How to check fertility with semen test analysis?

Question

Hi doctor,

My wife is not able to conceive, so I went for a semen test. I got the results and need your analysis.

Please advise.

Thank you

Answer 1

Hi,

Welcome to icliniq.com

Thank you for sharing your semen analysis report. Here is a breakdown of your results and what they mean in terms of fertility:

Normal parameters (all good signs):

Volume: 2.5 millilitres (normal is more than or equal to 1.5 millilitres): This is an adequate ejaculate volume.
pH: 8.0 (normal is more than or equal to 7.2): This is slightly alkaline, which is normal and helps sperm survive.
Sperm concentration: 45.2 million/millilitre (normal is more than or equal to 15 million/millilitre). This shows a very healthy sperm count.
Total motility: 80 percent (normal is more than or equal to 40 percent). This is excellent. This means 80 percent of sperm are moving, which is great for fertility.
Progressive motility: 71 percent (normal is more than or equal to 32 percent). This is excellent. This means 71 percent are moving actively toward the egg.
Normal morphology: 5 percent (normal is more than or equal to 4 percent). This has a normal shape and structure. This is crucial for fertilization.
White blood cells (WBC): 1 to 2 / high power field (HPF). Normal is 0 to 4. This shows no sign of active infection or inflammation.

Minor observations: Liquefaction time: 55 minutes (normal is less than or equal to 60 mins): This is still within normal range but on the higher end. It is okay unless semen remains thick and does not liquefy, which can hinder motility.

Conclusion:

Your semen parameters are within normal fertility ranges, and in fact, they are quite good. There is no male factor infertility based on this report.

Hope this answers your query

Thank you.