/number is ok? Were trying to conceive 6 monthts..

        • Mojo May 31, 2018 at 12:42 am

          Doc..

      • Lorelly May 29, 2018 at 5:56 pm

        Hello I am in desperate need for answers. My husband and I have been trying to have a baby for more than 5 years. He recently went for a sperm analysis and this is what it showed.

        2Days Abstinence
        Color Semen-normal
        Volume Semen-4.0
        Liquificatn Time->60
        PH- 9.0
        Count Sperm- 30million/ML
        Motility Rapid- 10%
        Motility Slow- 50%
        None Prog-10
        Immotile- 30
        Normal Morph-35%
        Abnormal Morph- 65%
        Thank you

        • Sara SDx
          Sara SDx June 5, 2018 at 1:45 am

          I’m sorry to hear about your struggles.

          Here’s an explanation of the results:
          Volume: 4 = a little higher than average
          Sperm count: 30 = a little lower than average
          Rapid motility: 10% = a little lower than average
          Total motility: 60% = average
          Normal morphology: 35% = average

          Total progressive motile (volume x count x rapid motility) = 12 million

          This is a little less than optimal. Hard to tell if it is contributing to problems conceiving or not. I would suspect that if these numbers are reflective of the entire time you’ve been trying that he would have had some difficulty conceiving but would have conceived in 2-3 years.

          Questions that come to mind include:
          How is his health? Has it improved or declined over the past 5 years?
          How is your health? Has it improved or declined?
          How often do you typically have sex?
          How is your cycle? Have you had any tests done?

    • Shan May 28, 2018 at 10:59 am

      Hi I’m sham, My age 40 years

      My SFA report shows like this:

      Appearance : opaque
      Liquesfaction :25
      viscosity : increase
      Ph :7.5
      Volume :0.9ml

      sperm concentration : sperm seen in the abnormal immotile mi;;ion/ml

      Motility : …% ( no result)

      viability (%) : —%( no result)

      morphology (Abnormal forms) —% ( no result)

      Based on this can I become a father?

      What can I do to improve the said figures ?

  17. Chris May 23, 2018 at 12:03 am

    I recently has my sperm tested and while I don’t have the specific test values it was explained to me that everything came back normal with the exception of the motility progression which was (Grade B) or (Grade 3). The nurse that explained this to me said not to worry about it but that’s easier said then done.

    What is the translational effect of non-linear (Grade 3) or (Grade B) vs. progressive (Grade 4) or (Grade A) sperm on the embryo quality itself?

    Is their any correlation on intelligence with respect to the child if the father has Grade B instead of Grade A Motility and Progression on that criteria alone?

    Thank you

    • Sara SDx
      Sara SDx May 25, 2018 at 5:23 pm

      Interesting question… These measurements are a little subjective. I’m going to over simplify what the technician does to help clarify.

      Imagine that you are looking at a large fish tank full of fish and someone asked you to judge how the fish were swimming.
      Were they completely still? Swimming a little slow? Swimming in the same direction?

      When technicians look at sperm it is like this. They see a whole bunch of sperm — some not moving, some moving quickly, some just twitching.
      They grade the movement as an overall impression to give a sense if the group of sperm looked healthy or not.

      Sometimes they actually try to count which % of the sperm are not moving, what % are moving slowly and what % are moving quickly. But this is also a tough job.
      Imagine counting 100 fish in a tank and telling which % were doing what. The only ones you’d really know for sure are the dead ones cause they aren’t moving.
      And just like fish, sperm could be moving slow when the technician is watching them but still capable of speeding up.

      So, in general, if there are a good number of them that are moving vigorously and the count is high enough, it’s generally accepted that there should be enough good swimmers to get the job done. It gets more concerning if all of them are dead or moving really slow. Then, technician might suspect something is wrong.

      I’ve over simplified a bit, but does that make sense?

  18. Desmond Mbeseha May 22, 2018 at 4:34 pm

    GOT TEST RESULTS TODAY AND WONDERING IF ANYTHING CAN BE DONE.
    APPEARANCE, SEMEN
    Abnormal
    Normal
    VISCOSITY, SEMINAL FLUID, QUAL
    Abnormal
    Normal
    LIQUEFACTION TIME, SEMEN
    Abnormal
    Normal
    PH, SEMEN
    8.0
    SEMEN VOLUME
    1.0 mL
    SPERM CONCENTRATION
    5.2 x10*6/mL
    SPERM, TOTAL MOTILE % (PROGRESSIVE+NONPROGRESSIVE)
    0.0 %
    SPERM, PROGRESSIVE %
    N/A %

    SPERMATOZOA, NONPROGRESSIVE %

    SPERMATOZOA, IMMOTILE %
    N/A %

    SPERMATOZOA, NORMAL %
    N/A %

    • Sara SDx
      Sara SDx May 22, 2018 at 5:10 pm

      I’d recommend visiting a urologist if possible for a full exam. You might also want to download this app to see if you have any risk factors.

    • Sara SDx
      Sara SDx May 25, 2018 at 4:59 pm

      Yes, something can be done but you need to figure out what is going on…

      My first recommendation would be to visit a urologist who specializes in men’s reproductive health if there is one in your area. A full evaluation of low sperm count includes hormone testing and physical exam. At a minimum you should test Testosterone and FSH levels to see how they are doing.

  19. Imran Azam May 15, 2018 at 1:43 pm

    hi.. i need to know if i need medication .. please help me..below is my semen report
    semen volume 2.0 ml
    color creamy white
    viscosity thick
    total sperm count 69 million/ml
    f.farward nill
    active motile 35%
    sluggish motile 40%
    non motile 25%
    rbc,s nill
    pus cell,s 5-6 h/pf

    • Sara SDx
      Sara SDx May 22, 2018 at 1:59 pm

      You don’t need medication.

  20. Meenakshi Singh May 14, 2018 at 2:55 pm

    Volume: 4.0ml
    Viscosity: gr1
    Sperm concentration: 42million
    Viability: 70%
    Motility% :=
    Gr1 : 05
    Gr 2 : 50
    Gr 3 : 10
    Gr 4: 35
    Normal morphology : 45%
    Pus cells(per hpf) : 3-4

    This is the report of my husband.
    &
    ACC to my report:

    Amh serum : 1.06 ng/ml
    Fsh serum : 4.74 mlu/ml
    Prolactin serum:14.67ng/ml
    Tsh: 4.10 ulu/ml

    We want to have a kid .I already had 2miscarriages .plz guide accordingly.
    Waiting fr the reply soon mam..

    • Sara SDx
      Sara SDx May 22, 2018 at 1:57 pm

      These numbers look pretty good. Miscarriages are hard but they show that it it is possible to conceive. If you don’t conceive in 3 more months maybe repeat the test again to see if the numbers are the same.

  21. Yousif Hamad May 7, 2018 at 3:44 pm

    Morpholgical :::Normal:12 %,,,,head defect :70.0 %,,, mid segment / neck missing: 8.0 %,, tail defect:8.0%,,,cytopalsmic droplets :2.0%.

    semen volume 7.5 ml ,Motility ::: Grade (A) :13,, Grade (B):18 , Grade (C) 14 , Grade (D):55,,,
    semen count: 56 * 10^6/ml , survival rate 75% ,, round cell number :0.4 *10^6/ml , viscoscity <1 cm ,,,,
    lliquefaction 15 mints ,,,,spermatozoon agglutination Negative (-)

    • Yousif Hamad May 7, 2018 at 4:21 pm

      Please let me know if it’s possible to get her pregnant. Thank you.

    • Sara SDx
      Sara SDx May 15, 2018 at 10:33 pm

      It is possible to conceive but likely to take longer than usual. You may want to think about things you can do to improve your numbers even a little bit would help. You may also want to go to a urologist for a check up.

  22. yousif hamad May 7, 2018 at 1:47 am

    Morpholgical:: Normal:12 % , head defect: 70.0 %, mid segment : 8.0 %, tail defect: 8.0%
    cytopalsmic droplets: 2.0%

    semen account : 56 * 10^6/ml, semen volume 7.5 ml, Motility :Grade(a):13, Grade( b): 18, Grade (c):14, Grade (d):55,
    survival rate :75%, viscoscity: <1 cm , lliquefaction 15 mints

    Please let me know if it’s possible to get her pregnant. i will maerraige next year ..Thank you.

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

      looks pretty good. good luck man

      • yousif hamad May 16, 2018 at 1:10 am

        Thank you alot …………That is mean It is possible to conceive ????

        • Sara SDx
          Sara SDx May 16, 2018 at 4:16 am

          Yes. Somehow my last comment was in reply to someone else but it replied to you. Your numbers look great.

          • yousif hamad May 18, 2018 at 4:45 am

            Thank you so much , but you think the Morpholgical its OK ?

            many thanks Dr. Sara

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

            Yes, the morph looks pretty normal.

          • yousif hamad May 23, 2018 at 9:00 am

            Thank you so much , no need medicine?

          • Sara SDx
            Sara SDx May 25, 2018 at 5:29 pm

            I don’t think so. Just do things to be healthy – eat vegetables, get a good nights sleep, exercise 3x a week, have sex 3-4 times a week and you should be just fine.

  23. avanishkumar May 2, 2018 at 5:53 am

    hi Please let me know if below is my seimen analysis then is it ok to give birth to a baby or not. results are as below.

    Test Name Results Units Bio. Ref. Interval

    pH 7.8 7.2-7.8
    Microscopic Examination
    Total Sperm Concentration 57.00 million/mL >15
    Percentage Motility 50.00 % >40 (Grade A+B)
    Grade A (Progressive motile) 15.00 % >32 ( lower reference
    limit)
    Grade B (Non progressive motile) 35.00 %
    Grade C (Immotile) 50.00 %
    Vitality 55.00 % >58
    Agglutination Negative Negative
    Pus Cells 3-4 /hpf Nil
    Red Blood Cells nil /hpf Nil
    Epithelial Cells Nil /hpf Nil
    Morphology
    Normal Morphology 53.00 % >4
    Abnormal Morphology 47.00 %
    (a) Head Defects 20.00 %
    (b) Neck & Midpiece 17.00 %
    (c) Tail Defects 10.00 %

    • Sara SDx
      Sara SDx May 5, 2018 at 10:51 pm

      It looks ok. Are you having trouble getting pregnant?

      • Imran Azam May 21, 2018 at 6:32 am

        hi.. i need to know if i need medication .. please help me..below is my semen report
        semen volume 2.0 ml
        color creamy white
        viscosity thick
        total sperm count 69 million/ml
        f.farward nill
        active motile 35%
        sluggish motile 40%
        non motile 25%
        rbc,s nill
        pus cell,s 5-6 h/pf

        • Sara SDx
          Sara SDx May 22, 2018 at 2:40 pm

          you don’t need medication

  24. Ali Taha May 2, 2018 at 2:37 am

    semen volume 7.5 ml ………………………

    PH —7.2

    Motility : ………………
    Grade a 13
    Grade b 18
    Grade c 14
    Grade d 55

    semen desity 56 * 10^6/ml ………………………………….

    survival rate 75% ………………………………….

    round cell number 0.4 *10^6/ml ………………………………..

    viscoscity <1 cm …………………………………

    lliquefaction 15 mints ………………………………….. l

    semen color ………… Gray white

    spermatozoon agglutination Negative (-) …………………….. Negative (-)

    —————
    Morpholgical analisis of spermatzoa

    Normal…12 % ————————

    head defect ………………………….70.0 %
    mid segment / neck missing……. 8.0 %
    tail defect ……………………………..8.0%
    cytopalsmic droplets ………………2.0%

    i am sorry because i translate fro chines language , please chek it , i am warry , its normal
    please its it OK??? i am waiting to reply me Doctor

  25. Ali Taha April 30, 2018 at 5:49 am

    semen volume 7.5 ml ………………………… >2.0ml

    Motility : ………………….. a+b >50% and a>25%
    Grade a 13
    Grade b 18
    Grade c 14
    Grade d 55

    semen desity 56 * 10^6/ml …………………………………. >20*10^6 ml

    survival rate 75% …………………………………. >50%

    round cell number 0.4 *10^6/ml ……………………………….. <5*10^6/ml

    viscoscity <1 cm ………………………………… <2cm

    lliquefaction 15 mints ………………………………….. lliquefaction in 60 mintutes

    semen color ………… Gray white

    spermatozoon agglutination Negative (-) …………………….. Negative (-)

    —————
    Morpholgical analisis of spermatzoa

    Normal…12 % ————————-normal refrence volume is more than 15

    head defect ………………………….70.0 %
    mid segment / neck missing……. 8.0 %
    tail defect ……………………………..8.0%
    cytopalsmic droplets ………………2.0%

    i am sorry because i translate fro chines language , please chek it , i am warry , its normal

  26. Made April 27, 2018 at 9:25 pm

    Please help me Sara. This is my semen result. % motility 40%, progressive motile cells 30%, non progressive motile cells 10%. % Non-motile cells 60%. Total cell count 30*10 power 6 cells/ml. swollen neck 10%, curved neck 20%, normal cell 60%. Can this result pregnant a woman, What should I do? this is 3 years marriage.

    • Sara SDx
      Sara SDx May 5, 2018 at 10:21 pm

      Do you know your semen volume? If it was normal, then you should be able to become a dad. The numbers are a little lower than I like to see, so it might take a little longer than usual. But by three years, you should be able to. So I wonder if there is another problem. How often are you able to meet with your wife? Has your health gotten better or worse during your marriage? How is your wife’s cycle?

  27. Avanish April 27, 2018 at 8:38 am

    is the results are ok or need some medical cunsultation

    • Sara SDx
      Sara SDx May 5, 2018 at 8:42 pm

      They are generally ok. How long have you been trying to conceive?

  28. Avanish April 27, 2018 at 8:15 am

    Test Name Results Units Bio. Ref. Interval

    pH 7.8 7.2-7.8
    Microscopic Examination
    Total Sperm Concentration 57.00 million/mL >15
    Percentage Motility 50.00 % >40 (Grade A+B)
    Grade A (Progressive motile) 15.00 % >32 ( lower reference
    limit)
    Grade B (Non progressive motile) 35.00 %
    Grade C (Immotile) 50.00 %
    Vitality 55.00 % >58
    Agglutination Negative Negative
    Pus Cells 3-4 /hpf Nil
    Red Blood Cells nil /hpf Nil
    Epithelial Cells Nil /hpf Nil
    Morphology
    Normal Morphology 53.00 % >4
    Abnormal Morphology 47.00 %
    (a) Head Defects 20.00 %
    (b) Neck & Midpiece 17.00 %
    (c) Tail Defects 10.00 %

    • Sara SDx
      Sara SDx May 5, 2018 at 8:41 pm

      looks ok

  29. Ali Taha April 27, 2018 at 12:18 am

    semen volume 7.5 ml ………………………… >2.0ml

    Motility : ………………….. a+b >50% and a>25%
    Grade a 13
    Grade b 18
    Grade c 14
    Grade d 55

    semen desity 56 * 10^6/ml …………………………………. >20*10^6 ml

    survival rate 75% …………………………………. >50%

    round cell number 0.4 *10^6/ml ……………………………….. <5*10^6/ml

    viscoscity <1 cm ………………………………… <2cm

    lliquefaction 15 mints ………………………………….. lliquefaction in 60 mintutes

    semen color ………… Gray white

    spermatozoon agglutination Negative (-) …………………….. Negative (-)

    this is my all result, i am sorry i translate it from Chinese language to English , i hope you understand it

    • Ali Taha April 27, 2018 at 12:49 am

      Morpholgical analisis of spermatzoa

      Normal…12 % ————————-normal refrence volume is more than 15

      head defect ………………………….70.0 %
      mid segment / neck missing……. 8.0 %
      tail defect ……………………………..8.0%
      cytopalsmic droplets ………………2.0%

      i am sorry because i translate fro chines language , please chek it , i am warry , its normal

      • Sara SDx
        Sara SDx May 5, 2018 at 8:36 pm

        This is ok too

        • ali tah May 6, 2018 at 5:31 pm

          no need medicin?

