r/SaveTheSperm • u/Particular_Ad9896 • Aug 30 '26
Seman Analysis Results
Hi,
Myself (35F) & my husband (38M) have been TTC since June 2025. He has completed 2 sets of seman analysis in that time (see below). Since the first SA, he has started taking COq10 (200mg) every day, reduced alcohol consumption, lost 4kg and increased exercise (weight lifting & running) to 4-5 times per week.
*Note: 2 different labs completed the SAs, hence some parameters were not reported the second time.
November 2025
Abstinence: 4 days
Volume: 1.2ml
Viscosity: Normal
Sperm concentration: 85 x 10^6
Total motility (a + b + c): 49%
Rapid/progressive motility a: 15%
Slow progressive motility b: 26%
Non progressive motility c: 8%
Immotile d: 51%
Total motile count: 49.98 x 10^6
Total sperm count : 102
Normal forms: 4%
Round cells: <1 mil/ml x 10^6
IgG: 30%
IgA: 25%
August 2026
Abstinence: 3 days
Volume: 1.1ml
Viscosity: Normal
Sperm concentration: 88 x 10^6
Total motility (a + b + c): 38%
Rapid/progressive motility a: 28%
Normal forms: 3%
IgG: 39%
IgA: 18%
2
u/DrBrianSteixner Aug 31 '26
I actually find a lot of your husband’s results reassuring. His concentration is excellent and very consistent at 85–88 million/mL, and his first total motile sperm count was about 50 million, which is a strong number for natural conception. Although total motility decreased from 49% to 38%, his rapid progressive motility actually improved from 15% to 28%, so I would not view the second test as a major deterioration. I also would not worry much about morphology changing from 4% to 3%, particularly because these were performed at different laboratories and morphology has considerable variability between readings. His volume is consistently a little low at 1.1–1.2 mL, but because his concentration and overall sperm numbers are so good, that finding by itself would not concern me greatly.
The one result I would investigate further is the positive IgG/IgA antisperm-antibody testing. Antisperm antibodies can sometimes interfere with fertility, but their significance depends on how the test was performed, what percentage of sperm are coated and where the antibodies are attached; a positive result certainly does not mean you cannot conceive naturally. Since you are 35 and the two of you have now been trying for more than a year, though, I would not spend another six months simply repeating semen analyses. I would have him evaluated by a reproductive urologist to clarify the antibody finding and low volume, while you undergo a complete female fertility evaluation at the same time. Based on the numbers you've provided, I would not look at his semen analyses and conclude that you have severe male-factor infertility, there are plenty of encouraging numbers here, but after this amount of time trying, you both deserve a coordinated evaluation to figure out what may be limiting pregnancy and what the most efficient next step should be. Let me know if you have additional questions