Normozoospermia: Every Man’s Wish

Normozoospermia means normal sperm. When semen shows normal characteristics in a seminogram, it’s diagnosed normozoospermic.

The volume of the sample must be over 2 ml, it must contain over 20 million sperm/ml, 25% of which must have good motility and at least 4% must look normal.

As specialists in infertility, we’ve been warning about the gradual worsening of sperm quality for years. Thus, the day in which a patient analizes his semen for the first time has become a very important day. They’re usually nervous and want to do everything that’s in their hands for it to be a success.

They receive the following instructions: semen must be obtained through masturbation. The sample must be handed in within a sterile container that can be purchased at a chemist’s (same container as the ones used for urine samples), trying to collect the whole ejaculated matter. It must be left at the clinic within an hour after collection. Sexual abstinence is advised during the previous 3-5 days.

The adventure begins. 

How the sample is obtained… It may seem obvious but let me clarify it a bit more, just in case as we don’t want any surprises further on… For instance, it’s not uncommon we see samples that look like a crime scene under the microscope: a sperm massacre by spermicide because the patient has used a preservative.

How to seal the container… Many want to ensure the sperm won’t escape so they thoroughly wrap it up in cellophane and some even secure the lid with sticking plaster. The treasure’s packaging is important and here patients let their creativity take in. Some bring them covered in the most beautiful aluminum wraps or in colorful bags from places where they buy their food, clothes, etc. Whenever we’ve conducted studies on young population some have even brought their samples in jars of jam and very narrow test tubes (how did they ever aim it in there!?)

How to carry the container… If the sample is brought to us by car, the typical question that rises is whether they should have heat or air conditioning on. It certainly doesn’t affect the sample. Once, a patient who brought it by motorcycle had it in his pocket and it fell – his sperm happened to land all over the front glass of the car behind him.

How to bring it on time… Patients ejaculate and sprint to us it before an hour goes by. When they finally reach the clinic, they’re surprised we don’t pick it up and run to the lab as if it were a relay race. They’re always grateful we don’t look into it as they feel they’ve performed poorly and the sample’s too small. It’s true, 2-5 ml take up very little space! It’s a very common question: should I be filling it more? The answer lies in sperm’s quality, not quantity. The liquid is produced in seminal vesicles and in the prostate and its merely a vehicle for spermatozoids. We do know good sexual stimulation will give place to a better sample.

How to prevent samples getting mixed… This worries both patients and us. We always ensure the tag on the container reads the patient’s name in front of him and check whether his face matches the photo of him we keep in his medical history. Whenever the wife brings the sample, she must also bring a signed consent form from the male. Additionally, the lab also undergoes strict controls which include a biologist acting as a “controller”, checking all the identifications. The rest of the team can only continue to work when they’ve received his approval.

How will I be sexually aroused in a hospital… Worried because his wife is in an operating room meanwhile, the man believes she’s gone through a whole medical process whilst he “only” must give a sperm sample and he fears to fail. Rooms are equipped with erotic visual supplies and despite their fears they’re usually successful, and they’re also fast! Us women who work in this area are surprised that the average time is 5 minutes! Nevertheless, some get stuck and can’t perform. There’s a procedure for these cases: first, we must know whether it’s erection or ejaculation he can’t achieve. Then, treatment is applied before a second attempt: if he doesn’t achieve erection we give him Viagra-like pills, while if they can’t ejaculate we try to relax them by letting them take a walk in a nearby park or with Valium-like pills. If they stil can’t achieve ejaculation, the procedure includes Plan B, which is the aspiration of sperm from the testicle (a very simple intervention).

Finally, I’d like to comment on some issues related to the sexual abstinence on the previous days. The standard for a seminogram are 3 to 5 days, though the number is simply an attempt to reflect reality as it’s the average frequency with which couple have sex. Nevertheless, when the sample is handed in for treatment, we give less importance to previous abstinence because the male who hasn’t ejaculated for days ejaculates a greater volume but old and dead sperm are gathered in it, and thus, DNA fragmentation is worse. Additionally, ICSI requires very few spermatozoids.

Hence, you can imagine their great relief when the adventure reaches its end and the report reads “normozoospermia”!

162 Comments

  1. Prashanth Reply

    I am from India, and the whole article was true for me, from start, how to ejaculate till i read the report.

    • Dr. Marisa López-Teijón Reply

      Dear Prashanth,
      Thank you for sharing with us your experience.
      Kind regards

  2. Krishna Reply

    Dear Dr.Marisa,

    Thank you very much for this mind relieving article.

    I recently obtained the test report out of curiosity. I am trying for the child. Report says:
    90million count, 7.7pH, normal viscosity, 85%/65% motility for 1hr/2hr, Oval – 90%.
    However, WBC is 3-4 HPF & Epithelial is 1-2 HPF, with Agglutination shown as “++”.
    I searched in the web for the explanation, and now worried for the ++ indication.
    Kindly provide your opinion as to whether this is normal to get my partner impregnated.
    I shall be very much grateful to you for your kind advice.

    Best Regards..

    • Dr. Marisa López-Teijón Reply

      Dear Krishna,
      Agglutination “++” is a quantitative valuation used in the reference laboratory. Agglutination specifically refers to motile spermatozoa sticking to each other, head-to-head, tail-to-tail or in a mixed way. The motility is often vigorous with a frantic shaking motion, but sometimes the spermatozoa are so agglutinated that their motion is limited.
      Agglutination “++” isn’t correct form. The correct evaluation of the agglutination it is in grades 1-4 (WHO laboratory manual for the Examination and processing of human semen, Fifth edition). Sperm agglutination can indicate the presence of sperm antibodies or a bacterial infection.
      Kind Regards,

  3. Annette Reply

    Hello, My Husband and i are currently looking for a Kid and previous we visited the Doctors Office, but apparently the results weren’t very good at all, He was found with no Sperm Count in his semen. Meanwhile we are very confused as to what to do next, please advice of what should be the possible solution…
    Eagerly waiting on your reply

    • Dr. Marisa López-Teijón Reply

      Dear Annette,
      Thank you for joining our Blog.
      Your husband has a azoospermia, which is the name for the absence of sperm in the ejaculate. Azoospermia may be obstructive (OA) or nonobstructive (NOA). In the first case sperm production in the testes is more or less normal but can not leave them due to the obstruction of the seminal tracts at some point. In nonobstructive case there is a production problem, in most cases it is the lack of sperm-producing cells, the origin of this deficit is often unknown. In 50-60% of the NOA, there are isolated sources of sperm production in testes. In both cases OA and NOA sperm can be retrieved surgically from testes to use for an IVF-ICSI. In 100% of OA cases, in 50-60% of NOA cases. Besides, the NOA have a worse prognosis, since they are associated with chromosomal or genetic problems that may have an impact on the result of the reproduction technique or on offspring.
      Kind Regards,

  4. Mahfuzul haque mridha Reply

    My report
    70% actively motley
    10% weakly motley
    Rest non motley.
    80% normal morphology.
    Total count sperm. …60 million/ml.
    Pus cell…………..2-3/HPF
    Epithelial cell…4-6/HPF

    Am I fertile ?

    • Dr. Marisa López-Teijón Reply

      Dear Sir:

      Since the concept of fertility is clinical (in the realm of the couple) and non-analytical (single), and it is mainly proven by having children and not by having normal sperm analysis, your question Am I fertile? can’t be answered restrictively.
      Your spermogram shows normozoospermia, i.e. all values are above the so-called reference lower limit established by the WHO.
      If we stick to the fact that this “reference lower limit” has been established from the values of sperm samples from fertile men, 95% of men who had equal or higher values than this limit achieved a pregnancy within a maximum of 12 months. Your sperm analysis would fulfill these criteria.

