II. Technique: Sample Collection
- Man avoids masturbation and intercourse for 48-72 hours
- Sample delivered within 2 hours of ejaculation
- Keep sample cool in refrigerator
- Some labs require sample within 45 minutes
- Repeat abnormal samples in 2-3 months at special lab
- Three month interval between tests reflects a >2 month sperm generation time
III. Labs: Normal Samples (Reference Ranges)
- Volume: >1.5 to 2 ml or higher
- pH: 7.2 or higher
- Sperm concentration: >15-20 million per ml
- Total sperm number: >40 mIllion per ejaculate
- Initial Sperm Motility >50%
- Total Sperm Motility: >40%
- Progressive motility (forward movement): >32%
- Normal Sperm Morphology: >4-14% strictly normal
- Vitality: 58%
- White Blood Cells <1 Million per ml
IV. Interpretation: Definitions
- Oligospermia
- Sperm Count <15 million per ml
- Suggests Hypogonadism (see Male Infertility for evaluation)
- Asthenozoospermia
- Sperm Motility in <40%
- Teratozoospermia
- Normal morphology <4%
- Oligoasthenoteratozoospermia Syndrome (OAT Syndrome)
- All three abnormalities (Oligospermia, Asthenozoospermia and Teratozoospermia) are present
- Suggests genetic etiology for Infertility
V. Interpretation: Findings predictive of fertility
- Sperm Count (concentration): >48 million per ml
- Initial Sperm Motility: >63%
- Normal Sperm Morphology: >12%
VI. Interpretation: Findings suggestive of Infertility
- Sperm Count (concentration): <13.5 million per ml
- Initial Sperm Motility: <32%
- Normal Sperm Morphology: <9%
Images: Related links to external sites (from Bing)
Related Studies
Definition (NCI) | Decreased number of spermatozoa in the semen. |
Definition (NCI_CTCAE) | A disorder characterized by a decrease in the number of spermatozoa in the semen. |
Definition (MSH) | A condition of suboptimal concentration of SPERMATOZOA in the ejaculated SEMEN to ensure successful FERTILIZATION of an OVUM. In humans, oligospermia is defined as a sperm count below 20 million per milliliter semen. |
Concepts | Disease or Syndrome (T047) |
MSH | D009845 |
ICD9 | 606.1 |
ICD10 | N46.11 , N46.1 |
English | Oligospermia, OLIGOSPERMIA, Oligozoospermia, Count, Low Sperm, Counts, Low Sperm, Low Sperm Counts, Low Sperm Count, Sperm Count, Low, Sperm Counts, Low, HYPOSPERMATOGENESIS, Oligospermia NOS, Oligospermia [Disease/Finding], oligospermia, oligozoospermia, Hypospermatogenesis, hypospermatogenesis |
French | OLIGOSPERMIE, Oligozoospermie, Oligospermie |
Portuguese | OLIGOSPERMIA, Contagem Baixa de Espermatozoides, Baixa Contagem de Espermatozoides, Contagem de Espermatozoides Baixa, Oligozoospermia, Oligospermia |
Spanish | OLIGOSPERMIA, Recuento Bajo de Espermatozoides, Bajo Recuento de Espermatozoides, Oligoespermia, Oligozoospermia, Oligospermia |
German | OLIGOSPERMIE, Oligozoospermie, Oligospermie |
Swedish | Oligospermi |
Czech | oligospermie, Oligospermie, Oligozoospermie |
Finnish | Oligotsoospermia |
Russian | OLIGOSPERMIIA, ОЛИГОСПЕРМИЯ |
Japanese | 精子欠乏症, 乏精子, 精液減少症, 精子過少, 精子過少症, 精子減少, 精子減少症, 精液減少, 乏精子症, 精液過少, 精液過少症, セイシゲンショウショウ |
Italian | Oligozoospermia, Bassa conta spermatica, Oligospermia |
Croatian | OLIGOSPERMIJA |
Polish | Oligospermia, Zmniejszenie liczby plemników |
Norwegian | Oligospermi |
Dutch | oligospermie, oligozoöspermie, Oligospermie |
Hungarian | Oligozoospermia, Oligospermia |
Ontology: Sperm Count Procedure (C0037842)
Definition (MSH) | A count of SPERM in the ejaculum, expressed as number per milliliter. |
Concepts | Laboratory Procedure (T059) |
MSH | D013076 |
SnomedCT | 89857002, 302792004 |
CPT | 89310, 89320, 89322, 89300 |
