understand how to increase male sperm quality

Learn to Interpret Semen Analysis

For couples in the UK, poor sperm quality is the primary cause of approximately 20% of fertility problems. A further 25% of couples have trouble conceiving at least partially due to male sub-fertility. Evaluating semen and sperm quality is therefore the first and most obvious stage in trying to understand the cause of male sub-fertility.

The second stage is to look how to improve fertility. In many instances there is a range of medical options. However, focusing on good nutrition and certain nutrients can naturally improve fertility, plus enhance overall health and well-being.

Discover how good your sperm is by learning about


What you will learn

What semen analysis is and how can it help you
Its key readings count, morphology, motility, antibodies, volume, white blood cells and other parameters What you can do to improve your readings if they are diagnosed “suboptimal


What is Semen Analysis?

Healthy spermatozoons, floating to ovuleThe most effective way to determine the health of sperm is through a detailed analysis of a fresh semen sample. Results from semen analysis can help to identify specific fertility problems and steps that can be taken to improve fertility.

Although semen may be released in high volume, only 5% is made up of sperm. The remaining semen contains a range of fluids that are secreted throughout the genital tract. The highest percentage of sperm is concentrated within the first stage of ejaculation. This sperm is also the most mobile and more likely to fertilize the egg.

It’s important to understand that a semen analysis isn’t a complete fertility assessment. It’s not possible to assess all aspects of sperm function, such as the ability to find and fertilize an egg for example.

Also, if the results indicate poor fertility, it doesn’t necessarily mean that natural conception isn’t possible. The ability to conceive will decline with increasing semen defects, although in most instances, there are steps that can be taken to improve semen health.

What actually happens?

increase sperm motility with carnitineOnce the male has produced a sample, several aspects of the semen are investigated. The number of sperm (concentration), their shape (morphology) and movement (motility) are evaluated, as well as characteristics of the fluid, such as volume, white blood cell count and antibodies.

It’s important to mention that semen quality can be very variable between samples. For this reason, two or three samples are required to get an accurate analysis of semen quality and fertility. These samples should be provided several weeks apart.

Also, illness can impair semen count and function. It can take several months for semen quality to return to normal, especially after a high fever. In this case, specimens should be provided after a few months to ensure a more accurate result.

The figures below summarise the normal range for each of these parameters.

  • Sperm Concentration >20 million sperm/ml.
  • Sperm Morphology >15% normal forms
  • Sperm Motility >50% with forward movement
  • Sperm Antibodies <50% sperm with adherent particles
  • Semen Volume >2.0 ml.
  • White Blood Cells <1 million cells/ml.

Understanding Semen Analysis Results

Sperm Concentration

high quality ingredientsSperm concentration or count is determined by how many sperm are present within each millilitre of semen. A concentration in excess of 20 million sperm per millilitre is considered a healthy sperm count. Any figure below this is classified as a low sperm count (oligozoospermia).

If no sperm is found in the analysis it’s possible that there is an obstruction preventing sperm flow or an absence of sperm production. Termed azoospermia, this medical condition affects approximately 2% of the male population.

Sperm Morphology

The ability to fertilize an egg is partly determined by sperm morphology. During semen analysis, sperm is expertly analysed under a microscope to assess tail, middle and head shape and proportions.

In humans, the ideal sperm shape, defined as ‘normal’ sperm, is not produced in high concentrations, thus the lower limit of 15% normal sperm is considered acceptable. Once the percentage of normal sperm falls below 15% fertility also declines. Men with a normal sperm percentage of less than 5% will find conception especially difficult.

Sperm Motility

male infertilityAlthough low sperm count is the most common reason for poor fertility, low sperm motility (asthenospermia) can also be a problem. Often these two characteristics occur together, making conception extra challenging.

A man is considered fertile by the World Health Organization (WHO) guidelines if he has a minimum “progressive motility”, i.e. grade a+b. of 32%, equivalent to 4.8 million/ml of semen (minimum WHO requirement sperm count of 15 million per ml x 32%). Vitality must be a minimum of 60% live spermatozoa1.

Factors that can affect sperm motility include structural problems associated with the tail, sperm death (necrospermia) and autoimmunity against sperm.

Sperm Antibodies

This condition accounts for approximately 6% of male infertility. Sperm autoimmunity occurs when the body’s immune system attacks sperm as part of its natural defence mechanism against foreign organisms and substances.

Although sperm are normally protected from the immune system, some men produce antibodies that target sperm and reduce their lifespan. They attach to the surface of the sperm, reducing motility and the ability to penetrate the egg.

These antibodies can develop following some form of testicular trauma or surgery, such as a vasectomy. In many causes it isn’t possible to determine the trigger for the development of sperm antibodies. A simple immunobead test is done during semen analysis to detect concentration of antisperm antibodies.

Semen Volume

counselling is important before you start fertility treatment The volume of semen produced is measured to determine if there is a blockage of the seminal vesicles. Volumes less than 2 millilitres may indicate an obstruction preventing sufficient sperm concentration within semen and reducing fertility.

The most common cause of low semen volume is hormone imbalances. As men age, a decline in male sexual hormones will lead to the body producing less semen. Nutritional deficiencies, illness, injuries to the testicles, and infrequent sexual activity also reduce semen volume.

White Blood Cell Count

A high white cell blood count (greater than 1 million cells per millilitre) may be indicative of a genital tract infection which can damage sperm. Even though there may be no noticeable symptoms of an infection, a high white blood cell count will warrant further investigation and a possible course of antibiotics.

Other Semen Measurements

In addition to assessing white blood cell count, sperm vitality is also measured. A low percentage of living sperm can also suggest an infection or problems moving through the genital tract.

pH and fructose levels are also measured. Acidic semen (low pH) and/or the absence of fructose may suggest a blockage within the seminal vesicles and an alcaline semen (high pH) could indicate an infection. A pH between 7.2 and 7.8 is considered healthy.


the male menopause is called andropauseSub-fertility in men is very common and can be a source of anxiety. Undertaking a semen analysis will help to identify any problems with sperm production and sperm quality. Although semen screening can’t identify all potential causes for sub-fertility it will highlight the most common causes, such as a low sperm count, poor motility and morphology problems. By understanding the exact condition, it’s possible to take steps to improve fertility.


Take Action

Whether your semen has already been found suboptimal OR you have recently decided for a baby, you can take action immediately. Small simple changes will help improve your swimmers and maximise your current chance of pregnancy:



fertility boost men

read the comparison

Male fertility supplements are free of side effects, become effective after three to six months and are proven to increase sperm count by up to 215%, ejaculate volume by up to 33% and sperm motility by up to 23%2. Finally, they are relatively affordable. Whilst a varied diet is essential, supplements are able to deliver key nutrients in the required quantities more effectively and efficiently than any regular diet.

Supplements are therefore recommended for the initial treatment of asthenospermia (low motility) and oligospermia (low sperm count). A detailed yet easy to read paper summarising several studies was written by Steven Sinclair’s Male Infertility: Nutritional and Environmental Considerations.

orthomol fertil plus review test

read the comparison

Due to the lack of side effects to this form of natural ‘sperm boosting’, men who have not been diagnosed with suboptimal semen analysis readings. They will benefit from supplementing micronutrients to ensure they can deliver high-quality semen.

aminoexpert_vigarin_packagingThe UK market has on offer a considerable range of male fertility supplements. However, the products differ widely in terms of nutrients and price.

Menfertility.org has carefully compared 11 of them in terms of value for money and the nutrient formula they provide.

Click the button to read the comparison of male fertility supplements




  1. “http://humupd.oxfordjournals.org/content/16/3/231”
  2. “Imhof, Martin et al., “Improvement of sperm quality after micronutritient supplementation”, e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism, Epub published ahead of print.”

