Table 12.1
WHO semen analysis characteristics
Semen analysis parameterLower reference limit (95% CI)

Serum volume

1.5mL (1.4–1.7)

pH

≥7.2

Total sperm count

39 × 106 per ejaculate (33–46)

Sperm concentration

15 × 106 per mL (12–16)

Motility

40% progressive + non-progressive (38–40)

 

32% progressive motility (31–34)

 

Forward progression >grade 2

Sperm morphology

4% normal forms (3–4)

Vitality

58% live spermatozoa (55–63)

Time to liquefy

5–25min

White blood cells (WBC)

<1 × 106 WBC per mL

MAR-test (for antisperm antibody)

<50% motile spermatozoa with bound particles

Zinc

≥2.4μmol per ejaculate

Semen fructose

≥13μmol per ejaculate

Semen analysis parameterLower reference limit (95% CI)

Serum volume

1.5mL (1.4–1.7)

pH

≥7.2

Total sperm count

39 × 106 per ejaculate (33–46)

Sperm concentration

15 × 106 per mL (12–16)

Motility

40% progressive + non-progressive (38–40)

 

32% progressive motility (31–34)

 

Forward progression >grade 2

Sperm morphology

4% normal forms (3–4)

Vitality

58% live spermatozoa (55–63)

Time to liquefy

5–25min

White blood cells (WBC)

<1 × 106 WBC per mL

MAR-test (for antisperm antibody)

<50% motile spermatozoa with bound particles

Zinc

≥2.4μmol per ejaculate

Semen fructose

≥13μmol per ejaculate

Adapted from World Health Organization (WHO) 2010 lower reference limits (5th centile and their 95% CI) for semen characteristics

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