By BSc, MSc (embryologist) and BSc, MSc (embryologist).
Last Update: 04/06/2018

Teratozoospermia, sometimes called teratospermia, is defined as abnormal sperm morphology. It is a sperm disorder that causes males affected to produced abnormally shaped sperm.

The pregnancy rate in males affected by teratozoospermia depends on the grade of severity. It is considered a cause of male infertility, and its causes are varied or even unknown.

There exist various treatment options to have a baby with abnormal sperm morphology. The chances of success depend on the remaining sperm parameters, as teratozoospermia may be combined with other pathologies, like sperm count or sperm motility.

Definition

Teratozoospermia is the medical term used to refer to abnormal sperm morphology, caused by either defects in the head, midpiece, and/or tail.

According to the criteria published in 2010 by the World Health Organization (WHO), a man has teratozoospermia when more than 96% of the sperms he produces are abnormally shaped.

If at least 4% of sperms have a normal shape, the male is considered fertile and able to cause a pregnancy in a woman naturally.

The only possible way to examine the morphology of sperm is by means of a semen analysis or seminogram. To check the morphology, the specialist uses a dye test to see the shape of the sperms under the microscope.

Some laboratories use the Kruger’s strict criteria to evaluate a semen sample as well. In such cases, your report will contain a diagnosis based on both criteria.

In accordance with Kruger’s strict criteria, teratozoospermia is present when more than 85% of spermatozoa have an abnormal shape. As one shall see, this criteria is far stricter than the ones published by the WHO.

In other words, the borderline to consider whether a man has teratozoospermia or not is set at 15% of normal forms instead of 4%, which is the percent established by the WHO since 2010.

Unless otherwise specified in your semen analysis report, most clinics follow the WHO’s 2010 criteria when examining semen samples. Nowadays, the Kruger’s strict criteria are falling into disuse.

Causes

Teratozoospermia is associated with male infertility in all cases, as it means that sperm are unable to meet the egg due to their abnormal shape.

The causes of abnormal sperm morphology are varied and in most cases difficult to determine. The following are the most common ones:

  • Genetic traits
  • Cancer treatments (chemotherapy and radiotherapy)
  • Bacterial infections in sperm and orchitis
  • Testicular trauma
  • Testicular disorders, like varicocele
  • Fever
  • Diabetes mellitus (DM) or meningitis
  • Tobacco, alcohol and street drug use
  • Unhealthy habits: unbalanced diet, exposure to toxic substances, too tight clothes, etc.

The good news is that teratozoospermia can be cured in some of these cases. For example, if caused by fever, infections, or stress, the man is likely to start producing normal sperm again once these conditions disappear. If the cause is associated with unhealthy habits, picking up healthier habits such as following a balanced diet, quitting smoking, etc. can improve sperm quality.

Related content: Foods to Boost Sperm Quality.

Types

Defects in the morphology of sperm can be classified into different types depending on their location—head, midpiece, and/or tail. However, before diagnosing teratozoospermia, all abnormalities are taken into consideration.

A sperm cell is considered normal if the head has an oval shape and contains an acrosome. The head and middle piece is slightly thicker than the tail or flagellum, which is a structure that connects to the head and middle piece.

You may also enjoy some further information reading this: What Is Sperm Morphology? – Meaning & Normal Range.

After examining sperm morphology with a semen analysis, it is possible for the specialist to determine the type of teratozoospermia and its grade of severity using Kruger’s strict criteria:

Mild teratozoospermia
Between 10% and 14% of sperm have a normal morphology.
Moderate teratozoospermia
The percentage of sperm with normal morphology ranges between 5% and 9%.
Severe teratozoospermia
Normal morphology is present in less than 5% of sperm.

As mentioned earlier, the criteria used to diagnose teratozoospermia are the ones published by the OMS. In other words, this classification has fallen into disuse. Some laboratories, however, still use them.

Teratozoospermia index

This parameter is used to identify the number of defects present in each sperm cell. It is possible for a sperm to have an anomaly in just one part, or in multiple areas.

