How to Understand the Results of Your Semen Analysis

    Here’s how to read and understand your semen analysis, plus a description of what a normal sperm looks like. Sluggish sperm, diminished sperm motility, and normal forward sperm progression are some of the terms you’ll see on your semen analysis results.

    How to Understand the Results of Your Semen AnalysisSpermCheck for Fertility is an easy way to do a semen analysis at home. Fertility doctors recommend doing at least two sperm tests, about three months apart. Men are constantly producing sperm, so test results can change from month to month.

    “A normal sperm has three sections: a head, a midpiece, and a tail,” writes Sharon Perkins and Jackie Meyers-Thompson in Infertility For Dummies (a great resource for couples who want to get pregnant!). “All three parts need to be normal for a sperm to be considered normal, according to the strict Kruger morphology, a system for evaluating sperm…”



    Since male infertility accounts for about 33% of not getting pregnant for couples, it’s important to get a semen analysis done if you can’t get pregnant. A man’s sperm count, motility, or production is very important to pregnancy. Here’s a description of the three parts of a sperm, plus information on what sperm test results mean…

    What is a Sperm Made of?

    Though sperm are teeny tiny, laboratory technicians can see their details under a microscope (which is what will happen during a semen analysis or sperm test).

    • The head of a sperm contains all the genetic material, so a sperm with an abnormal head can’t fertilize an egg.
    • The midpiece of a sperm contains fructose, which is the energy it needs to move rapidly.
    • The tail of a sperm is necessary for propulsion. Sperm with no tail, two tails, or coiled tails are abnormal, and won’t help with getting pregnant.

    “Most laboratories can do a ‘screening’ semen analysis,” writes Sharon Perkins and Jackie Meyers-Thompson in Infertility For Dummies. “However, the determination of morphology (proportion of ‘normal’ forms)…takes a high level of expertise, and is generally only available at a bona fide fertility program.”

    What Does Your Semen Analysis Mean?

    Okay, you’ve received the results of your sperm test…and you have no idea what sperm volume, concentration, motility, or morphology really means! Have no fear: the following parameters are from the World Health Organization (WHO) – a reliable source of medical information.

    Normal sperm volume (amount) is 1.5 to 5 ml, or about a teaspoon.

    Normal sperm concentration should be greater than 20 million sperm/ml, or a total of greater than 40 million per ejaculate.

    Normal sperm motility means that more than 40% of the sperm should be moving (swim forward, mates!).

    Normal sperm morphology means that more than about 30% of sperm should be normally shaped, as determined by the lab technician. If the lab uses the more strict Kruger criteria, normal sperm morphology should be 14%.

    Normal sperm forward progression is at least 2, on a scale of 1 to 4 (this part of the sperm test measures how many sperm are moving forward).

    Sperm white blood cells should be no more than 0 to 5 per high-power field. More could indicate infection.

    Sperm hyperviscosity means that the semen should gel promptly, but should liquefy within 30 minutes after the sample is taken.

    Sperm Ph should be alkaline, to protect sperm from the acidic environment of the woman’s va-jay-jay.

    sperm test results

    “How to Understand the Results of Your Semen Analysis” image via Nemo, Pixabay, CC license

    If you’re worried about the health of your sperm, read Low Sperm Count – How Do I Make Healthy Sperm?

    Your sperm will vary

    And, if you’ve done a sperm test (or are preparing to do a sperm test), remember that semen samples can vary from month to month – or even day to day. It takes 72 days for sperm to develop.

    How does this affect the semen analysis or sperm test results? If you were ill, taking medication, or had anything unusual going on three months before the sperm test, then the results may not be indicative of normal sperm count, motility, or production.

    For more male fertility tips, read What Causes Unexplained Infertility in Men? Damaged DNA in Sperm.

    I hope this helps you read the results of your sperm test…don’t give up on your dream of getting pregnant. I can’t offer medical advice. If you need help reading or understanding the results of your semen analysis, I encourage you to book an appointment with your urologist.



