Abnormal Semen Analysis

An abnormal semen analysis provides our Manhattan fertility doctor with important information

Very often, when a man comes to our Manhattan fertility clinic to discuss problems with conception, we perform a semen analysis as part of our fertility evaluation. This test informs us of the quantity and quality of the sperm, as well as the semen itself. Since problems with male factors cause approximately 40% of all cases of infertility, this is an important tool.

What we can learn from an abnormal semen analysis

Dr. Joel Batzofin, our Manhattan fertility doctor, will analyze results to determine what may be causing the abnormal semen analysis.  He will look for issues involving:

Sperm count—If the number of sperm is less than 20 million per milliliter, this is considered low.

Sperm motility—If fewer than 50% of sperm are moving (motile) and making forward progression, this is a problem.

Sperm shape or morphology—If fewer than 30% of the sperm in the sample are abnormally shaped, this is considered abnormal.

Semen thickness or viscosity—Sperm is contained in a liquid, and if the seminal fluid does not coagulate properly or is too thick, it is not normal.

Total volume of semen—If the total volume of fluid in the semen sample is less than 1.5 milliliters or more than 5 milliliters that is an abnormal semen analysis.

Our Manhattan fertility doctor will also check to determine if your white blood cell count is high, which could be an indication of infection or inflammation. If you do have an infection, we may prescribe antibiotics or perform a semen culture to check for bacterial growth.

Additional tests for male infertility

In most cases, if you have an abnormal semen analysis, you will not need additional tests, but we offer state-of-the-art tests that provide us with more information if we need it.

Anti-sperm antibody test—Determines whether or not anti-sperm antibodies are attaching themselves to sperm to cause immunologic infertility.

Sperm penetration assay—This tests sperm’s ability to penetrate an egg.

Hyposomatic solution assay—an examination of the sperm’s plasma membrane and how well it is functioning.

Retrograde semen analysis—examination of a urine sample obtained immediately following ejaculation to see if semen is present, which would indicate an issue with retrograde ejaculation. When semen is ejaculated into the bladder instead of out of the penis, it can cause male infertility.

Genetic tests—our Manhattan fertility doctor may recommend one or more of a variety of tests if he suspects that a genetic abnormality is contributing to your abnormal semen analysis. These include sperm aneuploidy testing, chromosome analysis and y-chromosome deletion testing.

Our Manhattan fertility doctor provides treatment for men with an abnormal semen analysis

An abnormal semen analysis is not the end of the journey—it is the beginning. Our Manhattan fertility doctor and clinic staff will work diligently to determine the cause of your infertility and to find the proper treatment. Contact us.