122 replies
  1. mohan
    mohan says:

    Dear Sir,
    pls find my below semen analysis report results..i am woirried if it is ok..thanks to advise me

    Physical feature of Semen
    Liquefaction 21 mts

    Volume 4.1 ML
    Viscosity Normal
    Amorphous Debris (++)
    PH 7.9
    Microscopic Features of Semen –
    Active Motile 60 %
    Sluggish Motile 10 %
    Dead Sperm 30 %
    Sperm Density (Count) 17.1 Millions/mL
    Method : Improved Haemocytometer
    Sperm Morphology
    Normal Forms 55 %
    Abnormal Forms 40 %
    Non-Spermozoal Cells 05 %
    Pus Cells 3 – 5

    • Damien
      Damien says:

      Dear Mohan,
      generally spoken we are a bit confused why you did not receive a proper and in-depth explanation from your physician. To us it looks like the sperm density is low or on the edge. According to new WHO standards it´s OK (above 15 Mio per ml), according to the previous standards of WHO it would be a bit low. You should verify the PUS Cells, which are white blood cells. It could mean that there is an infection. But please verify this with your physician.
      Damien from menfertility.org

  2. Georgette
    Georgette says:

    Hey there.

    My partner and I have been trying to conceive for 18 months and he has done one semen sample that came back showing he had around 15 million sperm per ml and that that quality was low…basic info I know, I wasn’t at the appointment when he got his results and this is all i’ve been told. Do you know if the male fertility supplements could help with this kind of issue?

    Many thanks,

    • Dr. Jones
      Dr. Jones says:

      Dear Georgette,

      The short answer to your question is, yes – any male fertility supplement with the amino acid Arginine will increase sperm count. You can read my article on this here. Other sperm count nutrients are Glutathione and Carnitine (also basic, natural amino acids) and vitamins B9 (aka folic acid), B12 and omega-3s.

      The longer answer is that a sperm count of 15 million per ml is the World Health Organisation’s threshold between fertility and infertility. That number alone, however, does not tell you much. At the very least you also need to know his “% normal forms” (i.e. shape = morphology) and “forward movement” (i.e. motility = how many move either zig-zag or straight forward).

      I suggest your partner gets at least two (better three to eliminate statistical outliers as sperm quality fluctuated a lot) professional semen analysis done at your nearest best fertility clinic. Buy the best combination supplement, which has these nutrients and which you can afford, because they include other nutrients (e.g. like anti-oxidants), which improve his morphology and motility too.

      Click here to find a clinic in the UK based on your location. In terms of costs you should expect around £100 per analysis. Perhaps bargain with them and try to get 3 for the price of 2.

      Be wary when they want to sell you IVF or similar invasive treatments. Obviously you do have to make that sure that both you and your partner are fertile, so do get all the checks done by your gyno and urologist (get a referral from his GP).

      Before you do invasive treatments like IVF, ICSI etc give yourself another 9-12 months and try naturally. Several of my readers have told me that yoga seems to have really worked for them in combo with diet, supplements and lifestyle (cold showers) etc.

      I hope this helps – good luck!

  3. Dasun
    Dasun says:

    Dear sir,

    please explain me about myself using bellow report

    colour – Gray Opalescent
    Appearance – Translucent
    Volume – 3.3ml
    Liquefaction time – 30min
    reaction – Alkaline
    Viscosity – Normal
    Sperm Concentration – 0.89 million/mL
    Sperm Total Count – 2.838 million
    Progressive – 05%
    Rapidly Progressive – 10%
    Non Progressive – 18%
    Dead – 67%


    Normal forms – 57%
    Abnormal forms – 43%
    Pus cells – 2 – 4 / hpf
    Red cells – 10 – 15 / hpf

    could you please check these and tell me about fertility.

    thank you.

    • Dr. Jones
      Dr. Jones says:

      Dear Dasun, This report indicates that you are subfertile, because you have a very low sperm count (you have less than 1m per millilitre, whereas the minimum is 20 million per millilitre) and low motility (10.5% rapidly progressive + progressive, whereas the WHO defines 32% as the minimum). Based on this information, you therefore currently have a very low probability to successfully father a child. FYI – The other parameters are fine. Please google the WHO and NICE guidelines for further info.

      I would advise seeing a fertility specialist for additional semen analysis, because one analysis is only a snapshot and its quality can severely fluctuate (do at least another one, better 2 about three weeks apart. Secondly, such a low sperm count may indicate other, more significant health issues, which I cannot advise you on from here.

      If the specialist cannot diagnose significant issues affecting your reproductive system and you actively are trying to father a child, a male fertility food supplement will help you increase both your count and motility (quality of sperm movement). Good luck!

  4. Paul
    Paul says:

    Sir my report shows I have a sperm count of 11million, ph of 8, 66% of live spermatozoids, 6% abnormal and a fertility index of 1billion. I have a son already of about 5uears old. But I have been trying for about 18months to no avail. Can U please advice me on what next to do?

    • Dr. Jones
      Dr. Jones says:

      Dear Paul, your sperm count is suboptimal (=anything under 20million per millilitre is low according to the World Health Organisation) and your ph is high (anything above 8 is considered high). My best advice is to take a fertility supplement, which is high in Carnitine, Arginine, Glutathione, vitamin B12, vitamin B9 (folic acid) and take (up to 500 mg each) of omega-3 acids EPA and DHA. Do this for at least 3 months as it takes this long for the nutrients to affect the sperm you ejaculate.

      Also, google the phrase “how to reduce ph in semen” and take action accordingly. Time your intercourse around her ovulation. Make sure you discuss this with your doctor, ideally under supervision of a fertility expert. Good luck!

  5. John
    John says:

    Results were as follows. What should I do?
    Volume 0.0040
    Ph 7.6
    Conc 8.2
    Program motile 0.26
    Prop viable 0.68
    Tmc 8.5
    Normal morphology 0.02
    Ann heads 0.69
    Tail defect 0.29
    Pre incubation motility 79%
    Post 18-24 30%
    4% no progressive motility

    • Dr. Jones
      Dr. Jones says:

      John, thanks for your enquiry. Anyway, your doctor should have given you advice when he showed the results to you. Please read tise article for some basic advice. For improving your sperm count and motility as well as morphology, please see our comparison of some products we can recommend in general.

  6. Pat
    Pat says:

    Dear sir,

    please explain me about myself using bellow report

    Liquefaction at 37° C: 30 minutes
    Volume: 1.30 mL
    Appearance: Viscid opaque
    Colour: Whitish
    Viscosity: Thick
    pH: 7.5 7.2 – 7.8

    Microscopic Examination
    Total Sperm Concentration: 72.00 million/mL
    Percentage Motility: 63.00 %
    Grade A (Progressive motile): 23.00 %
    Grade B (Non progressive motile): 40.00 %
    Grade C (Immotile): 37.00 %
    Agglutination: Negative
    Pus Cells: 3-5 /hpf
    Red Blood Cells: Nil /hpf
    Epithelial Cells: Few /hpf

    Normal Morphology: 55.00 %
    Abnormal Morphology: 45.00 %
    (a) Head Defects 25.00 %
    (b) Neck & Midpiece 10.00 %
    (c) Tail Defects 10.00 %

    Chemical Examination
    Semen Fructose Qualitative: Positive

    could you please check these and tell me about fertility.

    • Dr. Jones
      Dr. Jones says:

      Dear pat, only your semen volume is slightly suboptimal. The WHO fertility guidelines suggest 1.50 ml as the acceptable minimum. To improve your semen volume naturally you could consider consuming additional arginine, which benefits make fertility both directly by improving semen volume / more ejaculate, higher sperm count and better motility) as well as indirectly by improving erectile function and general health. For more information, please read this page.

  7. Reed
    Reed says:

    Hi check my report is it okay or need to b improved
    Sperm count 60 million per ml
    Active 50%
    Sluggish 25%
    Immortal 25%
    Total abnormal spermatoza 20%
    Head 10%
    Middle piece thick 7%
    Tail 3%

    Pulse cell 2-3 /HPF

    • Dr. Jones
      Dr. Jones says:

      Dear Reed, these results look fine: sperm count, shapes and movement are above the WHO minimums. There are, however, some parameters missing such as semen volume and ph. If you are trying to father a child, remember that getting pregnant is a “probability-based” numbers game so we suggest you follow the lifestyle, food and supplement guidelines to maximise your probabilities until your partner successfully conceives. I hope that makes sense. Good luck!