      Regards

      • R. Kumar Reply

        My semen report is

        Abstinence days – 7 days
        Color – Milky white
        Odour: Musty
        Volume: 1.0ml
        Viscosity: Viscous
        Reaction: Alkaline
        Sperm Concentration/ml: 60
        Total sperm number: 60 million
        Total motility (%) : 70%
        Progressive motility (%) : 50%
        Sperm morphology : 70%
        Vitality (%) : 70%
        Total number of abnormal spermatozoa : 30% (Mostly round head & bend neck)
        Pus Cells : Nil
        Immature germ cell: 3-5/H.P.F
        RBC: Nil
        Epithelial Cells: Nil

        Remarks – Normozoospermia

        Kindly conform any problem or not & My age is 43 , Gender is Men

  5. ratul Reply

    My report
    40% actively motley
    30% reduced motley
    Rest non motley.
    50% normal morphology.
    Total count sperm. …90 million/ml.
    Pus cell…………..3-4/HPF
    Epithelial cell…nill

    Am I fertile ?Am I capable to give my wife pregnancy.

    • Dr. Marisa López-Teijón Reply

      Dear Ratul.

      Thank you for joining us.

      Semen analysis is within normal parameters, so it should be considered potentially fertile.

      Kind regards,

  6. vinod Reply

    Dear Sir,

    My semen report is

    Abstinence days – 3 days
    Appearance – Normal
    PH – 7.6
    Viscosity -0
    Sperm Conscentration : 15mill/1ML
    Progressive – 10%
    Non Progressive – 45%
    Non Motile – 45%
    Total Motillity -55%
    Normal – 7%
    abnormal head -56%
    abnormal midpice -9%
    abnormal tail -28%

    Remarks – Normozoospermia

    Kindly conform any problem or not & My age is 28 , Gender is Men

    • Dr. Marisa López-Teijón Reply

      Dear Vinod,
      Thank you for joining us.
      As I can read, the result is a Normozoospermia so the semen report is ok.
      Kind Regards,

  7. Rasid Reply

    Is my test result normal?

    • Dr. Marisa López-Teijón Reply

      Dear Rasid,
      Thank you for joining us.
      The parameters are normal, but them not make any reference about sperm mobility.
      Kind Regards,

  8. Hariish Reply

    volume – 2ml
    PH – 7.7 alkaline
    Viscosity -normal
    whole of collection – whole
    agglutination – “++”
    count (million/ml) – 85 million

    morphology
    oval – 90%
    large – 05%
    amorphous – 05%

    cells
    WBC – 3-4/HpF
    epithelial – 1-2/HPF

    Motility
    Hours Post Ejaculation – 1 hr 2 hr
    Active present – 90% 70%
    Grade III II

    Remarks – Normozoospermia

    Kindly conform any problem or not & My age is 30 , Gender is Men

    • Dr. Marisa López-Teijón Reply

      Dear Hariish,
      Your diagnostic is Normozoospermia, which means that your results are ok.
      Kind Regards,

  9. Sunil Reply

    Dear, sir my semen report . Volume_1.5 ml
    Colour – grey-opalescent
    Ph-ALK
    Viscosity – norml
    Sperm count – 60 millions /ml
    Total sperm number 90 million
    Sperm motility total 50%
    Prrogressiv 40%
    Non progressive 10%
    Non motile 50%
    Sperm viability 63%
    Sperm morphology normal 5%
    Head defects 41%
    Neck & midpiece defects 19%
    Tail defect 35%
    Agglutination +
    Pus cells 3 million /ml
    Debris +

    • Dr. Marisa López-Teijón Reply

      Dear Mr. Sunil

      Number, mobility and normal morphology.
      Presence of pus cells > 1 million / ml. It is suspected seminal infection. Indicated make semen culture.

      Yours faithfully

  10. Noel Reply

    Sir this is the report
    Color yellowish
    Viscousity: highly viscous
    Agglutination:+1
    Debris:+2
    Day of abstinence:4
    Time from ejaculation to analysis:30 mins
    Liquefaction:20 mins
    Ph:8.5
    Volume:4 ml
    Sperm concentration: 91 million/ ml
    Total sperm count: 364 million
    Motility:58%
    – rapid progression:34%
    -non progressive:24%
    -immotile:42%
    Total motile count: 211,120,000
    Viability:53%
    WBC; 3×10^6 / ml
    Normal forms: 5%
    Please confirm status. Thanks

    • Dr. Marisa López-Teijón Reply

      Dear Noel,
      You have a high level of white blood cells in semen. Please see an andrologist/urologist regarding this .
      Kind regards,

  11. Sunil Reply

    Tell me about’ Pus cells ‘

  12. miron Reply

    Sperm concentration 80 million
    Active motile 65 %
    Sluggishly motile 20%
    Immotile 15%
    Normal morphology 80%
    RBC nil
    Pus cells 2-3
    Fat globules nil
    Overall comments : normozoospermia

    But in testosterone test:
    Result 5.12 nmol/L where reference value for 20 to 50 age should be 10.40 – 35.71 as per test report.
    Am I okay to make my partner pregnant?

    • Dr. Marisa López-Teijón Reply

      Dear Mr:
      The semen analysis is normal so you should not have problems to get a natural pregnancy.
      Testosterone levels vary throughout the day, this kind of test should be done first thing in the morning. You should repeat in 2 months the test of testosterone. This is the total testosterone but the biologically active is free testosterone. The total one could be decreased and the free one could be normal. Although it was not the situation, under any circumstances you don’t need to do a testosterone replacement therapy because it would because it may cause a decrease in the production of sperms.
      Best Regards

  13. sammas Reply

    Volume : 2.0 ml
    Greyish white
    30 minutes
    pH 8.0
    Sperm count 50 millions/ml
    Progressive motility 75%
    Non Progressive motility 10%
    Non motile 75%
    Normal forms 20%
    AbNormal forms 20%

    Am I okay to make my partner pregnant?

    • Dr. Marisa López-Teijón Reply

      Dear Sammas,
      Thank you for joining us.
      Normal semen with normozoospermia should be considered potentially fertile in consequence the probabilities of pregnancy are normal.
      Kind Regards,

  14. HSM Reply

    Dear doctor Manisa
    My semen analysis shows 4%normal form, is it enough for getting prenancy?

    • Dr. Marisa López-Teijón Reply

      Dear HSM,

      Thank you for joining us.

      This result is considered by WHO as a normal form.

      Kind Regards,

  15. david smith Reply

    Dr Marisa,
    report readings:
    conc/ml = 106 mio /ml
    %motility =65%
    %progression= 33%
    kinetics= 1+2
    normal forms (strict kruger criteria) = 5%
    total sperm count= 424 mio
    total motile= 276 mio
    conclusion: Normozospermia
    gelatinous material 1+

    can you plz clarify what is the meaning of gelatinous material +1, and does this mean infertility?

    • Dr. Marisa López-Teijón Reply

      Dear David,

      Sometimes in a sperm simple gelatinous material appears. It’s a coagulated seminal plasma and it’s not related to infertility.

      Regards

  16. sammas Reply

    Volume : 2.0 ml
    Greyish white
    30 minutes
    pH 8.0
    Sperm count 50 millions/ml
    Progressive motility 75%
    Non Progressive motility 10%
    Non motile 75%
    Normal forms 20%
    AbNormal forms 80%

    Am I okay to make my partner pregnant?

  17. ogro Reply

    my semen result is…

    PH-alkaline
    liquefaction-completely liquiefied
    sperm count-90 ml/ml

    sperm motility…

    active motile- 20 %

    feebly motile- 20%

    non motile- 60% (motility within one hour of ejaculation)

    sperm abnormality- 15%

    other cells:

    leukocytes- 1-2 /hpf

    epithelial cells- 1-2 /hpf

    sperm clumping- present

    fructose- present

    RBC- NIL

    PLS CHECK MY RESULT AND LET ME KNOW AM I OK FOR MAKE MY PARTNER PREGNANT ?? IS SPERM MOTILITY IS OK???

