What is a Semen Analysis (SA) Exactly?
Unfortunately, when trying to get pregnant many couples encounter difficulties and visiting a fertility specialist becomes necessary. This is not just for the ladies…men may be asked to have a semen analysis done as inadequate sperm count, motility, and/or morphology affects more than 30% of couples facing infertility. A semen analysis measures the amount and quality of semen in the sample to determine if there is infertility issue.
The preparation for a semen analysis is actually quite simple. He may be asked to abstain from any sexual activity 2-4 days before the analysis. It is also recommend to not avoid sexual activity for the 1-2 weeks before the analysis, because sexual inactivity can hinder the results. At the appointment, he is asked to masturbate into a clean, wide mouthed bottle. This bottle is then delivered to the laboratory for testing. Men that are concerned with the process of masturbating in the doctor’s office should ask for alternate ways to provide the sample.
Approximately 30 minutes after the sample is taken (allowing the semen to liquefy), multiple tests are performed:
Semen Volume: 2-6 ml is a normal volume of ejaculate in a healthy man. An especially high or low volume can signify an issue that may need to be investigated
Semen Viscosity: Semen should liquefy in about 30 minutes. If it doesn’t liquefy, this likely indicates an infection of the seminal vesicles and prostate.
Semen pH: The alkaline pH protects the sperm from the acidity of vaginal fluids.
Presence of fructose: Fructose provides energy for sperm motility – an absence of fructose may indicate a block in the mail reproductive tract.
Sperm Count: Sperm count is measured by an examination under the microscope. If the sample is less than 20 million per sperm per ml, this is considered low sperm count.
Sperm Motility: Sperm motility is the ability of the sperm to move. For fertility purposes, it’s important to remember that only the sperm that move forward fast are able to fertilize the egg. Motility is graded from A to D;
A – sperm swim forward fast in a straight line
B – sperm swim forward, but in a curved or crooked line, or slowly
C – sperm move their tails, but do not move forward
D – sperm do not move at all
Grade C and D are of concern when testing for fertility.
Sperm Morphology: Sperm should have a regular oval head, with a connecting mid-piece and a long straight tail. Abnormal sperm is distorted in shape (round heads, large heads, double heads, absent tails, etc). A normal sample should have at least 15% with normal form.
Sperm Clumping: Sperm clumping (or agglutination) means sperm stick together. This impairs motility.
Pus Cells: Some white blood cells in the semen is normal – however, many pus cells suggest the presence of an infection.
For couples that are trying-to-conceive, if the semen analysis is abnormal, it will likely be repeated 3-4 times over a period of a couple months. This will help to confirm if there is indeed an abnormality present. If so, you can then work to treat that specific issue.
Not sure if you need a semen analysis? The Sperm Check fertility test is a convenient and affordable way to measure for normal count. You can test in the privacy of your own home, if the result shows low sperm count it would be a good indicator that thorough analysis is warranted.
There also are herbal supplements available on the market to help address issues with sperm count, motility, and morphology. FertilAid for Men works to promote the healthy production of sperm and has been shown to have a positive effect on all three of those parameters. For men diagnosed with low sperm count (under 20 million per ml), CountBoost can be taken in conjunction with FerilAid for Men to specifically address a low sperm count. For men diagnosed with low motility (grade c or d), MotilityBoost can be taken in conjunction with FertilAid for Men to specifically address poor motility.