A semen analysis is a rudimentary test of a man’s sperm count. Men with low sperm counts (less than 5 million motile sperm) will likely have difficulties achieving pregnancies.
Any man with more than one abnormal defect in his semen analysis will also have a difficult prognosis. Morphology is an interesting area as many men will have isolated abnormal morphology.
Some of these men will have difficulty fertilizing eggs but not all. This makes it difficult to counsel these patients and often we turn to IVF with ICSI (intracytoplasmic sperm injection) to assist these couples in conceiving.