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    100 Responses

    1. Raja says:

      Sir my semen analysis test is:
      total sperm count 73 million
      Liquefaction 30 minutes
      viscosity Normal
      Appearance Normal
      active Motile 10%
      Sluggish Motile 10%
      Non motile 80%
      volume 7.0 ml
      ph alkaline
      Normal Forms 70%
      Abnormal forms 30 %
      WBC 6-8/hpf

      kindly advice me, what can i do for wife get pregnant ?

    2. Hi,
      I am Sanju. I have done my semen analysis test which is as under:-
      Qty-3 ml, colour- whitish, seminal, alkaline, total sperm count -126 millions/ml, total motile- 80%, actively motile-75%, sluggishly motile-05%, non motile-20%, pus cells 1-3/HPF, Epithelial cells-02/HPF.

      Please let me know that my report is normal or not

    3. Deedar says:

      sir this is my semen routine examinations . volume 1.0 ml
      color grey white .
      pH 8.0
      viscosity semi viscous
      Liquefaction time 30 minutes
      total Count 35 Mill/ml 65-150
      MOTILITY
      Actively motile 10%
      Sluggishly motile 20%
      Non Motile 70%
      MORPHOLOGY
      Normal 30%
      Abnormal 70%
      Inflammatory cells 3-4

    4. majaliwa mpagineki says:

      My result of sperm analysis
      Micro volume 5ml
      Colour milk like fluid
      Viscosity poor
      Micro motility 0%
      Sperm count nil
      I need help

    5. fred says:

      I ‘m 37 and trying to conceive with my partner. Are the number good or Bad?
      My number are.

      Volume 4.5
      Concentration 23
      Motile 53
      Progression 2
      pH 6.4
      Viscosity Normal
      % Normal Morphology 4
      Total Motile Sperm 55

    6. alamin says:

      sir pls advise me on my semens result
      TIME PRODUCE 09:23AM
      TIME RECIEVE 09:27
      COLOUR MILKISH WHITE
      VOLUME 2MLS
      VISCOSITY NORMAL

      MOTILITY:
      ACTIVE MOTILE: 15%
      SLUGGISHLY MOTILE: 25%
      NON-MOTILE: 60%

      MORPHOLOGY: NORMAL :50%
      ABNORMAL: 50%

      MICROCOPY: PUS CELL:0-2/HPF
      EPITHELIAL CELL: ++
      OTHERS NIL

      CELL COUNT: 187/10/6

    7. Rajesh says:

      Hello Sir,

      Yesterday I had undergone with semen analysis and below are the results :-

      Quantity: 1.5 ml
      Color : White
      Reaction: Alkaline
      Active Motile : 60%
      Sluggish Motile : 20%
      Non Motile : 20%
      Sperm Count : 80 millions per ml
      Pus Cells : 2-3 hpf
      RBC : 0-1 hpf

      Kindly suggest if the reports are fine in getting me pregnant.

    8. David says:

      Hello Sir, I am 35 yr old, my recent semen analysis showed that:

      concentration-131 m/ml
      motility-64%
      PR-56%
      immotile-36%
      vitality-70%
      Normal forms-2%
      sperm deformity index-2.28
      Teratozoospermic index-2.32

      Please let me if there is any concern for pregnancy and if ant treatment required.