        • Dr. Jones
          Dr. Jones says:

          Dear Reed, this is an incomplete set of information, which we cannot comment on. If you would like feedback please send us all the key parameters of your semen analysis including count, progression, shapes / % normal forms etc

    SANKAR AM says:

    Rsepected Sir,

    colur :greyish white
    volume :5.0
    vicosity :normal
    reaction/ph :8.0 alklaline
    liquefaction time : completed with in 30min
    sperm concentration :3
    rapid progressive : 05
    moderately progressive : 00
    sluggishly progressive :05
    non motile : 90
    morphology : pin head+
    pus cells :6-8
    RBCs : 0-1
    normal form : 35
    Abnormal form :65
    fructose : present
    others : nil

    Respected Sir please analysis this result may be possible or not in pregnanecy.
    Thanking yor sir

    • Dr. Jones
      Dr. Jones says:

      Dear SANKAR AM, getting your partner pregnant is possible for you, but based on these results with a very low probability. This is because your sperm movement (progression) is extremely low: your combined “rapid progressive” + “moderately progressive” should be 32%, which is the WHO minimum benchmark. Yours is only 0.5% in this semen analysis. The good news is that it can be improved naturally (please follow our tips & guidelines for a healthy lifestyle, food and supplements) and that your other semen analysis parameters are fine. We suggest you do another 1-2 semen analysis over the next few weeks to make sure your current results are reliable. One option for you would be an artificial insemination treatment called ICSI. Please consult your local general physician / fertility specialist and do your own research. Good luck!

  9. jeffrey
    jeffrey says:

    hi i need ur help, i have here my semen analysis and hope u can help me interpret the result.
    total volume : 5.0 ml
    ph : 8.0
    density : 130 x 10 6 /ml
    total motility: 75%
    progressive: 45%
    non progressive: 10%

    vitality: 45%

    normal: 10%
    wbc: 5
    immature cell count: few
    round cells: 2

    liquefaction time: 40 minutes

    • Dr. Jones
      Dr. Jones says:

      Dear Jeffrey, based on these parameters your semen is of excellent quality and should not stop you from fathering a child. The numbers all exceed the World Health organisation minimums by a significant margin. Good luck!

  10. kenneth
    kenneth says:

    Hi Dr jones,
    I need your help to help me to interpret the result of my semen analysis and also advises.

    Colour: opaque
    Viscosity : Normal
    Ph : 8.0
    Volume(ml): 3.9
    Concentration (x 10^6/ml): 73.0
    Progressive Motility (a+b) (%): 38.0
    Non progressive Motility (c) (%) : 23.0
    Vitality(%): Not applicable
    Agglutination: nil
    Round Cells (x 10^6/ml) : ,1.0
    Debris : +
    Morphology(%) :,1.000

    comment: Teratozoospermia
    Presence of gel globs

    Total No of Sperm : 284.7 x10^6/ ejaculate Total No. of Motile Sperm : 108.19 x 10^6/ejaculate
    Total no. of normal Motile Sperm : Not assessable

    • Dr. Jones
      Dr. Jones says:

      Dear Kenneth, “Teratozoospermia” means your sperm is abnormally shaped. The causes are often not clear. In general, antioxidative supplements may have a positive effect. Anyway, please consult your physician who did the semen analysis.

  11. paul
    paul says:

    hi,i got my result yesterday and were as follow! sperm count 49millions,active 70%,sligesh 10% and dead 20%.p.h 7.9 please advice! is any thing wrong with above result?

  12. Joseph
    Joseph says:

    Could you please tell me if I can father a child considering the following semen analysis results. Thank you in advance.

    Appearance: Normal
    Liquefaction time: 30 min.
    Volume: 0.5ml
    Viscosity: normal
    Ph: 7.6
    Motility: 21%
    Quality of motion: Rapidly progressive 15%. Sluggish: 6%
    Immotile 79%
    Concentration: 106 x10E6/ml
    Total motile: 11.1 x10E6
    Viability: 74%
    Normal Morphology: 17%
    W.H.O. criteria, 1992, 3rd
    Head Def: 75 %
    Midpiece defect: 55 %
    Tailpiece defect: 31%

    • Dr. Jones
      Dr. Jones says:

      Dear Jospeph, the volume looks low. Anyway, please consult the physisian who did the semen analysis. He should have explained it to you.

  13. Marcy
    Marcy says:

    Dear Sr.
    My husbands physician sent my husband his semen analysis via mail and told him he has too take the analysis results to a infertility Dr. So we are assuming that he is in fact having infertility issues. We don’t know what to make of the analyst results. I was looking on the Internet to see what I could find out while I’m also looking for an infertility doctor but meanwhile I will like to know what you can tell me about it if you will be kind. Thank you in advance

    Liquefaction: 00:30
    Color: grey
    Viscosity: 2 slight stringing
    PH: 7.2
    Volume: 3.9
    Concentration: 184.7
    Total count: 720.33
    Progressive motility (A+B): 31L
    A. Rapid: 16L
    B. Slow : 15
    C: none progressive: 32
    D: immotile: 37
    Morphology criteria:
    Normal form: 5
    Normal head: 56
    Abnormal mid piece: 38
    Abnormal tail : 6

    • Dr. Jones
      Dr. Jones says:

      Dear Marcy, two of his readings are low: his normal forms are at 5%, just one 1% above the WHO minimum and his progressive motility (A+B) is in fact below the WHO minimum of 32% (i.e. rapid + slow). On the positive side his sperm count / concentration is high at 9 times (yes, 900%) the WHO minimum, which to an extend compensates for the other two low readings. I recommend you do some research on how to specifically increase sperm motility (movement) and morphology (shapes). The lifestyle changes, including diet and supplements are a good place to start. Don’t forget that getting pregnant is a numbers game: do everything you can to maximise your chances and don’t give up. Good luck!

  14. ola
    ola says:

    Please help me to interpret my result
    My semen analysis
    Colour: creamy
    Consistency: watery
    Volume:: 1.0MLS
    Count: 10million cells/ml
    Active: 3%
    Sluggish: 2%
    Non motile: 95%
    PH: 8.0
    Normal forms: 30%
    Abnormal forms: 70%
    PUS cell: 1-2/HPF
    Epithelia cell: 0-1/HPF

    • Dr. Jones
      Dr. Jones says:

      Hello, the interpretation of the semen analysis should be done by the physisian who took the semen analysis. We cannot deliver the service (for free) to interpret individual semen analysis results. For general reference, please read the information on our website. Thanks.

  15. Atul
    Atul says:

    Dear Sir,

    i have consulted so many doctors and i am confused with there interpretation, kindly help me and let me know what is required to be a father in my case.

    Sperm Concentration 45.1 million/ml
    Total Motility : 46%
    Progressive Motility(PR) : 39%
    PR after 2 hrs : 28%
    PR after 4hrs : 28%
    Motile Sperm Concentration (MSC) : 20.8 million/ml.
    Sperm Morphology (Normal Forms) : 25%
    pH : 7.5

    • Dr. Jones
      Dr. Jones says:

      Dear Anil, your parameters are all above the WHO minimum so you are statistically fertile. Remember that getting pregnant is a probability-based numbers game so keep trying. Good luck!

  16. Ken
    Ken says:

    Dear sir. My result says; volume:4.8ml, colour:milky,pH :8.0, consistentcy:gelatinous,transparency:opaque , sperm count:13×100000/ml,morphology:65%normal,active motile:30%,sluggish motile 10%,non motile:60%,pus cells:4-5,epithelial cells +. Please what does it indicate ?

    • Dr. Jones
      Dr. Jones says:

      Dear Ken, both your sperm count and your motility are below the WHO minimum thresholds of 20 x 1,000,000 and 42% respectively. That does not mean that you are infertile, it just means that there are less top quality sperm cells in absolute numbers. That means in practise that you have a lower probability that a healthy sperm sperm cell of yours will fertility your partners egg. We suggest (1) you get another semen analysis done now to confirm those results, (2) you spend some time on this website, implement all the lifestyle changes & tips (sleep more, less stress, yoga, meditation, better food, no cigarettes and alcohol, take a male fertility supplement) and (3) have another semen analysis in three months time. Chances are that your sperm count and motility will improve. Make sure that you get the ovulation time window of your partner right and have intercourse every 12h during that time). Good luck & don’t give up!

