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.

Summary

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

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

BIBLIOGRAPHY

  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.”

177 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

    SEMEN ANALYSIS
    Physical feature of Semen
    Liquefaction 21 mts

    Volume 4.1 ML
    Viscosity Normal
    Amorphous Debris (++)
    PH 7.9
    Microscopic Features of Semen –
    Motility
    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

    Reply
    • 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

      Reply
  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,
    Georgette

    Reply
    • 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!

      Reply
  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
    Motility
    Progressive – 05%
    Rapidly Progressive – 10%
    Non Progressive – 18%
    Dead – 67%

    Morphology

    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.
    Dasun

    Reply
    • 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!

      Reply
  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?

    Reply
    • 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!

      Reply
  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

    Reply
    • 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.

      Reply
  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

    Morphology
    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.

    Reply
    • 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.

      Reply
  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

    Reply
    • 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!

      Reply
        • 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

          Reply
  8. SANKAR AM
    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

    Reply
    • 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!

      Reply
  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%

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

    liquefaction time: 40 minutes

    Reply
    • 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!

      Reply
  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
    Liquefaction:complete
    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

    Reply
    • 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.
      *** WE WILL NOT ANSWER FURTHER QUESTIONS TO INDIVIDUAL SEMEN ANALYSIS. COMMENTS WILL BE DELETED. PLEASE CONSULT YOUR PHYSICIAN ***

      Reply
  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?

    Reply
  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%

    Reply
    • 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.

      Reply
  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
    Progression:
    A. Rapid: 16L
    B. Slow : 15
    C: none progressive: 32
    D: immotile: 37
    WBC:0
    Morphology criteria:
    Normal form: 5
    Normal head: 56
    Abnormal mid piece: 38
    Abnormal tail : 6

    Reply
    • 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!

      Reply
  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

    Reply
    • 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.

      Reply
  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

    Reply
    • 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!

      Reply
  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 ?

    Reply
    • 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!

      Reply
  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

    Reply
    • 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!

      Reply
  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.

    Reply
  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
    SEMEN ANALYSIS :
    quantity= 3ml
    colour= greyish white to pale yellow
    viscosity= viscid
    time of liquification= 30 mint
    ph= 7.5 to 8
    fructose = positive
    SPERM COUNT:
    total count=38 mill/ml
    live count=30 mill/ml
    sperm ejaculate=114 mil
    MOTILITY
    %age motile sperms= 79%
    rapid linear progression= 20%
    slow/non linear progression=40%
    non progressive= 40%
    MORPHOLOGY
    normal form=50%
    HEAD ABNORMALITY
    large oval= 10%
    small oval=10%
    amorphous=30%
    OTHER CELL
    germ cell=01
    wbcs=01
    rbcs00
    squamous cells=00

    Reply
    • 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.

      Reply
  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

    Reply
  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.

    Reply
    • 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!

      Reply
  22. JONATHAN
    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%

    Reply
    • 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!

      Reply
  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

    Reply
    • 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!

      Reply
  24. Muzaffar
    Muzaffar says:

    Dear Dr. Jones,

    Please help me interpret my Semen Analysis report,

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

    CHEMICAL EXAMINATION
    pH: Alkaline
    Fructose: Positive

    MICROSCOPIC EXAMINATION
    Total Sperm Count: 105 million/m
    l
    SPERM MOTILITY
    Rapid progressive motile: 30
    Slow progressive motile: 10
    non-progressive motile: 60

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

    Reply
    • 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!

      Reply
  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.

    Reply
    • 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!

      Reply
  26. john
    john says:

    Please help…
    Physical Examination:

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

    Motility:

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

    Morphology:

    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.

    Reply
    • 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!

      Reply
  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%

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

    Note:-
    Testis performed on MAKLER counting chamber.

    Waiting for your reply.
    Asad

    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!

      Reply
  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

    Reply
  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
    2%
    Leukocytes <1.0 mil/ml
    Additional comments The predominant abnormalities of sperm morphology are small and tapered heads.

    Reply
    • 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.

      Reply
      • 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!

        Reply
  30. bry
    bry says:

    Hi doc,
    Please analyze my semenalysis.
    COLOR: PEARLY WHITE
    VOLUME: APPROX. 4ML
    VISCOSITY: SLIGHTLY VISCOUS
    WBC:3-5/HPF
    RBC: 5-7/HPF
    LIQUEFACTION TIME: LIQUIFIED AFTER 4HRS.
    SPERM COUNT: 357,600,000/CC
    TIME COLLECTED: 7:52AM TIME RECIEVED: 8:15AM
    MOTILITY UPON RECEIPT:50%
    FORWARD: 38% SLUGGISH:12%
    MOTILITY AFTER 4HRS:25%
    MORPHOLOGY:NORMAL:75% ABNORMAL:25%
    GIANT HEAD:12%
    PIN HEAD:02%
    TAPERED HEAD:03%
    DOUBLE TAIL:01%
    BENT NECK:07%

    Reply
  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

    Reply
  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

    Reply
    • 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!

      Reply
  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.