          • Sara SDx
            Sara SDx May 15, 2018 at 10:08 pm

            No, but you can download this app if you want to improve your health and your sperm.

  30. Khalil April 26, 2018 at 11:52 pm

    Dear dr

    Please check my semen test And reply me.. ..
    Sperm count 225000000

    Concentration 65000000

    Sperms motility after 1/2hours

    35 %none 10%poor moderate20% good 20% excellent 15%

    Abnormal forms 25%

    • Sara SDx
      Sara SDx May 5, 2018 at 8:35 pm

      looks ok

      • Khalil May 6, 2018 at 7:53 am

        Thanks

  31. Ali Taha April 26, 2018 at 10:06 am

    my nam is Ali Taha

    PH 7.2
    volume 7.5 ml

    Motility : Grade a 13
    Grade b 18
    Grade c 14
    Grade d 18

    please its normal or what i do ? i am not marraige .i will marraige next year

    • Ali Taha April 26, 2018 at 11:44 pm

      hello Sara , i am waiting

    • Sara SDx
      Sara SDx May 22, 2018 at 2:51 pm

      These numbers look healthy. I don’t see the sperm count —

  32. Mayur Manohar Mhamunkar April 26, 2018 at 3:27 am

    Appearance : Milky white
    Transparency : Translucent
    Self Liquification : Occured in 20 minutes Viscosity : Normal
    Volume : 0.6 ml.

    CHEMICAL EXAMINATION
    Fructose : positive PH : 7.5

    MICROSCOPIC EXAMINATION

    Sperm Count : The number of spermatozoa per ml : 58Millions.

    : Total number of sperms per ejaculate : 34.8 Millions.

    Viability : 65% spermatozoa alive at the end of : 1/2Hours.

    Motility of spermatozoa : (at 37 C)
    * Nature of Motility (W.H.O) MacLeod Grade

    A Rapid Linear Progression IV & III 20% 10%
    B Sluggish Linear Progression II 30% 25%
    A+B Total Forward Progression 50% 35%
    B Nonprogressional I 5% 3%
    B Nonmotile 0 -% -%

    Active sperms in the ejaculate (at the end of 1/2 hour) : 17.4 millions

    Total number of abnormal spermatozoa: 58 %

    • Sara SDx
      Sara SDx April 26, 2018 at 1:27 pm

      Did you have any issues collecting the sample?

      • Mayur Manohar Mhamunkar April 26, 2018 at 3:21 pm

        No.. But I did it very quickly

      • Mayur Manohar Mhamunkar April 26, 2018 at 3:30 pm

        Please reply I am worried

        • Sara SDx
          Sara SDx May 5, 2018 at 8:20 pm

          The volume is lower than it should be. How long did you abstain from ejaculation prior to the test?

          I would recommend that you visit a urologist to see what might be going on.

  33. Jayz April 23, 2018 at 11:58 am

    Hi doc
    I am facing erectile problems with my penis whenever i plan to have an intercourse with my wife my heart start beating really fast and a fear overcomes. Once i achieve an erection i start losing it i don’t know what is happening with me. I’m too depressed with this problem even i took cialis but it didn’t helo that much. Please help how to overcome the problem. I’m facing this problem from last 4-6 months and I’m married from 4 years. Please help

    • Sara SDx
      Sara SDx April 24, 2018 at 3:36 pm

      How did the problem begin? Have you visited a doctor about this problem?

      • Jayz May 12, 2018 at 9:17 pm

        Yes i visited the doctor and he said its just a psychological effect. I am really worried. Although i get my erection when I’m sleeping. But when i plan for an intercourse the fear comes into my mind and i start losing my erection.

        • Jayz May 12, 2018 at 9:20 pm

          And it begun one day all of a sudden and i don’t know it just came from nowhere. I felt emotionless and no interest in having sex.

          • Jayz May 21, 2018 at 1:56 pm

            Do please help me

  34. arslan ahmad April 20, 2018 at 1:22 pm

    my name is arslan. my results are
    total count 66 million /ml
    motile count 20 million/ml
    rapid linear 10%
    slow/non linear 70%
    non progessive 20%
    volume is 4.4 ml
    ph is 7
    astinence 3 days
    morphology
    normal forms 7 %
    tapering 7%
    pyriform 9%
    amorphous 70 %
    pin 5%
    midpiece abormalities 2%

    kindly comment about my test results.Are they ok?

    • Sara SDx
      Sara SDx April 24, 2018 at 3:00 pm

      it’s ok. I’d like to see numbers a little higher – so if there are things you want to try to boost your sperm, I think that is a good idea but you should have enough to conceive naturally.

      Are you having trouble conceiving?

  35. Mayur April 20, 2018 at 6:59 am

    Volume-2 ml
    Sperm count-96 million/ml
    Motility –
    Active progressive motilty-20 %
    Sluggish progressive motility-40%
    Immotile forms-40%
    Morphology-
    Normal Form-50%
    Abnormal Head form-20%
    Abnormal Neck form-20%
    Abnormal tail form-10%
    Is this Report normal ???
    Please give me reply…..

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

      yes. This looks normal

      • Mayur April 28, 2018 at 5:04 am

        Thanks…..

  36. Ahmed April 11, 2018 at 7:33 am

    Please help me read this report, any thing serious, or its okay

    Ultrasound Scrotum
    Clinical Details: Left Scrotal Pain

    Observation:
    Both testes showed normal size with uniform hyperechoic pattern, no focal masses,, the right testis measures 4.3 x 2.3 cm , the left testis measures 4.1 x 2.3 cm
    Minimal Scrotal fluid seen on both sides
    Dilated left pampiniform plexus of veins at 2.6 mm, on right = 2.1 mm
    A right epididymal head cyst = 6.6 mm
    Normal scrotal wall thickness
    No hernail sacs

    Conclusion:
    Mild left varicocele
    Right Epididymal cyst.

    • Sara SDx
      Sara SDx April 13, 2018 at 4:07 pm

      This isn’t serious.

      Here’s an article about varicoceles and epididymal cysts are discussed on this article about testicular pain.

  37. Ahmed April 11, 2018 at 7:13 am

    Please tell me about my report, either this report is OK for pregnancy. Please help me on this. My results are

    Viscosity : Normal
    Volume : 5.5ml
    Liquefaction : 30 min
    Reaction: Alkaline
    Colour: Whitish
    MICROSCOPIC EXAMINATION
    Sperm count : 110 million/Ml
    Actively Motile: 20%
    Sluggishly Motile: 30%
    Non-Motile: 50%
    Abnormal Forms : 45%
    Pus Cells : 1-2 /hpf
    Red Blood Cells : Absent
    Spermatogenic Cells : 4-6 /hpf
    Sperm Agglutination : Absent

    • Sara SDx
      Sara SDx April 13, 2018 at 3:56 pm

      This looks healthy. Are you having trouble getting pregnant?

  38. jack March 21, 2018 at 11:49 am

    hello, i have had recent test but lost my sheet from what i can remember the results are below

    Quantity – 2 ml
    Sperm count per ml 5.5million
    Motility Total prog – 2%
    Non progress 45%
    Morpholodgy 7%

    could there be a chance of getting my wife pregnant naturally?

    • Sara SDx
      Sara SDx March 22, 2018 at 2:11 pm

      That looks low. I would say chances of natural conception are pretty low unless you can boost numbers. I’d recommend a visit to a urologist to see if they can identify what is causing low count. I would also recommend downloading this app to see if there are any health habits you could improve or other lifestyle factors that could be causing an issue.

  39. Sameer March 20, 2018 at 1:53 pm

    Hello, Is my below report OK? Will really appreciate your reply,
    here’s my result:

    Quantity : 2 ml
    Total Count: 50 milli/cmm
    Actively Motile: 30%
    Sluggish Motile: 15%
    Non Motile: 10%
    Fructose Test: Positive

    • Sara SDx
      Sara SDx March 20, 2018 at 3:26 pm

      This looks generally ok. You might want to see if there are any things on this list that would be easy to do to improve numbers. Are you having trouble?

      • Sameer March 21, 2018 at 5:30 am

        Thanks Sara for your quick reply. Not sure if I am having trouble yet. Its just I was worried about this & did the test. Will surely look into those things you linked. One more thing, I am going through a lot of un-necessary stress & was having super stress when I gave the test. Could that affect the results?

        • Sara SDx
          Sara SDx March 22, 2018 at 1:14 pm

          Yes, it can impact results. Sperm count changes regularly. I really wouldn’t worry too much about this. If you don’t conceive in 3 months, maybe go back in for another test and see if the results are the same.

  40. Price March 16, 2018 at 8:31 pm

    Hello, I’d like your opinion please on my husband’s sperm count:
    Morphology Abnormal 97%
    Morphology Normal 3%
    Progressive Motility 8%
    Motility 18%
    Total Motile Count 24 million
    Total Sperm Count 133 million

    • Sara SDx
      Sara SDx March 20, 2018 at 2:13 pm

      This is a borderline result. You should be able to conceive with this but it might take longer than usual.
      When I see results like this, I tend to think there is something in the environment or lifestyle that is causing issues… or a varicocele.
      I would recommend that he download this app and take the assessment to see if he has any risk factors that could be harming sperm. If he doesn’t have any risk factors, it might be a good idea to go to urologist to check for varicocele.

  41. Nanda March 12, 2018 at 8:54 pm

    Thanks Sara for the response, i have went through 20items and started following the same.
    I have a question on the multi-vitamin part, you have listed all the vitamin needs while trying to find the right one
    it is very hard to find the right vitamin to continue from market because some says increase count and some says motility increase
    do you have any suggestion on how to pick one or any preference.
    I have 7yr old kid, this attempt for my second one and i won’t smoke/drink/drug but i have Epilepsy & Thyroid ( continuing medicine for years )

    Really all your post helps us to find lot of answers, appreciate your effort.

  42. Narayan March 12, 2018 at 4:04 pm

    Hi Sara is my semen analysis report ok
    Quantity – 3 ml
    Liquification time – 45 min
    Frutose – present
    Sperm concentration – 81 million
    Motility Total prog+non prog – 65%
    Progressive – 45 %
    Normal forms – 79 %
    Abnormal forms – 21 %

    • Sara SDx
      Sara SDx March 16, 2018 at 1:38 am

      Yep. Looks great

  43. sorry March 12, 2018 at 12:27 pm

    hi
    my sperm couts are 15 mill/ml
    sperm per ejucalte 60mil
    percentage motile sperm 32 %
    rapid linear progression 00 %
    slow/non lin progression 40 %
    non progresstive 60 %
    sperm morphologhy …normail form 25%

    head abnormality
    small oval 35 %
    amorphous 40%

    germ cell 02
    wbcs 03
    rbcs 00
    squamous cells 00

    is this a possitive report…….and what else i need please tell me ..

    • Sara SDx
      Sara SDx March 16, 2018 at 1:38 am

      It’s borderline. I’d like to see the numbers a little higher. You are likely to be able to conceive naturally but it may take a little longer than usual. Are you having trouble?

  44. Nick March 12, 2018 at 7:20 am

    Hi Sara
    I’m 50 yrs old and my wife is 36
    This is my semen analysis, Please let me know if my results are OK or not

    Volume 4.2
    Viscosity Good
    PH 7.2
    Total Sperm count 84 mil >40
    Abnormal Morphology 32% <40
    Fast forward motility (Class A) 10%
    Slow forward motility (Class B) 16%
    No forward progression (Class C) 12%
    No motility 62%

    • Nick March 12, 2018 at 8:04 am

      Regarding my sperm count I’m not sure its “total” sperm count or just sperm count
      Its 84 10*6/ml >40

    • Sara SDx
      Sara SDx March 16, 2018 at 1:36 am

      Looks pretty good. 84 is concentration. Total = 352 million. That’s high.
      Morphology looks great. Motility is a little on the low side but you have so many that it doesn’t matter.
      How long have you been trying? Has she been to the doctor?

  45. Nanda March 7, 2018 at 9:10 pm

    Hi Sara,
    Can you please check my sperm analysis report and let me know how i can improve

    Days of abstinence: 3 days
    Liquefaction Time: 35 minutes
    Colour: Gray-White-Opalescent
    Viscosity: SLIGHT
    pH: 7.5
    Volume: 5.8 ml
    Sperm Count: 18 million/ml
    Total Sperm Count: 104.4 million/Ejeculate
    CRYPTOZOOSPERMA : N/A
    Progressive Motility (a+b) – 30%
    Progression
    a. Rapid 10%
    b. Slow 20%
    c. Non Progressive 25%
    d. Non Motile 45%

    Non-Sperm Cells <1 Million/ml

    Morphology Normal Form: 3%
    Abnormal Head 85%
    Abnormal Mid Piece 14%
    Abnormal Tail 15%

    • Sara SDx
      Sara SDx March 8, 2018 at 2:52 pm

      It’s a borderline result. I’d like to see the numbers higher — count and motility particularly. But it’s not too bad.
      Here’s a an article with general things you can do to improve. You could also download this app which can give you a step by step way to improve.

      • Nanda March 8, 2018 at 5:34 pm

        Thanks Sara for the response, i have went through 20items and started following the same.
        I have a question on the multi-vitamin part, you have listed all the vitamin needs while trying to find the right one
        it is very hard to find the right vitamin to continue from market because some says increase count and some says motility increase
        do you have any suggestion on how to pick one or any preference.
        I have 7yr old kid, this attempt for my second one and i won’t smoke/drink/drug but i have Epilepsy & Thyroid ( continuing medicine for years )

        Really all your post helps us to find lot of answers, appreciate your effort.

        • Sara SDx
          Sara SDx March 16, 2018 at 12:49 am

          I’m planning to write a post specifically on shopping for supplements. I feel like food is a better source of nutrition, so I’ve focused more on diet. But I can let you know when I do the research on supplements. My basic advice on this matter is that the same vitamins help both count and motility. So the different labels is just a sales tool for the companies. I would just make sure that they have the nutrients that I listed in the prior article and also make sure that there isn’t too much of any of them. It can be unhealthy to get too much of certain vitamins.

  46. MH March 6, 2018 at 4:07 pm

    Hi Sara,
    Thank you for your reply. My volume is generally higher than it shows in report due to faulty collection of sample. Yes, we are having difficulty to conceive as trying for last one year and my wife has diagnosed with PCOS for which she is under medication. Doctor has prescribed medicine for me also to increase active motility. Do you think I need any such medication for motility issue? Also, how long it may take to have baby?

  47. MH March 5, 2018 at 11:54 am

    Hi Sara,
    Can you please check my latest sperm analysis report and let me know if it is okay for natural pregnancy. Also is there any parameter which should get improved?
    Days of abstinence: 3 days
    Volume: 1 ml
    Colour: Greyish White
    Viscosity: Viscous
    pH: 7.5
    Liquefaction Time: 35 minutes
    Total Sperm Count: 85 million/ml
    Pus cell: 1-2 /hpf
    Epithelial Cell: 0-1 /hpf
    RBC: 0-1 /hpf
    Morphology Normal Form: 45%
    Motility:
    Actively Motile (1st hour): 40%
    Sluggishly Motile (1st hour): 40%
    Non Motile (1st hour): 20%
    Actively Motile (2nd hour): 30%
    Sluggishly Motile (2nd hour): 40%
    Non Motile (2nd hour): 30%

    • Sara SDx
      Sara SDx March 6, 2018 at 2:48 pm

      Overall the numbers look ok. The volume is the only thing that is on the low side. Are you having trouble conceiving?

      • MH March 7, 2018 at 4:43 am

        Hi Sara,
        Thank you for your reply. My volume is generally higher than it shows in report due to faulty collection of sample. Yes, we are having difficulty to conceive as trying for last one year and my wife has diagnosed with PCOS for which she is under medication. Doctor has prescribed medicine for me also to increase active motility. Do you think I need any such medication for motility issue? Also, how long it may take to have baby?