    • Dr. Marisa López-Teijón Reply

      Dear Ogro,
      The active motility of 20% is lower than normal (32%), however, this deficit would be offset by the number of 90 million sperm / ml (normal 15 M / ml).
      I would recommend you repeat the seminogram.

      Kind regards,

  18. Sabuj Reply

    My Semen Analysis Report Is

    Volume : 1.5 cc
    colour : Whitish
    Viscosity : Viscous
    Reaction : Alkaline

    Count : 110 million/ml
    Morphology : 70 % are of normal morphology
    Active Motile : 60 %
    Reduced Motility : 20 %
    Non Motile : 20 %
    Pus Cell : 8-10/ HPF
    Epithelial Cell : Nill
    Clumping of sperm : Absent

    Pathological Doctors comment in report that…… Normozospermia with significant number of pus cell

    Am I fertile? If not then suggest me how could be fertile?

    • Dr. Marisa López-Teijón Reply

      Dear Sabuj,
      All semen results are normal and therefore it should be considered potentially fertile.
      The presence of “Pus Cell” may be indicative of a seminal infection so it is advisable to perform a semen culture to rule out infection.

      Kind regards,

  19. Faisal Reply

    Volume : 1.5 cc
    colour : Whitish
    Viscosity : Viscous
    Reaction : Alkaline

    Count : 30 million/ml
    Morphology
    Sperms abnormality: 30 % upto 30% abnormal
    Active Motile : 10 %
    Feebly Motile : 5 %
    Non Motile : 85 %
    (Motility within 1hr of enjection)
    other cells
    1. Leukocytes :1-2/ HPF
    2. Epithelial cells : 1-2/ HPF
    3. RBC : Nill
    sperm clumping : Absent

    fructose :present
    Comments : Normozoospermia with low motility

    Am I fertile? If not then suggest me how could be fertile?

    • Dr. Marisa López-Teijón Reply

      Dear Faisal,

      The number of sperm is normal but the percentage of sperm with progressive mobility is less than normal, so the probabilities of natural pregnancy are significantly diminished.
      Consult with a specialist.

      Kind Regards,

  20. N Reply

    Dear Sir,

    My semen report is

    Abstinence days – 3 days
    Quantity -1ML
    Color -WHITISH
    Reaction- ALKALINE
    Viscosity-NORMAL
    Liquification -30min

    Microscopic Exmination (SEMEN)
    SPERm concentration -90millions/ml

    Motility:
    Active Motile-20%
    Sluggishly motile -40%
    non-motile-40%

    MORPHOLOGY:
    Normal Forms -60%
    Abnormal Forms -40%
    pus cells -6-8/HPF
    Epithelial cells-1-2/HPF
    RBC -3-4/HPF
    others – NIL

    impression NORMOZOOSPERMIA

  21. Sumon Dey Reply

    Dear Doctor,

    I,am From Bangladesh.

    My Semen Report

    Physical Examination

    Volume:02ml
    Color: Grayish white
    Viscosity:Normal
    Liquefaction: Completely With in 30 min

    Microscopic Examination

    1. Sperm Count: 23 million/ml
    2. Sperm motility
    Actively Motile 25%
    Feebly Motile 25%
    Non Motile: 50%
    3. Morphology : 70% Normality
    4. Others
    Pus Cells : 0-2/HPF
    Epithelial Cell : 1-3/HPF
    RBC : Nill
    Agglutination: Absent

    Opinion: Normozoospermia

    Is it All Normal ? Married , Trying for baby.( Partner have some Problem, Her treatment going on) My Age 32 .I am little smoking ( 4/5 Stick per day) Nothing els .Weight 58Kgs , High: 05 feet. For More best quality sperm what should i do? Waiting for your suggestions.

    Sumon,Dhaka

    • Dr. Marisa López-Teijón Reply

      Dear Sumon Dey,
      Thank you for joining us.
      Number of spermatozoa within the norm.
      Mobility slightly decreased 25% (normal 32%).
      Consult with a uro-andrologyst to identify possible causes of decreased mobility and indicate treatment.

      Kind Regards,

  22. md.saifullah Reply

    Dear sir,
    My semen report volume 03ml,appearance- normal, PH-7.9
    total sperm concentration 20 million/ml,
    active motile 40%,Sluggishly motile 15%,Immotile 45%, normal morphology 40%, RBC Nill, Pus cells 6-8, Fat globules nil.

    • Dr. Marisa López-Teijón Reply

      Dear md.saifullah,

      The semen of your partner is ok, but we don´t have enough information about your case in order to give you an answer.

      We suggest you to visit an IVF consultant,

      Kind regards

  23. Gopi Reply

    Dear Doctor,

    Can you please confirm all the below values are in normal range.

    Volume : 3.0 ml
    Colour : Greyish White
    Reaction / pH : Alkaline (8.0)
    Viscocity : Viscid, Opaque
    Sperm Count. : 38 Millions/ml
    Total Sperm Number : 114 Millions/Ejaculate
    Agglutination : Absent

    Motility *
    a) Progressive Motility : 60%
    b) Non Progressive Motility : 20%
    c) Non motile : 20%

    Morphology**
    a) Normal forms : 10%
    b) Abnormal forms Head defects : 20%, Neck defects : 20%, Tail defects : 20%, Excessive cytoplasm : 30%

    Other Findings**
    Pus Cells : 2-3/HPF 0 – 1/HPF
    Epithelial Cells : Nil 1 – 2/HPF
    RBC : Nil

  24. vijay Reply

    My analysis report reads as:
    Appearance : Whitish
    Volume : 3ml
    Viscosity : normal
    Sperm count: 40 mill/ ml
    Motile Spermatozoa : 35%
    progressive : 30%
    Non- progressive : 5%
    Immotile: 65%

    Normal Sperm : 7%
    Head defect: 38%
    Neck defect : 32%
    Tail defect: 20%
    Cytoplasmic droplet : 2%

    Round cell: 0-1 HPF
    Agglutination: –
    Debris : –
    PH: 7.4

    Kindly advise is it normal reading?

    • Dr. Marisa López-Teijón Reply

      Dear vijay,

      All parameters are corrects,

      Kind regards

      • AshishS Reply

        my semen analysis report reads:

        a) Normal forms : 4%
        b) Abnormal forms Head defects : 64%, Neck defects : 19%, Tail defects : 13%.

        Debris found in semen.

        Rest of the parameters are within normal range.

        Are the above mentioned points reason to worry or do i need to get any treatment for defects & debris?

        Thanks & Regards
        AshishS

        • Dr. Marisa López-Teijón Reply

          Dear AshishS
          The sperm contains spermatozoa, cells and cell debris.
          If the analyst does not specify what is involved, it is not relevant.
          Regards

  25. Ripon Reply

    Dear,I am 35yrs old,found mild atherospermia last year.Please read my recent Semen Analysis report:1)volume :3ml 2)pH:7.2 3)motility:50% 4)morphology normal:50% 5)Agglutination :yes 6)epithelial cell:3-2/HPF 6)Pus cell:2-1/HPF

    I am married since five years,partner (32yrs)has got no problem.we are trying hard to get a baby.
    what about my report?can you please give me any suggestion how could I make my partner pregnant?

    • Dr. Marisa López-Teijón Reply

      Dear Ripon,

      Unfortunately, the report is incomplete for an assessment. The total sperm count and the percentages of the different types of sperm motility are not indicated.