    Reply
    • 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!

      Reply
  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

    Reply
  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

    Reply
    • 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!

      Reply
  36. Suraj
    Suraj says:

    Hi
    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

    Reply
    • 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?

      Reply
  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 !

    Reply
  38. Alex
    Alex says:

    Hi,

    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%
    Monographs:
    normal is 60
    abnormal is 40

    Reply
    • 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!

      Reply
  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

    Motility
    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
    Thanks

    Reply
    • 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!

      Reply
  40. Anjani Lal
    Anjani Lal says:

    Hello Doctor,
    My sperm analysis is as below:
    Vol- 3 mL
    Appearance- Viscid opaque
    Colour-Whitish
    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?

    Reply
    • 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!

      Reply
  41. khan
    khan says:

    Dear sir
    I have taken seamen analysis and reported as count/concentration 120million/ml
    Motality: dead=65%
    Semi slugish=20%
    Slugish=10%
    Full motile=5%
    Puss cell= 8-10/HPF
    Red cell=1-2/hpf
    Ph=8.0
    Please tell me what is the problem because i think i have low motile count.

    Reply
    • 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

      Reply
      • 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.

        Reply
        • 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.

          Reply
  42. Larr
    Larr says:

    Please help me analyze these results.

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

    SEMEN ANALYSIS
    Volume- 1.8ml
    Sperm Count- 65 million/ml
    Total Sperm Count- 117 million/ejaculate
    Cryptozoospermia- N/A
    Progressive Motility (a+b) 60%
    Progression:
    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%

    Reply
    • 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!

      Reply
  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.

    Reply
    • 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!

      Reply
  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
    WBC/RBC/Spermatids
    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…

    Reply
    • 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!

      Reply
  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
    Progression:20.5%
    Ph: 6.4
    Volume:5.5ml
    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.

    Reply
    • 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!

      Reply
  46. ismael
    ismael says:

    Hello Doctor,
    My sperm analysis is as below:
    Viscosity: normal
    volume:3 ml
    ph:7.6
    sperm concentration: 35milion sperm/ml
    total sperm count: 105milion sperm/ejaculate
    morphology normal:3% abnormal:97%

    Motility
    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?
    Thnaks

    Reply
    • 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

      Reply
  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

    Reply
    • 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

      Reply
  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

    Reply
    • 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!

      Reply
  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%

    Morphology:
    Normal: 60%
    Abnormal: 40%

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

    Reply
    • 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

      Reply
  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 :

    MACROSCOPIC EXAMINATION;
    * 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%
    >=60

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

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

    CELLULAR ELEMENTS OTHER THAN SPERMATOZOA ;
    *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)

    Reply
    • 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!

      Reply
    • 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

      Reply
  51. Ameen
    Ameen says:

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

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

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

    Reply
  52. nitin garg
    nitin garg says:

    SEMEN ANALYSIS

    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 %

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

    Reply
    • 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!

      Reply
  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
    Morphology
    Normal Form : 87%

    Kindly Advise me.

    Reply
  54. oba
    oba says:

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

    Reply
    • 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!

      Reply
  55. Gavin
    Gavin says:

    Hello,
    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.

    Reply
    • 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!

      Reply
  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
    Morphology
    Normal Form : 70%

    Kindly Advise me.

    Reply
    • 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.

      Reply
  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.

    Reply
    • 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.

      Reply
  58. Sarah Fletcher
    Sarah Fletcher says:

    hello Dr Jones!! would love your evaluation on my husbands’ analysis
    Semen, Total Volume 0.8 mL
    density)x10^6/ml) 98.7
    total sperm count (x10^6):78.9
    Motility(%): 64
    Progression(0-4/4): 2-3/4 ( 60:40)
    Morphology(%) -Normal forms: 4
    Morphology (%) -Head defects: 73
    Morphology (%) – Neck defects : 19
    Morphology (%) – tail defects: 4
    cells (x10^6/ml): 7.4
    Mar test: IgA 23%tails,IgG37% tails. Weakly reactive
    very low semen vol produced.
    he has been told to go back in for a second sample in case it was a poor sample..was told maybe the meds might be affecting his volume..

    he is on medication for PTSD and finistaride for hair. He is active and runs, 5-10 miles every few days. he is 42 years old.

    Thank you very much for your expertise.

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Sarah, his count / ml and motility are both excellent at 500% and 200% WHO minimums. His morphology is on the edge being exactly at the WHO minimum of 4% meaning just about acceptable. Yes, his volume is far too low and should be about 3 times as high (approx 2.5ml+). Did he abstain for 3 days before he gave the sample? This is crucial to elevate volume. My advice would be two-fold: 1. start taking extra Arginine immediately and going forward until you are pregnant. Arginine is known to effectively elevate sperm volume (refer to studies on this page). It is included in most male fertility supplements. 2. Stop taking the Finasteride immediately. The scientific evidence on its effect on male fertility is inconclusive (reference here), but lots of studies have been done and many arguments made. He should stop taking it – again, until you are pregnant – just to eliminate this potentially compromising factor. I hope this all makes sense. Best of luck!

