What Does My Sperm Motility Report Suggest?

Posted on Sat, 22 Mar 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 22 Mar 2014 Answered on

Fri, 11 Apr 2014 Last reviewed on

Question : pls tell me whether the report is normal.this pertains to sperm routine test number of spermatozoa per ml 55 millions total no of sperms per ejaculate 110 millions rapid linear progressive 15 % sluggish linear progressive 25% non progressive 38% non motile 0% spermiogram AB of head 14 AB of mid piece 16 ABbof tail 18 normal 52%

Answered by Dr. Indu Kumar (2 hours later)

Brief Answer: Motility is the concerning factor. Detailed Answer: Hello XXXX Thanks for writing back According to the reports,motility is the concerning factor. 1.Sperm Concentration over 20 million/ml is considered as normal. You have 55 millions/ml,so there is nothing to be worried about. 2.The World Health Organization defines normal sperm motility as 50% of observed sperm or at least 8 million sperm per milliliter of semen,showing good forward movement.So,motility is the concerning factor in your case.You have 38 % of non progressive forms. Motility is graded from A to D A – sperm swim forward fast in a straight line B – sperm swim forward,but in a curved or crooked line or slowly C – sperm move their tails,but do not move forward D – sperm do not move at all. If natural fertilization is not possible then intrauterine insemination can be considered. 3.Regarding morphology, it is normal in your case.For a sample to be considered normal,at least 30% of the sperm must have an oval head,with a connecting mid-piece and a long straight tail. You have 52% normal forms.so,it is fine. Rest of the findings are normal. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (35 minutes later)

how can the motility improved? is there any diet or treatment for this? I have been married a year back and planning to have baby? will this motility a concerning factor? pls suggest and really appreciate all your assistance. what is intrauterine insemination? isn't a natural way of conceiving?

Answered by Dr. Indu Kumar (19 hours later)

Brief Answer: Please find detail answer below. Detailed Answer: HelloXXXX Thanks for writing back Your report suggests 40 % active motile sperms.I think your condition will improve with diet and life style modification and there are fair chances of fertilization. You should increase your physical activity in the form of exercise and walking.You should avoid alcohol,caffeine and smoking if you take this. In diet you can take banana,pomegranate,raw garlic,walnut etc. You should take vitamin C rich food,red meat & dairy products etc. Avoid tight fitting undergarments and pants or shorts.Make sure your testes aren't overheated,so stay out of hot tubs and don't keep overheated laptops your lap for prolonged periods. You should also avoid stress causing factors. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (25 minutes later)

hello doctor thanks for your assistance. you just mentioned fair chance.Is this matter of worrying? I believe other parameters to be normal. Also is 40% a worrying factor. pls suggest.

Answered by Dr. Indu Kumar (6 hours later)

Brief Answer: Please find detail answer below. Detailed Answer: Hello XXXX Thanks for writing back Motility in your case should increase after diet and life style modification. You shouldn't worry and your condition will certainly improve. Some people consider 40 % motility as cut-off criteria,so there shouldn't be any problem. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar