Can These Semen Analysis Results Support Pregnancy? - Urology

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Semen analysis data


Hello doctor, last week I had a semen analysis.
The results showed a pH of 7.9, sperm count of 56 million per milliliter, motility of 42%, and sperm morphology of 72% with 2% classified as grade A, 81% as grade B, 7% as grade C, and 10% as grade D.
With these results, is it possible for a woman to become pregnant?

A He, 30~39 year old female. Ask Date: 2016/09/29

Dr. Fu Shizhang reply Urology


The activity level is slightly low, but still above the normal lower limit, which theoretically allows for the possibility of pregnancy, although the probability is reduced.

Reply Date: 2016/09/29

More Info


When evaluating semen analysis results in the context of fertility and the potential for pregnancy, several key parameters must be considered. Based on the results you provided, let's break down the findings and their implications for conception.

1. Semen pH: A pH of 7.9 is within the normal range for semen, which typically falls between 7.2 and 8.0. This indicates that the semen is neither too acidic nor too alkaline, which is favorable for sperm motility and overall health.

2. Sperm Count: Your sperm count is reported as 56 million sperm per milliliter (56 x 10^6). The World Health Organization (WHO) defines a normal sperm count as being greater than 15 million sperm per milliliter. Therefore, your count is well above the threshold, which is a positive indicator for fertility.

3. Motility: The motility of your sperm is reported at 42%. The WHO defines normal motility as 40% or more of the sperm being motile (moving). Since your motility is at 42%, it meets the normal criteria, suggesting that a sufficient proportion of your sperm can swim towards the egg, which is essential for fertilization.

4. Sperm Morphology: Your results indicate that 72% of your sperm have a normal shape (morphology). The WHO considers a normal morphology rate to be 4% or higher. Therefore, your morphology is significantly above the normal range, which is beneficial for fertility, as properly shaped sperm are more likely to successfully fertilize an egg.

5. Sperm Classification: The classification of sperm into categories A, B, C, and D indicates their motility and morphology. Your results show:
- A (progressive motility): 2%
- B (non-progressive motility): 81%
- C (immotile): 7%
- D (dead): 10%
While the percentage of progressively motile sperm (A) is low, the overall motility (42%) suggests that there are still enough motile sperm to potentially achieve fertilization.


Conclusion
Based on the semen analysis results you provided, it appears that you have a good chance of achieving pregnancy. Your sperm count and motility are within normal ranges, and your morphology is notably high. These factors are all positive indicators for fertility.

However, it is essential to remember that conception is a multifactorial process. Factors such as the female partner's health, ovulation timing, and overall reproductive health also play critical roles in achieving pregnancy. If you and your partner are actively trying to conceive, it may be beneficial to track ovulation cycles and engage in regular intercourse during the fertile window.

If you have been trying to conceive for an extended period without success, or if there are any concerns regarding fertility, it may be advisable to consult a fertility specialist. They can provide a comprehensive evaluation and suggest further testing or treatments if necessary.

In summary, your semen analysis results are encouraging, and with the right timing and conditions, they support the potential for pregnancy. Best of luck on your journey to parenthood!

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