      Reply
  59. Anand
    Anand says:

    Dear, sir
    This is my report
    Please check and reaply me!

    Report >
    Time of specimen = 5.15 AM/PM
    Time of examination = 5.45AM/PM
    Duration of Abstinece = 3day
    Liquefaction at 37°C = 30 minutes
    Volume = 4ML
    Appearance = Viscid opaque
    Colour = Whitish
    Viscosity = Thick
    PH = 8.0
    —————————————————————–
    Totel sperm concentration = 30 million /ML

    Percentage motolity = 70%
    Grade A(progressive motile) =50%
    Grade B(non progressiv motile) =20%
    Grade C(Immotile) =30%
    Pus cells =7-10/hsf
    Red blood cells =4-5/hpf
    Epithelial cells =Nill
    ——————————————————————
    Normal Morphology = 60%
    Abnormal Morphology =40%
    ——————————————————————-semen fructose quilitative = Positive

    Reply
  60. JOHN
    JOHN says:

    Hi Dr.
    Please let me know if the report shows it is fertile and please suggest

    Investigations Result Units H/L Ref-Interval
    Semen Analysis: SubHead
    Abstinence 3.0 days N 2 – 7
    Collection time 03 : 56 pm N
    Method of collection Masturbation N
    Examination time 04 : 30 pm N
    Semen Data SubHead min
    Volume: 3.0 ml H 1.4 – 1.7
    Odour Spermine N
    Colour Normal Grey Opalescent N
    Viscosity Normal N
    Liquefaction Time 34 min N Complete in 30 Min
    PH: 8.0 .. N 7.2 – 8.0
    Agglutination Not Present N None
    Round cells/Pus cells 2 – 4 /HPF N
    Sperm Data SubHead min
    Concentration 40 Million/ml H 12.0 – 16.0
    Total Sperm Count/Ejaculate 120 Million per ejaculate H 33.0 – 46.0
    Total percent motility 60 % H 38.0 – 42.0
    Progressive motile 20 % L 31.0 – 34.0
    Immotile 40 % N
    Sperm Morphology 75 Normal forms % H 3.0 – 4.0

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear John, your count is fine (200% of minimum) and your morphology is superb (1800% of minimum), however, your motility is slightly low (60% of WHO minimum). Don’t be too concerned, because 1. your morphology is so high that it compensates for the low motility, 2. you can still very much father a child (at any time!), your chances are just slightly lower and 2. you can do many things to increase your motility (refer to article). My advice is the usual: take the right supplements, live a clean lifestyle and get the ovulation-intrcourse timing perfect. Finally, never forget that the semen analysis is just a snapshot and that the readings can change dramatically within days / weeks. I would make the above changes and do another semen analysis in 3 months time. In the meantime, learn to meditate (try MBSR), learn fertility yoga and enjoy he journey with a positive mindset. I hope this helps. Best of luck!

      Reply
  61. Nancy
    Nancy says:

    Hi Doctor,

    My husband is 43 year old. We just received a very short result report for his sperm test:

    Count 21 million
    59% motile
    2% progression and,
    3% normal morphology

    Anything important missing from the report that we should ask for from the nurse? Could you please help understand the results and its implication? Should we be concerned?

    Many Thanks! Happy Holidays!

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Nancy, your husband’s count is just above the WHO minimum (20 million / ml), which is positive. However, both progression and morphology are low. The minimum morphology should be 4% so your husband is only 1% under that (but 25% in absolute terms, I hope that makes sense). He progressive motility is very low, because the WHO minimum is 32%. Your husband only has 16th of the minimum number of motile sperm per ml of semen (or 94% of what he needs as a minimum).
      He is therefore classified as “statistically” subfertile, however this means: 1. he can still father a child, his chances are just lower and 2. he can do many things to increase his count, motility (refer to this article) and morphology / % normal forms. My advice is the usual: take the right supplements, 3. live a clean lifestyle and get the ovulation-intercourse timing perfect (google is your friend). Finally, never forget that the semen analysis is just a snapshot and that the readings can change dramatically within days / weeks. I would make the above changes and do another semen analysis in 3 months time. In the meantime, 4. learn to meditate (try MBSR), learn fertility yoga and 5. enjoy the journey with a positive mindset. If natural fertilisation fails after 18 or so months, ICSI could be a strategy to conceive artificially. I hope this helps. Best of luck!

      Reply
  62. Please help!
    Please help! says:

    Dear Dr. Jones,
    This is my husband’s report. Could you please evaluate this. The doctor said he needed to go see a urologist but didn’t explain anything on the paper. Thanks in advance.
    Volume, semen= 6.0
    Days of abstinence= 3
    WBC, Semen= 3-5
    RBC, Semen= 0-2
    Epithelial Cells, Semen= 0-2
    Appearance= Cloudy
    Viscosity= Normal
    Liquefaction time= Normal
    Sperm, Total Count= 87.8 millions/ml
    Motility= 44.6
    Rapid Progressive Motility= 25.6
    Slow Progressive Motility= 11.5
    Non Progressive Motility= 7.5
    Immotile= 55.4
    Sperm Morphology= 8.6
    SMI= 205

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Madam, on paper your husband is a fertile man, because all the key parameters (count, shapes and movement) are above the WHO requirements (400%, 30% and 100% respectively). The doctor may have been referring to something else other than his fertility readings. Kind regards, Dr. Jones

      Reply
  63. Josh
    Josh says:

    Hi! I dont know how to read my SA results. My wife and I have been trying to conceive for 2 years. She has PCOS and doesnt ovulate. Are these results good?