To calculate the teratozoospermia index (TZI), we use the following formula: TZI = ( c + p + q ) / x, where each variable means:

  • c = head defects
  • p = midpiece defects
  • q = tail defects
  • x = total number of abnormal sperm

The TZI score should be interpreted as follows:

  • TZI close to 1: One part affected
  • TZI close to 2: Two parts affected
  • TZI close to 3: Head, midpiece and tail affected

It should be noted that all three types can be found in a semen sample, that is, with sperm cells that have defects in one, two or all three parts. The TZI indicates which type is the most frequent one.

Treatment

A man with teratozoospermia can achieve a natural pregnancy as long as the remaining sperm parameters, particularly the sperm count and sperm motility, are normal.

Nevertheless, when a couple is trying to conceive with but a pregnancy never occurs, men can follow a series of medical tips in an attempt to improve the morphology of their sperms.

On the other hand, if teratozoospermia has a genetic origin or is present from birth (congenital), finding a treatment option that actually works may be harder.

Natural treatment

First of all, men with teratozoospermia should change their lifestyle and quit unhealthy habits for their organism, such as cigarette smoking or alcoholic drinks.

Following a balanced diet is always key when it comes to improving one’s fertility. Particularly, foods rich in antioxidants and essential amino acids like L-carnitine, which boosts sperm quality.

Oily fish is rich in omega-3 fatty acids as well, which is greatly beneficial for the reproductive health of males.

Also, all these vitamins and nutrients can be taken in the form of vitamin supplements like maca root powder or supplements containing vitamin E, which functions as a powerful antioxidant.

Fertility treatments

In case a fertility treatment is needed to achieve a pregnancy, Intrauterine Insemination (IUI) may be an option as long as it is a case of mild teratozoospermia, and sperm count and motility are normal.

IUI can be considered as the first choice only if the female partner doesn’t have fertility issues. In short, it is a treatment option when teratozoospermia is the cause of infertility in the couple.

On the other hand, in cases of moderate to severe teratozoospermia, or when there exists a combination of various sperm disorders, IVF/ICSI would be the treatment of choice. It is a type of IVF that uses a microinjection to insert the sperm cell directly into the egg cell, making sure that fertilization occurs.

If you need to undergo IVF to become a mother, we recommend that you generate your Fertility Report now. In 3 simple steps, it will show you a list of clinics that fit your preferences and meet our strict quality criteria. Moreover, you will receive a report via email with useful tips to visit a fertility clinic for the first time.

Finally, there exists a cutting-edge technique that is similar to ICSI. It is called IMSI (intracytoplasmic morphologically selected sperm injection), and involves the use of a high magnification light microscopy imaging method to see sperm morphology in detail.

The microscope used in IMSI to select the best spermatozoon includes a lens for high magnification, which allows the specialist to see the potential defects that are present in each sperm cell in full detail.

Read: What Is Intracytoplasmic Morphologically Selected Sperm Injection (IMSI)?

FAQs from users

Can abnormal sperm morphology cause miscarriage?

By Zaira Salvador BSc, MSc (embryologist).

In principle, poor sperm morphology doesn’t lead to miscarriage once the egg has been fertilized and the embryo has attached to the womb. However, if the sperm contain a genetic abnormality, miscarriage is likely to occur.

Can abnormal sperm morphology fertilize an egg?

By Zaira Salvador BSc, MSc (embryologist).

Yes, as long as it is a mild case of teratozoospermia. In moderate or severe cases, techniques such as ICSI or even IMSI, in which the specialist inserts the sperm cell manually into the egg, would be needed.

What does 0 morphology mean?

By Zaira Salvador BSc, MSc (embryologist).

If the percentage of normal sperm is 0, it means that the man has severe teratozoospermia and the only possible way for him to conceive would be by using IVF/ICSI.

Learn more: What Is ICSI or Intracytoplasmic Sperm Injection?

What does teratozoospermia actually mean?

By Andrea Abbad BSc, MSc (embryologist).

The diagnosis of teratozoospermia means that the morphology of spermatozoa is altered and, for example, the head or the tail has an abnormal shape. Spermatozoa with an altered morphology cannot swim properly, which hinders their arrival to the Fallopian tube, where fertilization takes place. In case an abnormal spermatozoon reached the oocyte, it would not be able to fertilize it properly. Commonly, abnormal spermatozoa carry chromosomic abnormalities that, in case of fertilization, might lead into an altered embryo that will not implant into the uterus or lead to an early miscarriage. For these reasons, it can be difficult for a man to conceive naturally with teratozoospermia.

