Get a result you can trust. How to prepare for, give, and repeat a semen and sperm sample.
A semen analysis is the main test of male fertility, and it is easy to do. But the result only means something if the sample is collected the right way. A few simple steps before and during the test help make sure the numbers reflect you — not a bad sample.
2–7 days without ejaculating before you give the sample.
This window matters. Less than 2 days can lower the volume and count. More than 7 days can raise the count but lower how well the sperm move. Aim for somewhere in the middle, and try to use a similar gap each time so your results can be compared.
A single low or odd result is often the sample, not your true fertility. Common reasons a test reads worse than it should:
This is exactly why one test is rarely the final word.
If it is normal — that is reassuring. If you and your partner are still not conceiving, both partners should keep being evaluated together.
If it is abnormal — repeat the test in 2–3 months. If it is still off, a urologist or fertility specialist can look for causes, some of which are reversible.
Bring your report to the interpreter below to see which numbers are in range and what they mean.
The standards behind this guide.
1.World Health Organization. WHO Laboratory Manual for the Examination and Processing of Human Semen. 6th ed. Geneva: World Health Organization; 2021. The international standard for how a semen sample is collected and examined, including the 2–7 day abstinence window and reference limits.
2.Practice Committee of the American Society for Reproductive Medicine. Diagnostic evaluation of the infertile male: a committee opinion. Fertil Steril. 2015;103(3):e18–e25. ASRM guidance on evaluating the male partner — confirming abnormal results with a repeat analysis and when to refer to a specialist. A male factor is the sole cause in about 20% of infertile couples and contributes in another 30–40%.