        • Sara SDx
          Sara SDx March 8, 2018 at 2:09 pm

          What is the medication? It might be ok but I would like to know what they recommended.

          In general, if there were collection issues, the numbers may actually be better than what we saw with this test. Most sperm live in the first few drops of semen so if that came out before you were able to collect, you might have missed some. I would recommend that if you don’t conceive in 3-6 more months that you re-test just to check things.

          I used to have PCOS. PCOS can make it difficult to get pregnant. Has the medication helped her cycle?

          There are a lot of websites that provide good information about some things that people can do to improve fertility when they have PCOS — many of the recommendations that are on this site to help sperm be healthy are good recommendations to help overcome PCOS.

          Reduce carbs, avoid alcohol, makes sure to be a healthy weight, get regular exercise, lower stress, get a good night’s sleep… etc

          You both might want to review the various health habits that can improve fertiltiy and try to do them together.

  48. Abdi March 3, 2018 at 5:57 pm

    Dear Sara.

    greetings from Addis ababa.

    i need your advice, June will our marriage anniversary and not yet get a baby, for the last three and half year we have been contentiously visiting gynecologists but we gained different results. the problem is the rate of Prolactine goes up exceeds the normal. i my self went to 3 semen anylises in different times. the last one was today. here are the results

    Length of abstinence__________________3-5 days
    colour ______________________________white
    coagulation and liquification ———————–30
    PH ——————————————————-7.2
    volume _____—————————————- 1ml
    motility within 60————————————– 15
    semen count —————————————- 35million
    morphology ——————————————15

    • Sara SDx
      Sara SDx March 6, 2018 at 2:44 pm

      What did the other semen analysis results look like?

  49. Afor March 3, 2018 at 1:47 am

    Hello Sarah. Could u pls advise me on this result.

    Time produced: 9:57am
    Time examined: 10:55am
    Volume: 4mls
    Colour: grayish white
    Viscosity: Low
    Motility: 1% active
    99% dead (scanty cells seen)
    Morphology: Big head, Detached tails
    Microscopy PUS cell: nil
    Epith Cell: 5-10/hpf
    RBC: nil
    Sperm count:1.7*10^6cell/ml. (1.7 multiplied by 10 raised to the power of 6)

    • Sara SDx
      Sara SDx March 6, 2018 at 1:51 pm

      I would recommend going to a urologist about this. This looks like there is something going on that a doctor should investigate. Here’s an article detailing what a full evaluation should include. Here’s a link to find a doctor if you do not know of one near you

  50. I U Rehman March 2, 2018 at 1:05 pm

    Hi Sara
    Can you please advice me about my today test result
    Physical examination
    Volume 4.o/ml
    Colour Buff
    Appearance Thick
    Ph 8.0
    Viscosity Viscous
    Liquefaction time 30 minutes
    Microscopy examination
    Total Sperm count 85 million/ml
    Motility
    Active 60%
    Sluggish 10%
    Dead 30%
    Morphology
    Normal spermatozoa 60%
    Abnormal spermatozoa 40%
    Pus cell 02-04 hpf
    Red Cell 00-01 hpf
    I am newly marriage having 32 years old male
    Can please advice me about the results whether that it is ok & healthy & need treatment

    • Sara SDx
      Sara SDx March 2, 2018 at 5:21 pm

      This looks pretty good. Do what you can to stay healthy and you should be ok.

  51. Pardeep March 1, 2018 at 12:19 pm

    Retest again today ….there are 70 percent active sperm…last test was lab error…thanx sara for this thead…best of luck to all

    • Sara SDx
      Sara SDx March 1, 2018 at 2:36 pm

      It happens. Glad to hear the good news

  52. Pardeep March 1, 2018 at 12:44 am

    Last sperm count was 83…now is 70…no fever…abstaining tym was 3 days

  53. AAM February 28, 2018 at 7:44 pm

    My sperm analysis.
    Any chance you could peek at this?
    I need to know is everything’s good. Thanks
    Liquifaction Time 25 Minutes
    Difficulties in Liquifaction None
    Color Pale Yellow
    Viscosity Normal
    Volume 2.7 mL
    Concentration (1) 18 Million/mL
    Concentration (2) 25 Million/mL
    Concentration (Avg) 21.5 Million/mL
    Motility (1) 61 % Progressive
    Motility (2) 64 % Progressive
    Motility (Avg) 62.5 % Progressive
    Agglutination None
    Round Cells 0 Million/ml
    Progression 2
    pH 8.6
    Normal Morph 6 %
    Tapering Heads 0 %
    Amorphous Head 93 %
    Midpiece Defect 1 %
    Macrohead 0 %
    Tail Defect 0 %
    Microhead 0 %
    Immature 0 %
    Semen Acknowledgement Form Done

    • Sara SDx
      Sara SDx March 1, 2018 at 7:43 pm

      It’s borderline. Lower than I like to see and may take longer than usual to conceive but eventually it should be possible. Any steps you can take to improve numbers may help you get pregnant faster. Here’s an app that has a lot of great recommendations and here’s an article with some simple things that you could start with.

  54. Pardeep February 25, 2018 at 3:49 pm

    Hi sara…before 3 months my motility was 40 percent bt in my yesterday test it show 100% dead sperm….plz help..how can it possible..

    • Sara SDx
      Sara SDx February 28, 2018 at 7:44 pm

      Were you exposed to heat since the last test? Did you have a fever? How long did you abstain before this test? What happened to sperm count – did it go up, down or stay the same?

  55. Emily H February 21, 2018 at 10:11 pm

    2nd sperm analysis.
    Any chance you could peek at this?
    Volume (ml) 5.5
    Viscosity moderate
    Agglutination none
    Concentration (mil/mil) 118.50
    Total count (millions) 651.75
    Motility % 24
    Grade of motility/prog 2
    Viability (eosin dye exclusion) 42
    Kruger strict morphology
    Normal 5%
    Amorphus head 60%
    Mid piece defects 14%
    Tail defect 21%
    Thanks for your time

    • Sara SDx
      Sara SDx February 22, 2018 at 6:29 pm

      The morphology and motility are borderline but the sperm count is really high (generally enough to compensate for lower values elsewhere)

      Results like this generally indicate to me that the guy is relatively healthy but either has a varicocele or has some bad habit like regular drinking or smoking or poor diet. Something along those lines.

      I would definitely recommend looking into any lifestyle changes that might improve sperm health if there is anything obvious.

      If not, I might not be overly concerned unless you’ve been trying for a really long time. How long have you been at it? Also, what did the first results look like and how long ago was it?

  56. Amit February 19, 2018 at 8:43 am

    Hi Sara

    Plz help me if my semen count is good or not

    I am 35 yrs old
    Volume is 1
    Total sperm count is 130 million / ml
    Excellent forward progressive – 18%
    Good forward progressive- 35%
    Sluggish forward progressive-25%
    Dead-22%
    Red blood cells -Absent
    Epithelial cells-absent
    Pus cells- 6-8/h.p.f

    • Sara SDx
      Sara SDx February 19, 2018 at 7:04 pm

      Looks ok. Are you having trouble getting pregnant?

  57. Rahil February 19, 2018 at 6:02 am

    Hello Sara How are you doing?
    I am going to marry in April and my age is 27 so thought to have a semen analysis before it, Following are the results of the test.
    Volume – 4.0ML
    Colour – Whitish
    pH – 8.0
    Liquifaction – 30 minutes
    Sperm Count – 70 Millions/ml
    Sperm count per ejaculate – 280 Millions/ejaculate
    Pus Cells – 3-4/hpf
    Epithelial cells – 0-1/hpf
    Rapid Linear progression motility – 30%
    Slow non linear progression motility – 10%
    Non-Progressive motility – 10%
    Non Motile – 50%
    Morphology Normal forms – 52%
    Abnormal Forms – 48%
    Abnormal Head – 28%
    Abnormal mid piece – 10%
    Abnormal tail – 10%
    Sara are these tests enough to concieve??

    • Sara SDx
      Sara SDx February 19, 2018 at 7:03 pm

      Yes. Good luck in your marriage.

      Remember, sperm count can change over time. So it is important to stay healthy to keep your sperm healthy.

  58. Siru February 13, 2018 at 2:29 am

    Iam test semen volume 2.0ml. Colour opeque grey. Reaction alkaline. Liquefaction 30 mts. Total sperm count. 48.0 million/ml. Active motility 45%. Sluggish motile 25%. Non mottle 30%. Pus cells 5-7 /hpf. Normal60% ab 40%

    • Sara SDx
      Sara SDx February 13, 2018 at 4:04 pm

      It looks ok. Are you worried?

  59. Hamza February 6, 2018 at 4:50 pm

    Hi Sara, here is my semen analysis report.
    Volume : 5ml
    Liquification time: 35 mins
    Sperm count: 61 millions /ml
    Sperm Motility:
    After half hour: 30% fully active
    15% slightly active
    55% dead
    After 1 hour: 25% fully active
    10% slightly active
    65% dead
    After 2 hours : 20% fully active
    5% slightly active
    75% dead
    Morphology : 12-13 % abnormal head/tails
    11-12% immature
    Can you please help me with explaining how good or bad these results are. Plus my wife conceived 5 months ago and she had a miscarriage of 14 weeks baby. Can she conceive again with that much of my semen results?

    • Sara SDx
      Sara SDx February 9, 2018 at 4:00 pm

      I’m sorry to hear about the miscarriage. Those are hard.
      Yes. It looks like she should be fine to conceive again.

      • Hamza February 11, 2018 at 8:20 am

        Hard like really hard? Can you please tell me how to increase the chances of getting her pragnant. We really need it badly. Its been 4 years and we haven’t had any baby until yet she had two miscarriages. Please help

        • Hamza February 11, 2018 at 8:22 am

          Plus this time when she had a miscarriage she had a low lying placenta? Is it because of my report or what?

  60. Tariq February 2, 2018 at 6:43 am

    Hi Sara,

    I got my Semen analysis results yesterday and wanted to check if these numbers specially motility are enough for conceiving?

    Semen volume is 4ml
    Sperm count is 32million/ml
    Total sperm count is 128 million

    Progressive motility: 25%
    Non progressive motility 34%
    Non motile is 41%

    Ph is 9.0
    Morphology normal forms is 20
    Pus cells 10-15 (I was feeling feverish since a day before the test)
    Liquefaction time is 30 minutes.

    Thank you!

    • Sara SDx
      Sara SDx February 2, 2018 at 5:57 pm

      Overall, yes. This looks completely in the range for conceiving. Total Progressive Motile Sperm Count should be able 20 million and yours is around 32 million…
      However, higher numbers often correlate to faster conception time. How long have you been trying? How is your overall health?

      • Tariq February 2, 2018 at 9:39 pm

        We both are 30 year olds and we have been trying for about 5 months. Overall there are no known problems with my health.

        My wife was diagnosed with PCOD 5-6 years back and for the last 2 cycles she’s on clomid to help ovulation but hasn’t conceived yet. This is her third cycle on clomid and our doctor has suggested at this stage we do the Semen analysis. We would be glad to receive any advice from you.

        Thanks!

        • Sara SDx
          Sara SDx February 6, 2018 at 12:30 am

          My recommendation might be to talk to doctor about medicated IUI cycle. In that case, they can monitor her ovulation and make sure that it happens for sure.

          I would also recommend that you take as many steps as you can to be healthy to help improve chances. Your numbers look ok, but the better your health, the healthier your sperm.
          You can download this app.

          Let me know if that helps…

          Also, I am in the process of setting up a community forum, would you mind if I move this conversation there?

          • T February 21, 2018 at 8:57 pm

            Hello Sara,

            Sorry I just saw your message. Feel free to move the conversation to the other forum.

            As I was feeling feverish during the first test and the white blood cells in my semenanalysis were high, the doctor asked me to get tested again in about 3 weeks.

            As per my new results from today, the sperm count is 66million/ml with total count 231 million, progressive motility60%, Non progressive 10%
            And non motile 30%.
            Normal forms is 60% and vitality 75%. White blood cells are normal now.

            Meanwhile we have also started ovulation study for my wife.

          • Sara SDx
            Sara SDx February 22, 2018 at 6:23 pm

            Those numbers look a lot better. Little things like a fever really can impact semen analysis results.

            Keep me posted on ovulation study, I’ll keep my fingers crossed that it gives you some good next steps.

            Also, I’ve moved this to the forum. You can keep conversation going here: https://www.dontcookyourballs.com/forums/topic/semen-analysis-review-can-we-conceive-with-low-motility/#post-21541

            Can you let me know if you got any emails about the forum topic? I’d love to know if it is sending messages to people when there are new replies to their topics.

  61. Jay January 30, 2018 at 8:16 pm

    Hi my sperm count is 120 millions but only 15 % are motile l. 75 % are non motile. Is it normal.¿ My wife conceived last year but she had a miscarriage after 4 months. Can she conceive again with that much quality?

    • Sara SDx
      Sara SDx February 1, 2018 at 2:15 pm

      Yes. She should be able to. Any improvements to that number could help it happen faster. How long ago was your last test?

      • Jay February 6, 2018 at 9:33 am

        My last test was 4 months ago and she also conceived after that. And we haven’t had intercourse from that time as she was pragnant and we avoided. Now that she had a miscarriage and again i went for the test and the results were above i mentioned.

        • Sara SDx
          Sara SDx February 9, 2018 at 3:43 pm

          I think you should be ok to conceive again.

          Also, it is ok to have sex when pregnant if you both want to. It won’t cause harm to the baby.

      • Kami May 20, 2018 at 4:58 am

        HY DOCTOR.. MY SPERM COUNT IS 90 MILLION PER ML… COLOR GRAY WHITE… VOLUME IS 3.5… LIQUEFACTION TIME 30 MINUTES… ABSTINENCE TIME 6 TO 7 DAYS… MOTILITY 15%… PROGRESSIVE MOTILITY IS 10%.. IMMOTILITY IS 75%… PUS CELLS 3-4…

        • Sara SDx
          Sara SDx May 22, 2018 at 2:37 pm

          looks healthy.

  62. Saravanan January 30, 2018 at 11:23 am

    Hi Sara,

    We got married before one year and trying to get pregnant but she is not pregnant yet.My Semen Analysis test was taken last year and result was as below. Please check and let me know whether it is normal or low.
    Micro Exam:
    Volume – 1.5ml
    Reaction – Alkaline

    Macro Exam:
    Active Sperm – 35%
    Sluggish Sperm – 25%
    Dead Sperm – 40%
    Sperm Count – 50million/m

    Thanks in advance

    • Saravanan January 30, 2018 at 11:36 am

      My age is 29 and my wife age is 25

    • Sara SDx
      Sara SDx January 30, 2018 at 2:28 pm

      These numbers look healthy. How often are you intimate with her? How often does she get a period?

  63. Shahid January 26, 2018 at 9:18 am

    Hi Sara!
    I am Shahid…
    My recent seman report (7 days ago) is…

    Volume 1.8ml
    Time 30 Minute
    Consistency Viscous

    Total Sperm count 62ml

    Motility…
    Rapid Motile 10%
    Active Motile 10%
    Sluggish Motile 20%
    Immotile 60%

    Morphology
    Normal 60%
    Abnormal 40%

    WBC/Puss 7-8 HPF
    RBC Nill

    I got married 3 years ago still have no child, my wife reports are ok, my two previous report were very weak, 20 to 25ml sperm count and 20 to 30% Motility with 11-12 and 12-13 puss cells…

    I started taking herbal machine approximately three months ago for enhancing count along with CoQ10, L-Carnitine, L-Arginine, Omega 3, Ginsing, Maca, Men Multivitamin, Zinc, Glutathione, LAC etc

    Now in recent report my sperm count is 62ml and motility 20% and 20% sluggish with 1.8ml volume…

    I have no apperent symptoms for UTI or STDs but doctor told my that I have infection in my seman and gave me Levoflaxacin antibiotics along with Vitamin b12 and b9 for then days….

