A general semen analysis includes:
- Macroscopic evaluation of the sample, such as volume, liquefaction time, pH.
- Microscopic evaluation, consisting of:
- a) Total sperm count (concentration), which is expressed as millions of spermatozoa / ml
- b) Sperm motility, which is split into 4 categories (rapid progressive motility, slow progressive motility, non-progressive motility and immotile).
- c) Sperm morphology (head, midpiece and tail)
- d) Count of white blood cells.
According to the criteria of the World Health Organization (WHO), a sperm sample with the following characteristics is considered normal.
- Volume: at least 1,5 ml
- Sperm count: at least 000.000 /ml
- Progressive motility: At least 32%, within 1 hour.
- Morphology: At least 4% of spermatozoa should be normal.
Sperm disorders
Oligospermia: Low number of sperm cells (less than 15 million/ml or 39 million total).
Asthenospermia: Low progressive motility (less than 32%).
Teratospermai: Low percentage of morphologically normal sperm cell (less than 4%).
Oligoasthenoteratospermia (ΟΑT): Combination of low numbers, low motility and poor morphology. This is one of the most common disorders.
Azoospermia: Complete absence of sperm cell in the ejaculate.
Aspermia: Lack of ejaculation.