Understanding Semen Analysis: What It Measures and What Abnormal Results Mean

Dr. Lee Caperton • July 21, 2025

When a couple faces challenges in conceiving, one of the first steps in fertility evaluation is often a semen analysis. Male factor infertility contributes to approximately 40-50% of infertility cases. At Caperton Fertility Institute, with locations in Albuquerque, NM and El Paso, TX, we rely on this essential diagnostic tool to assess male reproductive health and guide personalized fertility treatments.

What Is a Semen Analysis?

A semen analysis evaluates the health and viability of a man's sperm. This non-invasive test measures multiple parameters that are crucial for successful conception:

Volume

The amount of ejaculate, with a typical normal range between 1.5 to 5 milliliters.

Sperm Concentration

The number of sperm per milliliter of semen. A normal sperm count is 15 million/mL or higher.

Motility

The percentage of sperm that are actively moving. A minimum of 40% motility is generally considered normal.

Morphology

The size and shape of sperm, assessed using strict criteria. A morphology score of 4% or more normal-shaped sperm is acceptable.

pH Level

Measures the acidity or alkalinity of semen, with a normal range from 7.2 to 8.0.

White Blood Cells

Elevated levels may signal infection or inflammation in the reproductive tract.

Liquefaction Time

Refers to how long it takes semen to liquefy after ejaculation. Normal liquefaction occurs within 20 to 30 minutes.

What Do Abnormal Semen Analysis Results Mean?

An abnormal result doesn’t automatically mean infertility. Semen quality can vary over time, so further testing is often needed to understand the full picture. Depending on the results, your provider may recommend:

Repeat Semen Analysis: To confirm initial findings.

Hormonal Testing: Evaluates hormone levels like testosterone, FSH, LH, and prolactin.

Genetic Testing: For severely low sperm counts or azoospermia, this can reveal chromosomal abnormalities or Y chromosome deletions.

Scrotal Ultrasound: Detects physical issues such as varicoceles or obstructions.

Referral to a Urologist: For evaluation and management of urological or endocrine disorders.

Tailored Treatment for Male Factor Infertility

At Caperton Fertility Institute, we take a holistic and individualized approach to male infertility. Based on your specific diagnosis, treatment options may include:

Lifestyle changes to improve sperm health

Medical therapies to balance hormones or treat infections

Intrauterine insemination (IUI)

In vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI)

Schedule a Fertility Consultation Today

If you or your partner are considering fertility testing, our experienced team in Albuquerque and El Paso is here to support your journey. Schedule your consultation today to take the first step toward growing your family.

Tags: Semen Analysis, Male Fertility, Sperm Count, Infertility Testing, Caperton Fertility Institute, Albuquerque Fertility, El Paso Fertility, IVF, ICSI, Male Factor Infertility


By Dr. Lee Caperton November 6, 2025
💪 Why Male Fertility Matters Infertility affects 1 in 8 couples , and in about 40–50% of those cases , a male factor is part of the equation. These factors can include: Low sperm count or poor motility (how sperm move) Abnormal sperm shape (morphology) Hormonal imbalances Genetic conditions Lifestyle or environmental exposures The good news? Many of these issues are treatable with the right medical care and support. 🧬 What Affects Sperm Health? Sperm health depends on several key factors, including: Age and lifestyle : Smoking, alcohol, poor diet, or lack of exercise can reduce sperm quality. Heat exposure : Frequent use of hot tubs, saunas, or placing laptops on your lap can affect sperm production. Stress : Chronic stress can impact hormones responsible for sperm production. Medical conditions : Varicoceles (enlarged veins), infections, or hormonal disorders can interfere with fertility. Even simple changes —like maintaining a healthy weight, improving nutrition, and reducing heat and toxin exposure—can make a big difference. 🧪 How Male Fertility Is Tested At Caperton Fertility Institute , male fertility testing begins with a semen analysis , a simple and non-invasive test that evaluates sperm count, motility, and shape. Depending on the results, additional tests such as hormone evaluations, genetic testing, or physical exams may be recommended. These help our team create a personalized fertility treatment plan tailored to each couple’s needs. 🌟 Modern Treatments for Male Factor Infertility Thanks to advancements in reproductive technology, male infertility is no longer a barrier to starting or growing your family. Some treatment options include: Intrauterine Insemination (IUI): Concentrated, healthy sperm are placed directly into the uterus. In Vitro Fertilization (IVF): Eggs and sperm are combined in the lab to create embryos. ICSI (Intracytoplasmic Sperm Injection): A single healthy sperm is injected directly into an egg — often used when sperm count or motility is low. Sperm retrieval procedures: Used when sperm are not present in the semen due to blockage or other causes. Our team specializes in advanced male fertility diagnostics and treatments , ensuring every couple has the best chance at success. ❤️ Breaking the Stigma Men’s reproductive health is often overlooked — but it shouldn’t be. Fertility challenges are not a reflection of masculinity or worth . They’re a medical issue, just like any other, and addressing them early can lead to faster, more effective solutions. At Caperton Fertility Institute , we encourage men to take charge of their fertility health by scheduling a consultation or semen analysis this Movember. The first step toward hope often begins with a simple conversation. 🕊️ This Movember, Let’s Start the Conversation Infertility is a couple’s journey , and awareness is the first step toward understanding, support, and success. Join us this Movember in breaking the silence around male fertility. Together, we can turn awareness into action — and dreams into families.
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