    Can I become a father plz suggest me something.
    I do not drink do not smoke and I have cut any processed foods…

    Plz suggest me.

    • Sara SDx
      Sara SDx January 29, 2018 at 10:30 pm

      It looks like the supplements have been helpful. I would keep it up. Your numbers are going in the right direction.

      You are doing a fantastic job with your health. Here’s an app that might be able to recommend other changes that you can make.

      You should plan to re-check your semen again after a month or so to see that the infection is cleared.

      Your currently levels look healthy. After the infection is cleared I would give yourself maybe 3-4 months of trying. If you still have trouble I would recommend going back to the doctors and talk about options.

  64. Gloria January 19, 2018 at 6:37 pm

    Hi
    Appearance
    Volume 3.5
    Motility; only 5% have rapid and progressive motility with majority immotile
    Count 1.7×10^6/ml
    Morphology 80% appears abnormal
    With tapered and destroyed heads, tiny and coiled necks

    • Sara SDx
      Sara SDx January 30, 2018 at 2:23 pm

      I would highly recommend visiting a urologist for a full evaluation. If you’d like to be well prepared for the visit, you can download this app and fill out the health questionnaire to identify potential risk factors to discuss with your doctor.

      I hope this helps. I’m happy discuss more if you have questions.

  65. Saqib January 16, 2018 at 10:31 am

    Hi. please help me in the test results. We are trying for baby.
    Age: 31 Years
    Duration of absenteeism: 4 days
    Liquification time: 30 Minutes
    Appearance: Creamy White
    Consistency: Thin
    Volume: 5 ml
    Fructose Present
    PH: 8

    SPERM MOTILITY (%) (100 Spermatozoa)
    a) Rapid Progression: 20%
    b) Slow Progression: 20%
    c) Non-Progressive Motility: 15%
    d) Immotile: 45%

    Agglutination: –
    Vitality: –
    Count / ml: 65 Million

    Normal: 30%
    Abnormal: 70%

    Head Defects: 25%
    Tail Defects: 25%
    Neck & Mid Piece Defects: 10%
    Cytoplasmic Droplets: 05%
    Headless ‘Pinhead’: 05%
    Pus Cells: 4-6
    Red Blood Cells: 1-2
    Epithelial Cells: Nil

  66. Saqib January 16, 2018 at 10:31 am

    Hi. please help me in the test results. We are trying for baby.
    Age: 31 Years
    Duration of absenteeism: 4 days
    Liquification time: 30 Minutes
    Appearance: Creamy White
    Consistency: Thin
    Volume: 5 ml
    Fructose Present
    PH: 8

    SPERM MOTILITY (%) (100 Spermatozoa)
    a) Rapid Progression: 20%
    b) Slow Progression: 20%
    c) Non-Progressive Motility: 15%
    d) Immotile: 45%

    Agglutination: –
    Vitality: –
    Count / ml: 65 Million

    Normal: 30%
    Abnormal: 70%

    Head Defects: 25%
    Tail Defects: 25%
    Neck & Mid Piece Defects: 10%
    Cytoplasmic Droplets: 05%
    Headless ‘Pinhead’: 05%
    Pus Cells: 4-6
    Red Blood Cells: 1-2
    Epithelial Cells: Nil

  67. Audery Stone January 10, 2018 at 12:07 pm

    Hi Sara
    appearance – Greyish White
    Viscosity – Normal
    total volume – 1.5 ml
    WBC- 0-2
    RBC – Nill
    Epithelia Cells 1-3
    total count – 55 million
    PH – Alkaline
    Active- 5 %
    sluggish -38 %
    non motile -57 %
    morphology normal
    Bacteria – not seen

  68. elamparithi January 9, 2018 at 9:40 am

    Hi please advise

    Color – Grey white
    Volume -3.6ml
    PH -7.6
    Viscosity – Normal
    Liquefaction – 30mts

    MOTILITY – 10%

    Grade A (Progressive motility) – 20 %
    Grade B (Non-Linear Motility) – 15 %
    Grade C (Non-Progressive) – 55%
    Sperm Count – 76million/mi
    Total Sperm Count – 273.6million/ejacu

    MORPHOLOGY

    Normal 40%
    Abnormal -60%
    Pus Cells – 15-20
    RBCs – 6-8
    Epithelial Cells – 1-2
    Spermatogonic Cells – 03%

  69. Bahadur Bohara January 8, 2018 at 12:41 pm

    My report is
    physical examination:
    Volume:: 2.5 ml
    Colour:white
    Viscosity: 1:00HRS
    Chemical examination
    pH: alkaline
    Microscopic examination
    Active sperm: 79%
    Sluggish sperm: 2%
    Immobile sperm:19%
    Total sperm count: 112

  70. hinu January 7, 2018 at 8:03 am

    Hi, I’m 29 and just had an analysis – please could you let me know if the results are ok?

    PHYSICAL CHARACTERISTICS

    liquefaction Time 30 minutes
    Volume 2.5 ml
    Viscosity Normal
    Reaction Alkaline
    pH 8.0

    MICROSCOPIC EXAMINATION

    Total Sperm Count 60 millions / ml

    MOTILITY GRADING

    Active Motile 20 %
    Sluggish Motile 30 %
    Non Motile 50 %
    Pus cells 4-6 / hpf

    Normal forms 96 %
    Abnormal 04 %

    Thank you.

  71. Sperm count and Intrauterine Insemination (IUI) | Fertility Treatments January 6, 2018 at 12:25 am

    […] Concentration (M/mL) X Sperm Motility (%) X Semen Volume (mL) = Total Motile Sperm Count […]

  72. mano January 5, 2018 at 4:49 pm

    Hi
    Quantity-1.5 ml
    viscosity-normal
    reaction-alkaline nature
    color- opaque
    liquefaction- 50 mts
    actively motile – 05%
    sluggish – 15%
    non motile – 80%
    sperm count- 24.6 million

  73. ankit December 31, 2017 at 11:28 am

    My semen analysis, Alkaline, liquification – 30 minutes
    volume – 2.5 ml
    sperm count – 75 millions/ml
    motile – 50%
    sluggish – 10%
    non motile – 40%
    morphology normal – 80%
    abnormal – 20%

    Please advise, if it is ok

  74. Elamparithi December 31, 2017 at 6:33 am

    Hi please find below my Seman Analysis Test result…Please advise whether can I get baby or not..

    Color – Grey white
    Volume -3.6ml
    PH -7.6
    Viscosity – Normal
    Liquefaction – 30mts

    MOTILITY – 10%

    Grade A (Progressive motility) – 20 %
    Grade B (Non-Linear Motility) – 15 %
    Grade C (Non-Progressive) – 55%
    Sperm Count – 76million/mi
    Total Sperm Count – 273.6million/ejacu

    MORPHOLOGY

    Normal 40%
    Abnormal -60%
    Pus Cells – 15-20
    RBCs – 6-8
    Epithelial Cells – 1-2
    Spermatogonic Cells – 03%

  75. Mark December 24, 2017 at 10:39 am

    Hi could you tell me your thought please on this sample.

    Volume: 5.4 ml
    Sperm per ml: 27million
    Progressively motile: 32%
    Total motile: 40%
    Morphology 1%

    Thank you

  76. arb198965 December 24, 2017 at 6:09 am

    Please someone guide me. Can I conceive with the result below..
    Volume: 3 ml
    Color: Creamy White
    Reaction: alkaline
    Total sperm count: 6.5million / ml
    Viability
    immediately after liquefation 30%
    after one hour 20%
    Motility
    Normal motility after liquefaction 05%
    normal forward progressive pattern 05%
    moderate forward progressive pattern 05%
    sluggish stressed activity 20%
    Non motile sperm 70%
    Abnormal forms: 40%
    Pus cells 8-10l
    RBCs 2-3
    spermatogenic cells 3-5

    please sara reply me

  77. idy December 20, 2017 at 1:09 am

    Active=Nil
    Slow=15%
    Non-progressive=05%
    Non-motile =80%

    Culture: Yielded moderate growth of staphylococcus aureus after 24 hours of incubation at 37oC

    Advice please. Thanks

  78. Kamal khan December 17, 2017 at 3:43 am

    Hi Dr sara
    I want to know.that my semen test is ok
    Sperm count 135 million
    Motility 40%
    Non motile 40%
    Sluggish 20%

  79. Md December 7, 2017 at 9:55 pm

    Hi Sara
    Following are my test results. Can u pls let me know how they look like

    Abstinence – 3 days
    Color – straw
    Quantity – 3 ml
    Sperm Count – 40 millions per ml
    Liquification time – 30 mins
    Viscosity – viscous
    pH – Alkaline
    MOTILITY AT 1 HOUR
    Rapid progressive motility – 30%
    Slow progressive motility – 50%
    Non motile – 20%
    MORPHOLOGY
    Pus cells 1-2/HPF
    Epithelial cells – Nil
    RBC – Nil

  80. Ramesh Guru December 6, 2017 at 4:45 pm

    Dear Dr. I have pasted below my sperm results for your suggestion. Can you please let me know if we need to take any additonal care to become parents?

    Physical Properties:
    Abstinence: 4 (2-5 days)
    Collection: Mastru (at Lab)
    Volume: 3 ml
    pH: 8
    Color: Grey Opalescent
    Odor: Normal
    Viscosity: Moderate
    Liquefaction time: 30
    Liquefaction state: Complete

    Test result:
    Concentration: 57.17
    Total sperm count: 171.51
    Progressive motility: 30.48
    Totale motility: 64.99
    Morphology index: 90.91

    We have been trying to conceive for past 2 years (from marriage) and have been taking medicines prescribed by almost 4 Gynogologist. In these 2 Gyno.. doctors were seen my sperm report and said all were normal and other 2 Gyno.. doctors refered that PRM (30.48) seems to be a slight problem as it doesn’t had the enough strength to swim. Can you please let us know whether this would be a problem for non-pregnant. Moreover, now a Gynoglogist has suggested us to go for IUI. Can you please suggest whether it is necessary? My age is – 32 and my spouse is – 29. Please guide us.

  81. chris November 30, 2017 at 2:34 pm

    Recently i did my sperm count and this was the result can you please explain is it normal or what PH-7.7,spermcount -66million/ml, total sperm count-211.2million/ejacu. Motility Grade A-15%,B-20%,c-10% and D-55% is this normal as we are trying for child

    • Sara SDx
      Sara SDx January 25, 2018 at 7:47 pm

      This looks pretty healthy. Have you been trying for a while?

  82. Jawaid November 28, 2017 at 7:23 am

    Total Sperm Count- 55 million/ml, Total motile- 25%, Actively motile- 15%, Sluggishly motile- 10% & Non motile- 75%
    Is it Normal or no

    • Sara SDx
      Sara SDx January 25, 2018 at 7:40 pm

      normal. Are you trying for a baby now? If so, how long?

  83. Divine November 28, 2017 at 5:24 am

    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?

  84. Vinaya November 24, 2017 at 11:12 am

    Please suggest if my semen analysis report is normal to concieve. Me and my wife are trying to concieve since 4 months but unable to concieve. Resutls as follows :
    Volume : 3.0 ml
    Color : Greyish white
    Liquification : 60 mins
    PH : Alkaline

    Total sperm count : 70 milion/ml

    active motile : 10%
    Sluggish motile : 25%
    Immotile : 65%

    Pus cells : 5–7 /HPF

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

      This looks healthy. Does your wife have a regular cycle?

  85. arjun November 22, 2017 at 5:12 pm

    was my semen analysis OK or should i consult a doctor

    Abstinance : 3 Days
    Liquifaction : 30 mins
    Quantity : 1.0 C.C .
    Colour : Pearl White
    Viscosity : Viscous
    Odour : Seminal
    Reaction : Alkaline
    Total Sperm Count : 22 million/ml 20 -250 million/ml
    MOTILITY
    Active Motile : 30 %
    Sluggish Motile : 40 %
    Non Motile : 30 %
    MORPHOLOGY :
    Normal Forms : 40 %
    Abnormal Forms : 60 %
    Pus cells : 03 – 04/hpf
    Epithelial cells : Occasional

    • Sara SDx
      Sara SDx January 30, 2018 at 2:19 pm

      Somehow I missed seeing this comment. This is a little on the low side. Are you trying to conceive?

  86. Ana's November 22, 2017 at 3:22 pm

    35 million of sperm count
    30% mortality
    20% sluggish
    50% dead cells

    Is it possible to get a girl conceive

  87. ST November 22, 2017 at 1:59 pm

    Hi, I’m 31 and just had an analysis – please could you let me know if the results are ok? I’m worried about the morphology score. Many thanks.

    Volume – 3 ml
    pH – 7.9

    Sperm concentration – 122million/ml
    Total sperm – 366million

    Progressive motility – 64%
    Non progressive – 8%
    Immobile – 28%

    Morphology: normal sperm (strict criteria) – 4%
    Morphology: head defect – 86%

    • Sara SDx
      Sara SDx January 29, 2018 at 6:42 pm

      Morphology is a little low but I wouldn’t be too worried. Are you trying for a baby?

      Poor morphology often is due to heat or toxin exposure or a lack of good vitamins in your diet. You might want to download this app to see if there are things that you can do to improve your sperm health.

  88. ahmed57 November 18, 2017 at 9:24 am

    hi my test is please tell me it is fine or not? and what how defect piece?
    physical exam
    color pale
    volume 2.0
    reaction alkaline
    Microscopic exam
    total sperm 117million/ml
    pus cells 0-1
    immotile 0-1
    Motility
    active 55%
    sluggish 15%
    immotile 30%
    Morphology
    Normal 70%
    Abnormal 30%
    Abnormality
    Head picec defect 25%
    mid piece defect 03%
    Tail piece 02%

    • Sara SDx
      Sara SDx November 21, 2017 at 3:06 pm

      This looks great.
      Some sperm can have small defects. That is completely normal. Yours look pretty healthy.

      • ahmed57 November 27, 2017 at 11:25 am

        have miscarriage problem it happened 2 time. is it due to sperm defects?

  89. Abhir November 13, 2017 at 8:16 am

    Hi. I would like to know if my semen analysis report is normal

    SPERM MORPHOLOGY EXAMINATION.

    (a) NORMAL SPERM : 36 %
    (b) TOTAL ABNORMALITIES : 62 %
    (c) IMMATURE SPERM : 02 %
    l HEAD ABNORMALITIES : 25 %
    Micro cephalic head : 02 %
    Macro cephalic head : 04 %
    Pyriform head : 09 %
    Tapering head : 07 %
    Acutely tapering head : 00 %
    Double head : 00 %
    Triangular head : 02 %
    Round head : 01 %
    l MID PIECE ABNORMALITIES : 19 %
    Thin midpiece : 05 %
    Thick midpiece : 07 %
    Kinked midpiece : 00 %
    Bent midpiece : 01 %
    Stumped midpiece : 06 %
    No midpiece and tail : 00 %
    l CYTOPLASMIC DROPLET : 10 %
    l TAIL ABNORMALITIES : 08 %
    Double tail : 04 %
    Coiled tail : 00 %
    Bent tail : 00 %
    Short tail : 04 %
    Dag tail : 00 %

    • Sara SDx
      Sara SDx November 21, 2017 at 3:35 pm

      This is very detailed. I don’t see the sperm count or motility. But the morphology looks pretty good.

  90. Wael November 11, 2017 at 10:52 am

    Hello,
    My sperms analysis as following:

    Valume: 3 ml
    ph : 8
    Liquefaction: 30 min
    sperm count / ml: 21,750,000
    total sperm count: 65,250,000
    motility: 50%
    progressive (PR): 28%
    Non Progressive (NP): 22%
    Immotile : 50%
    Leucocytes: 227,000 /ml
    RBCs: 0-2 H.P.F
    supermatogenic cells: 0-2 H.P.F
    Agglutination : Absent

    Morphology:
    Normal forms: 21%
    Abnormal heads: 39%
    Abnormal Midpieces: 19%
    Abnormal Princeples pieces: 20%
    Excess risidual cytoplasm : 1%

    I appreciate your help to read this report

    • Sara SDx
      Sara SDx November 21, 2017 at 2:46 pm

      Overall, this looks ok. Are you trying to conceive? If so, how long have you been trying.
      Taking steps to improve your health can also improve your sperm health. It wouldn’t hurt for you to see if there are any easy things you can do that would help your sperm.
      Here’s an app that can help you figure out how healthy your lifestyle is and if there are small changes that could help improve your results.

