Semen analysis

Semen analysis is a fundamental exam on evaluating male partners. A semen analysis usually measures:

  • Semen volume and pH ;
  • Sperm concentration ;
  • Sperm morphology (size, shape and appearance) ;
  • Sperm motility (movement) ;
  • Debris found in sperm;
  • Leukocyte count (white blood cells that could signify infection or other problems);
  • Immature germ cells (non-sperm round cells that may be found in semen).

Low sperm count is a common reason many couples have trouble conceiving. Because a man’s semen consistency and sperm count can vary from day to day, our doctor often recommends a second semen analysis at least two weeks apart, over a period of two to three months, if the first semen analysis was abnormal.

Common reasons cause low sperm count include:

  • Genetics
  • Sexual Transmitted Disease
  • General Healthy Issue
  • Past surgeries

Hormone testing and genetic testing

Testosterone, estradiol, prolactin, LH and FSH might be ordered if semen analysis is abnormal. Genetic testing, like chromosomal testing and Y chromosomal microdeletion testing also could be part of the test for some male patients.