English | Count, Sperm, Counts, Sperm, Sperm Count, Sperm Counts, sperm count, semen analysis sperm count (lab test), semen analysis sperm count, Sperm Count Procedure, Test;sperm count, sperm count test, Sperm count, Sperm number, Semen analysis, count only, Semen analysis, count only (procedure), Sperm count (procedure), sperm counts |
Swedish | Spermieantal |
Finnish | Siittiömäärä |
Russian | SPERMATOGRAMMA, SPERMATOZOIDOV KOLICHESTVO, СПЕРМАТОГРАММА, СПЕРМАТОЗОИДОВ КОЛИЧЕСТВО |
French | Numération des spermatozoïdes, Taux de spermatozoïdes |
Spanish | análisis de esperma, solo recuento (procedimiento), análisis de semen, recuento solamente (procedimiento), análisis de semen, recuento solamente, análisis de esperma, solo recuento, Recuento de espermatozoides, número de espermatozoides, recuento de espermatozoides (procedimiento), recuento de espermatozoides, Recuento de Espermatozoides |
Polish | Liczba plemników |
Portuguese | Número de espermatozóides, Contagem de Espermatozoides, Espermograma |
Italian | Conta spermatica, Conta degli spermatozoi |
German | Spermienzahl, Spermienzählung |
Dutch | spermatelling, Spermatocytentelling, Telling, spermatocyten- |
Czech | Počet spermií, počet spermií, spermie - počet |
Japanese | セイシスウ, 精子数 |
Hungarian | Spermium szám |
Croatian | Spermiji, broj |
Norwegian | Spermietelling, Sædcelletelling, Telling av sædceller |
Ontology: Sperm Motility (C0037848)
Definition (MSH) | Movement characteristics of SPERMATOZOA in a fresh specimen. It is measured as the percentage of sperms that are moving, and as the percentage of sperms with productive flagellar motion such as rapid, linear, and forward progression. |
Definition (CSP) | ability of the sperm to move by flagellate swimming. |
Definition (GO) | Any process involved in the controlled movement of a sperm cell. [GOC:jl] |
Concepts | Cell Function (T043) |
MSH | D013081 |
SnomedCT | 270027006, 145011008, 102869007 |
English | Motilities, Sperm, Motility, Sperm, Sperm Motilities, sperm movement, sperm mobility, sperm motility, motility sperm, Sperm Motility, Sperm motility, Motility of spermatozoa, Spermatozoa motility, Motility of spermatozoa (observable entity), Motility of spermatozoa (function), Motility of spermatozoa, function (observable entity) |
Swedish | Spermierörlighet |
Finnish | Siittiön liikkuvuus |
French | Motilité des spermatozoïdes, Mobilité des spermatozoïdes |
Russian | SPERMY PODVIZHNOST', SPERMATOZOIDOV PODVIZHNOST', СПЕРМАТОЗОИДОВ ПОДВИЖНОСТЬ, СПЕРМЫ ПОДВИЖНОСТЬ |
Polish | Ruchliwość plemników |
Czech | spermie - motilita, pohyblivost spermií, motilita spermií |
Croatian | Spermiji, pokretljivost |
Norwegian | Spermiemotilitet, Bevegeligheten til spermiene, Spermamotilitet |
Spanish | motilidad de los espermatozoides (entidad observable), motilidad de los espermatozoides (función), motilidad de los espermatozoides, Motilidad Espermática |
German | Spermienmotilität |
Dutch | Motiliteit, sperma-, Spermamotiliteit |
Portuguese | Motilidade Espermática |
Italian | Mobilità dello spermatozoo |
Ontology: Semen analysis procedure (C0202533)
Definition (MSH) | The quality of SEMEN, an indicator of male fertility, can be determined by semen volume, pH, sperm concentration (SPERM COUNT), total sperm number, sperm viability, sperm vigor (SPERM MOTILITY), normal sperm morphology, ACROSOME integrity, and the concentration of WHITE BLOOD CELLS. |
Concepts | Laboratory Procedure (T059) |
MSH | D055101 |
SnomedCT | 144986003, 11900001 |
CPT | 89320, 89300, 89310, 89321, 89322, 1012549 |
LNC | LP32565-1 |
