Semen Analysis

According to the WHO, infertility is defined as failure to conceive after 12 months or more of regular unprotected sexual intercourse. It affects 8-12% of cases worldwide. Out of which approximately 40-50% is due to male factor infertility. 2% of all men will exhibit suboptimal semen parameters. The traditional semen analysis is the established cornerstone of assessing male fertility.


Parameters assessed during semen analysis in testing semen quality

The various parameters assessed during semen analysis are:

  • Macroscopic liquefaction
  • Appearance
  • Viscosity
  • Volume
  • Ph
  • Microscopic motility
  • Concentration
  • Morphology
  • Vitality

All the macroscopic parameters in semen analysis, denote the functional capacity of the necessary male organs namely seminal vesicles, prostate and whether or if the whole tract from testes to the urethra is patent.


Microscopic parameters of semen during semen analysis


Motility is indicative of a decrease in the functional competence of spermatozoa and is directly related to the quality of the spermatozoa. According to the WHO, it is graded into 3 categories, progressive, non-progressive and non-motile.


It is the oldest parameter reported to be investigated during a semen analysis. It depends on a variety of factors; the volume of the testes, the period of sexual abstinence prior to ejaculation, the size of epididymal sperm reserve as well as the extent of ductal patency.


It provides vital information on the semen quality and has been considered on essential parameters when establishing the fertility status of a patient.  A number of sperm tests of varying complexity have been received like automated computer image semen analysis. Sperm DNA fragmentation can test the genetic constitution of the sperm while other tests assessing human sperms – egg interaction are of uncertain value.


Factors affecting semen quality

  • High temperature can cause decreased sperm count.
  • Obesity
  • Alcohol
  • Smoking
  • Marijuana
  • Stress
  • Chemicals like pesticides

Infertility Treatment

Statistics say that about eighty percent of the couple that approach for infertility treatment can be treated by counselling alone and it is only twenty percent of them that require some form of infertility treatment.


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Infertility Causes

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IVF Treatment Procedures

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Intra Uterine Insemination

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IVF Treatment

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Female Infertility

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Fertility Medication

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Ovulation Analysis

Ovulation analysis is the process by which the fertility is assessed to find the fertile window and general assessment. Various methods exist for ovulation testing. Various methods exist for ovulation testing.


It is used to know whether the fallopian tubes of the patient are blocked and whether blockage is at the junction of tube of uterus (proximal) or at the distal end. Radiographic contrast dye is …….


Cryopreserving agents that minimize damage to the cells during freezing and thawing process. Semen cryopreservation also called sperm banking is a procedure to preserve sperm cells.

Ultrasound Assessment

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Fertility Age

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Semen Analysis

All the macroscopic parameters in semen analysis, denote the functional capacity of the necessary male organs namely seminal vesicles, prostate and whether or if the whole tract from testes to the …..


In general, semen analysis, hysterosalpingogram, assessment of ovulation and ovarian reserve should be the initial investigations and if no cause of infertility found, laparoscopy should be done.

Male Infertility

Anything that effect the hypothalamus pituitary endocrine system which regulates the sperm production can be detrimental. There are also a wide variety of physical problems like varicocele, ……

Infertility Specialty Doctors

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