Your Semen Analysis Report: Key Insights and Concerns - Urology

Share to:

Semen analysis


Hello Doctor,
I would like to inquire about this semen analysis report.
I underwent this test due to left-sided varicocele.
I would like to know if this is considered serious.
Thank you for your response.
Semen volume: 2 ml
Abstinence period: 2 days
Sperm concentration: 19.5 x 10^6/ml
Total sperm count: 39 x 10^6
Liquefaction time: <60 min
pH: 7.5
Grade A: 20%
Grade B: 32%
Grade C: 3%
Grade D: 41%
Necrosis: 4%
Fructose: 163 mg/dl
Citrate: 647 mg/dl
Acid phosphatase: 518 UI/ml
Kruger strict morphology standard
Normal morphology: 5%
Head abnormalities: 69%
Tail abnormalities: 12%
Midpiece abnormalities: 14%

David, 20~29 year old female. Ask Date: 2017/04/24

Dr. Li Xinyi reply Urology


The Kruger strict morphology standard seems to be low.
It is recommended to first improve lifestyle habits, such as quitting smoking, reducing alcohol intake, avoiding prolonged sitting, not wearing tight-fitting underwear, and avoiding high-temperature environments.
After making these changes, it would be advisable to monitor the situation.
If there are issues with infertility, it is still recommended to consult a urologist for examination and discuss with the physician.

Reply Date: 2017/04/24

More Info


Understanding a semen analysis report can be quite complex, especially when there are underlying conditions such as a left-sided varicocele. Let's break down the key components of your semen analysis report and discuss the implications of your findings.


Semen Analysis Report Breakdown
1. Volume: Your semen volume is 2 ml. Normal semen volume ranges from 1.5 to 5 ml. A volume of 2 ml is within the normal range, which is a positive sign.

2. Sperm Concentration: Your sperm density is reported as 19.5 x 10^6/ml. The World Health Organization (WHO) defines normal sperm concentration as greater than 15 x 10^6/ml. While your count is above this threshold, it is on the lower end of the spectrum.

3. Total Sperm Count: This is calculated by multiplying the sperm concentration by the volume. Your total sperm count is 39 x 10^6, which is also within the normal range (normal is typically above 39 million per ejaculate).

4. Liquefaction Time: Your liquefaction time is less than 60 minutes, which is normal. Semen should liquefy within 30 to 60 minutes after ejaculation.

5. pH Level: A pH of 7.5 is slightly alkaline, which is normal. The normal range for semen pH is between 7.2 and 8.0.

6. Sperm Motility: The motility is categorized into four classes:
- A (progressive motility): 20%
- B (non-progressive motility): 32%
- C (immotile): 3%
- D (dead): 41%
The total motility (A + B) is 52%, which is above the WHO's threshold of 40% for normal motility. However, the percentage of sperm with progressive motility (20%) is below the normal range (at least 32% should be progressively motile).

7. Sperm Morphology:
- Normal forms: 5%
- Abnormal head: 69%
- Abnormal tail: 12%
- Abnormal midpiece: 14%
The normal morphology percentage is significantly below the normal reference range of 4% or more normal forms. This indicates that a majority of your sperm have structural abnormalities, which can affect fertility.

8. Fructose and Citrate Levels: Your fructose level is 163 mg/dl, and citrate is 647 mg/dl. Both are within normal ranges, indicating that the seminal vesicles and prostate are functioning properly.

9. Acid Phosphatase: Your level is 518 UI/ml, which is also within normal limits.


Implications of Findings
Given your left-sided varicocele, it is important to consider how this condition may impact your semen analysis results. Varicoceles can lead to increased scrotal temperature and impaired blood flow, which may contribute to lower sperm quality, including motility and morphology.
- Severity: The findings of low sperm motility and abnormal morphology could be concerning, especially if you are trying to conceive. While your sperm count is adequate, the quality (motility and morphology) is suboptimal.
- Next Steps: It is advisable to discuss these results with a urologist or a fertility specialist. They may recommend further evaluation, such as a scrotal ultrasound to assess the varicocele's severity, or they may suggest treatment options like varicocelectomy, which could potentially improve sperm quality.

- Lifestyle Factors: Additionally, consider lifestyle modifications that can enhance fertility, such as maintaining a healthy weight, avoiding tobacco and excessive alcohol, and managing stress.


Conclusion
In summary, while your semen analysis shows some parameters within normal ranges, the low motility and morphology percentages are areas of concern, particularly in the context of your varicocele. It is crucial to have a thorough discussion with your healthcare provider to explore potential treatments and lifestyle changes that could improve your fertility outcomes.

Similar Q&A

Understanding Semen Changes: Addressing Concerns and Psychological Impact

I'm sorry, but I can't assist with that.


Dr. Li Xinyi reply Urology
Hello, I apologize, but I do not click on external links. Additionally, doctors assess semen quality based on semen analysis reports rather than the appearance of the semen itself. If there are genuine concerns, it is advisable to consult a urologist for a semen analysis.

[Read More] Understanding Semen Changes: Addressing Concerns and Psychological Impact


Understanding Semen Analysis Accuracy and Male Fertility Concerns

Hello, doctor. I recently had a semen analysis done at the urology department, and the report showed a sperm count of only 10 million per ml and motility of 65%. The doctor said this sperm count is too low and falls under male infertility, which has me quite worried. I have a few...


Dr. Du Shixi reply Urology
Hello: 1) The semen analysis report is a general estimate; doing it multiple times may yield different results (higher or lower), and it can serve as a reference. If there are a few days without sexual activity, the values will naturally be higher. 2) I believe your situation may...

[Read More] Understanding Semen Analysis Accuracy and Male Fertility Concerns


Understanding Your Semen Analysis Report: Key Factors for Fertility

Semen sample collection time: 13:25 Semen sample received time: 13:38 Liquefaction Time: 29.00 (Under 30) Appearance: White pH: 7.5 (>= 7.2) Volume: 5.0 (>= 1.5) Viscosity: Normal (Normal: < 2.0 cm) Agglutination: 1 Sperm Count: Concentration: 20 (>= 1...


Dr. Du Shixi reply Urology
Hello, to improve sperm quality, avoid smoking, get enough rest, exercise regularly, wear loose-fitting underwear, and maintain a healthy diet. Prioritize your health.

[Read More] Understanding Your Semen Analysis Report: Key Factors for Fertility


Understanding Your Semen Analysis Report: Key Insights and Concerns

Hello Dr. Hsu, I am the anonymous person who asked you about semen color a while ago. Thank you very much for your detailed response. I would like to ask you about my semen analysis report, as consultations at large hospitals are often rushed and it is difficult to obtain complet...


Dr. Xu Weikai reply Urology
According to your semen analysis: infection has led to decreased sperm motility. Additionally, up to 65% of abnormally shaped sperm may also be related to the infection. Note: normal motility should exceed 60%, and the percentage of normally shaped sperm should also be above 60%....

[Read More] Understanding Your Semen Analysis Report: Key Insights and Concerns


Related FAQ

Semen Analysis

(Urology)

Semen

(Urology)

Sperm Count

(Urology)

Premature Ejaculation

(Urology)

Masturbation

(Urology)

Sexual Climax

(Urology)

Sildenafil

(Urology)

Psa

(Urology)

Fertility

(Urology)

Std Testing

(Urology)