  91. James November 10, 2017 at 10:30 am

    pH 8.0
    WBC/100 Spermatozoa = 39 M Lab Print Name: SPERM TC = SPERM TOTAL COUNT

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

      Not sure what you are trying to ask here…

  92. Sandeep November 9, 2017 at 10:17 am

    Hi, I am 27 years, following is my semen analysis. I would like to know if my report result is normal. Please help me

    Volume: 1.5ml
    Color: Grayish White
    Viscosity: Normal
    Liquefaction time: 30mins

    Reaction/pH: Alkaline
    Fructose (Qualitative): Present

    Sperm Concentration : 30
    Total Sperm count: 45
    Agglutination: Absent

    Progressive Motility: 30%
    Non-progressive Motility: 10%
    Non motile: 60%

    Normal forms: 80%
    abnormal forms: 20%

    Pus Cells: null: Nil
    Epithelial Cells: 1-2 / HPF
    Spermatogenic Cells: 1-2 / HPF
    RBC: Nil
    Impression: NORMOZOOSPERMIA

    • Sara SDx
      Sara SDx November 21, 2017 at 2:27 pm

      It is on the low end of normal. Are you currently trying to conceive?

  93. srinath November 8, 2017 at 9:52 am

    volume:1ml sperm concentration 30 total sperm count 30 viscousity normal progressive motility 10% non progressive motility 20% immotile 70% normal forms 80% abnormal forms 20%

    • Sara SDx
      Sara SDx November 21, 2017 at 2:26 pm

      Overall, this looks like the low end of normal. I would want to see improvement on these numbers if possible.
      You can download this app to learn what you can do to improve.
      If you have any specific questions I’m happy to answer them.

  94. Ashir November 7, 2017 at 6:49 am

    Hi

    My semen result as follow.
    Appearance : Creamy white
    Consistency : Thin
    Volume : 2.0 ml
    ph : 8.0
    Fructose : Persent
    Rapi progressive : 10 %
    slow 35%
    non progressive : 15%
    count/ml : 50 million
    morphology
    Normal : 30%
    ab normal : 70 %
    head def : 50%
    tail def :03%
    neck & mid Def : 05%
    cytoplasmic droplets : 02%
    pinhead : 10 %
    pus cell 4-6
    tell me about this report .
    Thnkx

    • Sara SDx
      Sara SDx November 7, 2017 at 5:54 pm

      Overall you should be able to conceive but it might take a little longer than usual.

      The progressive motility is on the low side. If the sperm count was a little higher, this wouldn’t be too big of a deal. Taking steps to get healthier could increase your count or your motility and would probably increase your chances. If you want some suggestions for what you can do to improve your sperm health you might want to check out this app.

  95. Bunny November 6, 2017 at 11:07 am

    Please, I would like to know if my semen analysis result is normal.

    Physical Examination
    Time of Specimen 12.00 AM/PM
    Time of Examination 1.00 AM/PM
    Duration of Abstinence 3 days 2 – 7
    Liquefaction at 37° C 60.00 minutes 30 – 60
    Volume 2.00 mL >1.5
    Appearance Viscid opaque
    Colour Whitish
    Viscosity Slight
    pH 7.5 7.2 – 7.8
    Microscopic Examination
    Total Sperm Concentration 32.00 million/mL >15
    Percentage Motility 30.00 % >40 (Grade A+B)
    Grade A (Progressive motile) 15.00 % >32 ( lower reference
    limit)
    Grade B (Non progressive motile) 15.00 %
    Grade C (Immotile) 70.00 %
    Agglutination Negative Negative
    Pus Cells 1-2 /hpf Nil
    Red Blood Cells Nil /hpf Nil
    Epithelial Cells Nil /hpf Nil
    Morphology
    Normal Morphology 66.00 % >4
    Abnormal Morphology 34.00 %
    (a) Head Defects 16.00 %
    (b) Neck & Midpiece 12.00 %
    (c) Tail Defects 6.00 %
    Chemical Examination
    Semen Fructose Qualitative Positive Positive

  96. Sarfaraz hussain November 3, 2017 at 6:01 pm

    Hi sara…plz look at my test result and inform me seman analysis. …age 24 …volume 2.5ml iz 30 minute .ph 8.0 ,total sperm count 60milllion/ml ,colour creamy colour ,viscosity thin,active motile 30% ,sluggish motile 15%, non motile 55% ,morphology 60%, pus cells 1-2, Rbc nil,please cheak my result and confirm me plz…

    • Sarfaraz hussain November 7, 2017 at 11:57 am

      Hi sara plz cheak my test and reply

    • Sara SDx
      Sara SDx November 7, 2017 at 5:16 pm

      looks ok

      • Sarfaraz hussain November 11, 2017 at 10:34 pm

        Hi sara. .I am compuse in my test result plz cheak my test I am married …is me is able for baby ..plz reply cheak my result in frist,reply…

  97. sak October 25, 2017 at 7:31 am

    PHYSICAL EXAMINATION
    Quantity ———————-2.00ml
    color ———————- Whitish
    Odour ————————— Seminal

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

    Total Sperm Count ————35 mil/ml

    Sperm Motility
    Actively motile——————30%
    Sluggishly motile————–30%
    Non-motile———————–60%

    I given to checked my sperm. That time i was not comfortable. I was afraid.
    please

    • Sara SDx
      Sara SDx October 25, 2017 at 1:46 pm

      These numbers are on the low end of normal. You should be able to become a dad but it would maybe go faster if you could do things to improve your health. You can check out this app and see if there are any recommendations for you.

  98. sadiq October 13, 2017 at 10:45 am

    HI

    TIME DURATION: 20 MINTUES
    VOLUME 1.8 ML
    SPERM COUNT – 60 %
    ACTIVE MOTILE – 80 %
    NON-MOTILE – 10 %
    SLUGGISH – 10 %
    PUS – 1 TO 3 PH

    please suggest it is became gud for pregenancy or not

  99. […] the sample you produced to look at under a scope and measure unique parameters such as morphology, motility, and […]

  100. […] sperm matter. Studies have also shown that men with higher sperm counts and better, stronger swimmers are more likely to conceive quickly. There are a lot of things that men can do to boost their swim […]

  101. Oza October 5, 2017 at 7:01 pm

    Hello,
    Thanks for great artical,
    I am 35 been trying for baby for a year now but no luck, wife 35 too normal hcg and normal open tubes here is my result
    Component results
    Component COLLECTION TIME, SEMEN
    Your value 17:50
    Standard range
    Component COLLECTION METHOD, SEMEN
    Your value PTC
    Standard range
    Component COLLECTION CONTAINER, SEMEN
    Your value CUP
    Standard range
    Component SPECIMEN RECEIPT TIME, SEMEN
    Your value 18:51
    Standard range
    Component ANALYSIS TIME, SEMEN
    Your value 18:55
    Standard range
    Component APPEARANCE, SEMEN
    Your value Normal
    Standard range Normal
    Component LIQUEFACTION+VISCOSITY, SEMEN
    Your value Normal
    Standard range Normal
    Component PH, SEMEN
    Your value 8.5
    Standard range >=7.2
    Component WBC COUNT, SEMEN
    Your value <1 million/mL
    Standard range =1.5 mL
    Component SPERM CONCENTRATION
    Your value 63 million/mL
    Standard range >=15 million/mL
    Component SPERMATOZOA, IMMOTILE %
    Your value 59 %
    Standard range %
    Component SPERMATOZOA, NONPROGRESSIVE %
    Your value 13 %
    Standard range %
    Component SPERM, PROGRESSIVE %
    Your value 28 %
    Standard range >=32 %
    Component TOTAL MOTILE SPERM COUNT
    Your value 53 million/Spec
    Standard range >=12 million/Spec
    Component SPERMATOZOA, NORMAL MORPHOLOGY %
    Your value 5 %
    Standard range >=4 %
    Component TOTAL SPERM/EJACULATION
    Your value 188 million
    Standard range >=39 million
    Component SPERM, TOTAL MOTILE % (PROGRESSIVE+NONPROGRESSIVE)
    Your value 41 %
    Standard range >=40 %
    What do u think about? Should we keep trying or we have to do something else

    • Sara SDx
      Sara SDx October 16, 2017 at 3:02 pm

      This semen analysis looks pretty healthy. It sounds like you might have unexplained infertility. You might want to explore fertility treatment options…. there are lots of things doctors can do to help. It’s up to you on how you decide to move forward. You can continue trying on your own. Or, there are a number of things that are out there to help people get pregnant. Some simple things that you can do at home to help and more complicated things that you would need to go to a doctor to do. No matter how you decide to move forward, I would recommend that both of you do what you can do be healthy. The healthier you both are, the better your chances at conceiving.

      At 35, you are both young enough that you have plenty of choices. As you get older, it can become more difficult so you need to consider time as part of your decision making. I hope this helps. I wish I had better answer for you. Let me know if you have more questions… I’m always happy to help

  102. avin October 2, 2017 at 11:30 pm

    Hi,

    We are ttc since 1.4 years and did 3 sperm reports in Nov-2016 , Jun -2017 and Sept-201. But still no success in pregnancy.She diagnosed with PCOS and thyroid.
    After treatment, her cycle is regular and currently having Letrozole treatment.

    I am done with DNA fragmentation Sperm test and it was 10.8%. ( which is below 15% – excellent)

    Sperm analysis report 1st-

    Volume – 2
    Motility – 80%
    Count – 60 (M/ml)
    Morphology – 75 % Normal

    Sperm analysis report 2nd –

    Volume – 4
    Motility – 75%
    Count – 36 (M/ml)
    Morphology – 80 % Normal

    Sperm analysis report 3rd-

    Volume – 5.5
    Motility – 48% (Forward progression – 91%)
    Count – 47.50 (M/ml) ( Total count – 261 M , Total Motile – 125 M )
    Morphology – 2 % Normal (Kruger Criteria)

    Does DNA and sperm reports looks good ? Is this Kruger criteria make difference ? First 2 reports have morphology 80 and 75 and 3rd is 2 %. Does WHO and Kruger tests different ways ?

    • Sara SDx
      Sara SDx October 16, 2017 at 2:40 pm

      Sorry for the delay in responding…

      Overall, the trend here looks relatively healthy. The 80% normal was likely a much looser definition of “normal” while Kruger is much more rigorous.
      Given the issues on her side, the other parameters in the semen analysis and the DNA fragmentation test, leads me to not worry too much about the morphology.
      I would still recommend that you investigate lifestyle to make sure you are doing what you can to make the healthiest sperm possible. That will help your chances.
      You could download this app or take this quick quiz to find out what you can do to boost sperm health.

  103. James October 2, 2017 at 8:58 am

    Hello,;
    Here is my result :-

    Volume – 4 4ml,
    Motility (active 40%, moderate 20%, non motile – 20%)
    Morphology (normal 60%, abnormal 40%)
    Count 68million
    Viscosity – moderate
    Colour – grayish white
    P.H – 8.0
    Agglurination – Absent

    Kindly shed more light on this anysis if its normal please.

    • Sara SDx
      Sara SDx October 2, 2017 at 2:46 pm

      Looks ok to me. Does something concern you?

      • James October 2, 2017 at 3:29 pm

        Most times I don’t last like I wish, though I hardly have time to sleep and I’m mostly stressed but when I have enough rest and relax, it’s stil the same that’s why I did the test.

      • James October 2, 2017 at 3:41 pm

        Sorry about my typo…

  104. pandra October 2, 2017 at 6:47 am

    Hi,
    Please, I would like to know if my semen analysis result is normal or what?

    Specimen collection time : 6.50PM
    Appearance : Gray white
    Volum : 3
    PH : 8
    Liquefaction time : 40
    Total sperm count : 125
    Toatal ejaculation sperm count : 375

    MOTILITY
    Progressive : 15
    Non progressive : 25
    Non Motile : 60

    MORPHOLOGY
    Normal forms : 12
    Immature forms(Spermatogonic cells) :03
    Agglutination of sperms :Present grade 1+

    CELLULAR ELEMENT
    RBCs : 0-2
    Pus Cells :6-8
    Yest /Bacteria : Nill

    • Sara SDx
      Sara SDx October 2, 2017 at 2:45 pm

      It looks to be pretty normal. Is there something that concerns you?

      • pandra October 3, 2017 at 6:29 am

        Yes,
        My liquefaction Time is 40 And Progressive Motility is 15 . I am Affraid of this count. Please explain me does this will effect to infertility?

        Thank you,

  105. Kishore September 24, 2017 at 3:57 pm

    PH 8.0
    Viscosity = Normal
    Liquefaction Time = 30 minutes
    Sperm Concentration = 46 millions/ml
    Motility studied at 60 minutes
    Actively progressively motile =25%
    slowly progressively motile =30%
    Non progressively motile 10%
    Non Motile = 35%
    Normal Morphology =35%
    Head defects =30%
    Mid piece =20%
    Tail piece =15%

    Please advice is this good quality sperm to conceive

    • Kishore September 25, 2017 at 10:07 am

      My Age is 37 year

    • Sara SDx
      Sara SDx September 27, 2017 at 4:04 am

      It is reasonable. You should be able to conceive . Taking steps to improve your health may boost your sperm sperm and help you get pregnant faster if you are currently trying

    • Sara SDx
      Sara SDx October 20, 2017 at 4:45 am

      Looks ok.

  106. Rugger2305 September 13, 2017 at 10:14 am

    Hi sara

    my wife and i are trying, she had a chemical pregnancy 3 months ago but decided to get things checked out anyway as we have been trying since February this year. My wife is 43 so time is against us and she has been tested and she is absolutely fine, in fact her results were very good and she is fertile. We are talking with fertility clinic but want to give it another 4-6 months before going down that route.

    Hope you could help and clarify my results.

    Volume 1.1
    Sperm Concentration 166
    total sperm number 182
    motile sperm concentration 104
    Total motility 63%
    Pro Motility 60%
    No-Pro motility 3%
    immotile 37%
    progression 3/4
    Normal forms 10%
    head defects 90%
    Midpiece defects 21%
    tail defects 2%
    morphology index

    I know i have low volume but not sure how to go about increasing this? Any help would be welcomed.

    Thanks
    Tom

    • Sara SDx
      Sara SDx September 15, 2017 at 1:19 am

      Sorry to hear about chemical. That’s really hard

      Volume decreases with age. My theory is that it’s part of the body’s balance to keep prostate healthy.

      Your numbers are pretty good. Morphology is the poorest, but will within normal range. I might suggest antioxidants to help sperm development.

      Generally, try to get yourself in top shape. Good diet, good sleep, low stress, exercise, etc. Will help boost testosterone levels which may have slightly with volume. May improve sperm health. Nice side effects on libido and help you remained centered if you end up going through the stress of fertility treatments.

      Carving out space for non baby focused relationship time is also a good idea to help you both as emotions can be intense and having a full cup helps.

      Hope you are able to conceive soon. Love to hear news as it comes and happy to be a resource as you continue the journey forward.

  107. Ratna September 3, 2017 at 9:23 am

    Hi Sara,
    My age is 44yrs and my wife age is 42 yrs but my semen result is as below
    1. Total Count- 75 Million
    2.Liquification – 60 Minutes
    3.colour – White (opaque)
    4.PH – 8
    5.Volume – 2.5 ML
    6.RBC – 0-1/HPF
    7.WBC – 0-2/HPF
    8.MORPHOLOGY NORMAL – 75%
    9..MORPHOLOGY ABNORMAL 25%
    10.Motility Rapidly Progressive – 25%
    11. ” Slowly Progressive – 20%
    12. ” Sluggish Non Progressive 10%
    13. ” Immotile Non Progressive 45%

    above is my test report, is it normal ?can we conceive baby or is it good for IVF, kindly tell me,thanks.

