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I did my semen analysis. Are my reports concerning?

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

Patient's Query

Hello doctor,

I received my semen analysis report today. Kindly review the report and advise me about it. Also, I would like to consult with you regarding the results.

Please help.

Answered by Dr. Ashraf Ghani

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

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

Hello,

Welcome to icliniq.com.

I understand your concern.

I have gone through your reports (the attachments were removed to protect the patient's identity). Your semen report shows that your sperm count and total sperm numbers are good, but the main issue is with sperm morphology, which means the shape of sperm.

You have only one percent normal forms, while the normal reference is greater than four percent. The report clearly mentions an impression of teratozoospermia, which means abnormal sperm shape.

Motility is moderate and within an acceptable range, although rapid progressive motility is slightly lower than ideal.

This pattern means that natural pregnancy may be more difficult because abnormal morphology reduces the ability of the sperm to fertilize an egg. However, it does not mean you cannot have a baby. Many men with teratozoospermia still conceive naturally or with simple treatments.

Usually, doctors ask to repeat the test after three to five days of abstinence because a single report can vary. If the second report also shows low morphology, then treatment depends on your overall fertility plan.

Since your count and motility are fine, IUI (intrauterine insemination) may still work, but IVF (in vitro fertilization) with ICSI (intracytoplasmic sperm injection) gives the highest success because the embryologist selects a single healthy sperm for fertilization.

IVF is not mandatory immediately, but it is the most reliable option if you want to avoid waiting. If you want, you can send your repeat report later, and I will guide you clearly about the exact chances and the best option for planning your baby.

I hope this helps you.

Feel free to reach out to me anytime. I am here to help you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At March 12, 2026
Reviewed At March 12, 2026

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

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!

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Teratozoospermia Management Decision Helper

What do your semen analysis results mean for you?

This quick, private check helps you understand the implications of your semen analysis, especially if teratozoospermia (abnormal sperm shape) was noted. It guides you on whether to consider further steps with a doctor.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance.

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

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

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