    9. Faisal says:

      IS there any chance of permanency. After getting/ treatment of 30 days Fertilox and Gonadil – F
      My Sperm Test is

      Quantity : 3 ml (Previous was 2ml )
      Color : Grayish white
      Viscosity: Slightly viscous
      Liquefaction : Complete within 20 minutes.
      Reaction: Alkaline

      Sperm Count : 35 mlion/cmm (Previous test was 40)
      Motility : 40 (Previous 45)
      Sluggish: 25 (Previous 30)
      Nomotile : 35 (Previous 25)

      Morphology: 55 (Previous same)
      LEUCOCYTES: 6-8 PH (Previous 4-6)

    10. Raj Kumar says:

      Could you please me as below semen test report is normal or abnormal

      Component Results
      Component Value Ref Range & Units Status
      ANALYSIS TIME, SEMEN 09:00 Final
      SPERMATOZOA, NORMAL
      MORPHOLOGY %
      53 >=4 % Final
      WBC COUNT, SEMEN 0 =1.5 mL Final
      SPERM COUNT, SEMEN 62 >=15 million/mL Final
      SPERMATOZOA, IMMOTILE % 37 % Final
      Decreased motility may be due to either non-viable sperm or non-motile sperm.
      SPERM MOTILITY, 1+ AND 2+ 9 (L) >=40 % Final
      SPERM MOTILITY, 3+ 11 % Final
      SPERM MOTILITY, 4+ 43 >=32 % Final
      TOTAL MOTILE SPERM COUNT 134 >=39 million/Spec Final

      SPERMATOZOA, MORPHOLOGY 20 >=5 % strict normal Final
      SPERM WITH NORMAL CHROMATIN 83 >=69 % normal Final

    11. ali says:

      Volume : 4 ml
      pH: 8

      MOTILITY
      Rapid Progression: 15%
      Slow Progression: 15%
      Non-Progression Motility: 20%
      Immotile: 50%

      Agglutination:
      Count / ml: 50 million

      MORPHOLOGU
      Normal: 50%
      Abnormal: 50%
      Pus Cell: 2-4
      Red Blood Cell: 2-4

    12. karthik says:

      My semen report
      colour – white
      p.h – 8.0
      quantity – 4.0 ml
      viscosity – high
      liquefication – delayed liquefication
      active sperms – 10%
      Sliggish sperms – 05%
      Dead sperms – 85%
      Total sperms count – 5 million / ml

    13. Chirag says:

      Semen analysis test report plz sir tel me advise Physical examination color: white grey, volume: 5ml, pH: 8 liquification time:30min, total count: 85mil/ml, WBC(PUS Cells): 1-2 /HPF, rapidly motile: 50%, sluggishly motile:20%, non motile:30%, normal: 70%, abnormal: 30%

    14. Kate says:

      These are my husband’s semen analysis results. Is there any possible chance we can perhaps conceive naturally? Thanks, Kate

      Volume – 4.0 ml
      Concentration – 9
      % Motile – 50
      Progression – 1+
      pH – 7.6
      Viscosity – Normal
      % Normal Morphology – 2
      Round Cells – 0
      Total Motile Sperm – 18

    15. syed shabhir hussain says:

      Sir,

      Please give suggession on my sperm report
      volume 2 ml
      appearance ; Clear
      viscosity : Mildy viscous
      Total count : 30 million/ml
      actively motile 20-25%
      suggishly motile 20-30%
      immobile 30-40
      pus cells 1-2 / hpf
      rbc :nil
      Epithelial cells : nil

      please give me your suggession

    16. Mohammed Zafar says:

      Dear sir,
      Volume 1.5
      Colour opaque grey
      Reaction alkaline
      Ph 8.0
      Total sperm count 48
      Active motile 50
      Sluggish motile 30
      Please check my report if any problem regarding my result please let me now what to do.

    17. nadir says:

      Please advise on the below if my semen is good.
      Volume : 1.0 ml
      Reaction : Alkaline
      Viscosity : Viscous
      Liquefaction time : 45min
      Motility :
      Non progressive : 10%
      Non motile : 45%
      Morphology :
      Normal : 55%
      Abnormal : 45%

    18. ashok says:

      What does my semen analysis report mean?
      Volume 4.0
      PH 8.0
      Sperm Density 32

      PR 20
      NP 15
      IM 65

      Ideal forms 78

      Leucocytes 0-1
      Germinal Cells 1-2
      Seman fructose – Present

      Please suggest

    19. arun kumar says:

