A semen analysis is the easiest and most cost effective test that a couple can undergo to determine fertility potential. A semen analysis is considered current if it has been obtained within the last 4 months and performed by a reputable laboratory using acceptable criteria. Semen analysis that show abnormal values should be rechecked no sooner than 4 weeks prior to any assisted reproductive treatment.
Motility | > 30% |
Forward Progression | > 2 |
Count | > 20 mil/ml |
Antibodies (MAR Test) | < 50% |
Morphology | > 5% |
Semen quality can always be improved through lifestyle changes. Smokers should be advised to stop smoking and be placed on antioxidant supplementation (Vitamin C 1gm/day and Vitamin E 400ugm/day as well as folic acid). Men should also not consume more than 4 units of alcohol a week and should be encouraged to eat green leafy vegetables. These lifestyle changes should be undertaken for a minimum of 3 months before a change can be seen in semen quality.
It is advised for the male partner to have a semen analysis done before hand as this tests take a few days and these results are required to make an accurate diagnosis. Please note that the procedures and requirements can be seen below: