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How can a semen analysis determine fertility?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I would like to ask if I am fertile or infertile. Kindly check my report below:

  1. Color: Pearly white.

  2. Consistency: Slightly viscous.

  3. Amount: 4 mL.

  4. Motility: Motile: 70 %, non-motile: 30 %.

  5. Morphology: Normal: 90 %, abnormal: 10 %.

  6. Sperm concentration: 74,600,000 sperm/mL.

  7. Sperm count: 298,400,000.

  8. Pus cells: 1-2/HPF (high power field).

Kindly help.

Thank you.

Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Experienced Lebanese gynecologist with a passion for women's health and well-being. My journey began with specialty training in esteemed Lebanese hospitals, where I honed my skills and deepened my understanding of gynecology and obstetrics. In 2020, I ventured to Paris to further enrich my knowledge and graduated with distinction, bringing back invaluable insights and expertise to my practice.Throughout my career, I have embraced the diverse facets of gynecology and surgery, specializing in high-risk obstetrics, advanced ultrasound techniques, oncology, colposcopy, and hysteroscopy. My commitment to excellence is reflected in the numerous diplomas and certifications I have earned from esteemed universities in Lebanon and Paris.As a dedicated healthcare professional, I am driven by a genuine enthusiasm for my field and a relentless pursuit of excellence in patient care. I thrive in collaborative environments, where I actively contribute as a team player, leveraging my expertise to achieve optimal outcomes for my patients.With a deep-rooted passion for advancing women's health and a commitment to staying at the forefront of medical innovation, I am poised to make a meaningful difference in the lives of those entrusted to my care.Let's connect and embark on a journey towards healthier tomorrows, together.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

Thank you for sharing the detailed semen analysis. Based on the parameters you have provided, your semen profile falls well within the normal fertile range according to the WHO (World Health Organization) 2021 standards. Here is a breakdown:

Volume:

  1. Normal: ≥ (greater than or equal to) 1.4 milliliter.

  2. Yours: 4 milliliter - Excellent.

Color and consistency: Pearly white and slightly viscous is typical of healthy semen.

Sperm concentration:

  1. Normal: ≥16 million sperm/mL (million sperm per milliliter).
  2. Yours: 74.6 million/mL - Very good.

Total sperm count (volume × concentration):

  1. Normal: ≥39 million per ejaculate.
  2. Yours: 298.4 million - Excellent.

Motility (progressive + non-progressive):

  1. Normal: ≥42 % total motile.
  2. Yours: 70 % motile - Very good.

Morphology (normal forms):

  1. Normal: ≥4 % normal forms (strict criteria).
  2. Yours: 90 % normal - Outstanding.

Your semen parameters are not just within the normal range but strongly indicative of good fertility potential. This means you are likely to be fertile, assuming no other medical, hormonal, or anatomical issues are present.

I hope this helps.

Please let us know if you have any further queries. We would be happy to answer.

Thank you.

Medically reviewed by iCliniq medical review team
Published At July 18, 2025
Reviewed At July 23, 2025

Education:

MD

Professional Bio:

Experienced Lebanese gynecologist with a passion for women's health and well-being. My journey began with specialty training in esteemed Lebanese hospitals, where I honed my skills and deepened my understanding of gynecology and obstetrics. In 2020, I ventured to Paris to further enrich my knowledge and graduated with distinction, bringing back invaluable insights and expertise to my practice.Throughout my career, I have embraced the diverse facets of gynecology and surgery, specializing in high-risk obstetrics, advanced ultrasound techniques, oncology, colposcopy, and hysteroscopy. My commitment to excellence is reflected in the numerous diplomas and certifications I have earned from esteemed universities in Lebanon and Paris.As a dedicated healthcare professional, I am driven by a genuine enthusiasm for my field and a relentless pursuit of excellence in patient care. I thrive in collaborative environments, where I actively contribute as a team player, leveraging my expertise to achieve optimal outcomes for my patients.With a deep-rooted passion for advancing women's health and a commitment to staying at the forefront of medical innovation, I am poised to make a meaningful difference in the lives of those entrusted to my care.Let's connect and embark on a journey towards healthier tomorrows, together.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Experienced Lebanese gynecologist with a passion for women's health and well-being. My journey began with specialty training in esteemed Lebanese hospitals, where I honed my skills and deepened my understanding of gynecology and obstetrics. In 2020, I ventured to Paris to further enrich my knowledge and graduated with distinction, bringing back invaluable insights and expertise to my practice.Throughout my career, I have embraced the diverse facets of gynecology and surgery, specializing in high-risk obstetrics, advanced ultrasound techniques, oncology, colposcopy, and hysteroscopy. My commitment to excellence is reflected in the numerous diplomas and certifications I have earned from esteemed universities in Lebanon and Paris.As a dedicated healthcare professional, I am driven by a genuine enthusiasm for my field and a relentless pursuit of excellence in patient care. I thrive in collaborative environments, where I actively contribute as a team player, leveraging my expertise to achieve optimal outcomes for my patients.With a deep-rooted passion for advancing women's health and a commitment to staying at the forefront of medical innovation, I am poised to make a meaningful difference in the lives of those entrusted to my care.Let's connect and embark on a journey towards healthier tomorrows, together.

This doctor is not available for online consultations on the platform anymore.

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