      Kind regards

  26. Srilatha Reply

    Hi doctor can you confirm below results are in normal range:. Sperm conc: 70mill/ml normal forms 70% abnormal forms 30% and rapid progressive 40% and moderate 30% and slow progressive 30% and motility 40% and impression is normozoospermia .my husband diagnosed with bilateral varicocele his age is 30 please suggest whether report is normal

  27. Sudhansu patro Reply

    Volume : 1.0 ml
    Greyish white
    35 minutes
    pH 7.0
    Sperm count 71 millions/ml
    Sperm count per ejaculate 71 million
    Progressive motility 75%
    Rapid Forward Progression 60%
    Sluggish Forward Progression 30%
    Non Progressive 5%
    Non Motile 5%
    Sperm morphology :
    per 100 sperms
    Normal Sperms 95%
    Abnormal head 04%
    Abnormal neck 01%
    Abnormal Tail 00%
    WBC <1 million
    Epithelial Cells NIL
    RBC Nil
    Agglutination of sperms
    Granular Debris
    Absent

    Am I okay to make my partner pregnant?

    • Dr. Marisa López-Teijón Reply

      Dear Sir:

      Your spermogram shows normozoospermia, i.e. all values are above the so-called reference lower limit established by the WHO.
      Since the concept of fertility is clinical (in the realm of the couple) and non-analytical (single), and it is mainly proven by having children and not by having normal sperm analysis, your question Am I fertile? can’t be answered restrictively.
      Kind Regards,

  28. Tanish Reply

    I had a semen analysis and all parameters understood, but at the comment section it was written
    “Normozoospermia with the evidence of genital infection”
    Is it very serious issue

    • Dr. Marisa López-Teijón Reply

      Dear Tanish,
      Presence of pus cells (leukocytes) > 1 million / ml. It is suspected seminal infection. Indicated make semen culture.

  29. Heratul Reply

    My Sperm Count: 22million/per ml
    Motility: 45% active, 15% feeble, 40% non motile
    Morphology: 55% Normal, 45% abnormal
    Comment: Normozoospermia with high morphological abnormality of sperm & infection….Please tell me the status and possible treatment for any problem if you see

    • Dr. Marisa López-Teijón Reply

      Dear Heratul,
      Normozoospermia means that all parameters are within the normal range, therefore there is no indication for a treatment.
      Considering that semen could have physiological fluctuations, I would suggest you to repeat the seminogram in 4 weeks and in another laboratory.

  30. Mamun Reply

    Dear
    My analysis is
    Liquidation 30 mins
    Volume 3.0
    Concentration 170 *10*6
    Motility 60%
    Rapid linear 20%
    Slow linear 30%
    Non progressive 10%
    Immotile 40%
    Morphology 50%
    Abnormal form
    A. Head 25%
    B. Neck 10%
    C. Tail 15%
    WBC 3-4/HPF
    Epithelial cell nil
    WBC nil
    Agglutination NO

  31. sheetal Reply

    my report is
    appearance=homogenous,grey opalescent.
    viscosity=present.
    liquef.time=40min.
    reaction=alkaline.fructose:present.
    sperm count(concentraion)=34mil.
    sperm count/ejaculation=85mil.
    activ motile=10%.
    sluggy motile=25%
    non motile=65%
    agglutination=present,20%
    specific=0%
    non soecific=100
    morphology
    normal forms=40
    abnormal forms=60
    pus cells=2-3/hpf
    epithelial cells=1-2hpf
    immature germ cells=0-1/hpf
    RBCs=nil/hpf
    granual & globules=present

    it is a normal results or no….?

    • Dr. Marisa López-Teijón Reply

      Dear Sheetal:

      The seminogram’s result is not normal since there is a decrease in the active mobility that should be 32%.
      We recommend to repeat the seminogram after one month from the date of this one and if it is possible in another laboratory.

      Kind regards

  32. Jesca kipchumba Reply

    Dear sir,my husband results,appearance greyish white,viscosity droplets,volume0.1ml,liquefaction time35 mins,pH 8.0,sperm count 50 million,actively motile grade3 45,sluggish motile grade2 20,non progressive grade1 15,non motile grede0 20,normal form 80,abnormal form 20,head 05,neck 10,tail 05,pus cells 1-2/hpf,epithelial 1-2/hpf,redblood cells 0-1/hpf,agglutination nil,germinal cells,normozoospermia,comment nil,was asking if he’s able to pregnate in normal way or we have to go for artificial

    • Dr. Marisa López-Teijón Reply

      Dear Jeska,

      It is possible but is unlikely due to the low seminal volume. An andrological study is necessary since some of these causes may be related to genetic abnormalities that can have repercussions on offspring.

      Kind regards

  33. saikrishna Reply

    Hello Dr. Marisa,

    Hope you are doing good…
    Today i got my Semen Analysis Report , can you please check and let me know if every thing is ok please…

    Volume : 1.0 ml
    Color : Greyiesh White
    Viscosity : Normal

    Reaction / PH : Alkaline
    Fructose (Qualitative) : Present

    Sperm Concentration : 18
    Total Sperm Count : 40

    Agglutination : Absent

    Progressive Motility : 30 %
    Non Progressive Motility : 30 %
    Non Motile : 40 %

    Normal forms : 20%
    Abnormal forms : 80%

    Pus Cells : 1-2/hpf
    Epithelial Cells : 0-1/hpf
    Spermatogenic Cells : 1-2/hpf
    RBC : 0-1/hpf

    Impression : NORMOZOOSPERMIA

    Thanks and Regards,
    saikrishna

    • Dr. Marisa López-Teijón Reply

      Dear saikrishna

      The volume is less than normal. In most cases it is due to low sexual stimulation and / or low duration of the same.
      The number of spermatozoa is at the minimum of what is considered normal.
      Progressive mobility is slightly lower than that considered normal (32%).
      WHO advises to conduct two separate seminograms 4 weeks between them.
      We suggest to repeat the seminogram

      Kind regards

  34. hello sir
    yesterday i got my semen analysis report
    that is: duration of abstinence :04 days ref: 2-7
    analysis interval :30 minit ref:not more then 60 minit
    liquefaction :30 ref: 30-60
    appearance ;hazy
    viscosity : normal
    volume :02ml
    total sperm concentration :80 m/ml
    %motility :55 % ref: not less then 50 %
    %normal morphology 60% ref : 30%
    pus cell 6-8 /hpf
    rbc 0-2 /hpf

  35. plz advice me what can i do now , how is situation now how time to need recovery
    is it possible to recovery 100%

    • Dr. Marisa López-Teijón Reply

      Dear Sohel,

      Thank you for participating in the blog.

      The analysis shows a normal semen.

      Kind regards

      • sir

        this report sheet have a doctor comment : comment is normozoospermia with infection what is this comment about my report

  36. SHAKKAR Reply

    Dear sir
    My Test Report is,
    Volume :2cc
    Colour : whitish
    Viscocity : Viscous
    Reaction : Alkaline

    Count : 120 million/ml

    Morphology : 7o% are of normal morphology

    Motility :

    a. Actively motle : 70%
    b. Reduced motility : 10%
    c. Non motile. :20%

    pus cell. : Nill
    Epithelial cell :Nill
    Clumping of sperm : Absent

    Plese Tell Me The result Is Ok .& enough to make pregnent.

  37. Satya Reply

    Semen analysis-cont-20 millions/ml motility-occasionally,normal -10% please give me your opinion

    • Satya Reply

      My age 41 years

    • Dr. Marisa López-Teijón Reply

      Dear Satya,

      There is a severe decrease in mobility, consequently the chances of natural gestation are greatly diminished.
      Consult with an andrologist specialist.