    • Sara SDx
      Sara SDx September 5, 2017 at 5:48 pm

      These values look ok. but given your age, I would recommend a full evaluation from a fertility clinic for both of you.
      Have you been trying to conceive? If so, how long?

  108. Ashraf August 29, 2017 at 9:51 am

    Married two years ago but still my wife is not pregnant . see my semen report and comment thanks in advance..
    Color: Buff .Reaction: Alkaline. Volume: 3.0 ml. Viscosity: Thick. Sperm Count: 75 million/ml. Motility After 30 Min is 70 %, after 1 hour 655, after 2 Hour is 60% and forward progression is good.Morphology .Round Cells :2-3 /HPF WBCs :3-4/HBF. Total Abnormal Spermatozoa is 30%. Heads is 11%.Middle Pieces is 9% and tails is 10%.

    Please comment and advice me whats wrong why my wife is not pregnant , even her all test is clear and we have see all best doctors.

    • Sara SDx
      Sara SDx August 31, 2017 at 6:52 pm

      Sometimes people have unexplained infertility. Something is going on that the tests cannot identify. Sometimes there are issues with the sperm inside or the egg… it is hard to tell in your case what the problem might be.

      A few questions:
      1. how is your health – do you eat a balanced diet with lots of fruits and vegetables? do you exercise? do you get good sleep?
      2. How is your relationship – are you able to be intimate 3-4 times a week?
      3. how is her cycle? is it regular? is it painful?

      These might point to some areas that you can work on to try to improve your chances. I know it is very frustrating to not be able to conceive and I hope I can be helpful for both of you.

  109. john August 27, 2017 at 8:24 am

    Hi I am john
    I am 30
    this is my test results
    volume 6 ml
    sperm concentration. 21 million per ml
    sperm count 126 mill/ ejaculate
    abnormal forms 20%
    motility:
    rapid progressive motility 10%
    slow progressive 15 %
    non progressive motility 20%
    Non motile 55%

    it looks that the motility by WHO classification is affected but when I count the total sperm motility count it was: 25% (progressively motile sperms) * 21 mill. (sperm conc.) * 6 (volume) = 31.5 million which is higher than 20 mill. the normal range

    Please inform me is that good or not as i am stressed

    • Sara SDx
      Sara SDx August 28, 2017 at 11:05 pm

      I wouldn’t be stressed about this result. I generally feel it is in the healthy range but would like to see the rapid progressive a little higher. I would do a quick check to see if there are any easy lifestyle risk factors that you could try to improve (better diet, reduce alcohol or smoking, jogging regularly, getting better sleep, etc) More is generally better but this should be good enough to get pregnant.

  110. Ashal August 26, 2017 at 7:03 pm

    hi Salam
    plz inform me my test result is better for pregnancy

    Volume 2 ml
    PH 8.0
    rapid progression 55%
    Slow Progression 15%
    Non Progressive Motility Nil
    Immotile 30%
    Count / Ml 90 milloin
    Normal 80%
    Abnormal 20%
    Pus Cell 10-12

    if any problem in report plz tell me

    • Sara SDx
      Sara SDx August 28, 2017 at 10:58 pm

      Looks pretty good.

  111. Boris August 22, 2017 at 2:54 pm

    Hi,

    Here are my test results…could you help me interpret them and let me know if they look good? We have been trying for 5 months:

    Volume: 2.9
    Count/ml: 69 million/ml
    Motility: 49% total motility
    Morphology: 4 (strict scale)

    Thanks

    • Boris August 28, 2017 at 4:40 pm

      The rest of my results are:

      PH: 7.0
      Liquefication: 30 minutes
      Round Cells – 2-4
      Vitality: 45%

    • Sara SDx
      Sara SDx August 28, 2017 at 10:42 pm

      morphology is borderline, but I’m not terribly concerned about it. You can try to take steps to improve by eliminating toxins, avoiding alcohol, cigarettes, heat, chemicals and improving diet (increase fruits and veggies) for more ideas for how to improve, I’d recommend the following quiz.

      Count and motility are high enough that I would expect you to get pregnant but if you have any major lifestyle factors, it could be good to try to improve those as it can impact sperm DNA as well and.

      • Saif February 2, 2018 at 7:48 pm

        My first semen report of december 17 is below
        Sperm count 96milion/ml
        Active 40%
        Sluggish 25%
        Dead 35%

        2nd semen report below on 23 jan 18

        Sperm count 107 milion/ml
        Active 0%
        Slugish 30%
        Dead 70%
        Wbc 5-6 hpf

        Physician advice me
        Tab enz 10 twice a day
        Proxeed plus satche twice a day
        Pressage injection 5000 iu 1 in week

        Plz guide me i improve my active motelity?

        • Sara SDx
          Sara SDx February 6, 2018 at 12:25 am

          That’s a little strange. I suspect something might have happened to the sample. That sounds like too much medication.. I don’t think you need the injection.. why does the doctor recommend this? Do you have low testosterone?

          I have two recommendations:
          1. I would recommend to repeat the test again next month
          2. take this questionnaire and see if you have any risk factors — then post back to me and let me know what it says.

  112. Rano August 15, 2017 at 11:23 am

    I am 33 Years old Male: I had recently conducted my Semen analysis. Married 3 years back. My wife get pregnant 3 times but all ended in early miscarriages. The last time she got is on Nov-2015

    My Results are.
    Volume = 3 ml
    Duration of Abstinence: 05 Days
    Appearance: Creamy White
    Liquefaction Time(min): 30 min
    Consistency Thin
    Volume 3.0
    pH: 8.0
    SPERM MOTILITY (%) (100 Spermatozoa)
    a) Rapid Progression: 15%
    c) Non-Progressive Motility: 10%
    b) Slow Progression: 10%
    d) Immotile: 65%
    Agglutination: –
    Vitality: –
    Count / ml: 85 Million

    MORPHOLOGY (%)

    Normal: 35%
    Abnormal: 65%
    Head Defects: 20%
    Tail Defects: 25%
    Neck & Mid Piece Defects: 10%
    Cytoplasmic Droplets: 04%
    Headless ‘Pinhead’ : 06%
    Pus Cells : 8-10
    Red Blood Cells : 4-6
    Epithelial Cells: Nil
    Miscellaneous : Nil

    • Sara SDx
      Sara SDx August 28, 2017 at 8:08 pm

      This semen analysis looks pretty healthy. I would recommend she get a full evaluation from her Ob-Gyn with some investigation about the miscarriages. Sometimes there isn’t enough lining in the uterus for the baby to attach properly.

      • Rano November 29, 2017 at 4:53 pm

        Thanks for help, Can U tell me is my SPERM MOTILITY (%) is OK. as one doc suggest it is low

  113. Tanveer August 12, 2017 at 12:32 am

    Hi Sara:
    I am seeking your help to know whether I will be able to be a father in normal course of action.

    Volume : 2 ml
    Concentration : 90 mn/ml
    Motility : 30%
    Rapid moving : 15%
    Morphology : 10%

    Regards
    Tanveer

    • Sara SDx
      Sara SDx August 28, 2017 at 7:49 pm

      I think you should be fine. Are you currently trying?

  114. tashi August 7, 2017 at 6:10 am

    Hi my semen analysis is as below:

    Vol= 2 ml
    color= grey opalescent
    pH= 8.0
    viscosity= Normal
    Active= 10 %
    sluggish= 20%
    Non motile= 70%
    total sperm count = 21.7 million

    Please advice me what i need to do. we just tried for 2 months

    • Sara SDx
      Sara SDx August 28, 2017 at 5:23 pm

      I would recommend taking steps to try to improve. Download this app to track your results and get coaching for how to increase.

  115. Simon August 4, 2017 at 1:44 pm

    Hi….are you able to confirm if I should be concerned about these results:

    Sperm volume 4.3 ml
    Ph 8.3
    Sperm density 15.66 X 10 ^6 ml semen
    Sperm progression 26%
    Sperm count 67×10^6
    %non motile 67%
    Liquifaction time 6 minutes
    Morphology 7%

    • Sara SDx
      Sara SDx August 28, 2017 at 5:20 pm

      They aren’t the best. They also aren’t terrible. I would say that you are in a range that you should be thinking about risk factors and if there are any things you can do that would improve your numbers. You can take the following quiz to see if there are any major red flags that could cause your sperm be unhealthy. If you have no risks, I would recommend visiting a urologist to see if you have a varicocele which can also cause numbers like these.

  116. Teena08 August 3, 2017 at 9:11 pm

    Hello I would like to know if this semen analysis report ok
    Volume 3.1ml
    Viscosity si..viscoid
    Liquefaction 30min
    Reaction alkaline
    Ph 8
    Colour turbid white
    Microscope examination
    Total count 65million/cc
    Immediately motile30%
    after 1 hour 20%
    after 3 hours 05%
    after 24 hours nil
    Motility score 2
    Sperm morphology
    Normal sperms 15%
    Abnormal head 50%
    Abnormal body 20%
    Abnormal tail 15%
    Aggregation of spermatozoa 2-3
    WBC 1-2 /HPF
    RBC 2-3 /HPF

    • Sara SDx
      Sara SDx August 28, 2017 at 5:16 pm

      It looks ok to me. Is there something that concerns you?

  117. marialrob12 August 3, 2017 at 7:10 pm

    My husband has had 2 very poor sperm analyses done 3 months apart. Between the 1st and the 2nd analysis he has cut out all dairy, gluten, added sugars, processed foods. He has also increased fruit (mostly berries, watermelon, & grape consumption) & veggie intake. Also eats nuts every day and strictly 100% (non-processed) whole grains. He has cut out caffeine and only drinks about 1 (maybe 2) cups decaf/day and reduced alcohol consumption to ~2 beers 2-3x/mo. He has also added a whole slew of supplements that have been shown to improve sperm parameters. He is at a healthy BMI.

    Here are his SA results:
    Test 1 Test 2
    Abstinence 2 days 4 days
    Volume: 3mL 3 mL
    Concentration: 1million/mL 1.4million/mL
    Motility: 20% 36%
    Grade 1.5 3
    Morphology 0% 0%

    He saw a urologist after the first analysis and was physically checked over and told everything looks fine.The urologist referred us straight over to IVF without looking further as to any underlying cause. What might cause morphology to show 0% in two different SA’s? Is a healthy embryo via IVF likely in this situation? Is natural conception even possible at this point?

    Sorry if you answered this message already- – I posted it a few days ago, but new saw a comment or my post show up.

    • Sara SDx
      Sara SDx August 9, 2017 at 4:28 pm

      So a couple of things…

      With IVF, you’d want to use ICSI to improve chances.

      Whether or not to proceed with IVF in this case is up to you, but here are things I would consider

      1. Financial : Do you have coverage? what are options for paying etc.
      2. Your health, age & fertility: It take two to conceive so moving ahead quickly with IVF versus waiting on getting to underlying issue behind male infertility to see if it is correctable depends on your personal situation
      3. You can do both at once: Starting an IVF cycle doesn’t mean that you can’t see a urologist. and I would recommend that you do even if you decide to move forward with IVF. His issue could be genetic and impact your baby’s fertility or it could be a health issue that needs to be addressed.

      Natural conception is very low chance with these numbers but boosting it even a little (like up to 10 or so) would make a big difference.

      I would also recommend testicular cooling in a case like this. It doesn’t work for everyone but some people see huge improvements. Making improvements can help with IVF / IUI outcomes so it might be worth considering even if you move ahead with IVF.

      Where are you located? I can recommend a urologist if you’d like.

  118. chellappa August 1, 2017 at 9:18 am

    Hi

    My semen result as follow.
    color-greyish white
    reaction-alkaline
    VOLUME :3.0ml
    VISCOSITY -VISCOUS
    LIQ TIME:2 HRS
    TOTAL SPERM COUNT:30.0 MILLIONS/ML
    ACTIVELY MOTILE : 10%
    SLUGGISH MOTILE:35%
    NON-MOTILE:55%
    DIFFERENTIAL COUNT
    NORMAL : 30%
    PIN HEAD :14%
    DOUBLE HEAD :05%
    SWALLEN NECK :16%
    LONG TAIL :35%
    7-10 PUS CELLS SEEN/HPF
    while we taking test in 2014 motility count is 85%.but now it got reduced .How it got reduced and can we pregnant naturally.Is this report is normal?

    • Sara SDx
      Sara SDx August 28, 2017 at 5:13 pm

      natural pregnancy is probably possible. But chances are somewhat reduced by a low active motile and somewhat lower sperm count. I would recommend taking steps to try to improve sperm count and motility. Here’s a good article to get you started. You can also fill out this quiz to learn what risk factors you have and things you can do to improve.

  119. Maria L July 31, 2017 at 2:56 pm

    My husband’s sperm parameters are very abnormally low. The urologist checked for vericocele (negative) and referred us for IVF– no further investigation as to the cause of his poor sperm parameters were done. Between his first and second semen analyses he completely cut out processed foods, added sugars, gluten, & dairy. We have also significantly increased vegetable consumption and added a whole slew of supplements that have been shown to help with sperm parameters.

    Any insight as to likely causes or more testing that should be done to get to the bottom of the problem? Can we ever conceive naturally with 0% morphology? Is IVF possible iwth 0% morphology?

    These were his numbers (Test 1 & Test 2)— these were 3 months apart:

    Total volume———————3mL 3mL
    Sperm Concentration———1mil/ML 1.4mil/mL
    Motile % ————————-20% 36%
    Grade—————————– 1 3
    Morphology———————-0% 0%

    • Maria L July 31, 2017 at 3:49 pm

      Oh, he also reduced alcohol to only 1 or 2 beers occasionally (maybe 2-3x a month) & switched to decaf coffee. He is at a healthy BMI & has no difficulties achieving erections. I took the infertility risk questionnaire and he was put at a low risk for infertility. The major offenses were stressful job & sitting at work. Could those make that big of a difference??

      • Sara SDx
        Sara SDx August 9, 2017 at 4:29 pm

        This tells me testicular cooling might be helpful.

    • Sara SDx
      Sara SDx August 9, 2017 at 4:30 pm

      Here’s an article of what you should look for in a full evaluation of male fertility

  120. arslan July 24, 2017 at 7:51 am

    hi
    i am arslan. i am 28 years old, my results are…
    rapid progression 60%
    slow progression 10%
    non progressive motility 10%
    immotile 20%
    count/ml 110

    normal 85%
    abnormal 15%
    pus cell 2

    kindly tell me is it good for pregnancy???

    • Sara SDx
      Sara SDx August 16, 2017 at 8:49 pm

      Looks great

  121. Abhijit mohapatra July 20, 2017 at 5:30 pm

    Hi I am Abhijit. My sperm concerntration is 63 million per ml. But sperm mortility is 30-40 percent. All other parameters is normal. Is it ok. Please guide

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

      sounds ok to me.

  122. Moses July 12, 2017 at 10:14 pm

    hi Sara….
    Pls, is my result okay?

    Volume – 3ml

    concentration – 75mil/ml

    Total motile – 50%
    Progressive motile – 20%
    Sluggish motile – 30%
    Non motile – 50%

    Morphology – 40%

    • Sara SDx
      Sara SDx August 16, 2017 at 3:41 pm

      Looks very normal.