  17. ram
    ram says:

    Dear Doctors please guide me of my semen analysis report :
    color : whatish
    appearance : clear
    reaction :alkeline
    liquification time : 35 min
    sperm concentration :62million/ml
    active motile : 25 %
    sluggish motile : 10 %
    non motile : 65%
    pus cell :2-3/hpf
    normal morphology :70%
    abnormal morphology : 30%
    semen volume :2ml

    • Dr. Jones
      Dr. Jones says:

      Your motility is 7% under the WHP minimum (32%). Implement the lifestyle changes and take an amino acid based male fertility food supplement for minimum three months ideally until successful conception. Good luck!

  18. royal
    royal says:

    Dear Doctor, Please advise your input on my recent semen analysis report:

    Color: Normal
    Volume: 1.5
    Liquification: 40
    Viscosity: Normal
    Sperm Concentration: 78 M/ml
    Motility: 49% [ rapid progressive 6%, slow progressive 29%, poor progressive14%, immotile 51%]
    Morphology: Normal 35% [ abnormal 65%, abnormal heads 14%, abnormal neck 23%, tail defects 28%]
    Post Wash count: 25 M/ml
    Post Wash Motility: 90%

    i look forward to your comments, Thanks in Advance.

  19. asif
    asif says:

    dear Doctors
    i am 30 years old and married since since 1 year and 6 months , but my wife is unable to conceive i have performed semen analysis test and i am sending you the result kindly guide me what can be the problem
    quantity= 3ml
    colour= greyish white to pale yellow
    viscosity= viscid
    time of liquification= 30 mint
    ph= 7.5 to 8
    fructose = positive
    total count=38 mill/ml
    live count=30 mill/ml
    sperm ejaculate=114 mil
    %age motile sperms= 79%
    rapid linear progression= 20%
    slow/non linear progression=40%
    non progressive= 40%
    normal form=50%
    large oval= 10%
    small oval=10%
    germ cell=01
    squamous cells=00

    • Dr. Jones
      Dr. Jones says:

      Please refer to the physician who took the semen analysis. For general information, please take a look at our website. Please note that we do not provide specific analysis or consultation. Future comments of similar individual requests will be deleted directly since they do not add value for other readers. Thanks for your understanding.

  20. Sam
    Sam says:

    Hello doctor,

    Please explain for me my result. My gp is no where to be found!

    Seminal volume 7.1 ml
    Semen PH 8
    Leucocytes ( millions/ml) < 1.0
    Colour normal
    Liquefaction complete
    Sperm concentration ( millions/ml) 59.5
    Total sperm per ejaculate ( million) 422.50
    Sperm motility/ progressive 81%
    Normal sperm morphology 33

  21. Prince
    Prince says:

    Can you please give comments on my sperm analysis? Thank you!
    pH – 8.0
    Appearance – Slightly Viscoid
    Volume – 6.0 mL
    Colour- Creamy White
    Pus cells- 1-2
    Red cells- 1-2
    Sluggish- 0%
    Active- 0%
    Dormant cells-0%
    Normal Morphology-0%
    Total Cell Count – <1 x 10^6 cell/ml
    Abnormal Heads- 0%
    Abnormal Tails- 0%
    Interpretation – Azospermia
    Semen culture yielded No significant growth of pathogen isolated.

    • Dr. Jones
      Dr. Jones says:

      Dear Prince, we are neither able nor allowed to provide you with a remote diagnosis. However, we strongly recommend that you discuss these results with your GP and get a referral to an NHS fertility specialist. Good luck!

    JONATHAN says:

    Pls help me analyse my result:
    Semen Result
    Color: Grey
    Viscosity: Normal
    Volume: 1.2mls
    Active Motility: 70%
    Sluggish: 20%
    Dead: 10%
    WBC: 2-5
    Epithelial cell: (+)
    Count: 36million
    Pin headed: 5%
    Abnormal form: less than or = 10%

    • Dr. Jones
      Dr. Jones says:

      Dear Jonathan, your semen volume is below the WHO minimum of 1.5ml, but your other parameters seem fine fine. A supplement with the amino acid Arginine will be of benefit you. Do please discuss this with your doctor or pharmacist. Good luck!

  23. shola moses
    shola moses says:

    dear Dr. Jones, it’s understandable that you expect the doctor who did the test to interpret same to the patient but due to the sensitive nature of this issue and the crushing effect it has on a man’s ego it’s more convenient to seek a more discreet answer devoid of the face to face embarrassment. I’m confused about my result(please see below) especially the culture, sensitivity and resistant part….please be kind enough to help

    colour: grayish white
    volume: 8.0ml
    ph: 8.0
    consistency: viscous
    liquefaction: complete within 30minutes
    motility and progression: very good
    Active: 80. Sluggish: 5. Dead: 15
    count: 13mil
    Morphology: Normal:70. Abnormal:30
    pus cell: 3-4. Epith cells: ++. others: nil
    sensitivity: Ciprofloxacin +++
    Resistant: Chloramphenicol, Augmentin, Gentamycin, Pefloxacin, Oflaxacin, Streptomycin, Septrin, Amoxacillin, Sparfloxacin
    Culture: Yielded mixed scanty growth of Escherichia coli and staphylococcus aureus after 24hrs incubation at 37’C

    • Dr. Jones
      Dr. Jones says:

      Dear Shola, don’t worry too much about the sensitivity / resistant / culture analysis. More relevant is your sperm count, because it is below the WHO minimum of 20m per ml. However, your other parameters are very good – excellent and compensate for the low count so you are statistically fertile. If you are still struggling to father a child naturally after 12 months please consult a fertility specialist in person. Good luck!

  24. Muzaffar
    Muzaffar says:

    Dear Dr. Jones,

    Please help me interpret my Semen Analysis report,

    Color: Opaque white
    Liquefaction: 1 Hour
    Volume: 3.5 ml

    pH: Alkaline
    Fructose: Positive

    Total Sperm Count: 105 million/m
    Rapid progressive motile: 30
    Slow progressive motile: 10
    non-progressive motile: 60

    Normal: 85%
    Abnormal: 15%
    Pus Cells: 15-20
    RBC: 1-3

    • Dr. Jones
      Dr. Jones says:

      You are statistically fertile, although your mobility could be better. I recommend (1) completing a further semen analysis in 3 weeks to exclude statistical outliers, (2) keep trying getting pregnant naturally for at least 12 months, (3) following all our lifestyle tips to maximise fertility. Good luck!

  25. lawrence
    lawrence says:

    dear doctor, got married last may. still we are issueless. had my semen analysis this Jan and April. both gave similar results. vol: 4ml, conc: 50mil/cc, motility: 35%, fast: 25%, morphology: 50% normal. alkaline, pus cells: positive. want to know whether this is OK as per who norms. is the total motile sperm count is OK to make my wife pregnant? plz help. this is creating problems in my family.

    • Dr. Jones
      Dr. Jones says:

      Dear Lawrence, you are statistically fertile, but keep in mind that it is only a probability. I suggest you follow all the tips (incl. supplements, yoga and meditation, bluetooth off etc.), make sure your partner knows exactly when she is ovulating and time your intercourse according to this. Do this for 12 months at least before you go to a fertility clinic. The psychological stress of not conceiving can be significant so please advise your family to not create pressure. Good luck!

  26. john
    john says:

    Please help…
    Physical Examination:

    Volume : 4.0 ml
    Colour : Grayish White
    Reaction : Alkaline
    Viscosity : Normal
    Liquefaction time : 30 Min


    Progressive : 40 %
    Non progressive : 20 %
    Non motile : 40 %
    Total count :68 m/ml


    Normal spermatozoa : 85 %
    Abnormal spermatozoa : 15 %
    Pus cells : 2-3
    R.B.Cs : 0-1
    Epithelial cells : Nil
    Spermatogenis cells : 0-1

    Thank You So Much.

