Al Ain Fertility Center

Patient Education Hub • Male Factor Evaluation

Semen Assessment (Semen Analysis)

A laboratory evaluation of the semen sample that looks at sperm count, movement, shape, and other measures. It helps identify male‑factor issues and guide treatment.

Count Motility Morphology

Key takeaways

  • Multiple parameters are assessed; one number alone rarely defines fertility.
  • Results vary between samples. At least two tests are often recommended for accuracy.
  • Interpretation considers your history, examination, and sometimes hormone tests or ultrasound.

When do doctors order it?

  • Difficulty conceiving / baseline male fertility check
  • Before IUI/IVF/ICSI planning
  • After certain treatments (e.g., chemotherapy) or with conditions like varicocele
  • To re‑check previous abnormal results

How the test works

Abstinence window. Follow your clinic’s guidance (commonly 2–5 days). Keep this similar when repeating tests.
Collection. Usually by masturbation into a sterile container—ideally on‑site. Avoid lubricants unless sperm‑safe. If collecting at home, keep the sample warm (near body temperature) and deliver within about an hour.
Laboratory assessment. The lab measures volume, liquefaction, viscosity, pH, sperm concentration, motility (progressive & non‑progressive), morphology (strict criteria), and may check vitality. A repeat test may be advised.

Interpreting results

  • Reference ranges differ by laboratory and guideline; a single result rarely gives the full picture.
  • Borderline or mildly abnormal results don’t automatically mean infertility.
  • When results are significantly abnormal, options include medical/surgical assessment or assisted reproduction (e.g., ICSI).

What can affect results

  • Recent illness or fever (effects can last weeks)
  • Heat exposure (hot tubs/sauna, tight heat sources on lap)
  • Smoking, alcohol, anabolic steroids or testosterone therapy
  • Certain medications (e.g., some finasteride/dutasteride)
  • Varicocele or infections
  • Incomplete sample or abstinence outside the advised window

What the test does not show

  • Sperm DNA integrity (separate test may be advised)
  • Your partner’s fertility factors
  • Genetic conditions (require genetic testing)
  • STIs—need targeted tests if suspected

Frequently asked questions

How many days should I abstain?
Your clinician will advise a window (often 2–5 days). Keep it similar for repeat tests.

I lost part of the sample—what do I do?
Tell the lab. It may affect the result; a repeat sample could be needed.

Can I use lubricant?
Avoid standard lubricants; ask for sperm‑safe options if needed.

I had a fever recently—should I wait?
Fever can temporarily lower parameters. Ask your clinician when to re‑test.

When should I repeat the test?
Only if results affect management. Your doctor will suggest an interval (often several weeks) and consistent abstinence.

Next steps: Your AAFC specialist will review results and, if needed, arrange further evaluation or discuss options like IUI/IVF/ICSI.
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This information supports—not replaces—discussion with your clinician. Recommendations may differ for your individual case.