      Volume.5ml. colour – pearly while
      Liquificatiin time. – prolonged
      Chemical examination – ph 8.9
      Sperm count 45 millions / ml
      Activity motile 29%–sluggishly motile 30%— nonmotile 50%

    20. Rehman says:

      here is my sperm analysis report, can you tell that is it normal or need to concern with a doctor.
      Thanks

      Liquefaction Time: 30 min
      Appearance : Grey White
      Consistency: Normal
      Volume : 3.5 ml
      pH: 8
      MOTILITY
      Rapid Progression: 35%
      Slow Progression: 05%
      Non-Progression Motility: 10%
      Immotile: 50%
      Agglutination: Positive
      Count / ml: 149 million
      MORPHOLOGU
      Normal: 39%
      Abnormal: 61%
      Pus Cell: 10-12
      Epithelial Cells: Nil
      Miscellaneous: Nil

    21. akeremale says:

      Please can a loww sperm count around 16million/ml with 45% actively motive impregnate a woman

    22. josh says:

      Please help interprete if semen is normal
      Vol – 5.0 mls
      Color -opalesent
      Viscosity – viscous
      Liquifaction – normal
      Total count – 40 million/ml
      Total motility – 40% . active 35%, sluggish 5%
      dead – 60%
      linearity – B
      Survival time – normal

      Morphology
      Normal form – 95%
      Abnormal form – 5%
      Pus cells – (++++ )
      red blood cell – nill

    23. Tyra says:

      I believe anything under 20million sperm per mil is considered low sperm count and may encounter difficulties trying to conceive.. but I am no doctor.. just a nurse : )

    24. thabiso says:

      Hy..my sperm cell gt no tail how can I make a women get pregnant n wat to avoid?..I need help plz

    25. raj says:

      Hey,
      My semem analysis test report
      Day of abstinence 3days
      Volume 2.5 ml
      Ph 7.8
      Viscosity 30 min
      Total sperm count 65 mi/ml
      Active forms 50%
      Dead forms 20%
      Sluggishly motile 30%
      Normal form70%
      Abnormal form 30%
      Pus cells 1-3 hpf

      please suggest me what problem in my report

    26. mangesh says:

      my semen analysis report r following .progressive motility zero,non progressive 40%,non motile60%, abnormal forms 20% what is means pls.explain…..

    27. avinash says:

      My sperm count is 30 milliin/ml and sperm motility is 30% can we conceiving?

    28. faird says:

      my semen analysis result is bellow ,
      active , 45%
      sluggish 15%
      Dead : 40%
      account : 3 ml
      color : Gray white
      so i have need your advice
      i have 30 years old
      i married 5 years ago

    29. chiamaka says:

      my husband timed produced 7.56,timed examin 8.27,vol 5.0ml,ph 8.0,colour creamy brow,pus cel 2-4,redcell.1-2/hpf,,motility-,sluggish 2%active40,dormant cell40,normal morphology50,cell count21×106,abnormal head40,abnomal tails10

    30. Laurie Pawlik-Kienlen says:

      Thank you for being here, and sharing the results of your sperm test and semen analysis. It can be confusing to try to determine if you can father a baby based on the motility, count, viscosity, etc – and that’s why a urologist or fertility doctor is the person you need to talk to!

      The only way to find out what your sperm test results mean is to talk to a urologist in person. Don’t rely on the internet for results or an explanation of your semen analysis. The information in this article about sperm test results are for basic guidelines only, and not for personal health advice.

      Book an appointment with your urologist, and find out what the results of your semen analysis mean to you. Then, you’ll be able to get treatment – and maybe even get pregnant and have a baby!

    31. arun says:

      Dear friends,
      I ‘ve taken sperm test yesterday. I am 27 years old. I am about to get married, so wanted to make sure iam fertile and everythings is normal with my semen.
      Analysis says,
      Count – 55 million / cc
      75% – actively motile
      15% – sluggishly motile
      10% – non motile

      Moderatly viscous
      Liquification completely with 20 min

      Thats all..
      What does this mean.. Should i be worried about anything?