    • Dr. Jones
      Dr. Jones says:

      Dear John, your motility could be higher, but the good news is that according to this data you are statistically fertile. Keep in mind that it is only a probability, however. I suggest you follow all the tips (incl. yoga + meditation, bluetooth off, supplements etc.), make sure your partner knows exactly when she is ovulating and time your intercourse according to this. Do this for 12 months at least before you go to a fertility clinic. Good luck!

  27. Asad
    Asad says:

    Dear Dr. John!
    Please help me to understand the Semen Analysis Report:

    Microbiology : Semen Analysis

    Sample Specification:
    Sample Origin: MASTURBATION / LAB.
    Days of Abstinence: 03

    Physical Examination:
    Volume: 3.0 ml
    Colour: Normal
    Reaction: Alkaline
    Liquification Time: 30min
    Viscosity: Normal
    Sperm Count 150.0 millions/ml

    Sperm Motility:
    Excellent: 30%
    Good: 15%
    Poor: 10%
    Non-Motile: 45%

    Head Piece Defect: 30%
    Mid Piece Defect: 05%
    Tall Defect: 10%
    Pus Cells: Occasional /HPF
    Red Blood Cells: Nil /HPF
    Epithelial Cells: Nil /HPF

    Testis performed on MAKLER counting chamber.

    Waiting for your reply.

    • Dr. Jones
      Dr. Jones says:

      Dear Asad, congratulations – you are statistically fertile. Keep in mind that this is a statistic probability, so you still need to do everything you can to maximise this probability. Make sure you time intercourse exactly around your partner’s ovulation date. Good luck!

  28. Nadim
    Nadim says:

    i am 28 year old and i am 8 month married and and I got my semen analysis test report and its detailed bellow plz help me understand the result it is good and healthy, if there is a problem what should i do plz give advice.

    Colour: Grey- White
    Volume: 2.3 mil
    PH: Alkali
    Viscosity: Normal
    Liquefaction: 45 minute
    Count: 126 m
    Motility Active: 38 %
    Motility Sluggish: 45 %
    Motility Dead: 17 %
    Morphology: 73% Normal
    WBS: 10-15

  29. Willie lee
    Willie lee says:

    Vol 3.5
    Appearance grey Opal
    Ph 7.2
    Viscosity None
    Concentration 16.9 mil/ml
    Motility 64%
    Total motile 37.8
    Progressive 52%
    Non-progressive 12%
    Viability N/A
    Agglutination None
    Morphology Normal forms
    Leukocytes <1.0 mil/ml
    Additional comments The predominant abnormalities of sperm morphology are small and tapered heads.

    • Willie lee
      Willie lee says:

      Could you explain the additional comments and if by standards if I’m fertile? I recently got married and concerned we may not be able to conceive.

      • Dr. Jones
        Dr. Jones says:

        Dear Willie, your sperm count is below the WHO minimum of 20 mil/ml. Do your own research on how to boost sperm count (diet and lifestyle tips), but I would certainly include a male fertility food supplement, because that will simultaneously boost your sperm volume, motility and morphology/shapes. This is advisable, because a chain is only as strong as its weakest link. I hope that makes sense. Good luck!

  30. bry
    bry says:

    Hi doc,
    Please analyze my semenalysis.
    RBC: 5-7/HPF
    SPERM COUNT: 357,600,000/CC
    GIANT HEAD:12%
    PIN HEAD:02%
    BENT NECK:07%

  31. Nadim
    Nadim says:

    Dear Dr please help me give your valuable advice.
    Semen analysis:

    Colour: Grey- White
    Volume: 2.3 mil
    PH: Alkali
    Viscosity: Normal
    Liquefaction: 45 minute
    Count: 126 m
    Motility Active: 38 %
    Motility Sluggish: 45 %
    Motility Dead: 17 %
    Morphology: 73% Normal
    WBS: 10-15

  32. Raj
    Raj says:

    Hai doctor. ..
    I done my semen analysis. .
    Doctor told semen analysis is normal..
    Can u check once again my semen result
    Collection time: 11-30am
    Time examation: 11-40am
    Color : greying white
    Reaction : akaline
    Liquefaction : with in 10mins
    motility : 80%
    Sluggish : 15%
    Dead : 5%
    Micro scopy: 1-2 plus cell /hdf
    Morphology :normal
    Total sperm count- 76 million / ml

    • Dr. Jones
      Dr. Jones says:

      Dear Raj, these are good stats. You are statistically fertile. Keep in mind that this is a “statistic probability”. Best of luck!

  33. Raj
    Raj says:

    HI thnk you so much sir
    Report is normal condition or not
    Statistick probability wht it’s means
    I can become dad rite….
    Waiting for ur reply sir.

    • Dr. Jones
      Dr. Jones says:

      Dear Raj, normal means that “it appears that you have normal fertility levels and a normal probability to father a child”. Good luck!

  34. Bode
    Bode says:

    Dr Jones
    pls help me deduce from this my semen analysis result to know if fertilsam m will help me father children;
    Motility 30%
    Active progressive (AP) 20%
    Non progressive(NP) 10%
    immotile. 70%
    Sperm Morphology …. Normal 70%
    Abnormal 30%
    Sperm concentration. 4million
    Sperm numbers. 12million
    WBC Count. 2-3/hpf
    Epithelial cells. Nil.
    Volume. 3.0m/s
    PH 8.0
    Viscosity +
    Liquefaction 22mins
    Agglutination absent
    Velocity. Fair.
    I will like to know the duration of taking the supplement s to correct my sperm abnormalies. Thanks

  35. Patrick
    Patrick says:

    Dear doctor ,
    Me and my wife have been trying for over 2 years now i just done a sperm analysis and these are the results ive got please help me understand if its normal or not

    Volume : – 2.1 colour :- greyish liquefation time :- 1 hr count ml :- 113.0 count in ejeculation :- 237.3

    Motility fast progresive :- 50-55%
    Slow progresive :- 20-25%
    Non progressive :- 5/10%
    Non motile :- 25 %

    Morphology 60/65 % abnormal

    L/h abnormal result

    • Dr. Jones
      Dr. Jones says:

      Dear Patrick, your semen volume is a bit low. Take an Arginine-rich supplement for three months and make sure you abstain for three days before you have intercourse with your partner on the night before her ovulation day. Then have intercourse again in the morning of ovulation day, again the night of ovulation day and a final and fourth time in the morning after ovulation day. Your other key readings (count, %progressive movement and morphology/shapes) are all in the normal range so you are statistically fertile. I hope this helps. Best of luck!

  36. Suraj
    Suraj says:

    My semen analysis
    Volume .5
    Colour pearly white
    Reaction alkaline
    Viscosity normal
    Semen count 78milllion /ml
    Semen motility active 56%
    Sluggish 12%
    Non motile 32%
    Please help me what I do

    • Dr. Jones
      Dr. Jones says:

      Dear Suraj, 1. can you please confirm that the volume is 0.5 ml? 2. Your list is missing an important parameter for % normal forms = the quality of sperm shapes, also called morphology. Can you confirm both numbers please?

  37. radit
    radit says:

    Hi doc ,

    Im a bit of curious , can you please say something about my sperm analysis :

    Sexual abstinence : 4 days
    Volume : 2.80 ml
    Colour : White Opalescent
    Liquefaction : 30 minutes
    Coagulum : Positive
    Ph ; 7.40
    Motility : 0%
    Normal Morphology : 0%
    Abnormal Morphology : 0%
    Agglunation : Negative
    White Blood Cells : 1/HPF
    Viability : 0%
    Crystalization : Positive

    Spermatologis Diagnosis : Cryptozoospermia
    Note : Found 1 sperm nonmotile / hpf

    Bless you for enlighten me , thanks doc !