    Abstinence days: 2
    Volume: 2.10 mL
    Viscosity: normal
    Appearance: milky
    Time of Liquefaction: 60 mins
    pH: 8
    Concentration: 105 million/mL
    Motility: 88%
    Forward Progression: 4
    Total Motile: 194.04 million
    Agglutination: 0
    Round Cells: <1 million/mL
    Morphology: 5% (Kruger Strict)

    Thank you for your help!

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Josh, your count is high (minimum is 20million/mL so you are 500% above that), your morphology is ok (minimum is 4% so you are 20% above that), but your progressive motility is low at 4%. The latter should be in the region of 30%+ (please refer to our dedicated article). My suggestion would be to clarify your 88% motility reading with your lab: does the 88% represent total motility (Grade A+B+C)? If the answer is yes, you need to know what the reading for Grade B motility is. If this is 25-30%+ you are in the fully fertile range. If your Grade B motility is lower, you would be classified as “statistically” subfertile, which means: 1. you can still very much father a child (at any time!), your chances are just slightly lower and 2. you can do many things to increase your motility (refer to article). My advice is the usual: take the right supplements, live a clean lifestyle and 3. get the ovulation-intrcourse timing perfect. Finally, never forget that the semen analysis is just a snapshot and that the readings can change dramatically within days / weeks. I would make the above changes and do another semen analysis in 3 months time. In the meantime, 4. learn to meditate (try MBSR), learn fertility yoga and 6. enjoy the journey with a positive mindset. I hope this helps. Best of luck!

      Reply
  64. viv
    viv says:

    Hello!:) my husband went for his second analysis.. the first one had showed low sperm volume and morphology at 4% hence the second test after he took the additional vitamin supplements. These are the results:
    days of abstinence- 5
    Volume- 2.4ml
    Viscosity: normal
    Density(x10^6/ml):127.2
    total sperm ejaculate:305.2 x 10^6
    Motility(%):43.0
    progression (0-4/4): 2-3/4 (60:40)
    Morphology(%)- Normal forms:2
    – head defects:80
    -neck defects:10
    – tail defects:8
    cells(x10^6)/ml):5.9
    MAR TEST: IGA:negative,IgG:25.9% head
    comment: poor morphology

    is this maybe down to poor diet?He is taking L’arginine and vitamins. he also takes Diazepam for PTSD. Should he be seeing a fertility specialist or make changes and wait for a new analysis? He is talking about IVF at this point.
    Any advise would be greatly appreciated:) Thank you in advance!

    Reply
  65. Anil
    Anil says:

    Hello Dr.
    my semen analysis is below
    colour – grayish white
    volume- 2ml
    ph- 7.7
    sperm count – 23 mil/ ml
    actively motile -60%
    sluggishly motile -10%
    non motile – 30%
    pus cells – 2-3
    fructose- present
    is it ok ? or i should start taking supplements

    Reply
  66. Murad
    Murad says:

    Hi – I just got my results back and do not have a doctor appointment for another week but am very worried about the results. Mainly, concerned about the low motility rate (although the total motile sperm seems OK), the 5% normal morphology and the viscosity and progression. Please advise, if you can it would be much appreciated! Thanks!!

    Liquefaction < 60 minutes

    Volume 3.80

    pH 8.50

    Viscosity 2-Moderate

    Appearance White/Gray

    Concentration 38.80 x 106/mL

    Motility 28.0 %

    Total Sperm Count 147.44 x 10^6

    Total Motile Sperm Count 41.28 x 10^6

    Progression 2-Fair

    Round Cells <5/hpf

    Agglutination 1-Isolated

    Odor Mild

    Mucoid Particles None

    Debris None No

    Epithelial Cells No

    Red Blood Cells No

    Bacteria No

    Morphology (Kruger’s Strict) 5.00 %

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Murad, your volume is good, your count is excellent (700% of WHO minimum), your morphology is fine (25% over the WHO minimum of 4%), only your motility is slightly low (should be 32%+). I would argue that your excellent count more than makes up for the slightly reduced motility, because your Total Motile Sperm Count is still excellent. Overall you are therefore a fertile man and should have no problems fathering a child. Nevertheless, 1. do read the article on how to improve motility and do consider taking a supplement with Pine Bark Extract as that has been shown to boost overall fertility especially in cases of idiopathic infertility (i.e. all seems clear, but still no pregnancy). 2. make sure you get your ovulation-intercourse timing spot on (google is your friend), 3. follow all the usual advise on a clean, healthy lifestyle and 4. keep in mind that a semen analysis is just a snapshot and can differ significantly from one week to the next. Good luck!