The good news is that abnormal spermatozoa can be removed from the sperm sample in the lab when it is prepared for an assisted reproduction technique. In any case, your doctor will evaluate all your fertility tests and decide which is the best option based on the severity of teratozoospermia. If the rest of the seminal parameters are normal, you will be able to use any technique.

Suggested for you

There exist other sperm disorders that can cause male infertility or at least complicate the TTC journey. Click here to learn more: Sperm Disorders that Cause Male Infertility.

A semen analysis is a method use by all andrology laboratories to evaluate sperm quality. To learn how it works and how to interpret the results, see this: What Is a Semen Analysis Report? – Purpose, Preparation & Cost.

Our editors have made great efforts to create this content for you. By sharing this post, you are helping us to keep ourselves motivated to work even harder.

References

Auger J, Jouannet P, Eustache F. Another look at human sperm morphology. Hum Reprod. 2016;31(1):10-23.

De Braekeleer M, Nguyen MH, Morel F, Perrin A. Genetic aspects of monomorphic teratozoospermia: a review. J Assist Reprod Genet. 2015;32(4):615-23.

El Khattabi L, Dupont C, Sermondade N, Hugues JN, Poncelet C, Porcher R, Cedrin-Durnerin I, Lévy R, Sifer C. Is intracytoplasmic morphologically selected sperm injection effective in patients with infertility related to teratozoospermia or repeated implantation failure? Fertil Steril. 2013;100(1):62-8.

French DB, Sabanegh ES Jr, Goldfarb J, Desai N. Does severe teratozoospermia affect blastocyst formation, live birth rate, and other clinical outcome parameters in ICSI cycles? Fertil Steril. 2010;93(4):1097-103.

Lee RK, Hou JW, Ho HY, et al. Sperm morphology analysis using strict criteria as a prognostic factor in intrauterine insemination. Int J Androl. 2002; 25: 277-80.

Marchini M, Ruspa M, Baglioni A, Piffaretti-Yanez A, Campana A, Balerna M. Poor reproductive prognosis in severe teratozoospermia with a predominant sperm anomaly. Andrologia. 1989;21(5):468-75.

Shabtaie SA, Gerkowicz SA, Kohn TP, Ramasamy R. Role of Abnormal Sperm Morphology in Predicting Pregnancy Outcomes. Curr Urol Rep. 2016;17(9):67.

World Health Organization (WHO) (2010). WHO laboratory Manual for the examination of human semen and sperm-cervical mucus interaction. Cambridge Academic Press.

Read more

Authors and contributors

 Andrea Abbad
Andrea Abbad
BSc, MSc
Embryologist
Bachelor's Degree in Biomedical Sciences from the Autonomous University of Barcelona (UAB). Master's Degree in Biology of Reproduction and Human Assisted Reproduction Techniques from the Institut Universitari Dexeus. Experience as an embryologist and fertility counselor. More information about Andrea Abbad
 Zaira Salvador
Zaira Salvador
BSc, MSc
Embryologist
Bachelor's Degree in Biotechnology from the Polytechnic University of Valencia (UPV). Embryologist specializing in Assisted Procreation, with a Master's Degree in Biotechnology of Human Assisted Reproduction from the University of Valencia (UV) and the Valencian Infertility Institute (IVI). More information about Zaira Salvador
License: 3185-CV

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47 comments

  1. Featured
    Dev

    Hi Doctor,

    The following is my sperm analysis. Pls suggest:

    Volume: 2.5ml
    Viscosity: Thin
    Liquefaction Time: Normal
    Fructose Test: Positive
    Agglutination: Nil
    Sperm Concentration: 40 million/ml

    MOTILITY. Total: 80%

    • RPM: 00%
    • SPM: 45%
    • NPM: 35%
    • Non-Motile: 20%

    MORPHOLOGY:

    Normal Forms: 03%
    Vitality: 81%
    Round Cells: 1-2/HPF

    Please suggest if I have any problem.

    Regards

    • Andrea AbbadBSc, MSc

      Hello Dev,
      In terms of concentration, vitality and mobility, your semen sample is within de normal range. The only parameter that presents alterations is the morphology, which should be above 4%. This could imply some difficulties trying to achieve natural pregnancy, but it is not an alteration so severe to rule it out.