  38. Alex
    Alex says:


    I just did a sperm analysis and then results are bit confusing, it you can please shed some light:

    Color /appearance grey / turbid )
    Viscosity is normal
    Liquefaction time is 30
    pH result is ALK
    agglutination is 0-1
    R.B.C. Is 1-2
    W.B.C. Is 4-5
    Sperm concentration is 29.8 mil/ml
    Grade A ( Rapidly Progressive ) 20 %
    Grade B ( Sluggish Progressive ) 35%
    Grade C ( Non-progressive) 15%
    Grade D ( nonmotile ) 30%
    normal is 60
    abnormal is 40

    • Dr. Jones
      Dr. Jones says:

      Dear Alex, you are statistically fertile and should be able to father a child. Make sure you time intercourse around your partner’s ovulation, watch your diet/lifestyle. We also advise taking a male fertility supplement to boost your fertility parameters and thus your probability of fertilisation. Good luck!

  39. David lewis
    David lewis says:

    Hi Dr Jones
    My semen analysis

    Colour: Whitish
    Appearance: Opaque
    Odour : seminal
    Volume: 3.0 ml.
    Viscosity: Normal
    Fructose test: positive
    Reaction : Alkaline
    Sperm count: 27.2 mill/ml
    Total Ejaculate count: 81.6mill

    Initial : 60%
    After 3 hrs : 50%

    Non -Motile
    Initial: 40%
    After 3 hrs : 50%
    Grade : c

    Sperm Morphology
    Morphologically normal spermatozoa : 52%
    Morphologically abnormal spermatozoa : 48%

    Do I need any medication for motility please guide me

    • Dr. Jones
      Dr. Jones says:

      Dear David, you are statistically fertile and should be able to father a child. Make sure you time intercourse around your partner’s ovulation, watch your diet/lifestyle. We also advise taking a male fertility supplement to boost your fertility parameters and thus your probability of fertilisation further. Good luck!

  40. Anjani Lal
    Anjani Lal says:

    Hello Doctor,
    My sperm analysis is as below:
    Vol- 3 mL
    Appearance- Viscid opaque
    Viscocity- Thick
    pH- 7.5

    total sperm concentration- 45 million/ml
    Garde A- 5%
    Grade B- 25%
    Grade C- 70%
    Agglutination – Negative
    Pus- 3-5/hpf
    RBC- nil
    Epithelial cell- nil

    Normal morphology- 40%
    Abnormal morphology- 60%
    (Head defect-30%
    Neck & Midpiece-15%
    Tail defects- 15%)

    Semen fructose qualitative- Positive

    Please tell me what is the problem in the report and how it can be treated?

    • Dr. Jones
      Dr. Jones says:

      Dear Anjani, your key parameters are good – all within the normal WHO range, except for your motility (Grade A, B, C). Grade A + B should be 32%+ and you are only just below that so statistically you are still able to father a child. Take a motility-enhancing supplement for 3 months+, live a clean lifestyle and make sure you time your intercourse around your partner’s ovulation date. Best of luck!

  41. khan
    khan says:

    Dear sir
    I have taken seamen analysis and reported as count/concentration 120million/ml
    Motality: dead=65%
    Semi slugish=20%
    Full motile=5%
    Puss cell= 8-10/HPF
    Red cell=1-2/hpf
    Please tell me what is the problem because i think i have low motile count.

    • Dr. Jones
      Dr. Jones says:

      You have an interesting semen analysis: Yes, your motility is low. Your combined Fully Motile and Sluggish percentages should be at least 32%, which is the WHO minimum. The sum of your two parameters with 15% is just under half that value.

      However, your sperm count is a whopping 6 times the WHO minimum (20 million / ml). That means that you have 120 million / ml x 15% fully or sluggishly motile sperm / ml = 18 million fully or sluggishly motile sperm / ml of semen. This certainly puts you back into the normal range.

      Unfortunately you did not provide a measure of morphology / shapes / appearance of your sperm, often called “% normal forms”. This is an important measure to work out the total figure of how many normally formed, motile sperm you have per millilitre of semen.

      Kindly respond with this figure so I can provide you a more comprehensive opinion. Kind regards, Dr Jones

      • khan
        khan says:

        Thanks for your reply, acrosmal cap= 55%
        abnormal heads=04%
        mid pieces = 60%
        tails= 65%
        Doctor this analysis report is of 48 hours from the sexual intercourse, but my concern is why the sperm are dead, i have checked for vercecole, but it is negative, doctor told me that it can happen, please any advice so i can naturally increase these things.

        • Dr. Jones
          Dr. Jones says:

          Dear Khan, a few points here: 1. yes – you do only have 5% normally motive sperm, but I argue that your high total count compensates for that. Either way, you want to increase your sperm motility and reduce the % of dead sperm. I cannot give you a diagnosis for that and recommend you go and see your local fertility specialist. 2. The time between sperm sample and intercourse is only relevant if you timed intercourse according to your partner’s ovulation. 3. Your morphology seems fine.

          My recommendation: 1. make sure your partner works out the exact day of her ovulation and have intercourse the night before, 2 on the day and again the morning after. Abstain for 2 days prior to that. 2. Take a male fertility supplement to improve your key readings. 3. lead a clean and healthy lifestyle with regular low-impact exercise. 4. Do not stress and enjoy the journey.

  42. Larr
    Larr says:

    Please help me analyze these results.

    Liquefaction <60 min.
    Color- grayish/white
    Viscosity- slight
    pH- 8.0

    Volume- 1.8ml
    Sperm Count- 65 million/ml
    Total Sperm Count- 117 million/ejaculate
    Cryptozoospermia- N/A
    Progressive Motility (a+b) 60%
    a. Rapid 40%
    b. Slow 20%
    c. Non Progressive <1%
    d. Non Motile 39%

    Non-sperm cells- <1million/ml

    MORPHOLOGY: Strict Criteria (Kruger)
    Normal Forms 8%
    Abnormal Head 90%
    Abnormal Midpiece 14%
    Abnormal Tail 10%

    • Dr. Jones
      Dr. Jones says:

      Dear Larr, your key readings are excellent, only your semen volume is a little low, albeit still in the normal range: the WHO mimum is 1.5ml. You are certainly a fertile man according to the basic criteria. We recomment 1. taking a supplement high in Arginine (an amino acid proven to elevate semen volume amongst other sperm quality parameters) and 2. staying abstinent for 3 days prior to your partners ovulation date. Best of luck!

  43. Martin
    Martin says:

    Hi, my query is slightly different to most above as I am interpreting post vasectomy SA results. My physician has just given me the result of my 4th post-vasectomy test as “one sperm observed in 15/hpf”. The previous tests were one in 10/hpf. It has been 8 months since vasectomy. The physician hasn’t given me any indication as to what this actually means relative to average fertility or what the risk of pregnancy is with these results. Any insight appreciated.

    • Dr. Jones
      Dr. Jones says:

      Dear Martin, Thank you for getting in touch. We cannot advise you on this unfortunately due to a lack of comprehensive diagnosis on our end. We strongly advise to discuss this with a local fertility specialist. Good luck!

  44. Joemel Moulic
    Joemel Moulic says:

    I have read some assessment over sperm count and i have a recent check up as well but my doctor just said it was fine…
    Hallo doctor jones, if you could kindly explaine to me my finding as well and the following are :

    Volume (ml) = 2.1
    Viscosity = ++
    Agglutination = +
    Density (x10^6/ml) = 45.8
    Motily (%) = 45
    Progression (0-4 /4): 2-3/4 (70:30)
    Morphology (%) = normal forms = 3
    Morphology (%) = Head defects = 62
    Morphology (%) = Neck defects = 35
    Morphology (%) = Tail defects = –
    Cells (x10^6/ml) = 0.2
    Debris(+) = –
    Mar test:
    Iga = 5% head + 10% tail,
    IgG = 10% tail

    comments: SUB-OPTIMAL MORPHOLOGY ; all other remain semen parameters are within the normal reference range…

    • Dr. Jones
      Dr. Jones says:

      Dear Jemel, your key readings (volume, density and motility) are all good, except for your normal forms morphology. That should be at least 4% according to the WHO guidelines. You are still fertile (esp because your density/count and motility readings are double the WHO minimum), but your statistical probability to father a child is thus slightly reduced. We recommend taking a fertility supplement, timing intercourse around your partner’s ovulation and staying in good spirit! Best of luck!