      Reply
  67. AlS
    AlS says:

    Please if you can review below report and advise accordingly.
    Is there any simple way to get more active sperms?
    is 35% really low active sperm?
    2 years before there was 60% active sperm and now they are 35% , we are trying for baby from last one year. Is low active sperms because of more sex because we are trying for baby?

    Volume: 4.5 ml
    PH: 8.0
    Liquefaction Time: 25 minutes
    Total sperm count :75 /ml
    Active: 35%
    Sluggish: 40%
    Dead: 25%
    Pus cells: 4-5 /H P F
    RBC: 0-1 / HPF
    Epi: cells NIL
    Clumps: NIL

    Doctor advised to take COQ forte tablet. Will it help to improve? I am eating fresh fruits, nuts and trying to be with good diet.

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Ali, your parameters are all good: 35% active sperm is above the WHO minimum of 32% so you are fine. Your count and volume are also good. Unfortunately you have not provided your %-normal forms / morphology. As long as that is above 4% you are a fertile man. COQ forte looks ok, because it includes the antioxidant Co-enzyme Q10. However, I would rather focus on improving your motility (read article here) with Carnitine, Vitamin C + E + D. Keep up the good diet (esp nuts and eat lots of green vegetables) and get your ovulation-intercourse timing perfect (google is your friend). Best of luck!

      Reply
  68. Buma
    Buma says:

    Please doctor explained my semen anaysis in a way I will understand better thanks

    physical examination:
    Volume 4.0 ml 2.0-6.0 ml
    Color. Grayish white. Greyish white ,opalescent
    Liquidation time 40 minute 15 to 60 minute
    Viscosity. Normal. Normal
    Chemical examination:
    PH. 8.0 7.2- 8.0
    SPERM COUNT:
    Sperm count / ml 96×10^6. >or= 20×10^6 sperm/ ml
    Sperm count /ejaculate 384×10^6. > or=40×10^6 sperm/ ejac
    Sperm Motility:
    Total motile 35%. >or=50%motile
    Rapid forward progressive (A) 10%
    Sluggish forward progressive (B). 10%. > or=25% progressive (A+B)
    Non progressive motility 15%
    Total immotile forms 65%
    Sperm Morphology:
    Total forms. 75% >or=30% normal forms
    Total abnormal. 25%
    1. Head abnormality 10%
    2. Tail abnormality. 10%
    3. Neck abnormality. 0.5%
    Microscopic examination:
    Pus cells 2-4. Up to 5/ hpf
    Red blood cells 0.2. Absent

    Dear doctor that’s my result of my semen aynasis I have copy all as mentioned on my result pepper pls explained well to me if I can make a child thanks waiting to hear from u pls u can also forward it my email tks

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Buma, your volume is good, your count is excellent (almost 500% of WHO minimum), your morphology is excellent, only your motility is low: it should be 32%, but yours is 15% and therefore less than half. I would argue that your good count makes up to an extend for the reduced motility, because your Total Motile Sperm Count is still good. Overall you are therefore not infertile. Nevertheless, 1. do read the article on how to improve motility and do consider taking a supplement with Pine Bark Extract as that has been shown to boost overall fertility especially in cases of idiopathic infertility (i.e. all seems clear, but still no pregnancy). 2. make sure you get your ovulation-intercourse timing spot on (google is your friend), 3. follow all the usual advise on a clean, healthy lifestyle and 4. keep in mind that a semen analysis is just a snapshot and can differ significantly from one week to the next. Good luck!

      Reply
  69. Taimoor Qureshi
    Taimoor Qureshi says:

    Please if you can review below report and advise accordingly.
    Age:25
    Last Coitus: 05 days
    Appearance: Creamy Whitish
    Consistency: Normal
    Liquefaction Time: 30 minutes
    pH: 8.0

    Volume: 2.5ml
    Count: 65 million
    Rapid progression: 35%
    Slow progression: 15%
    Non progresive: 15%
    Immotile : 35%
    Aggulutination: Nil
    Vitality: –

    Normal: 70%
    Abnorma: 30%

    Pus cells: 1-2
    Red blood cells: Nil
    Epithelial Cells: 0-1
    Miscellaneous: Nil

    Waiting for your kind response

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Sir, all your keys readings are above the WHO minimums and you should therefore have no problems fathering a child. Keep in mind that it is still a numbers / probability game so make sure your diet is clean (do consider supplements if you are actively trying to make sure your sperm has the best possible quality) and get the intercourse-ovulation-timing right. Google / youtube is your friend. Best of luck!