      If you have been trying to conceive for less than 12 months you can keep doing it until you reach a year looking for it. Once you reach a year of searching, it is advisable to consult a specialist in fertility. The doctor will run some tests to both of you to determine if the cause of the infertility is the altered morphology or if there is some other factor involved. With all this information, he will be able to propose which treatment is the most suitable for your case.

      I hope I have been able to help.
      Regards.

  2. Featured
    kean86

    My husband result:
    Day of abstinence: 3
    Volume 2.1 ml
    Liquefaction: 15
    Viscocity: normal
    Colour : light yellow
    Concentration : 84 x10^6
    Total count: 197.4
    Motility(%): 71.2
    Progression : 2-2
    Normal morphology : 3
    Pus cell: occasional
    Cellular debris: moderate
    Clumping to cell debris: none
    Tail to tail clumping: minimal
    Head to head clumping: None
    Analysis result: Teratozoospermia

    What do you think of my husband result?
    Shall I proceed with IUI ?

    • Andrea AbbadBSc, MSc

      Hello Kean86,
      All parameters are ok except for morphology. In order to be able to assess the severity of the situation, I need to know the method by which the morphology has been analysed. There are different methods that have different reference points. Mainly, there are two methods. The one established by the WHO says that the reference point is 4% of normal forms while Kruger morphology establishes it at 14% of normal forms.

      In both cases the diagnosis is teratozoospermia, but depending on the method the diagnosis will be more or less severe. Since the rest of the parameters are normal, if the morphology has been assessed by the WHO method, the semen sample is good enough to be used in an IUI. If it has been assessed by the Kruger method, it could be preferable to choose IVF.

      As a final note, the female fertility should be taken also into account in order to choose the most suitable technique for you.

      I hope I have been able to help.
      Regards.

  3. Featured
    Isaac

    My wife and I have been trying to conceive for 5 years but we haven’t used any substance to prevent this for the past almost 12 years.

    Sperm Concentration (mil/ml) 200.00
    Percentage Normal Morphology 16%
    Percent Teratozoospermia 84%
    Teratozoospermis- Description 54% mixed head defects
    Percent Motile 90%
    Pro-normal 40%
    Pro-slow 50%
    Non-pro 10%
    Shaking (in place) 0%

    Color grey
    Odor normal
    Volume (ml) 1.8
    pH 8.0
    Viscosity Normal
    Liquification Normal

    • Andrea AbbadBSc, MSc

      Dear Isaac,
      All the parameters that the sperm analysis shows are within the normal range. Taking into account how long you have been trying to conceive I recommend that you visit a fertility specialist. The doctor will run some tests, on your partner and yourself, in order to determine the cause of your fertility problems.
      Best wishes.

  4. Featured
    Anna

    Hello,

    My husband semen analysis result is remarks: teratozoospermia
    Appearance:4.5%
    Ph:7.5ml
    Liquefaction:normal
    Viscosity:normal
    Total motility:70%
    Progressive:59%
    Non-progressive:11%
    Immotile:30%
    Concentration:83M
    Total sperm count:373.5M
    Morphology:4%
    Leucocytes:0-1 HPf

    What does this mean?
    Please help us… thanks!

    • Andrea AbbadBSc, MSc

      Dear Anna,
      The diagnosis of teratozoospermia means that the morphology of the spermatozoa is altered and, for example, the head or the tail has an abnormal shape. Those spermatozoa with altered morphology can not swim properly, which hinders its arrival to the Fallopian tube, where fertilization takes place. In case that an abnormal spermatozoon reached the oocyte, it would not be able to fertilize it properly. Finally, a high percentage of abnormal spermatozoa carries chromosomic alterations that, in case of fertilization, might lead into an altered embryo that will not implant in the uterus or that will end in an early miscarriage. For those reasons, it can be difficult for you to conceive naturally.

      Those abnormal spermatozoa can be eliminated from the semen sample in the lab when it is prepared for an assisted reproduction technique. For that reason, it is advisable to contact a fertility specialist so that he can asses you. The doctor will evaluate all your fertility tests and decide which is the best option in your case. The rest of the seminal parameters are normal, which will allow you to use any technique.

      I hope I have been helpful.

