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A semen analysis measures how much semen a man produces. It also shows the number and quality of sperm in the semen sample.
This test is usually one of the first tests done to help find out if a man has a problem fathering a child (infertility). A problem with the semen or sperm affects more than one-third of couples who are unable to have children (infertile).
Tests that may be done during a semen analysis include:
A semen analysis is done to find out if:
You may be asked to avoid any sexual activity that results in ejaculation for 2 to 5 days before this test. This helps to make sure that your sperm count will be at its highest. It also makes the test more reliable. If possible, do not avoid sexual activity for more than 1 to 2 weeks before this test. A long time without sexual activity can result in less active sperm.
You may be asked to avoid drinking alcohol for a few days before the test.
Be sure to tell your doctor about any medicines or herbal supplements you take.
You will need to produce a semen sample. This is usually done by ejaculating into a clean sample cup. You can do this in a private room or in a bathroom at your doctor's office or clinic. If you live close to your doctor's office or clinic, you may be able to collect the semen sample at home. Then you can take it to the office or clinic for testing.
If any of these methods are against your beliefs, talk with your doctor about different ways to get a sample.
If you collect the semen sample at home, the sample must be given to the lab or clinic within 1 hour. Keep the sample out of direct sunlight. And do not let it get cold or hot. If it is a cold day, carry the semen sample container against your body. This helps to keep it as close to body temperature as possible. Do not refrigerate the semen sample.
Since semen samples may vary from day to day, two or three different samples may be checked within a 3-month period. This helps to get accurate testing.
A semen analysis to test how well a vasectomy has worked is usually done 6 weeks after the vasectomy.
Getting a semen sample does not cause any discomfort. But you may feel embarrassed about the method used to collect it.
There are no risks associated with collecting a semen sample.
A semen analysis measures the amount of semen a man produces. It also shows the number and quality of sperm in the semen sample. Results of a semen analysis are usually available within a day. Normal values may vary from lab to lab.
2-5 milliliters (mL)(0.002-0.005 L in SI units) per ejaculation
An abnormally low or high semen volume is present. This may sometimes cause fertility problems.
20-30 minutes after collection
An abnormally long liquefaction time is present. This may be a sign of an infection.
20 million spermatozoa per milliliter (mL) or more
0 sperm per milliliter if the man has had a vasectomy
A very low sperm count is present. This may mean infertility. But a low sperm count does not always mean that a man can't father a child. Men with sperm counts below 1 million have fathered children.
Sperm shape (morphology)
More than 30% of the sperm have normal shape.
Kruger criteria: More than 14% of the sperm have a normal shape.
Sperm can be abnormal in several ways. They may have two heads or two tails, a short tail, a tiny head (pinhead), or a round (rather than oval) head. Abnormal sperm may not be able to move normally or to penetrate an egg. Some sperm that aren't normal are usually found in every normal semen sample. But a high percentage of abnormal sperm may make it harder for a man to father a child.
Sperm movement (motility)
More than 50% of the sperm show normal forward movement after 1 hour.
Sperm must be able to move forward (or "swim") through cervical mucus to reach an egg. A high percentage of sperm that can't swim well may make it harder for a man to father a child.
Semen pH of 7.1-8.0
An abnormally high or low semen pH can kill sperm or affect how well they can move or can penetrate an egg.
White blood cells
No white blood cells or bacteria are found.
Bacteria or a large number of white blood cells are present. This may be a sign of an infection.
Certain conditions may be linked with a low or absent sperm count. These conditions include orchitis, varicocele, Klinefelter syndrome, radiation treatment to the testicles, and diseases that can cause shrinking (atrophy) of the testicles (such as mumps).
If a low sperm count or a high percentage of abnormal sperm is found, more testing may be done. Other tests may include measuring hormones, such as testosterone, luteinizing hormone (LH), follicle-stimulating hormone (FSH), or prolactin. A small sample (biopsy) of the testicles may need to be checked if the sperm count or motility is extremely low.
You may not be able to have the test, or the results may not be helpful, if:
Pagana KD, Pagana TJ (2010). Mosby's Manual of Diagnostic and Laboratory Tests, 4th ed. St. Louis: Mosby Elsevier.
Other Works Consulted
Chernecky CC, Berger BJ (2013). Laboratory Tests and Diagnostic Procedures, 6th ed. St. Louis: Saunders.
Fischbach FT, Dunning MB III, eds. (2009). Manual of Laboratory and Diagnostic Tests, 8th ed. Philadelphia: Lippincott Williams and Wilkins.
Fritz MA, Speroff L (2011). Male infertility. In Clinical Gynecologic Endocrinology and Infertility, 8th ed., pp. 1249-1292. Philadelphia: Lippincott Williams and Wilkins.
Pagana KD, Pagana TJ (2010). Mosby's Manual of Diagnostic and Laboratory Tests, 4th ed. St. Louis: Mosby.
ByHealthwise StaffPrimary Medical ReviewerSarah A. Marshall, MD - Family MedicineAdam Husney, MD - Family MedicineKathleen Romito, MD - Family MedicineFemi Olatunbosun, MB, FRCSC, FACOG - Obstetrics and Gynecology, Reproductive Endocrinology
Current as ofNovember 21, 2017
Current as of:
November 21, 2017
Sarah A. Marshall, MD - Family Medicine
& Adam Husney, MD - Family Medicine & Kathleen Romito, MD - Family Medicine & Femi Olatunbosun, MB, FRCSC, FACOG - Obstetrics and Gynecology, Reproductive Endocrinology
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