Patient's question:
How to test if sperm is healthy, erectile function is not particularly good, with phimosis, premature ejaculation, frequent urination, urgent urination, and urine splitting. What should I do? Can I still get pregnant?Doctor's answer:
Generally, the quality of sperm can be judged based on factors such as the color, quantity, liquefaction time, and viscosity of the sperm. The specifics are as follows:1. Sperm Color: Normal, healthy sperm are grayish-white or slightly yellow. If the color appears milky white or yellowish-green, it may indicate the presence of inflammation. If the sperm are pink or red, this indicates hematospermia (blood in the semen), which is commonly caused by inflammation of the accessory glands or the posterior urethra.
2. Sperm Quantity: The normal quantity of sperm should be more than or equal to 2 ml. If the sperm count is less than 2 ml, it is diagnosed as oligospermia, which can easily affect male fertility.
3. Sperm Liquefaction Time: After ejaculation, normal sperm become gelatinous due to the action of seminal vesicle coagulating enzymes. Within 5–30 minutes, they are converted into a liquid state under the influence of prostatic liquefying enzymes, a process called liquefaction of semen. If the semen remains unliquefied 30 minutes after ejaculation, this is considered abnormal.
4. Sperm Viscosity: When a glass rod touches liquefied semen and is gently lifted, it forms a semen thread. If the semen is normal, the length of the semen thread should be less than 2 cm.