Patient's question:
I have been married to my partner for more than three years. Initially, we prioritized our careers and didn't have children, always using contraception. Now that our careers are somewhat stable, both of us want to have a child. However, after preparing for over a year, there has been no progress. A few days ago, we went to the hospital for a check-up, and the doctor said it's very likely my issue, recommending I get a semen analysis. I would like to know what tests are included in a routine semen analysis?Doctor's answer:
What are the items included in a routine semen analysis? Let me tell you. A routine semen analysis includes:1. Semen color check: Normal semen is transparent and grayish-white. If the abstinence period is long, it may appear light yellow. During reproductive tract inflammation, it may turn yellow or even cause hematospermia (blood in semen).
2. Sperm count: Normal semen volume for men is 2–6 mL per ejaculation. If influenced by ejaculation frequency and volume, the semen volume may be less than 1 mL per ejaculation, which is considered abnormal.
3. Sperm motility check: Sperm motility is divided into four grades.
4. Semen liquefaction time: Freshly expelled semen is gel-like and becomes liquid within 5–30 minutes.
5. Sperm density check: Sperm density refers to the number of sperm per milliliter of semen. Normal sperm density for men is above 20 million/mL. If it is less than 20 million/mL, it is considered oligospermia, which can affect male fertility.
Regarding the cost, there is no definitive answer. The main reason is that the specific tests may vary depending on individual conditions, leading to differences in fees. Additionally, when undergoing a semen routine analysis, it is recommended to choose a reputable urological hospital. This is my response to the question: What are the items included in a routine semen analysis, and is it expensive?