      Thank you so much for your valuble time and comments.

    32. mohammed says:

      Hi can you please tell me how many sperm I need for pregnancy, my semen analysis says I have a total sperm count of 48.

    33. Laurie says:

      The only way to find out with certainty what your sperm test results mean is to talk to a urologist in person. Don’t rely on the internet for conclusive results of your semen analysis. The information in this article about sperm test results are for basic guidelines only, and not for personal medical advice.

      Book an appointment with your urologist, and find out what the results of your semen analysis mean to you. Then, you’ll be able to get treatment – and maybe even get pregnant and have a baby!

    34. parus says:

      hello..my husband sperm count is 1.0ml.greyish white.
      what does that.can i get normally pregnant.or we have to do test tube.we 2 nd hlf year married couple?plz suggest me iam very worried

    35. Unknown says:

      My husband did a semen analysis and the reslts are as followed volme 1.8 l sperm count is 99.8 motility immediately 60 1 hr 40 and 2 hr 30 what does this mean how low is the motility compared to normal and what can we do about this?

    36. Irshad says:

      Dear Sir,
      My semen anaylisis is below. please guid me . My age is 27, i am married since 2 years.

      Total Count 13 Millions
      Active =19%
      Sluggish=21%
      Dead Sperms= 60%
      Pus=18

    37. anonymous says:

      sir.
      my self an well educated peson after 2 years of my marrirge i coundcted my semen test and the ruslt are as fowllo.
      colour= gray opeque. viscosity=+.
      valume= 2 ml liquifation time 20 min.
      fructose= negative.
      ph = Alkaline
      sperm count= NIL.
      so sir is there any tritment to solve this problem and if it is then what is that and how can you help me

    38. Laurie says:

      Thank you for being here – it takes alot of courage to share the results of your sperm test, and ask for help with a semen analysis! I wish I could offer you more information, but I can’t give medical or health advice.

      I encourage you to see another urologist or fertility doctor for a second sperm test, to see if the two sets of results are consistent. Remember that men’s bodies are making fresh new sperm constantly. I think every 3 months, a new batch is made. So your sperm test today would give different results than a semen analysis in 3 months from now.

      Talk to your doctor, get a second opinion. I also encourage you to talk with your wife about different options for having a baby. Visit a fertility clinic, and learn about treatments such as in vitro fertilization and intrauterine insemination. Stay open to all the possibilities!

      I will keep you in my prayers, that your body develops healthy strong sperm, and that you and your partner are able to conceive a baby quickly.

      Blessings,
      Laurie

    39. nano says:

      Before 6 months i found thst my sperm count is 2.5 mil so i made a surgery for varicocele but after 3 month from the surgery the count was zero …. The analysis show that fsh and lh hormon have large number so i took a medicine to solve this problem of ampoles of ciditestone and choriomon .
      the result now increased 175000 for sperm concentration
      but zero motolity
      is there any hope to get my wife pregnant .. what should i do?

    40. makram says:

      activity motile10%
      A count 78million

    41. khan says:

      Semen analysis test report plz sir tel me advise Physical examination color: white grey, volume: 5ml, pH: 8 liquification time:30min, total count: 85mil/ml, WBC(PUS Cells): 1-2 /HPF, rapidly motile: 50%, sluggishly motile:20%, non motile:30%, normal: 70%, abnormal: 30%

    42. kamal says:

      Quantity 1.5ml , sperm count – 36mil/cc. Active motile- 25%, sluggish- 40%, dead sperms- 35%, pus cells – 5 to 6. Morphology – swollen neck +. Fructose test – +be. This result is OK to have a baby.

