A semen analysis or seminogram is a male fertility test that assesses the concentration, motility and morphology of spermatozoa in a semen sample. Although these parameters are important, sperm function can also be influenced by factors that are not reflected in a conventional semen analysis and may be key to providing an accurate diagnosis and determining the most appropriate treatment.
It is estimated that male infertility is a contributing factor in up to 50% of infertility cases in couples. Male infertility is not necessarily related to a man's overall health, as a completely healthy man may produce poor-quality sperm that can make it difficult to achieve pregnancy. A semen analysis is therefore essential to assess male fertility.
A semen analysis, also known as a spermiogram, is performed using a semen sample, which is usually collected in a private room at the fertility clinic. The patient is given a sterile container in which the sample must be deposited, as losing part of the sample may affect the results. The sample may also be collected at home if permitted by the fertility clinic, provided it is kept at body temperature and delivered within one hour.
The procedure is quick and non-invasive, and it provides important information about semen quality and male infertility.
In a semen analysis, both macroscopic and microscopic aspects of the semen are examined:

DIAGNOSIS
The IVF-Life laboratory can perform advanced sperm tests to assess sperm function, including:
The sperm DNA fragmentation test uses flow cytometry to measure the stability of sperm chromatin and estimate the percentage of sperm with fragmented DNA.
This test is especially recommended for men over the age of 40, exposed to toxic agents, who have a urogenital infection or who have been treated for cancer.
The sperm DNA fragmentation test can help couples who have experienced recurrent miscarriages or repeated treatment failures, as well as couples with unexplained infertility.
Apoptosis or selective cell death plays an important role in spermatogenesis, as it eliminates sperm cells with structural or functional defects. The presence of abnormally high levels of apoptotic sperm in the ejaculate compromises male fertility.
This test quantifies the number of apoptotic spermatozoa in the ejaculate and in sperm samples prepared for assisted reproduction.
Microdeletions in the AZF region of the Y chromosome are responsible for 10–15% of cases of azoospermia and 5–10% of cases of oligozoospermia in men.
The IVF-Life Y-chromosome microdeletion test examines four regions of the Y chromosome using PCR (polymerase chain reaction) to help identify possible causes of male infertility.
Semen from patients with severe male infertility and defective spermatogenesis may contain immature germ cells.
The IVF-Life ploidy test assesses defects in spermatogenesis by analysing the ploidy of sperm cells present in the ejaculate.
This is a simple, non-invasive and reliable test that can help assess patients with severe male infertility before referral for testicular surgery.
The IVF-Life oxidative stress test measures the amount of ROS in a semen sample. Increased levels of ROS can be reduced by a change in lifestyle and a diet rich in antioxidants.
This test makes it possible to identify alterations in semen quality that may affect male fertility.
By analysing sperm motility, concentration, and morphology, it is possible to guide the patient towards the most appropriate assisted reproduction treatment.
PATIENTS
FIND ANSWERS TO YOUR QUESTIONS
No, an abnormal result in a semen analysis does not mean that having children is impossible. In most cases, it indicates that achieving a natural pregnancy may be more difficult.
In fact, in cases of semen abnormalities such as oligospermia or asthenospermia, many couples are able to start a family through fertility and assisted reproduction treatments such as in vitro fertilisation (IVF), artificial insemination or ICSI (intracytoplasmic sperm injection).
Yes, lifestyle and diet do influence the results of this test. Factors such as smoking, alcohol consumption, drug use, lack of exercise, and stress are associated with poorer sperm motility, concentration and morphology. Adopting a healthy lifestyle is recommended to promote better semen quality.
WHAT OUR PATIENTS SAY