English | semen analysis (lab test), semen analysis, Semen Analysis, Semen Analyses, Semen Quality Analysis, Semen Quality Analyses, Quality Analyses, Semen, Analyses, Semen Quality, Analysis, Semen Quality, Semen analysis procedure, semen examination, analysis semen, Semen analysis, SA - Semen analysis, Semen analysis (procedure), Semen analysis, NOS |
Spanish | Análisis de Semen, Análisis de semen, Calidad Seminal, Análisis Seminal, análisis de esperma (procedimiento), análisis de esperma |
French | Analyse du sperme, Spermogramme, Analyse qualitative du sperme, Analyse du liquide séminal, Analyse de la qualité du sperme |
Italian | Analisi del seme, Analisi della qualità seminale, Analisi del liquido seminale |
Dutch | sperma analyse |
German | Samenanalyse, Analyse der Spermienqualität, Spermienanalyse |
Portuguese | Análise do esperma, Análise do Sêmen, Qualidade Seminal, Análise Seminal |
Czech | Analýza spermatu, analýza spermatu, semeno - analýza |
Japanese | セイエキケンサ, 精液検査 |
Russian | СЕМЕННОЙ ЖИДКОСТИ АНАЛИЗ, SPERMY KACHESTVENNYE ANALIZY, СПЕРМОГРАММА, СПЕРМЫ КАЧЕСТВЕННЫЕ АНАЛИЗЫ, SPERMOGRAMMA, SEMENNOI ZHIDKOSTI ANALIZ |
Swedish | Semenanalys |
Polish | Badanie jakości nasienia, Badanie nasienia, Analiza nasienia |
Hungarian | Ondó kiértékelés |
Croatian | Not Translated[Semen Analysis] |
Norwegian | Sædkvalitetsanalyse, Sædanalyse, Analyse av sædkvalitet |
Ontology: Asthenozoospermia (C0403823)
Definition (MSH) | A condition in which the percentage of progressively motile sperm is abnormally low. In men, it is defined as <25% rapid motility or <50% progression in a semen sample (World Health Organization, 1992). |
Concepts | Finding (T033) |
MSH | D053627 |
SnomedCT | 24463005 |
Portuguese | Astenozoospermia, Astenospermia |
Spanish | Astenozoospermia, Astenoszoospermia, Astenospermia, astenospermia (hallazgo), astenospermia |
Russian | АСТЕНОЗООСПЕРМИЯ, ASTENOZOOSPERMIIA |
Italian | Astenozoospermia, Astenospermia |
German | Asthenospermie, Asthenozoospermie |
French | Asthénozoospermie, Asthénospermie |
English | Asthenospermia, Asthenozoospermia [Disease/Finding], asthenozoospermia, asthenospermia, Decreased sperm motility, Asthenozoospermia, Asthenozoospermia (finding) |
Dutch | asthenozoöspermie, astenospermie |
Japanese | セイシムリョクショウ, 精子無力症 |
Czech | astenozoospermie, Astenozoospermie, Astenospermie |
Finnish | Astenotsoospermia |
Swedish | Astenozoospermi |
Polish | Astenozoospermia |
Hungarian | Asthenospermia, asthenozoospermia |
Norwegian | Asthenospermi |
Ontology: Teratozoospermia (C0403824)
Concepts | Finding (T033) |
SnomedCT | 236817003 |
Spanish | teratozoospermia (hallazgo), teratozoospermia, teratozoospermia (trastorno) |
English | teratozoospermia, Teratozoospermia, Teratozoospermia (disorder), Teratozoospermia (finding) |
Ontology: Sperm morphology (C0428011)
Concepts | Clinical Attribute (T201) |
SnomedCT | 167797007, 145024008, 270028001, 145018002, 250500000 |
Italian | Morfologia degli spermatozoi |
English | Sperm morphology NOS, Sperm morphology, Spermatozoa morphology, morphology sperm, sperm morphology, Sperm morphology NOS (observable entity), Sperm morphology (observable entity) |
Japanese | 精子形態, セイシケイタイ |
Czech | Morfologie spermatozoí |
Hungarian | Spermatozoon morfológia |
Spanish | morfología de los espermatozoides, SAI (entidad observable), Sperm morphology NOS, morfología de los espermatozoides, SAI, morfología espermática, SAI, morfología de los espermatozoides (entidad observable), morfología de los espermatozoides, morfología espermática, Morfología de los espermatozoides |
Portuguese | Morfologia dos espermatozóides |
Dutch | spermatozoa morfologie |
French | Morphologie des spermatozoïdes |
German | Spermatozoenmorphologie |