      Kind regards

      • My report,
        vol:0.5
        Total count:30Million/ml
        MOTALITY,
        Actively motile: 60%
        Feebly motile: 20%
        Non motile: 20%
        Abnormal sperms: 20%
        Pus cells:2-4/HPF
        Epith cells:1-2/HPF
        Germ cells: present
        RBC: NIL/HPF
        Clumps of sperm: Absent
        Comments: NORMOZOOSPERMIA.
        Am I okay to make my partner pregnant?

        • Dr. Marisa López-Teijón Reply

          Dear Al Mamun,

          In our experience if the sample was complete this spermiogram shows hipospermia, moderate oligozoospermia because the volume is quite low, less than 1,5 ML.

          Regards

  38. Punith kumar K R Reply

    Volume: 2ml
    Appearence: Grey white
    Viscosity: increased
    Liquification time: Not liquified even after 2 hrs
    Ph: Alkaline
    Fructose test: positive
    Total sperm count: 82.0/ ejuculate millions/ml
    Rapid progression: 15
    Active : 35
    Sluggish : 20
    Non motile sperms: 15%
    Dead : 15
    Abnormal forms : 15-20
    Spetm concentration: 41.0 millions
    Pus cells : 0-1 / hpf
    RBCs : nil
    Epithelial cells : 0-1 /hpf
    Granules & globules : 15 -20 /hpf
    Immature cells : 5-6 /hpf
    In conclusion : Normazospermia
    RESULT DATE: 11/08/2017

    This is my report but my wife is not getting pregnant. Test is done for her also but she is also fertile. I want to know that in my report it shows Active: 35 is this ok and pls any problem in my report mention that pls

  39. Mohammad Sajid Reply

    Hello Dr,
    Kindly see my Semen Test report and pass me any advice if i need any treatment or it seems ok….???

    Appearance : Grey Transluscent
    volume : 5.3ml
    pH : 8.5
    Sperm concentration : 51.50million /ml
    Total Sperm count : 272.95 million /ejaculate
    Viability : 82.6%

    MOTILITY

    With excellent as well as good forward progression : 65.4%
    With good forward progression: 56.9%
    Non Motile : 29.1%
    With excellent forward progression : 8.5%
    With no forward progression 5.5 %

    Morphology:

    Round Cells : 2
    Inflammatory Cells : Nil
    Mucus : Nil
    Clumping : Nil
    Total abnormal sperms : 33.9 %
    Abnormal Heads : 4.1%
    Abnormal middle pieces : 16.9%
    Abnormal Tails : 12.9%

    Conclusion : NORMOZOOSPERMIA

    • Dr. Marisa López-Teijón Reply

      Dear Mohammad Sajid,

      Your semen test shows a normal semen so you don´t need any treatment.

      Kind regards

  40. Mohammad Sajid Reply

    Please see and suggest me if i need any treatment

  41. sj Reply

    Had azoospermia due to slow movement and low count.
    last test showen normozoospermia! – there is hope!
    question:
    anything to DO and NOT TO DO to keep it normal : food , drinks ( coffee alkohol red bull)
    i am 32 so i do a lot of those !
    please advise!

    thank you

    regards

    • Dr. Marisa López-Teijón Reply

      Dear Sj,

      Azoospermia is the absence of spermatozoa, if you previously had low mobility and low count what you probably had was oligoastenozoospermia.
      Sperm production is subject to physiological fluctuations, so a single seminogram is not sufficient to establish a diagnosis.
      If you now have normozoospermia you should repeat the analysis in 3 months.
      We suggest to maintain a healthy lifestyle, with proper nutrition and physical exercise and to avoid excessive alcohol and coffee as well as energy drinks.

      Kind regards

  42. Ajay Reply

    CLINICAL PATHOLOGY REPORT
    SEMEN ANALYSIS
    QUANTITY SEMEN : 1.0ml
    COLOUR : Grey white
    PH SEMEN :8.0
    VISCOSITY SEMEN : Normal
    LIQUIFICATION TIME SEMEN : 30 min
    SPERM COUNT/CONCENTRATION SEMEN : 72 millions/ml
    *MOTILITY STUDIED AT
    SEMEN 60 MINUTES
    ACTIVELY PROGRESSIVELY MOTILE SEMEN :30 %
    SLOWLY PROGRESSIVELY MOTILE SEMEN :20 %
    NON PROGRESSIVELY MOTILE SEMEN: 20 %
    NON MOTILE SEMEN : 30 %
    NORMAL MORPHOLOGY SEMEN 50 %
    HEAD DEFECTS30 %
    MID PIECE 10 %
    TAIL PIECE 10 %
    PUS CELLS SEMEN 1-2 cells/hpf
    IMPRESSION SEMEN : Normozoospermia.

  43. arun Reply

    QUANTITY SEMEN : 1.0ml
    COLOUR : Grey white
    PH SEMEN :8.0
    VISCOSITY SEMEN : Normal
    LIQUIFICATION TIME SEMEN : 30 min
    SPERM COUNT/CONCENTRATION SEMEN : 78 millions/ml
    *MOTILITY STUDIED AT
    SEMEN 60 MINUTES
    ACTIVELY PROGRESSIVELY MOTILE SEMEN :35 %
    SLOWLY PROGRESSIVELY MOTILE SEMEN :20 %
    NON PROGRESSIVELY MOTILE SEMEN: 20 %
    NON MOTILE SEMEN : 35 %
    NORMAL MORPHOLOGY SEMEN 50 %
    HEAD DEFECTS : 30 %
    MID PIECE : 10 %
    TAIL PIECE : 10 %
    PUS CELLS SEMEN 1-2 cells/hpf

    Question:
    anything I have to do changes in life style?
    above parameters ok to make my partner pregnant?
    please advise!

    • Dr. Marisa López-Teijón Reply

      Dear Arun,

      The result of the analysis is normal, so the semen is potentially fertile.
      In order to be able to indicate what modifications you must make in your lifestyle, you must know what your lifestyle is. Either way, your lifestyle does not seem to have a negative impact on your fertility.

      Kind regards

  44. Arun Reply

    Hello Dr.
    The clinical analysis of semen
    Volume- 3ml
    Colour- opaque grey
    Viscosity- high
    Liquification time-20min
    Actively motile- 5%
    Sluggishly motile- 5%
    Non motile- 90%
    Abnormal head- 30%
    Impression-normozoospermia with reduced motility

    • Dr. Marisa López-Teijón Reply

      Dear Arun,

      The result of the analysis is normal, so the semen is potentially fertile.
      In order to be able to indicate what modifications you must make in your lifestyle, you must know what your lifestyle is. Either way, your lifestyle does not seem to have a negative impact on your fertility.

      Kind regards

      • Arun Reply

        Thank you Doctor

        Is there any chances of normal fertilization…..or we have to go with IUI or IVF .
        I am worried about the motility of sperm.

  45. Arun Reply

    Thank you Doctor

    Is there any chances of normal fertilization…..or we have to go with IUI or IVF .
    I am worried about the motility of sperm.

  46. Ahmed Reply

    Hello,
    Please advise below semen analysis and what should be done
    Color: Greyish white
    Volume: 5 ml
    Concentration: 6.95 M /ml
    Total Count: 34.75 M / ejaculate
    Liquified after: 30 min
    Total motility: 60%
    Progressive motility: 30%
    Non progressive motility: 30%
    Abnormal forms: 45%

    • Dr. Marisa López-Teijón Reply

      Dear Ahmed,

      Sperm count and motility are below the normal range and consequently that decrease the chances of getting natural gestation.
      We suggest to consult with a urologist / andrologist.