      Reply
  70. Brian B
    Brian B says:

    Hi there,
    Can you please email me what the following results mean and if the chance of pregnancy is likely? Thank you
    70301 IUI 293
    COLLECTION TIME . . . 1315
    TIME RECEIVED . . . . 1320
    TIME STARTED. . . . . 1330
    SEMEN VOL . . . . . . . 3.5 (1.5-6.8) ML
    LIQUEFACTION. . . . . . . . .
    NORMAL – LESS THAN 30 MINUTES
    SEMEN COLOR . . . . . . . . .
    GRAY-WHITE
    SEMEN APPEAR. . . . . . OPAQUE
    PH SEMEN. . . . . . . . 8.0 (7.0-8.5)
    MOTILE ACTIVE . . . . . 24 L (32-72) %
    MOTILE SLOW . . . . . . 8 (1-18) %
    + NON-MOTILE. . . . . . . 68 H (22-59) %
    MORPHOLOGY. . . . . . . PENDING
    TOTAL COUNT . . . . . . 21.0 (15.0-213.0) MILLION/ML
    TIME ENDED. . . . . . 1400

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Brian, your count is at the minimum acceptable level (20 million/ml), your motility is 30% below he minimum (actively motile should be 32%+) and you have not provided a morphology reading, which should be at a minimum of 4% “normal forms”. At the very least you will have to improve your motility – please refer to this article. Best of luck!

      Reply
  71. Hadi
    Hadi says:

    Hi,
    Could please comment on my semen test? Thanks a lot,
    ph: 8
    vol: 3
    concentration: 64 millions/mil
    mobility:
    Grade A: 10%
    Grade B: 35%
    Grade C: 15%
    Grade D: 40%(immobile)

    Normal form: > 30%

    I know that some factors are missing, but this is what I have in the result. I have also grade 1 varicocele, which I’m going to a repair surgery in July, but I’m worried because I don’t know by that time my situation will be even worse? Do you think that I need an urgent surgery?
    Thanks,

    Hadi

    Reply
    • Dr. Jones
      Dr. Jones says:

      Hadi, I cannot tell you if you need urgent surgery. Please discuss this with your urologist or fertility consultant in person. The good news is that you are perfectly fertile according to these stats. Your Grade A motility could be higher, but your Grade B is good, which compensates: A+B should be > 32% and yours is 45%. If you have been trying to father a child unsuccessfully so far, please follow the usual advise: 1. perfect intercourse-ovulation timing (check google / youtube), 2. a clean lifestyle and take a male fertility supplement. To improve your motility specifically, please refer to this article. Best of luck!

      Reply
  72. Prav
    Prav says:

    hi,

    Below is my Semen Test Result .Require your advise

    Colour:Opaque
    Liquefaction:Normal
    Viscosity:Normal
    Ph:8.0
    Volume(ml):2.0
    Concentration x 10^6/ml:99.0
    Progressive Motility:(a+b)(%):55.0
    Non progressive Motility(c) (%):4.0
    Vitality(%):Not Applicable
    Agglutination:NIl
    Round Cells(x 10^6/ml) <1.0
    Debris:+
    Morphology(%):<1.000
    Total no of Sperm:198 x10^6/ejaculate
    Total no of Mobile Sperm:108.9 x 10^6/ejaculate
    Total No of Motile Sperm:Not assessable

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Prav, your motility and count are very good. Your morphology / percent normal forms is far too low unfortunately. This number needs to be higher than 4%, and with under 1% you are more than 300% away from that number. I hope that makes sense. You do compensate with your high count and motility numbers and you are therefore not infertile, but from a statistical point of view your probability of fathering a child is significantly reduced. You do need to do something to increase your morphology and I would start with a dedicated male fertility supplement, which will give your body the nutrients to grow lots of high quality sperm cells. Also, your sperm volume could be higher – for this I would recommend longer abstinence (3 days should do the job) and a regular additional Arginine (either via a pure Arginine or combination supplement – see our comparison). In summary, I recommend you best go for a dedicated supplement like Fertil M pro or fertilsan for a minimum 3 months and ideally until your partner is pregnant, because your body needs the nutrients on an ongoing basis. I hope this helps. Best of luck!

      Reply
  73. Scott
    Scott says:

    Hi

    I got told by all the hospitals that I have been to can’t help me because ever since I was born I got told I could never have kids because my sperm is dead and I have a very low sperm count and no matter how hard I try I will never be able to have kids, would these tablets​ help me make a baby and will they also help me make my sperm move.

    From Scott

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Scott, supplements help improve sperm quality, but will unlikey help if you have necrospermia (low percentage of live sperm and a high percentage of immotile spermatozoa in semen). You need to discuss this with a fertility specialist, who may suggest further diagnosis and potentially treatments or artificial fertilisation. Have a look at our page of the Top 5 fertility clinics in the UK. Best of luck!

      Reply
  74. Edward
    Edward says:

    hi,

    Below is my Semen Test Result .Require your advise

    Colour:Greyish

    Viscosity:Moderate

    Volume(ml):3.1
    Concentration x 10^6/ml=7
    Motiliy in %
    Active= 10%
    Sluggish= 20%
    Non-Mobile= 70%
    Microscopy:
    wbc= (0-1)/hpf
    Epithelial= (+)
    Morphology(%):<1.000
    Normal= 70%
    Head defect= 10%
    Neck defect= 17%
    Tail defect= 3%

    Reply
  75. Dr. Jones
    Dr. Jones says:

    Your Motility and Morphology are both too low. Active + Sluggish Motility needs to be 32%+ (yours is 30 so you are close), but your Morphology is less than 25% of the minimum (the official threshold is 4%). If you have had a full diagnosis I am confident you can improve this data by turning around your lifestyle, nutrition & implement careful intercourse timing. ICSI and IVF are alternatives, but I would try everything to maximise your chance for natural fertilisation first. Best of luck!