  123. Jean pascale July 10, 2017 at 10:57 pm

    Hi Sara,
    My wife and I are going through another ivf treatment as she had endometriosis. See below my recent exam details.
    What do you think I should do to improve them? Do we have a chance with IVF?
    Volume ml 3
    PH 7
    Native
    Concentration mio/ml 28
    Quantity mio 84
    Morphology % normal 7
    Motility
    WHO A 0
    WHO B 3 mio/ml, 11%
    WHO C 2mio/ml, 7%
    WHO D 23mio/ml, 82%

    After Swim up
    Concentration 4 mio/ml
    Morphological normal 10%
    Motility
    WHO A 1mio/ml, 25%
    WHO B 3mio/ml, 75%

    • Sara SDx
      Sara SDx August 15, 2017 at 10:38 pm

      Sorry for the delayed response. Hope your cycle went well.
      Morphology is borderline but seems good enough. Let me know how it went. I would love to hear.

      Best to you both.

  124. Hossam July 10, 2017 at 8:02 am

    Hi,
    I’ve did the semen test and the result is:
    Please, I would like to know if my semen analysis result is normal.

    Color: Creamy white
    Volume: (7)ML
    PH: 9
    Viscosity: Normal
    Liquefaction Time: 15 MIN
    Total Sperm number: (525) mil / ejaculate
    Sperm Concentration: (75)% million / ml
    Total motility : (50)%
    Progressive motility : (20)%
    Non Progressive motility: (30)%
    Immotile: (50)%
    Viable: (66)%
    Non Viable: (34)%
    Normal spermatozoa: (2)%
    Non spermatozoa: (98)%
    Head: (66)%
    Middle piece: (20)%
    Tail: (12)%
    Round cells: (0.2)million/mL

    • Sara SDx
      Sara SDx August 15, 2017 at 10:26 pm

      Looks pretty healthy. I wouldn’t suspect that you would have issues. Are you trying to conceive?

  125. Soso03 July 5, 2017 at 4:03 pm

    Sir please help me to analyze my husbands semen analysis if Its okay we have been trying for a baby for seven months now since Dec 2016, we meet at least 3 times weekly he is 35 and I am 29
    Appearance:greyish white and av. Viscuous.
    Volume 3.0ml
    Motility:
    Actively motile 15%
    Sluggish motile 25%
    Non motile 60%
    Morphology:
    Normal 35%
    Abnormal 65%
    Sperm cell 14million/ml

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

      His numbers are a little on the lower side so it would be a good idea if he can take steps to improve his health. You could these questions to learn what he can try. I would also recommend for him to visit a urologist to check to see if he has a varicocele.

  126. Soso July 5, 2017 at 3:50 pm

    Sir please help me to analyze my husbands semen analysis if Its okay we have been trying for a baby for seven months now since Dec 2016, we meet at least 3 times weekly he is 35 and I am 29
    Appearance:greyish white and av. Viscuous.
    Volume 3.0ml
    Motility:
    Actively motile 15%
    Sluggish motile 25%
    Non motile 60%
    Morphology:
    Normal 35%
    Abnormal 65%
    Sperm cell 14million/ml

    • Sara SDx
      Sara SDx July 20, 2017 at 8:24 pm

      Count and active motile are a little lower than I like to see. His monthly chances are lower but it is not impossible to conceive with these numbers. I’d recommend filing out our risk assessment questionnaire or downloading an app called “trak sperm” to get a list of things that could impact his fertility and ways to improve.

  127. Jaanvi June 30, 2017 at 11:57 pm

    Hi ,

    My husband got his semen analysis done twice within a gap of 3 months. Below are his reports, I would like to know if the reports are normal and is it possible to have this much difference within 3 months. These were taken in 2 different laboratories.

    Feb’17

    Volume 1 ml
    Apprearance Slightly Hazy
    Liquefaction Time 40
    Viscosity Increased
    Fructose Present
    PH 8
    Sperm Count 69 million/ml
    Total Motility 55%
    Normal Morphology 70%
    Epithelial Cells Occasional per hpf
    Pus Cells 4-5 per hpf
    RBC Occasional per hpf
    Spermatogenic Cells 3-4 per hpf

    June’17
    Semen volume 1.0 mL
    Liquefaction, semen NORMAL
    pH, semen 8
    Spermatozoa, motile % 30%
    Sperm progressive %, Sem fld, Qn 19%
    Spermatozoa, immotile % 70%
    Spermatozoa, nonprogressive % 11%
    Viscosity, seminal fluid NORMAL

    • Sara SDx
      Sara SDx August 15, 2017 at 8:55 pm

      Sorry for the delay, I’ve been traveling and haven’t had much internet access…

      I don’t see a sperm count in the second analysis. It is possible to see wide fluctuation between semen analysis based on a number of factors including abstinence period, lifestyle, heat exposure, diet, etc.
      Semen analysis is also not an exact science, so it can vary a bit even if you look at the same sample in two different labs at the same time, even if you ran the same sample in the same lab. In general, differences should be within 20 – 30 % so a sperm count of 10M could really be somewhere between 7 – 13 million. So you have to consider all the numbers to be in the middle of a range.

  128. Jane June 30, 2017 at 7:56 pm

    My husband just had his semen analysis, please can natural pregnancy occur or advise me.
    Volume1.5m
    WBC 10-15hpf
    Total motile 15%
    Cutail 2%
    Swollen head 2%
    Sluggish 8%
    Active directional 3%
    Non motile 85%
    Total count 22m/ml

    • Sara SDx
      Sara SDx August 15, 2017 at 6:01 pm

      Sorry for the delay on this, I’ve been traveling and haven’t had much online access…

      Numbers are on the lower side, but natural pregnancy is possible. I would recommend learning about things that you can do to try to improve. Boosting sperm count or motility could help a lot to improve your chances. Here’s a quick article of things to try. I would highly recommend filling out the following questionnaire or downloading this app to get more detailed feedback. I’m happy to talk through questions you might have.

  129. Vikram kumar June 29, 2017 at 3:11 pm

    I HV sperm count 70%,motile 50%,active motile 40% sluggish motile is 10%,80% normal sperm ,abnormal sperm 20% .
    Can I HV a baby

    • Sara SDx
      Sara SDx August 15, 2017 at 5:57 pm

      what is the sperm count?

  130. Shannon June 28, 2017 at 3:22 am

    Hi my partners sperm analasyt results are

    Appearance: Normal
    Liquefaction: Normal
    Viscosity: Normal
    Volume: 3.4ml
    Progressively motile: 9%
    Non-progressive motile: 10%
    Immotile: 81%
    Sperm concentration: 9.8 x 10E6/ml
    Total sperm/ejaculate: 33 x 10E6/ml
    Normal forms: 4%

  131. Ahmed June 19, 2017 at 6:33 am

    hi Doctors, I have made a semen test yesterday, but I was fasting all the day till 7 pm cause I am muslim, then I made the test at 8 pm , however, my sperm count/ml is 3,000,000 , motility is 100% , but progressive is 0% and for morphology the normal form is 50% , can u tell me what is my status roughly??

    • Sara SDx
      Sara SDx August 2, 2017 at 9:51 pm

      those numbers seem a little strange. I would recommend taking the test again. Make sure to abstain for 2-3 days before collecting sample.

  132. Vanya June 13, 2017 at 5:33 pm

    Hi Dr.
    Reports as below, please suggest if all ok & your suggestion if any.

    Volume 2.5ml
    pH 8
    Total Sperm 81.9
    Progressive motility 56%
    Non Progressive 8%
    Immotile 36%
    Semen Morphology 13%
    Progressive motile sperm concentration 46.1mil/ml
    Functional sperm concentration 13.8mil/ml
    Sperm velocity 50micron/sec
    Total sperm no. 204.7mil
    Total motile sperm 115.7mil
    Total functional sperm 34.5mil

    • Sara SDx
      Sara SDx August 2, 2017 at 9:44 pm

      Looks pretty healthy.

  133. Ruhi mishra June 9, 2017 at 3:19 am

    I would like to know if my husband s semen analysis is normal to conceive naturally
    Volume: 2ml
    Sperm count:55mil/ml
    Viable sperm: 65%
    Motile sperm: 35%
    Abnormal sperm: 55%
    Pus cell: 6-8/hpf

    • Sara SDx
      Sara SDx August 1, 2017 at 3:53 pm

      yes

  134. John Willy May 25, 2017 at 3:12 pm

    Please i would like to know if my SA is ok been trying to get my wife pregnant with no result..I’m 33 years old.
    Appearance: GRAY
    Viscosity: LOW
    Volume: 4MLS
    P.H: 7.5
    Motility: 85%
    Acitve: 80%
    Sluggish: 05%
    Dead: 15%
    Normal: 70%
    Abnormal: 30%
    PUS Cell: 4-5HPF
    Count: 32×10/6

    • Sara SDx
      Sara SDx May 25, 2017 at 9:05 pm

      Looks pretty healthy. How long have you been trying? How often do you have sex on average?

      • John Willy May 25, 2017 at 10:07 pm

        Thanks for your urgent response.

        We got married in 2016, will be 1 year in August but we don’t stay togther. My wife live in another country and i travelled down every 6months and spent 2months everytime i visit.
        We had sex sometimes twice in a week but when it close to her ovulation period we abscond from sex for like a week. But my only concern is the spern count is it too low?

        • Sara SDx
          Sara SDx June 2, 2017 at 3:42 pm

          I generally like to see counts above 50-60 million. But in your case, you have 4ml so your total count is in the healthy range.

          If you abstain close to the ovulation period you may reduce your chances of conception. It would be a good idea to have sex 2-3 times in the week before her ovulation if you would like to get pregnant.

          Because you are apart from each other it may take longer for you to get pregnant.

          You may want to test again in a few months to make sure that you are still in healthy range.

          • John1234502 June 3, 2017 at 8:42 pm

            Thank you Sara when i did my first Sperm Analysis last year August in my country my count was 55×10/6 and the doctor says the count is not ok that am 1 million less and when i did another one and i see 32×100/6 and was surprise and now he says the sperm was suppose to be between 50-300million and i ask him but you told me last year that 55×100/6 that i have before is not ok. I guess i need to find a good fertility to do another one here in the states…can you recommend a good place to go around Memephis, TN if you have any please let me know.
            Thank you

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

            In general, it is good to try to boost sperm count above 50-60 million / mL. If you have been trying to conceive for a while I would also recommend that your wife get an evaluation by a fertility doctor.

            For more advice on your side, you can reach out to:

            Mark Saslawsky, MD
            7420 Guthrie Drive North
            Suite 11
            Southaven, MS 38671

            Phone: (662) 349-2220

      • John1234502 June 1, 2017 at 5:10 pm

        Still waiting for your response Sara.
        Thanks

  135. humphrey May 23, 2017 at 9:19 pm

    Am humphrey I have trying for 7 months now. My sperm analysis is immobile 95%,sluggish 5% active.0%, volume 3ml, viscosity moderate, morphology 60% normal and 40% abnormal. Pls analysend wat do I do…I have just taken supplement for 2 months now

    • Sara SDx
      Sara SDx May 25, 2017 at 3:52 pm

      What is the sperm count?

      Have you filled out this questionnaire or downloaded this app? They can give you additional ideas of things you can do to continue to improve your sperm.

      You can also read this article on 20 ways to improve your sperm.

  136. Zara May 15, 2017 at 11:37 am

    Please ,this is my husband seminal fluid result. Is it OK for conception?
    Appearance -Clear yellow
    Viscosity- watery
    Sperm count- 51.0million/ml
    Sperm motility – 45%
    Normal form sperm- 88%
    RBC seminal fluid- 1/hpf
    WBC seminal fluid- 1/hpf.
    Sperm progression -Rapid linear progression

    • Sara SDx
      Sara SDx May 16, 2017 at 5:26 pm

      looks pretty healthy

  137. DJ May 12, 2017 at 9:54 pm

    Hello Dr,

    Can you please help me understand how my results are?

    Volume: 5.6 mL
    Sperm Concentration: 14.79 Milion
    Percent Motility: 47.57%
    Total Motility Sperm Count: 39.4 Milion
    Percent Progressive Motility: 47.47%
    Liquefaction: Greater than 30 min
    Viscosity: Normal
    pH: 8
    Agglutination: Light
    Round Cells:
    Temperature: 37
    Percent Normal Morphology: 1%

    I know the numbers especially the Morphology rate is very low and below the normal. How about the rest? I’m 33 years old, don’t smoke or drink. Are there any chances for medications or life style changes can help increase the numbers and chances to be a father?

    Thanks,
    DJ

    • Sara SDx
      Sara SDx May 16, 2017 at 5:25 pm

      It’s lower than I like to see but not terrible.

      Some ideas.
      1. You might think about getting checked for a varicocele.

      2. I would read through this list of simple ways to boost sperm count and see if anything stands out as a lifestyle change.

      3. Diet is pretty important. If you are lacking in vitamins or antioxidants it can cause issues. Here’s some detailed info on how diet impacts male fertility.

      4. You might want to consider tracking sperm to see if you can see improvements to sperm over time.

      5. You might consider cooling your balls.

      Helpful?

      • DJ June 4, 2017 at 11:57 pm

        Thank you! That’s is really helpful.

  138. semko April 27, 2017 at 11:51 pm

    Hi Sara
    I am Semko, thanks for response, in 1 year ago l had several intercourse without any conrtaceptive, but my wife have PCOD (poly cystic ovary disease) and consume “Duphaston 10 mg” for regulate cyclic periods.With this pill my wife periods are totally regular. 4 weeks ago my wife did HSG (Hysterosalpingography) that was normal. In ultrasound determined that Ovarian follicles are small and not mature but still our doctor dont start “Clomiphene” for stimulate ovulation.

    • Sara SDx
      Sara SDx April 28, 2017 at 9:20 pm

      I can’t comment on your wife’s side. It seems like she has some issues that could be making it hard to conceive. Your doctor seems to be doing the right tests and doing things to try to help. You could consider getting a second opinion from another doctor if you’d like more advice for what to do to improve ovulation.

      There are quite a few resources on the internet that help women with PCOD learn ways that they can help improve their ovulation cycles. I would recommend reading about these because if you can make changes in your life together that help support health, the medication can be more effective.

      • semko April 29, 2017 at 10:18 am

        Hi dear Sara
        Thanks alot for your advice & help

  139. semko April 26, 2017 at 5:13 pm

    HI dear Sara
    I am Semko , 31 years old
    my semen analysis is:
    Semen Volume: 3.2 ml
    Semen PH: 7.8
    Sperm count (Density): 148.4 million/ml
    Progressive (A + B): 38.8
    Motile(A + B + C): 92.7
    Normal Morphology: 79%
    Please tell me this spermogram is suitable for pregnancy? Because in my semen analysis progressive (A + B) or (fast + slow) is 38.8% that below 40%[according to Speed Assysment W.H.O – 2010 in my labratory was done] but in newest version semen analysis (5th) of W.H.O criteria for normal progressive is 30 % !!!! I am so cofused
    please tell me which of them is correct 30 or 40%? and my semen analysis is normal ?

    • Sara SDx
      Sara SDx April 27, 2017 at 5:04 pm

      This is totally a number looking result. I wouldn’t be worried about it. Are you currently trying to conceive?

      • semko April 27, 2017 at 11:54 pm

        Hi Sara
        I am Semko, thanks for response, in 1 year ago l had several intercourse without any conrtaceptive, but my wife have PCOD (poly cystic ovary disease) and consume “Duphaston 10 mg” for regulate cyclic periods.With this pill my wife periods are totally regular. 4 weeks ago my wife did HSG (Hysterosalpingography) that was normal. In ultrasound determined that Ovarian follicles are small and not mature but still our doctor dont start “Clomiphene” for stimulate ovulation.

  140. rahul April 11, 2017 at 8:46 pm

    Hi Maam, not able to understand the semen analysis report.. can u plz help. Is all good or bad ?

    Age 32, Abstinence days 12 days

    Total sperm concentration is 32 million ,volume 3.50 ml,liquefaction time 40 mtes, Viscosity is thick. Motility is 60 %. Progressive motile 20%, non progressive motile 40%, immotile 40%, aggluatination is positive, plus cells 5 – 7, Normal morphology 70%, abnormal morphology 30%, head defects 15%, neck and midpiece 10%, tail defecets 5 %, semen fructose … apperance : viscid opaque, colour whitish,

    • Sara SDx
      Sara SDx April 19, 2017 at 4:42 pm

      It is normal but on the lower side. There may be things you can do to improve. Try filling out this quiz to see what your potential risks are.