      Kind regards

  47. kunle Reply

    Hi Dr
    Semen analysis report I collected today show;
    Volume(ml). 7.0
    Liquifaction ; (norml)
    Total motility(%). 61
    Rapid. Forward progression(%). 7
    Slow forward progress. 40
    Non progress motility(%). 14
    Sperm count(millon/ejaculation). 51
    Total sperm count(M/ ejaculation). 357
    Sperm morphology(normal form) %. 49
    White blood cell(HPF). 2—- 3
    Sample appearance. Normal
    Then d comment is ; Normozoospermia.

    Pls I need your advice

  48. prudvi raju ruddarraju Reply

    hi sir check my report is there any problem in it

    SEMEN ANALYSIS

    Volume : 1.0 ml
    Colour : Greyish White
    Viscocity : Abnormal
    Liquefaction time : 60 Minutes
    Biochemical Examination
    Reaction / pH : Alkaline >/= 7.2
    Fructose (Qualitative) : Present Present
    Microscopic Examination
    Sperm Concentration : 90 Million / ml
    Total Sperm Count : 90 Million / Ejaculate
    Agglutination : Absent Absent
    Total Motility *(a+b)
    a) Progressive Motility : 40%
    b) Non Progressive Motility : 25%
    c) Non motile : 35%
    Morphology**
    a) Normal forms : 20%
    b) Abnormal forms : 80%
    Other Findings
    Pus Cells : 5-6/hpf
    Epithelial Cells : 1-2/hpf
    Spermatogenic Cells : Nil
    RBC : Nil

    Impression : : NORMOZOOSPERMIA WITH INFECTION. LIQUIFICATION TIME IS
    MORE.

    • Dr. Marisa López-Teijón Reply

      Dear prudvi raju ruddarraju

      Number, motility and morphology within normal values.
      The presence of Pus Cells: 5-6 / hpf, may indicate the presence of infection that should be discarded by performing a semen culture and proving positive to perform antibiotic treatment.

      Kind regards

      • prudvi raju ruddarraju Reply

        Thanks for the information, I have contacted several doctors but no one said this . they are suggested to go IUI but I am excepting natural one is that possible?

  49. Saju Reply

    My semen analysis result is-

    Quantity : Adiquate
    Color: Greyish white
    Reaction: Alkaine
    Viscosity: Normal
    Liquefaction: complete after 30 min incubation at 37*C
    Sperm count: 50 million/ml
    Active motile=71%
    Weakly motile=15%
    Non motile=05%
    Sperm Morphology: Normal:80%
    Abnormal:20%
    Pus cell : 5-10 / HPF
    Epithelial cells

    • Dr. Marisa López-Teijón Reply

      Dear Saju,

      All the analyzed parameters are within the normality, consequently it is a normozoospermia.

      Kind regards

  50. Saju Reply

    Epithelial cells : Nil / HPF
    RBC : Nil/ HPF
    OPINION : NORMOZOOSPERMIA

  51. Asad Reply

    Dear Sir,
    My semen analysis report
    Volume- 1.5 ml
    Appearace- Whitish
    Viscocity- Normal
    Liquification Time- completely liquidy after 30 minutes.
    Reactiin- Alkaline
    Total Count- 80 million/ml
    Actively Motile- 50%
    Feebly Motila- 15%
    Non Motile- 35%
    Morphology: Normal 60%
    Pus Cells- 8-10/HPF
    Epitheilial Cells- 1-2/HPF
    RBC- Nill/ HPF
    Germ Cells- 1-2/ HPF
    Sperm Clumping- Present
    Comments- Normozoospermia

    Is there everything normal sir?

    • Dr. Marisa López-Teijón Reply

      Dear Asad,

      Indeed, all the seminal parameters are within normal limits.

      Kind regards

      • Asad Reply

        Dear Sir,
        We are trying last one year. We have consulted with gynecologist from February this year. My wife has no problem. I also abstain myself from smoking since February. But result is dissappointing.

  52. Khan Reply

    Dear Sir,

    My semen report is

    Abstinence days – 3 days
    Appearance – Grayish white
    PH – 7.4
    Viscosity -Normal
    Sperm Conscentration : 15million/ML
    Rapid Progressive – 25%
    Slow Progressive – 30%
    Non Progressive – 10%
    Non Motile – 35%
    Spem morphology : Normal-55%, Abnormal-45%
    Pus Cells- 01-01/HPF , RBC- Nill

    Remarks – Normozoospermia

    Am I fertile ? Am I capable to give my wife pregnancy. Please help me if any advice ~

    • Dr. Marisa López-Teijón Reply

      Dear Khan,

      All semen parameters are within the normal range. So it should be considered potentially fertile.

      Kind regards

  53. RAJ Reply

    Dear Madam,

    My Semen Analysis report is as follows:

    Volume : 1.0 ml
    Colour : Greyish White
    Viscocity : Viscid, Opaque
    Liquefaction time : 30 Minutes
    Reaction / pH : 8.0
    Fructose (Qualitative) : Present
    Sperm Concentration : 167.00 Million / ml
    Total Sperm Count : 167.00 Million / Ejaculate
    Agglutination : Absent

    Total Motility *(a+b)
    a) Progressive Motility : 38%
    b) Non Progressive Motility : 09%
    c) Non motile : 53%

    Morphology**
    a) Normal forms : 09%
    b) Abnormal forms : 91%

    Sperm Vitality #
    a) Live Sperms : 45%
    b) Dead Sperms : 55%

    Other Findings
    Pus Cells : 4-6/HPF
    Epithelial Cells : 1-2/HPF
    Spermatogenic Cells : Nil
    RBC : Nil
    Impression : Normozoospermia

    *Motility : The lower reference limit for total motility (Progressive + Non-Progressive) is 40%
    # The marked test parameter is not included in NABL scope of Accreditation

    Kindly let me know, I’m i fertile???

  54. MGP Reply

    Hi
    My semen report

    Vol. 1.5ml
    Viscocity . Normal
    Liq time. 30min
    Ph. Alkaline
    Fructose. Present
    Sperm concentration. 40
    Total sperm count. 60
    Agglutination. Absent
    Progressive motilitt. 20%
    Non prog motility. 20%
    Non motile. 60%
    Morphology
    Normal forms. 80%
    Abnormal forms. 20%
    Pus . 1-2/hpf
    Epithelial cells. 1-2/hpf
    Spermatogenic cells. 1-2/hpf
    Rbc. Nill
    Impression. NORMOZOOSPERMIA

    Please tell me what is the result.

    • Dr. Marisa López-Teijón Reply

      Apreciado,
      El laboratorio establece un diagnóstico de normozoospermia porque la movilidad total es del 40% (formas móviles progresivas + móviles no progresivas). Sin embargo, clínicamente debe considerarse que hay un déficit de movilidad, ya que las formas móviles progresivas son del 20% (siendo lo normal el 32%) y solo éstas son las que pueden embarazar.
      El consejo es repetir el seminograma pasadas 4 semanas desde la realización de éste.
      Un saludo

  55. L. Loisel Reply

    Hello, My wife and I have been trying to get pregnant for 1 year
    Your feedback on my semen analysis would be greatly appreciated. Thanks!

    Diagnostic: Normozoospermia
    Concentration:
    29.36 M/ml (15M/ml)
    123.31 M/Sample (.39M/Sample)
    Volume: 4.20 ml
    Dillution 1:2

    Motility
    Ordinary:
    Progressive (PR) = 52.42 % (>32%) (Rapid progressive = 14.55%
    Medium progressive = 37.88 %)
    Non-progressive (NP) = 21.02 %
    Motile 73.44 % (>40%)

    Morohology
    Normal 6.93 %
    Abnormal 93.07 % (Head defects)
    Tail defects 0 %
    Midpiece defects 28.71 %
    Cytoplasmic 4.95 %

  56. Mizan Reply

    Hi, Dear Doctor,
    Please see my following sperm Test result.