  45. Tobias
    Tobias says:

    Dr Jones,
    Please can you advice whether normal, ICSI or IVF is possible with my result below. What can be done to help improve my semen.

    Liquefaction: <45 minutes
    Color: Yellowish
    Viscosity: watery
    Ph: 6.4
    Count 1 Motile: 4ML
    Count 1: immotile: 16ml
    Count 1 Total: 20ml
    Count 2 motile: 7ml
    Count 2 immotile: 12ml
    Count 2 Total:19ml
    Concentration: 19.5ml
    Motility 1: 20%
    Motility 2: 36.84%
    Motility( Avg): 28.22%
    Total sperm number: 107.25ml
    Total motile sperm: 30.48ml
    Morphology 1: 1
    Morphology 2: 0
    Morphology avg: 0.5%

    Please help with this analysis.

    • Dr. Jones
      Dr. Jones says:

      Dear Tobias, the short answer is yes, because both methods utilise sperm isolation techniques. This means that the best sperm cells get isolated and used to fertilise an egg cell. In other words you only need a few top quality cells, rather than millions. And you will certainly have a few good ones – I hope that makes sense. Your overall semen profile therefore is less important. For any logistics please work with your local fertility specialist. Best of luck!

  46. ismael
    ismael says:

    Hello Doctor,
    My sperm analysis is as below:
    Viscosity: normal
    volume:3 ml
    sperm concentration: 35milion sperm/ml
    total sperm count: 105milion sperm/ejaculate
    morphology normal:3% abnormal:97%

    rapid progression: 0%
    Slow progression: 30%
    Non-progression motility: 25%
    Immotile: 45%
    Staining procedure: 93 (%live)

    Please tell me what is the problem in the report and how it can be treated?

    • Dr. Jones
      Dr. Jones says:

      Dear Ismael, you have low morphology (3% instead fo the 4% WHO minimum) and low motility (rapid + slow needs to be minimum 32%). The best thing you can do for now is improve your lifestyle: low impact sports, green / wholefood diet + a male fertility supplement. You need to do this for a minimum of 3 months as this is how long new sperm cells take to mature. Continue until with this lifestyle until you have achieved pregnancy. Best of luck

  47. Alex
    Alex says:

    Dear Jones,

    please help with this semen analysis result
    Volume produced 4.5mls
    PH: 8.0
    Colour Strew white
    Odour : Seminal
    Consistency: Homogenous Viscos
    Motility: Active Progressive 14%, Active Random 18%,Sluggish 50%, Dead Cell 18%
    Morphologhy: Normal Cell: 70%, Abnormal Cell 30%
    Count: 18.1 * 10 cells per ml

    • Dr. Jones
      Dr. Jones says:

      Dear Alex, you have low count (should be minimum 20 million / ml) and borderline low motility (active progressive + active random should be minimum 32% and yours is 32%). Dont worry too much though! Semen analysis results fluctuate significantly on a weekly basis based on your activity levels and diet. You are still fertile. What you need to do is 1. improve your lifestyle: low impact sports, green / wholefood diet + a male fertility supplement. You need to do this for a minimum of 3 months as this is how long new sperm cells take to mature. Continue until with this lifestyle until you have achieved pregnancy. 2. Time your intercourse around the day of your partner’s ovulation. Have intercourse the day before ovulation, twice on the day of ovulation and a fourth time the morning after ovulation day. You should abstain for 3 days before this so your first orgasm has elevated semen volume. Your partner needs to learn to exactly predict this small ovulation time window use multiple techniques simultaneously. I recommend Body Basal Temperature + tracking her cycle with an app (just google “best Period Tracking App”) + urine strips to measure her “LH-surge”. Do your own research. 3. Stay positive and enjoy the journey with your partner. Best of luck

  48. Gary
    Gary says:

    Hi Dr Jones
    Please help me analyze these results.
    My semen analysis
    Sperm Count 64
    Sperm Volume 2.5
    Total Sperm Count 128
    Colour white-grey
    Semen PH 8.8
    Motility 57%
    Motile 43%
    Total Normal Forms 52
    Abnormal Forms 48
    Tapering 7
    Smalll Heads 7
    Large Heads 11
    Double Heads 4
    Tails 9

    • Dr. Jones
      Dr. Jones says:

      Gary, congratulations – you are a very fertile man. All your key parameters are substantially above the minimum thresholds. Make sure you get your timing right and make sure your lifestyle is clean. Best of luck!

  49. Vicktor Kech
    Vicktor Kech says:

    Dear Dr. Jones please help me with my below sperm analysis:

    Viscocity: Low
    Colour: Grayish White
    PH: 8.0

    Actively Motive: 30%
    Moderately Motile: 20%
    Non-Motile: 50%

    Normal: 60%
    Abnormal: 40%

    Count: 86Million cells/ml(> 40million cells/ml)

    • Dr. Jones
      Dr. Jones says:

      Your morphology and count are both excellent (1200% and 400% over the minimum respectively), however, your motility is slightly low: the most motile (actively motile) should be 32%+. Technically you should be fertile, but you still need to do what you can to maximise your chances. Please follow my usual advice:

      1. improve your lifestyle: low impact sports, green / wholefood diet + a male fertility supplement. You need to do this for a minimum of 3 months as this is how long new sperm cells take to mature. Continue until with this lifestyle until you have achieved pregnancy. 2. Time your intercourse around the day of your partner’s ovulation. Have intercourse the day before ovulation, twice on the day of ovulation and a fourth time the morning after ovulation day. You should abstain for 3 days before this so your first orgasm has elevated semen volume. Your partner needs to learn to exactly predict this small ovulation time window use multiple techniques simultaneously. I recommend Body Basal Temperature + tracking her cycle with an app (just google “best Period Tracking App”) + urine strips to measure her “LH-surge”. Do your own research. 3. Stay positive and enjoy the journey with your partner. Best of luck

  50. Dwight Bremen
    Dwight Bremen says:

    Hello Dr. Jones. Its coming to 9 months of trying though me and my wife live in different regions of the country., Meeting on her fertile days hasnt been easy but i am still trying though still with no results. so we decided to take some tests as below :

    * Liquefaction : 30 mnts Less than 20
    * Appearance : Opalescent. -Grey Opalescent
    * Volume : 3.0 Mls. >=1.5
    * PH : 8.0 7.2 – 8.0
    * Viscosity. Normal. Normal
    *Sperm Concetration 96.0. 10^6ml. >=1.5
    *Vitality (Live Spermatozoa) :60%

    *Progessive Motility (PR) :40%. >=50
    *Non Progressive Motility :(NP) 20%
    *Immotility : 40%

    *Normal : 65
    *Head Defect : 20%. < 35
    *Neck (Midplace defect) : 10% <= 20
    *Tail Defect : 5%. <=20

    *Leukocytes : 2-4 /Hpf. 1 _ 2
    *Erythrocytes : 0-2/Hpf. Absent
    *Epithelial Cells : 0-2 /Hpf 1 _ 2
    *Bacteria : Nil /Hpf Absent
    (supplied fresh and analysed on time)

    • Dr. Jones
      Dr. Jones says:

      Dear Dwight, your analysis looks good to me. All your key parameters are above WHO minimums (your count and morphology are 500% and 1600% of the minimums) so statistically you are a fertile man. Keep trying, enjoy the journey, don’t give up. 9 months is still very much within normal timeframes. Best of luck!