    Reply
  76. Jonathan
    Jonathan says:

    I’m trying to better understand my post vasectomy semen analysis. If you could help with this I would appreciate it. This is my second vasectomy. It had to be redone.

    Semen Volume-2.5 Normal
    Sperm/ML – 6.8 Abnormal
    Sperm Motility- 15 Abnormal
    Grade- 3.5 Normal

    these are the only numbers on my lab results
    My Dr. office has recommended that I increase my ejaculation schedule and resubmit for testing in 2 months. I’m trying to understand what the normal/abnormal rates mean. My first Dr. did not do a good job on my first procedure and as a result the second procedure took over an hour. I really don’t want to have a third. This site is one of the few places to get this kind of feedback.

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Jonathan, thank you for getting in touch. Your semen volume is normal, because the WHO minimum is 2 ml of semen per ejaculation. Your sperm count / ml is “abnormal” (meaning below the official minimum WHO thresholds), because it is below the WHO minimum of 20 million / ml (your sperm count is 30% of that with 6.8 million ml – at least this is how I read the data you have provided). Your motility (measuring the percentage of progressively forward moving sperm) is also “abnormal” with because 15%, because you would need 32% to have a “normal” parameter. The final reading “Grade” seems to relate to morphology / %-normal forms. The minimum for this is normally 4%, but some sources accept 3-4% as the normal range. In conclusion, you need to try to increase your sperm count and sperm motility. I suggest you follow all the usual advice (clean diet, no smoking, little or no alcohol, male fertility supplement, regular low impact exercise – this will take 90 days to take full effect, because this is how long new sperm cells need to mature) and make sure you time your intercourse carefully around your partner’s ovulation date. All the relevant info can be found in the links. Don’t forget that while your numbers are low you can still conceive, because it just takes 1 sperm! You therefore need to work on maximising the probability. I hope this helps & makes sense. Best of luck! Regards, Dr Jones

      Reply
      • Jonathan
        Jonathan says:

        I think you misunderstand. This is post vasectomy. I have two children and wish to no longer be fertile. I’m trying to determine if this vasectomy was at least somewhat successful and that I will not need a third.

        Reply
        • Dr. Jones
          Dr. Jones says:

          Apologies Jonathan, I did indeed misunderstand. Let me put it this way: the ejaculation analysed still had 2.5 ml x 6.8 million sperm / ml x 15% motile sperm with (x) 3.5% normal morphology = 89,250 motile and normally shaped sperm! If your objective was to become infertile, this has not been achieved. Following from this, if your aim is to *not* father a child, you will have to use contraception, because you are still ejaculating healthy sperm cells fully capable of fertilising an egg. Alternatively, I suggest you look at another surgeon. Best of luck!

          Reply
  77. Pramod Nepal
    Pramod Nepal says:

    Could please comment on my semen test? Thanks a lot,
    Liquefaction time 30 min
    Viscosity – normal
    Ph- alkaline
    Morphology normal
    Sperm count 16 million/ml
    Total sperm count 32 million/Ejaculation
    Active 5%
    Sluggish 55%
    Immotile 40%
    WBC 6-8/HPF
    RBC Nil
    Epithelial cells Nil
    Bacteria: Not seen

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Pramod, two issues: firstly, your sperm count is 20% below the WHO minimum benchmark of 20 million / ml. Secondly, your active motility is very low – it should be 32%. You can learn more about supplements here. The recommendation is to adopt a clean living lifestyle and take a male fertility supplement. Best of luck!

      Reply
  78. viv
    viv says:

    Hello! thank you in advance for checking my partners results..
    He is taking medication for PTSD, 10 mg Diazepham but also 1 x 200 mg Disulfiram which I am concerned about as have heard this is can affect sperm quality and maybe he should come off for the next 3 months ( until our next IVF cycle).. he is taking lots of vitamins, including D, L.arginine, Vit C etc..
    Days of abstinence: 5
    Volume:2.4
    Density: (x10^6/ml) 98.7
    Total Sperm Count(10^6):78.9
    Motility(%):64
    Progression(0-4/4):2-3/4 (60:40)
    Morphology(%)- Normal forms:4
    – Head defects:73
    -Neck Defects:19
    -Tall defects:4
    Cells (x10^6ml):5.9

    Thank you in advance for your advise! Kindest Regards

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Viv, good news – according to these numbers your partner is fertile. The short answer about your concerns is yes, when in doubt, (if he can) he should come off any medication, which has side effects potentially affecting his fertility. Do your research online and discuss it with your fertility specialist. Keep in mind that he will need to come off the medication for as long as possible. It takes the body three months to grow new sperm cells from scratch. Best of luck!