    Abstinence days – 7 days
    Ejaculation Analysis interval- 35 minute
    Liquefaction-30 minute
    Appearance- Clear

    Volume: 2.0ml
    Viscosity: normal
    PH: 7.6
    Total Sperm Concentration: 27 million/mL
    Total Functional sperm concentration :2.8 million/mL
    sperm motility Index : 76 million/mL
    Progressive motility (%) : 32%
    Normal morphology : 20%

    Pus Cells : 0-2/HPF

    RBC: Nil

    Please tell me sperm is fertile or not?. If any more details required, please let me know.

    thanks
    Mizan

  57. Haroon Shaukat Reply

    Dear Sir,
    My recent Seman Analysis Report is as following

    Last coitus : 10days
    Volume : 3.5ml
    Colour: Dirty White
    Viscosity :thick
    Time produced :1800hrs
    Time examined :1815hrs
    Sperm count :60 millions
    Sperm motility at 15 mint: 50/30/20 (motile/slightly/nonmotile)
    Sperm count at 1hrs: 40/35/25
    Sperm count at 3 hrs: 30/40/30
    Pus cells : 8…10 HPF
    debris cell :Nil
    Immature forms :Nil
    Structurally abnormal heads :Nil
    Abnormal Tails: Nil
    Dr Opinion : NORMOZOOSPERMIA
    My age 35men diabetic
    Is need any medication for fertility to get kid
    Regards

  58. Mahidi Hasan Reply

    Hello Dr,
    My semen test report is..

    Abstinence days – 12 hours
    Quantity- 02ml
    Color – Yellowish
    Viscosity -Normal
    Reaction- Alkaline
    Morphology-Sharpe and size-80% normal
    Motility –
    Motite- 60% afterh1/2 an houre
    Nonmotile- 40% after 1/2 an houre

    Total count of spaermatozoa =22 million/ml

    PUS CELL = PLENTY / HPF
    E. CELL= 00-02/HPF
    MACROPHAGE = (+)

    COMMENT = NORMOZOOSPERMIA WITH SEVERE INFECTION

    Am I fertile ? Am I capable to give my wife pregnancy. Please help me if any advice …

    • Dr. Marisa López-Teijón Reply

      Dear Hasan,

      Your figures look normal.

      The presence of Pus cell HPF may be due to semen inflammation or infection, so it is recommended to rule out infection by performing a semen culture.

      Good luck,

  59. Proshanto Ahmed Reply

    Hi Doctor,

    My wife and I have started trying for a Baby for the last 02 months.

    Beginning of February, I took a test and below is my Semen Analysis Report:-

    Period of Abstinence – 3 days
    Volume – 3.5 ml
    PH – 8.5
    Fructose – Detected
    Color – Gray-white
    Liquifaction – 30 minutes
    Viscosity – Normal
    Motility – 77
    Motility-Progressive – 62%
    Motility-Non Progressive – 15%
    Motility-Immotile – 23%
    Viability – 80%
    Sperm Count – 145 million / ml
    Normal Forms – 17%
    Abnormal Forms – 83%
    Head Defects – 71%
    Tail – 10%
    Short Tail – 5%
    Curled – 5%
    Impression – Normozoospermia
    Concentration of Round Cells – 0.7 Million / ml

    Please do advice if I am fertile and I am capable of getting my wife pregnant.

    • Dr. Marisa López-Teijón Reply

      Dear Ahmed,

      All your figures look normal.

      Good luck,

      • Vikky Reply

        Hii

        Dear Madam,

        My Semen Analysis report is as follows:

        Physical examination*
        Colour : milky white
        Volume: 2.1ml
        Liquefaction Time: within 35mins
        Appearances : opaque
        Viscosity : viscous

        Chemical examination*

        Reaction : Alkaline
        Fructose : Positive

        Microscopic examination*

        Sperm Count : 67millions/m

        Sperm Morality*

        Good forward progressive at 1hrs. : 27

        Sluggish forward progressive at 1hrs : 18

        Non progressive at 1hrs : 55

        Good forward progressive at 3hrs :21

        Sluggish forward progressive at 3hrs :13

        Non progressive at 3hrs. :67

        Grade : ii
        Abnormal Forms : 32 %
        Normal Forms. : 68 %
        Pus cells : 3 – 5 /hpf

        Please advise what to do get my wife pregnancy.Please help me if any advice

  60. Fred Reply

    Please check my seminal fluid analysis for doctor. pH 8 , volume 2.6 , colour grey, viscosity low, total 50. 0 , rapid progression 30 slow progression 20 immotile 40% crystals few, sperm count 23.2 mil , total count in ejaculate 60.3, morphology 80% ,

  61. Sakib Reply

    Sir can you please advise
    Absistence more than 10 days
    My semen analysis report
    Viscosity thick
    Ph alkaline
    Total volume 2.0 ml
    Pus cells 50-60hpf
    Erythrocytes10-15
    Total count 40 million but it shows non mobile =100% dead …however patient didn’t have erection while sample was collected what do you suggest

    • Dr. Marisa López-Teijón Reply

      Dear Sakib,
      The spermiogram presents several altered parameters.
      First of all the days of abstinent are excessive, it is not necessary more than 5 days.
      There is a high number of Pus cells, which suggests a possible infection that could be the cause of the lack of motility of the sperm. It is necessary to make a culture of sperm.
      The number of erythrocytes is also higher than normal, it could be due to infection or inflammation.
      Consult a specialist urologist or andrologist.

      Good luck!

  62. saqib Reply

    Please tell me about my SA report ? Is it normal?

    Duration of Abstinence: 03 (Days)
    Liquefaction Time(min): Abnormal
    Interval between start of ejaculation and analysis (before liquefaction) : 30 (Min)
    GROSS:
    Appearance: Creamy White
    Consistency Normal
    Volume 2.0 ml pH: 8.0
    Fructose Positive
    SPERM MOTILITY (%) (100 Spermatozoa)
    a) Rapid Progression: 30%
    b) Slow Progression: 10%
    c) Non-Progressive Motility: 20%
    d) Immotile: 40%
    Agglutination: –
    Vitality: –
    Count / ml: 70 Million
    MORPHOLOGY (%)
    Normal: 65%
    Abnormal: 35%
    Head Defects: 10%
    Tail Defects: 15%
    Neck & Mid Piece Defects: 05%
    Cytoplasmic Droplets: 02%
    Headless ‘Pinhead’ : 03%
    Pus Cells : 2-4
    Red Blood Cells : Nil
    Epithelial Cells: 0-1
    Miscellaneous : Nil
    NOTE: Specimen taken at the Lab

  63. luchi Reply

    sir
    this my husbands SA report

    volume-01ml

    pH-Alkaline

    liquefaction time-liquefied ccompletely in
    30minuets at 37*C

    sperm count-75 millions/ml

    sperm motillity-80%motile at one hour of
    ejaculation
    (10%feeble,10%non motile)
    sperm morphology-80%normal in size and
    shape
    pus cell-15-20/HPF

    Epithelial cells- 0-2/HPF

    impression -Normozoospermia with secondary bacterial infection

    plz tell me sir is my husbands report have any mejor problem…?& Is my husbands sperm is fertile for consive a baby…?

    • Dr. Marisa López-Teijón Reply

      Dear Luchi
      First of all I would like to highlight my mistrust towards the laboratory where you have performed those test. According to the way they show the results, it seems they don’t follow the criteria established by the World Health Organization regarding the sperm samples, especially regarding their motility and morphology.
      The sperm volume is below the normal standards, as it should be >1.5 ml.
      The sperm number is within the normal standards, but unfortunately I can’t properly assess their motility and morphology.
      The most remarkable thing is the high number of pus cell-15-20/HPF, leucocytes or white blood cells founded. The leucocytes are inflammatory cells and their presence suggests there might be an infection. Suggestion is not a confirmation though, this is why it would be necessary to perform a sperm culture. In case of positive result, it would be necessary to perform the culture with the right antibiotics according to the antibiogram.

