Medical Questions > Womens Health > Infertility Forum

his semen analysis is ...

User Profile
i am 29 years old & his semen analysis is
Volume: 2.9 ml
Count:39milion /ml
Morphology :normal
is it ok or not good & every time after intercourse the semen comes out from the vagina

Did you find this post helpful?

User Profile
replied November 13th, 2011
Infertility Answer A28492
Welcome to ehealthforum,
The World Health Organisation (WHO) has provided a definition for a 'normal' semen analysis. The semen analysis results depend on each and every parameter that is described. The significance of each parameter and the normal value is as below.
1) The count or the concentration of sperms present in the semen is important as it determines how much of sperms are released in each ejaculation. The concentration of spermatozoa should be at least 20 million per ml. Less counts usually indicate possibility of obstruction or infection. ----- As per your partner’s results, the counts seems to be normal.
2) The semen at the time of ejaculation is like a thick gel. It has to get liquefied to enable sperms to swim or to be motile. It takes about 20 minutes for normal semen to liquefy. The liquefaction time measures this time needed for semen to liquefy. Abnormally long liquefaction time indicates infection. It should not be more than 60 minutes in any case.------Look out for this parameter’s results in your partner’s semen analysis results.
3) The volume of the ejaculate tells about how much of semen is present in each ejaculate. The total volume of semen should be at least 2ml (between 1-6.5 ml is considered to be normal). Lesser volume of ejaculate may indicate retrograde ejaculation, partial or incomplete obstruction in seminal vesicles, enlarged prostate gland, presence of varicocele, hydrocele etc. Causes for obstruction in such cases should be looked for and treated soon as it helps to improve fertility levels.----- As per your partner’s results, the volume seems to be normal.
4) In a normal ejaculate, at least 75% of the spermatozoa should be alive (it is normal to have up to 25% of sperms as dead). Dead sperms could indicate possibility of high acidity or obstruction or infection.----- Look out for this parameter’s results in your partner’s semen analysis results.
5) In a normal ejaculate, at least 30-40 per cent of the spermatozoa should be in normal shape and form. Abnormal sperms may not be able to swim well or penetrate the egg to fertilize it. ----- As per your partner’s results, the morphology seems to be normal.
6) In a normal ejaculate, at least 25 per cent of the spermatozoa should be swimming with rapid forward movement. The motility is graded, grade 4 being the highest forward progressive motility and grade 1 being immotile and fail to move sperms. Grade 3 and 4 are considered to be normal to be able to father a child. At least 50 per cent of the spermatozoa should be swimming forward, even if only sluggishly (grade 3-4). The faster they swim up, the sooner they can get out of the acidic environment of vagina to find the egg (the chances of fertilization increase). ----- As per your partner’s results, this seems to be low.
7) The pH of the semen measures how acidic or alkaline it is. Acidic pH indicates blockage and alkaline pH indicates infection. ----- Look out for this parameter’s results in your partner’s semen analysis results.
8) Presence of white blood cells in ejaculate is not normal. It indicates infection. The WBC counts in the semen analysis report if high, indicate infection. ----- Look out for this parameter’s results in your partner’s semen analysis results. If found to be high, your partner should visit Urologist/Andrologist at the earliest to get started on appropriate treatment and repeat semen analysis after 15-20 days of completion of treatment.
9) Fructose levels measure the amount of sugar known as fructose in semen. This provides the energy that they need to be motile and swim. Lower values could be due to infection or obstruction.----- Look out for this parameter’s results in your partner’s semen analysis results.
Have diet with foods rich in zinc content to ensure better maturation of egg and sperms. Monitor cervical mucus changes and the BBT (basal body temperature) charting to predict your ovulation and time your intercourse for having fruitful results. Some amount of semen spill is considered to be normal. Have intercourse in positions that allow for deeper penetration for high deposit of semen and put pillows under buttocks to minimize the semen spill. Hope this helps. Your partner should consider visiting an Andrologist/urologist for further evaluation and assistance. All the best.
Take care.

Did you find this post helpful?
This question has been answered by the doctor. This topic is now open for public discussion, however no comments below this point will be answered by a doctor.
Must Read
If you're experiencing difficult conceiving, you are not alone. Learn how doctors define infertility and how infertility affects both men and women here....
Many things cause fertility problems. Learn common causes of infertility for men and women here, plus info on factors that affect the ability to conceive....
Sometimes fertility do not manifest any symptoms. Other times there are definite signs. Learn to identify possible problems and know when to ask for help....
DISCLAIMER: "Ask a Doctor" questions are answered by certified physicians and other medical professionals. For more information about experts participating in the "Ask a Doctor" Network, please visit our medical experts page. You may also visit our Infertility , for moderated patient to patient support and information.

The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician. Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.