      Reply
  79. Roxy
    Roxy says:

    I need help please, I would like to know if my husbands results are normal.

    COLOR. White grey
    PH: 8.0
    VOLUME:6.0ml
    LIQUEFACTION: 15min.
    LEUCOCYTES: 0.2-0.3 /ml
    SPERM COUNT: 70 000 000/ML
    NORMAL: 70%
    ABNORMAL:30%

    0 HOURS
    MOTILITY:65%
    VITALITY:70%

    1 HOUR
    MOTILITY: 60%
    VITALITY : 65%

    2 HOURS
    MOTILITY:55%
    VITALITY:60%

    Reply
  80. Roxy
    Roxy says:

    Hi, thank you for your response. I have done so much research and I also came back with normal results. The reason I’m questioning it is because my Doctor said his results came back bad and he didn’t give no explanation. You think I’m better off looking for a new doctor?

    Reply
    • Dr. Jones
      Dr. Jones says:

      Yes – he should have at least explained his judgement to you. By all means, find a new doctor / fertility specialist and discuss the results with him / her in detail. Best of luck!

      Reply
  81. Jam
    Jam says:

    Just got my result. Could you help me to interpret my Semen Analysis. Thank you so much.
    Liquefaction time: Not liquified within 1 hour
    Examined after 30 min
    PH: 8.0
    Color: Creamy white
    Volume: 2.5 ML
    Viscosity: High
    Erythrocytes: NIL
    Leucocytes: 0-1
    Concentration: 157 million/ml
    Active motile (a): 50%
    Sluggish motile (b): 15%
    Non motile: 35%
    Abnormality: 35%
    Total Sperm Number: 392.5 (10^6/eja)

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Jam, good news – all your key parameters are well above the minimum thresholds and you should have no problem fathering a child. Follow the advice on this page to make sure you time your intercourse carefully around her ovulation date. Best of luck!

      Reply
  82. Jeswane
    Jeswane says:

    Hi just want to ask below result of my husband’s semen test.
    MACROSCOPIC
    Liquefaction Time = 10Mins
    Volume =4ML
    Color = Grayish
    Viscosity = Watery
    pH =8.0
    Motility = not indicated on the result
    R B C/hpf =2-4
    W B C/hpf =1-3
    Sperm Count = 6,000,000 Sperm/ML (I know this is not the normal range)

    Result Remarks:
    A=5% rapid, straight in line motility
    B=15%slower speed, some lateral movement
    B=25% slow forward progression, noticeable lateral movement
    C=25% no forward progression
    D=No movement

    MACROSCOPIC
    Normal 20%
    Round Head 22%
    Spindle head 45%
    Double head 3%
    giant head 5%

    Please let me know of this result.

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Jeswane, your husband’s sperm shapes / morphology are fine (WHO minimum for normal shapes is 4% and he has 20%), however his sperm count is too low (65% below the WHO minimum of 20 million / ml. Tips here) and his motility is too low (5% + 15% = 20%, i.e. 30% below WHO minimum of A+B progression = 32%. Read these tips). I recommend the usual: adopt a very clean lifestyle (no fast foods, alcohol or cigarettes; lots of regular low impact exercise; yoga & meditation + learn to sleep well) + the best male fertility supplement you can afford + learn to track your ovulation & time your intercourse carefully. Remember that semen analyses can fluctuate widely within weeks + any measures he takes now will only improve his semen in three months time as the body takes this long to produce new sperm cells from scratch. Do this for 18 months before you seek advise artificial fertilisation techniques. I hope this all makes sense. Best of luck!

      Reply
  83. Shafi
    Shafi says:

    Hi sir I am from Afghanistan and kindly need your attention for my semen analysis report
    Hope you would be answering
    Appearance : gray white
    Volume : 4.3
    Consistency : thick
    Liquification: 35 minutes
    Ph : 7.6
    Morphology
    Normal : 80
    Abnormal : 20
    Motility
    Active : 70
    Sluggish : 20
    Non-motile 10
    Sperm count : 62 Ml
    Pus cell : 05-06
    Rbc : 01-02

    Reply
    • Dr. Jones
      Dr. Jones says:

      Dear Shafi, good news. Your semen analysis parameters are all above the minimum WHO thresholds and you are therefore statistically fertile.

      Reply
  84. Leilah
    Leilah says:

    Hi i need help i need someone to read my husband semen analysis because he said the doctor told him that he is candidate for sperm donor but after 7mos of trying to conceive is still failed i doubt that the doctor told him is true this is his semen result.

    Appearance – yellow A
    Liquefaction – 15
    Volume – 3
    Non-spec aggression – present A
    Progressive motility – 62
    Non-progressive motility – 7
    No. Motility – 31
    Total motility – 69
    Final spermcount- 46
    Total sperm count – 138
    Concentration of round cell
    -too few for accurate determination of concentration.
    Sperm morphology – 95

    Please help me on this.

    God bless all

    Reply

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