      Kind regards

  64. Ramakrishna Reply

    Hi,

    i got married two years back . As per my SA Report done last week below the details.

    Volume : 1.5ml
    Colour : Greyish white
    Apperance : Viscid
    Liquification time : 45min
    Reaction PH : Alkaline 8.0
    Fructose : present
    RBC :Absent
    Pus Cells : 0.48 mill/ml
    Epithelial cells : Occasional / hpf
    Normal forms : 70%
    Abnormal forms : 30%
    Sperm concentration : 48 mill/ml
    total sperm count : 72 mill/ejaculate
    Rapid progressive : 60
    Moderate Pro : 10
    Non Pro : 10
    Non Motile :20
    Impression : Normozoospermia.

    Please advise what to do get my wife pregnancy.

  65. Ramu Reply

    Physical:
    Volume: 3.0 ml
    Colour:greyish white
    Viscocity :normal
    Liquefaction :30 mints
    PH : alkaline
    Fructose:present
    Sperm concentration : 50 millon/ml
    Total sperm count: 100 million/ejaculates
    Agglutination : present
    Progressive motility : 20%
    Non progressive motiloty : 20%
    Non motile : 60%
    Normal forms : 50%
    Abnorman forms :50%
    Pus cell : 1-2/HPF
    Epithelial cells : 1-2 HPF
    Spermatogenic cells : 1-2 HPF
    RBC : nil
    Impression : Normozoospermia
    Madam i am okay if any suggestion and give advise

    • Dr. Marisa López-Teijón Reply

      The spermatozoid percentage with progressive motility (a+b) is lower than normal (32%).
      However, this deficiency is compensated by the total count of sperm, so the total number of sperm with progressive motility present in the ejaculated should be higher than the lower normality limit.
      Therefore we can assume that the fertile potential present in the ejaculated should be normal.
      Best regards.

  66. Ramu Reply

    Madam,
    My wife having HBsag – postive result
    I apolgy nd request to u.
    I want full details on the above HBsag if its effected get into pregnancy.

  67. Raj Reply

    Hi Sir/Madm,

    can you please advice.

    *TIME OF COLLECTION 8 :58 AM
    *TIME OF EXAMINATION 9 :28 AM
    *VOLUME 1.5 ml
    Opaque Opaque Manual Method
    COLOUR Greyish White
    *LIQUEFACTION TIME 30 minutes
    VISCOCITY Normal
    CHEMICAL EXAMINATION 8.0 7.0
    Strip Method
    *pH
    96 millions/ml Microscopic Method
    *SPERM COUNT
    ACTIVELY MOTILE
    *a) Progressive motility 25 %
    *b) Non Progressive Motility 35 %
    *Total Motility (a+b) 60 %
    MICROSCOPIC EXAMINATION
    *SLUGGISHLY MOTILE 15
    MICROSCOPIC EXAMINATION
    *DEAD / NON MOTILE 25
    20-22/HPF
    Microscopic Method
    *WBC
    *NORMAL SPERMS AND MORPHOLOGY 75%
    *ABNORMAL FORMS 25%
    *IMPRESSION NORMOZOOSPERMIA WITH INFECTION.
    NOTE : ADVICE :SEMEN C/S IF CLINICALLY INDICATED.

    • Dr. Marisa López-Teijón Reply

      Dear Raj,

      The presence of “White Blood Cells per High Power Field (WBC / HPF)” suggests a possible infection, but to have a real diagnosis of infection you should perform a semen culture.
      You’d better consult a specialist.
      Regards

  68. Muralidhar Reply

    Volume – 3.0 ml, colour- greyish white, Viscocity- Viscid, Opaque, Liquefaction time -30 min, PH -8, Fructose- Present, Sperm concentration- 21.3 million, Total sperm count-63.9 million, Agglutination- Absent, Progressive motility- 8%, Non progressive motility- 14%, Non motile- 78%, Morphology: Normal forms -4%, Abnormal forms-96%, Sperm vitality: Live sperm-67%, Dead sperm-33%, Pus cells- 10-12, Epithelial cells:0-1, Spermatogenic cells:Nil, RBC- Nil, Impression: Normoasthenozoospermia with evidence of infection. Please tell me sperm is fertile or not.

    • Dr. Marisa López-Teijón Reply

      Dear Muralidhar,

      Even if the spermatozoa numbers is normal, there is a severe motility problem (8% of progressive motility, when a normal minimum would be 32%). Because of that, the probabilities of natural pregancy are dicreased. Furthermore, there is a number of leukocytes (pus cells), which indeed suggest a possible infection. Since an infecion can reduce the sperm motility, the first thing to do would be a semen culture for common germs, an ureaplasma and a mycoplasma.

      All the best.

      • Muralidhar Reply

        Any treatment for this, pls tell me

        • Muralidhar Reply

          How to increased motility

          • Dr. Marisa López-Teijón

            Dear Muralidhar,

            First thing to determine is see if there is a known cause that could be responsible for the motility dicrease. As I told you in my previous post, the rate of pus cells observed in your sperm are higher than usual. This could be due to a sperm infection . In order to rule out infection it is necessary to carry out a sperm culture. An infection could cause a dicrease in motility. Please check with a urologist- andrologist.

            All the best.

  69. Sanju K Narayanan Reply

    Sir,

    Can you please advise…. Any issues for health & baby formation?.

    Method Of Collection Masturbation

    MACROSCOPIC EXAMINATION OF SEMINAL PLASMA

    Liquefaction Normal
    Viscosity Normal
    Appearance Normal
    Volume 1 ML
    Ph-:8

    MICROSCOPIC EXAMINATION OF SEMINAL PLASMA
    Aggregation Nil
    Agglutination Nil
    Round Cells <5 mill/ml

    MICROSCOPIC EXAMINATION OF SPERMATOZOA
    Sperm Concentration 28mil/ml

    Motility
    Progressive (PR) 32%
    Non Progressive (NP) 26%
    Immotile (IM) 48%
    Total Motile (PR+NP) 58%

    Morphology
    Normal Forms 8%
    Abnormal Head 39%
    Abnormal Mid Place 11%
    Abnormal Tail 9%
    Multiple Defects 33%

    Impression Normozoospermia

    Please tell me sperm is fertile or not?. If any more details required, please let me know.

  70. Dr. Marisa López-Teijón Reply

    Dear Sanju,

    In order to make a correct clinical assessment, the WHO advises at least 2 sperm test (4 weeks between the), so this opinion is limited to the sperm test provided.
    The normal seminal volume is lower than normal (nv> 1.5 mL) in most cases is due to lack of sexual stimulation, short duration of the sexual stimulation or loss of part of the sample, although there may also be pathological causes .
    Although the sperm concentration is normal (nv> 15 M / mL) the total number of spermatozoa is lower than normal (nv> 39 M / mL) since in this case, being the volume of 1 mL and total sperm concentration the same: 28 M / mL and 28 M in total. This total provides the information about the testicle.
    Motility (nv> 32% PR) and morphology (nv> 4%) are normal.

    In summary, the total number of sperm that can achieve pregnancy is slightly decreased in this ejaculate.

    Kind regards,

  71. kishore Reply

    my wife one year before aborted after four months later we are plan for a baby my wife all reports are normal my reports are above please advice for treatment

  72. Dr. Marisa López-Teijón Reply

    Dear Kishore,

    Good morning Kishore,

    To carry out a new treatment, it is necessary to check with a doctor if everything is fine. So I recommend that you go to a clinic where a professional will give you an assessment and instructions to start over.

    I wish everything goes well,

    Warmest regards.

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