    43. daljit says:

      Sir my semen analysis test is:
      total sperm count 45 million
      active 70%
      Slugish 15%
      Non motile 15%
      pus cell 1-2/hpf
      rbc nill
      volume 3 ml
      ph alkaline
      do i have enough sperm to get my wife pregnent?

    44. alfred says:

      14 million sperm cell/ml
      motility 50% showed active linear progression, 20% showed sluggish non linear movement and 30%appeared dead
      morphology 85% normal spermatozoa /15%abnormal spermatozoa
      volume 4.5ml
      consistency complete liquefaction
      colour creamish
      can this pregnant a woman

    45. shan says:

      in india it costs only Rs.600 for a sperm motility test, ie USD 15

    46. SATEESH KUMAR says:

      sir,
      my semen is thin. I have one daughter. now I want one son. how can I make my semen healthy. my semen is thin.
      in semen analysis report .
      60% are active and 40 % are sluggish. give me suggestion that how can make healthy semen..

    47. raju says:

      I had a semen test, vol 5ml sperm count 45 million / ml active sperm 40% sluggesh sperm 60%. Is my semen analysis normal?

    48. Laurie says:

      Hello Amir,

      To get medicine to help improve your sperm, you need to talk to a urologist or fertility doctor. Ask for help figuring out what your sperm test results mean, and how a semen analysis can help you and your wife get pregnant. The internet is not a great place to get personal medical information – it’s good for general facts about sperm tests results and semen analysis, but not personal health advice.

      Blessings,
      Laurie

    49. Amir Shahzad says:

      My marriage since 1997 after the marriage 1 1/2 year one child daughter has born no any child did not born and not pregnancy my report semen routin examinatino
      Total Quantity: 1.0 ml Colour Greyish white
      Visosity: semi viscous pH: 7.50 Total count 40 000 000 pre ml
      Motility
      Actively Motile 25% Sluggishly Motile 35% Dead 40%
      SMEAR:
      Inflammatory cells: No Inflammatory cells.
      Abnormal Spermatozoae: 10% abnormal spermatozoae
      Please select medicine to give me

    50. Laurie says:

      Here’s information about a new male fertility test, called Trak.

      Men contribute to 50% of infertility cases and most of the time sperm count can be significantly increased through a variety of lifestyle and medical interventions. Trak is a revolutionary new platform that allows you to monitor the affect of various activities you are doing to boost sperm count and give you the best chance of getting pregnant each month.

      How Trak works

      1. Order Trak :The Trak starter kit comes with an engine, 6 disposable test props, collection cups and “Don’t Cook Your Balls – A man’s guide to reproductive and sexual health”

      2. Abstain for 2-3 days: Once Trak arrives, abstain from ejaculating for 2-3 days. This allows the body time to replenish sperm stores and gives a more accurate baseline result.

      3. Run test: Follow the simple instructions included with the kit to run the Trak test and record the result in the Trak booklet. Repeat the test after 2-3 days and record your result. Sperm counts vary day to day so it is important to test more than once per cycle to get an average.

      4. Take steps to improve fertility: Keep a record of things that you are doing to improve sperm production. Supplements, exercise, etc. Please see Don’t Cook Your Balls for a full list of things you can do.

      5. Try to make a baby: Have sex twice a week during non-fertile times and every other day during fertile window to maximize chances of conception. If possible, try to keep it fun and spontaneous as this can actually improve the number and quality of sperm in the ejaculate and boost odds of pregnancy. Regular sex also increases sperm production.

      6. Trak fertility: Test at least once a month, preferably during her period so that testing doesn’t interfere with baby making. It often takes at least 2 months to see improvements in sperm count. The more sperm you have the better your chances of conception. Average sperm count is around 50 million/mL. Chances of conception increase with more sperm up to 100 million/mL. If you are consistently below 20 million and are unable to boost count on your own, please seek out a urologist who specializes in male fertility as you may have a medical condition that is impairing sperm production.

      http://trakfertility.com/

      I don’t think this sperm test is available yet, though, and I don’t know how much it costs.

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