  141. Katrina April 8, 2017 at 12:36 pm

    hi …my husband seen analysis test result is
    appearance – whitish opaque
    consistency – liquid
    total volume – 3 ml
    ph – 8.0
    leucocytes 1-3
    total count – 40
    motility – motile 40
    sluggish 30
    non motile 30
    morphology normal head form 60% abnormal is 40%
    i want to know is it ok for iui .
    tks u 🙂

    • Katrina April 8, 2017 at 12:38 pm

      Semen Analysis*

    • Sara SDx
      Sara SDx April 19, 2017 at 3:45 pm

      It’s ok for IUI

  142. F March 22, 2017 at 5:19 pm

    Dear doctor,

    I would like to have your opinion about my last semen analysis:
    volume: 1.9 ml, concentration 192.5 M/ml, total sperm count/ejaculate: 365.75 M, total motility: 40 %, prog. motility: 10 %, vitality: 88 %, normal forms: 79 %. Does this results allow a natural pregnency?

    Regards and thank you.

    • Sara SDx
      Sara SDx April 19, 2017 at 3:15 pm

      It should. Have you been trying?

  143. uddin38 March 22, 2017 at 4:20 pm

    Hi.

    We have been trying to conceive since 1 year but with no positive results.

    I did a semen test today. Please I would like to know if my semen analysis result is normal or bad.

    Viscosity = normal
    Volume = 2.6 ml
    Colour = normal
    pH = 7.70
    Sperm Count (SF) = 30.60Mil./ml
    Morphology = 47.00%
    Immature Forms = 5.40%
    Mobillity-30mins = 39.00%
    Mobillity-60mins = 51.00%
    Mobillity-90mins = 46.00%
    Mobillity-120mins = 38.00%
    Av. WBC = 3-5 HPF
    Av. RBC = 0
    Av. Macrophages = 0
    Av. Epithelial Cells = 0
    Crystals = Absent
    Clumping = Absent
    Prog. Useful Motility = 50%
    Sperm Motility Index (SMI) = 137.00
    The total functional Sperm Conc. (TFSC) = 10.80 Mil./ml

    Thank you.

    • uddin38 March 22, 2017 at 4:22 pm

      I made a typing mistake: My Prog. Useful Motility is 36.00% instead of 50.00%

    • Sara SDx
      Sara SDx April 19, 2017 at 3:15 pm

      Your results are in the normal range but they are on the lower side and could be contributing to a longer time to getting pregnant.
      Has your partner also been evaluated?

      I might recommend getting this app to see if you can take steps to improve your sperm. It might help you get pregnant quicker.

  144. Mary March 10, 2017 at 8:58 am

    Hi, my husband just tested his first sperm, here is the result,

    Volume 1.5ml
    Concentration 5mil
    Spermatozoa, immotile 64%
    Spernatozoa, nonprogressive 33%
    spermatozoa, progressive 3%
    Total motile sperm count 0 million
    Spermatozoa, normal morphology 2%
    total sperm/ejaculation 8mill
    Seperm, total motile (progressive & nonprogressive) 36%

    This is bad, right? We have been trying to get pregnant for almost 3 years now (one miscarriage a year ago) and we are finally doing all the infertility tests. But my question is, we already have 2 kids (5 & 3 years old), and I also had one miscarriage before my first child. And with all of the 3 pregnancies, we got pregnant pretty quickly. (First month with first 2 pregnancies, and 4th month with my second child). Is it possible that his sperm got bad so fast like that? and What can be the cause for that? If you can reply, we really appreciate it. Thank you very much,

    • Sara SDx
      Sara SDx March 13, 2017 at 2:34 pm

      These are pretty low results.

      The thing about sperm count is that it can change over time in response to health and lifestyle.

      A few thoughts —

      1. Has your husband had a fever recently? Or has he gained weight, changed his diet, picked up any bad health habits in the past year? What’s his stress level been like? You can download this app to see if there are potential issues that could be contributing

      2. Some men have a condition called a varicocele which is an enlarged bundle of veins in the scrotum (like varicose viens) Generally varicoceles get worse as men age and they are a leading cause of secondary infertility in men. If he is in great health and doesn’t have any obvious reason for his sperm quality to go down, I would recommend getting checked for that.

      3. It might not be a bad idea to get a full work up from a urologist. There could be something underlying that is happening with his health that could be impacting his sperm. These results are low enough that in most cases I recommend a full evaluation because something medical might be going on.

      4. It is worth noting that sometimes sperm can contribute to miscarriages. Especially if they are early.

  145. Aashir February 13, 2017 at 10:43 pm

    Hi Sara.

    We have been trying to conceive for a year but could not achieve it. This month we are trying by IUI. Can you analyze this semen report before and after wash:

    Pre Wash

    Volume: 4 ml
    Concentration: 14 Million/ml
    Motility: Progression (Type II): 7% Sluggish 43% Total: 50%
    Agglutination: None
    Colour: Normal
    Viscosity: Normal
    PH: 8
    Comments: Normal Sperms seen.

    Post Wash
    Concentration: 4Million/ml
    Motility: Progression 30% Sluggish 60% = Total 90%

    • Sara SDx
      Sara SDx February 28, 2017 at 1:36 am

      It looks like a good sample for an IUI. How did it go?
      Do you have any specific questions?

  146. B Woodson January 9, 2017 at 7:40 pm

    Hello I would like to no about my semen analysis. Volume .8 ml PH 8 count 138,000,000. Total motility 80% progressive motility 30% morphology 13%. We have been trying for a baby for two years and haven’t conceived. Are we able to with those numbers yes or no

    • Sara SDx
      Sara SDx January 11, 2017 at 9:35 pm

      volume is a little low but the other numbers are pretty good. How long was abstenece period before this test? Were you able to collect the whole sample?

      Have both of you had a work-up? Are cycles regular? Do you have intercourse regularly?

  147. lil December 15, 2016 at 7:37 pm

    Hello please I would like to know if my semen analysis result is normal or bad?

    Volume 2ml
    Colour white-gray
    pH 7.5
    Scent specific
    Turbidity weakly turbid
    Consistence в’язка
    Viscosity 5cm
    Total sperm concentration 81million / ml
    The total number of sperm ejaculate 162 Million
    Fast progressive motility (A) 14%
    Slow progressive motility (B) 21%
    Progressive motility (A + B) 35%
    Normal sperm morphology (A + B) 33%
    The concentration of functional sperm 26 Million
    The concentration of sperm progressive mobility 28million
    concentration fixed sperm 53%
    The total number of sperm progressive mobility 56%
    The total number of functional sperm 53%
    Total number of motionless and progressive sperm 106 Million
    The average speed (A + B) moving 33 m/s мкм/сек
    Index normal mobile 181217
    Non-progressive motility (C) 20%
    Still sperm 45%
    White blood cells 1-2 v p/z
    Red blood cells Not found
    lipid bodies: a small number
    Urethral epithelial cells : a small number

    • Sara SDx
      Sara SDx January 10, 2017 at 5:24 pm

      Sorry I am only just responding now. I’ve been traveling for the last month and haven’t had good internet access…
      Looks ok. Is there something that worries you specifically?

  148. Dens December 13, 2016 at 10:50 am

    Hii sir, I am 35 years old my sperm quantity 4.5 ml . No of sperm per ejaculate 180 million.total forward progressive 55%. Non progressive 05%
    Non motile 4% at half hour .
    R.b.c occasional
    Round cells 2-3/ hpf
    Pus cells 1-2/ hpf
    Abnormal 40%
    Pls let me know about my results

    • Dens December 13, 2016 at 11:21 am

      Non motile 40%

    • Sara SDx
      Sara SDx December 13, 2016 at 6:07 pm

      Looks healthy

  149. Sunday November 13, 2016 at 8:11 am

    Comment…Hello I’m sunny and we been trying 2 years now until it was discover I had varicocele and I’ve done the repair surgical on 6th of July 2016. before the repair this is my test results done 25th of June. volume: 1.5ml, Morphology 20%, Ab – 80%( 75% dead cell, 5% pin head) Motility – 40% count 12 million. Test done after repair 12 Nov, Volume – 2ml, Morphology – 80%, Ab 20%( 15% dead cell, 5% pin head) Motility – 55% Count 18 millions. with this result is there progress what should I do next. Thanks

    • Sara SDx
      Sara SDx December 15, 2016 at 5:48 am

      Looks like it is improving on all fronts. How is your overall health? Do you have any unhealthy habits? Are you exposed to heat, toxins, alcohol or cigarettes?

      How is your partner? Does she have any issues?

    • Sara SDx
      Sara SDx December 21, 2016 at 3:58 pm

      There is some progress. Sometimes healing can take time. There may be other things you can do — like taking supplements, actively cooling your testicles or getting more exercise.

      A few places to get ideas — I wrote an article on the most common things that you can do to try to boost your count.
      You can also fill out this quiz with details about your life and you should get a personalized report with top things that could help you.

      There is also an app call Trak: Sperm health & fertility available on both iOS and Android that can help you take steps to improve your sperm count.

      Does this help? Happy to talk through details if you have more questions.

    • Ijaz June 2, 2017 at 7:13 pm

      Please someone guide me. Can I conceive with the result below..
      Volume: 3.5 ml
      Color: opaque gray
      Reaction: alkaline
      PH: 8.3
      Viscosity liquefaction time: 45
      Fructose test: positive
      Total sperm count: 79 million / ml
      Progressive motility: 50
      Non progressive motility: 20
      Non motile: 30
      Puss cells: 1-2
      Macrophages: 0-1
      RBCs: nil
      Yeast/bacteria: nil
      Abnormal forms: 5
      immature form: 4
      Agglutination: nil
      Clumping: present
      According to doctor you are mild weak. And prescribed me
      1: tocopherol
      2: Co Q10.
      Marriage date: 20 Nov 2016.
      Spent two months at home..

      • Sara SDx
        Sara SDx June 5, 2017 at 6:14 pm

        It looks ok to me. Sometimes it can take a few months to get pregnant. If you live in a different place for your work, it can increase the amount of time that it takes to get pregnant.

  150. […] Sperm Motility […]

  151. Khan July 29, 2016 at 7:50 am

    Hi
    We are trying to conceive for last 8 months.no success so far.my age is 30. I used to mastrubate since 11 or 12 till marriage almost daily. Can this be the cause. Would it be possible that due to over mastrubation testis are no working slowly. I dont have any libido issue.

    Is it possible that if epididymis is ejaculating immature sperms due to frequent mastrubation.

    • Sara SDx
      Sara SDx August 22, 2016 at 3:28 pm

      Are you still masturbating on a regular basis?

      • khan September 17, 2016 at 8:59 am

        no now i quite but doing sex daily. my SA is Volume 3ml, viscosity thin,liquification 30min,sperm count 38 million per ml,total count 114 million per ejec, rapid progression 30 %,slow progression 20%, non progressive 10%,immotile 40%, marphology 55%,

        • Sara SDx
          Sara SDx October 6, 2016 at 2:38 pm

          How long did you abstain prior to this test?

          Overall, you seem pretty healthy. The numbers are a little lower than optimal but still plenty to conceive. It just might take a little longer than usual.

          I might recommend that you try to have sex every other day rather than daily. Give your sperm a chance to build up. This can help improve chances of pregnancy. Also, try to make sex as exciting as possible. The more exciting it is, the better your body will respond — and hers — and improve your chances of making a baby.

          • khan November 30, 2016 at 10:42 am

            Hi my wife go through some tests. follicle size was 15mm on cd 12 progestrone was 5.4ng/ml at cd21. dr told she is not ovulating put her on clomid. then cycle day 13 2 follicles in each ovary 25mm and 23 mm respectively. 21 day progestrone was 15.6 ng/ml which doctor said should be greater than 30. can you please tell me about this situation. problem is with me or my wife?

      • saqib February 18, 2018 at 5:46 am

        hello sara my sperm count is 70million sctive motile is 52% sluggish 10% non motile 38% puss cells 30-6/HPF RED BC 0-1/HPF IS THIS REPORT OK

        • Sara SDx
          Sara SDx February 19, 2018 at 6:55 pm

          yep

      • Kemar March 7, 2018 at 5:31 am

        Hi Sara I’m trying to get my wife pregnant over 2 years now. I did an semen analysis last week and this is my result.

        Volume: 3.5 1.5 -5.0 mL
        Liquefaction: 60 Within 30 min
        Viscosity: Normal
        Motility: 6 Lo >50 %
        Sperm count: 64 Grater than 20 X10E6/ml
        Appearance: normal
        Vitality: 69 >50 %
        pH: 7.5 >7.2

        Please let me know if it’s possible to get her pregnant. Thank you.

        • Sara SDx
          Sara SDx March 8, 2018 at 2:23 pm

          No sure what the motility number means. Can you clarify?

  152. moses July 15, 2016 at 10:36 pm

    Thank you very much for your immediate response

  153. moses July 15, 2016 at 10:18 pm

    Please, I would like to know if my semen analysis result is normal.
    volume: 1.5
    odor: spermine
    viscosity: normal
    Liquefaction: complete
    Agglutination None
    Round cells: <1million/ml semen
    neutrophils: <1million/ml semen
    SPERM DATA (COMPUTER ASSISTED
    Concentration: 66.8 x 10'6/ml
    total sperm count /ejaculate 100.2 x 10'6
    total percentage motility (progressive + non progressive) 73.8%
    progressive mobility(rapid 43% medium 9% slow 1%
    motile sperm ejaculated 73.9 x 10'6
    total progressive motile/ ejaculation 52.8 x 10'6
    velocity: 39.9 micrometers/seconds
    mean linearity: 52%
    motility index: 29.4
    Viability(eosin) 92.7
    MORPHOLOGY DATA
    normal sperm: 6.5%
    small head: 0.0%
    Large head: 0.0%
    Round Head: 0.0%
    Tapered head: 0.0%
    midpiece Defect: 0.0%
    Tail defect coiled 6.05
    Duplicate form1.5%
    cytoplasmic Droplet: 0.0%
    Amorphous head: 86%
    slightly abnormal:3.5%

    • Laura July 15, 2016 at 10:29 pm

      Hello,

      Your semen analysis seems to be above optimal. That is, you had a rather good result. Your total progressive motile sperm count is about 43 million, which is more than double what is normal.

  154. Phil May 28, 2016 at 9:38 am

    Hi, I’m 34 and I found that after a recent analysis I have immediate motility of just over 60%, but then a Motility score of Moderate (less than good). I have been trying to work out if this could be due to the scores I see ‘After 1 hour’, ‘After 3 hours’ and ‘After 24 hours’ but I can’t find studies which woukd explain what the average range for results in these times might be. Altough I’m looking to boost it anyway, can you point me in the direction so I can find this information?

    Thank you

    • Laura June 17, 2016 at 5:03 pm

      Hi Phil,

      It is unclear from literature what normal sperm motility is after a certain amount of time. It is likely that this hasn’t been studied in enough detail to give you confident statistics. However, what I can tell you is that motility over time is an indicator of your ability to get pregnant. If there is a precipitous drop in motility after just a short time, that means your sperm has slightly less of a chance to make it to the egg. This could indicate that the semen nutrient content is somewhat lacking.

      I can only speculate what your Moderate score could indicate, but I’m betting it could relate more to the total motile sperm count or your progressive motile sperm count, rather than the percent motility. You’d need to clarify the numbers on this semen report with your doctor or semen analysis technician. Semen analyses are by no means strictly standardized, and I can only make sloppy guesses as to what your report is saying.

      One piece of info you could get out of this is that this report can serve as a baseline. If you take action to get healthier and improve your semen parameters, you can return to this same clinic about 3-6 months later and see if those numbers and scores improve.

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