    • Dr. Jones
      Dr. Jones says:

      Dear Ameen, your count and morphology are good, but your motility is only just above the minimum: Combined rapid + slow progression must be minimum 32%. The sum of yours is 35%, but rapid is quite low at 15%. Bottom line is that you are fertile and that is good news! please follow my usual advice: 1. both you and your partner need to improve your lifestyle: low impact sports, green / wholefood diet (as little sugar as possible!) + take a male fertility supplement. You need to take the supplement for a minimum of 3 months as this is how long new sperm cells take to mature. Continue with this lifestyle until you have achieved pregnancy. 2. Time your intercourse around the day of your ovulation. Have intercourse the day before ovulation, twice on the day of ovulation and a fourth time the morning after ovulation day. Your partner should abstain for 3 days before this so his first orgasm has elevated semen volume. You need to learn to exactly predict your small ovulation time window so use multiple techniques simultaneously. I recommend Body Basal Temperature + tracking you cycle with an app (just google “best Period Tracking App”) + urine strips to measure your “LH-surge”. Do your own research. 3. Stay positive and enjoy the journey with your partner. Best of luck

  51. Ameen
    Ameen says:

    I did a sperm analysis test and I am not sure if they are okay. The details are as follows
    Appearance : Creamy White,
    Consistency : Thin,
    Volume : 4ml,
    PH : 8,
    Rapid progression : 15%,
    Slow progression : 20%,
    Non-progressive Motility: 20%,
    Immotile : 45%,
    Count/ml : 40 million,
    Morphology Normal: 55%,
    Abnormal : 45%, ,
    head defects : 15%,
    tail defects : 15%,
    neck and mid piece defect: 09%,
    Cytoplasmic Droplets: 03%,,
    Headless ‘Pinhead’ : 03%,

    Pus Cell : 2-4,
    Red blood cells: 1-2

    Can you let me know if are result are fine or not ?

  52. nitin garg
    nitin garg says:


    Semen Routine examination
    Physical Examination,Semen
    Volume 1.5 ml
    Liquefaction Time 45 15-60 MIN
    Viscosity THIN VISCOUS
    Colour WHITISH Pale Yellow
    pH 8.0 4.6-8.0
    Double Indicators Test

    Microscopic Examination
    Total Sperm Count 16 15-213
    Total Motility 50 >40 %
    Active Motile 20 Low 32-72 %
    Sluggish Motile 30 22-59 %
    Non Motile 50 High 1-18 %

    Normal 40
    Abnormal 60
    Pus Cell 6-8 NIL /HPF

    • Dr. Jones
      Dr. Jones says:

      Dear Nitin, your count is too low at 16 million / ml (minimum is 20) and your active motility is too low at 20% (minimum 32%). Your morphology is good. You can still father a child. Just make sure your lifestyle is clean, you get your intercourse timing perfect and you take a male fertility supplement for 3 months plus, i.e. please follow my usual advice. Bets of luck!

  53. Sanish
    Sanish says:

    Semen Analysis Report

    Volume : 3.0 ml
    Colour : Opaque Gray
    Viscosity : High
    Reaction : Alkaline
    Total Sperm Count : 59.0 millions/cumm
    Active Motile : 44%
    Sluggish Motile : 30%
    No Motile : 26%
    PUS CELLS : 2-4/HPF
    RBC : 1-2
    Normal Form : 87%

    Kindly Advise me.

  54. oba
    oba says:

    morning doctor…
    my semen analysis
    vol. 2.2mls
    colour creamy white
    active 50%
    sluggish 15%
    non motile 35%
    number 6.8x 10`6/ml

    • Dr. Jones
      Dr. Jones says:

      Dear Oba, you have not provided all the necessary info to enable me to give you a basic assessment: the number for morphology/%-normal forms is missing and should be a minimum of 4%. However, your count is low: this should be at least 20 million (i.e. 20×10’6), whereas yours is 6.8 and therefore only 30% of the WHO minimum. Please follow my usual advice. Best of luck!

  55. Gavin
    Gavin says:

    My wife is having ovulation induction and I was asked to do a semen analysis. I am 32 and fit and healthy. The results are as follows:
    Volume 4.8ml
    Number of sperm/ml 26.1 10*6/ml
    % progressive motility 40%
    % total motility 56%
    Time from ejaculation to test 80 mins
    Viscosity normal
    Acidity 8.0
    Nucleated cells not sperm <0.1
    Vitality 90%
    1% normal forms seem

    I am worried about the % normal forms seen. Can you advise please? Should I repeat the test. We are waiting to see the doctor again.

    • Dr. Jones
      Dr. Jones says:

      Yes Gavin, Both your count and motility are in the green zone, but not by a great margin (the minimum for count is 20million/ml, i.e. you are 30% above that; and the minim for progressive motility is 32%, ice, you are approx. 25% above that) – keep in mind that it is not unusual to see sperm counts in the area of 100million/ml+. Now, your morphology, i.e. % normal forms is 1% and the WHO official minimum is 4%, i.e. you have 75% less normally shapes forms. I strongly recommend following my usual advice: lead the cleanest lifestyle you can, get your intercourse timing spot on, take the best male fertility supplement you can afford for a minimum of 3 months and ideally until a pregnancy has been achieved. Consider yoga and mindfulness meditation (MBSR) – it will all help. After 3 months of supplements, do a further semen analysis and hopefully your parameters will have improved. Enjoy the journey. Best of luck!

  56. Modi Doura
    Modi Doura says:

    Semen Analysis Report
    Volume : 2.0 ml
    Colour : Grayish WHITE
    Viscosity : Normal
    Reaction : Alkaline
    Total Sperm Count : 48.0 millions/ML
    Active Motile : 20%
    Sluggish Motile : 30%
    No Motile : 50%
    PUS CELLS : 3-5/HPF
    RBC : 0-1
    Normal Form : 70%

    Kindly Advise me.

    • Dr. Jones
      Dr. Jones says:

      Dear Mohdi, both your count and motility are somewhat low: your total count of 48 million in 2ml means 19 million per ml. The minimum is 20m/ml so you are 5% below, i.e. not much. Secondly, your active motility at 20% is 37% below the WHO minimum of 32% (I hope that makes sense). Now, the really good news is that your morphology is very high at 70% (the accepted minimum is 5% so you are 1300% above that!). In my book this easily compensates for “suboptimal” motility and count, because your “total motile sperm count” is still high: 19m/ml x 70% normal forms x 20% active motile = 2.66 million normally shaped motile sperm cells per ml. The WHO minimum is 20m/ml sperm count x 32% active motile x 5% normal shapes = 320,000. You therefore have 8.31 times the amount of quality sperm cells per ml. I therefore conclude that you are a fertile man. Keep in mind, however, that semen analysis results strongly fluctuate. To father a child please follow my usual advise on lifestyle, intercourse timing and supplements. I hope this helps.

  57. Julie
    Julie says:

    Hi Dr. Jones,

    I would really appreciate your evaulation my husband’s semen analysis and any advice you could offer. He is 32 years old and very healthy – I have no idea if either of the following could be affecting his semen quality: a) marathon running (he wasn’t actively training when the semen analysis was done, but will usually go for a 2 hour run once a week and several shorter runs) or b) fairly high stress job. My own hormonal panel was normal appearing.

    Semen, Total Volume 5.0 mL (1.5 – 5.0)
    Semen, Concentration 74.8 MIL/mL (>19.9)
    Sperm Count, Total, Semen 374.0 million
    Semen, Viscosity Normal
    Semen, Agglutination Not Seen
    Semen, Liquefaction Complete
    Semen, pH 8.5 (H) (7.2 – 7.8)
    Semen, Forward Progression 2+ (A) (3+ – 4+)
    Semen, Round Cells 0.0 MIL/mL
    Semen, Motility 5 % (L) (>49)
    Semen, Sperm with Ideal Morphology 15 5 (L) (>70) %
    Semen, Other Cells No Other Cells Seen

    Thank you very much for your expertise.

    • Dr. Jones
      Dr. Jones says:

      Dear Julie, his volume and concentration (count) are both high, which is good news. His motility is a little low at 5%, because 4% is the WHO minimum. He is still above that, however, and his count and volume more than compensates for that. His pH is high, which could indicate an infection, but that may not affect his overall fertility. Unfortunately, I am not able to make sense out of the information you provided for Forward Progression, because it is missing a % reading of how much % of his sperm is able to move progressively in a straight line. Would you be able to contact the laboratory and supply this important piece of information? Low sperm motility is a frequent cause of sub-optimal male fertility. In response to your lifestyle query: No, marathon running is unlikely to affect his fertility negatively. Quite the contrary: it is likely to reduce his stress levels and improve his cardiovascular fitness, both important indicators for good male fertility.


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