  5. Featured
    Ruty

    Hello Dr.,
    My husband semen analysis details:

    Liquefaction:. Normal
    Appearance:. White gray
    Viscosity:. Normal
    Volume:. 3.0 ml
    Ph:. 8.0
    White blood cells:. Abnormal
    Concerntration: 25.4 mil/ml
    Motility:. 50%
    Progressive motility:. 35%
    Non-Progressive motility:. 15%
    Immotile:. 50%
    Viability:. 55%
    Normal Morphology:. 45%
    Total sperm count:. 76.20 mil/ejac

    Please guide us. Is it normal?

    • Andrea AbbadBSc, MSc

      Dear Ruty,

      All parameters are within the normal range except for the white blood cells count. Since the presence of white blood cells might be a sign of infection, the doctor might recommend antibiotic treatment. In any case, it is not a fertility problem and you should not have problems trying to conceive.

      Best regards

  6. Featured
    Maria S

    Hello Dr.,
    My husband semen analysis details:
    Volume:. 6.0 ml
    Concentrațion : 12 x 10^6/ml
    Normal forms : 2%
    Liquefaction : Complete
    Viscosity : Normal
    Total number : 72 ( 10^6)
    Progressive :52%
    Non – progressive 7%
    Non -motile 41%
    What does that mean ?

    Please help us … thank you !

    • Andrea AbbadBSc, MSc

      Dear Maria S,

      First of all, I want to point out that the volume is quite elevated. This itself is not a fertility problem but it causes that concentration might seem altered when it is not. Usually, the reference value for concentration is at least 15 x 10^6 / ml. In the case of your husband’s analysis it is under this value. But if you take a look at the total number, the result is excellent since the reference value is at least 39 millions. This means that your husband does not have a sperm quantity problem but, because of the elevated volume, the sample is really diluted, giving the false appearance of a low concentration sample. To sum up, concentration is not a major concern.

      The other parameter that appears altered is morphology. The percentage of normal forms is quite low. This means that you might have some trouble getting pregnant. If you have been trying to conceive for more that 12 months you should visit a fertility specialist in order to decide the best treatment. If you have been less that this period of time, and you are younger than 36, you can keep trying for a little bit longer.

      I hope I have been able to help,

      Best wishes

  7. Featured
    Reza

    Hello Dr.

    My semen analysis are given below:

    Fresh:
    Volume : 4.0 ml
    Concentration : 19 million/ml
    Progressive Motility : 35%
    Grade : 2+
    Total Count : 76 million

    Washed:
    Volume : 1.0 ml
    Concentration : 20.4 million/ml
    Progressive Motility : 76%
    Grade : 3+
    Total Count : 20.4 million
    TMF : 15.5 million
    Kruger’s criteria : 1%

    Is it normal ? If not what should I do for become a father. Please guide me.

    Regards

    • Andrea AbbadBSc, MSc

      Hi Reza,

      Volume, concentration and motility seem to be within the normal range. The only parameter that seems altered is morphology. Kruger’s criteria is used to evaluate normal morphology and, even though it does not say if the percentage refers to the normal proportion or to the abnormal one, I assume that it is referring to the normal percentage. Therefore, normal morphology is lower than it should be and it might reverberate into fertility problems.

      If you have been trying to conceive for more than 12 months you should go to a fertility specialist, in order to run more tests and establish which would be the most suitable treatment for you. If you have not tried for 12 months yet, and your partner is younger than 36 years old, you can continue until you reach one year search.

      I hope I have been able to help,

      Regards

  1. Ehab

    Hi Dr
    My sperm analysis
    Concentration:101.84 m/ml
    Progressive Motility:43.66%(a’b class)
    Motile ratio: 64.79%
    Normal sperms: 7.69

  2. Rose

    Hi Doctor,
    My husband Semen Ana (3 days abstinence)says
    Concentration – 56 mill/ml
    Total 89.60 mill
    Progressive – 45%
    Not progressive – 10%
    Total motile prog – 40.32 mill
    MORPHOLOGY
    Normal – 3%
    Abnormal – 97%
    Head defect – 88.66%
    Midpiece defects – 43. 3%
    Tail defects – 15.46%
    Teratoz index – 1.47%
    Nr. Prog. Motile – 1.21 mill
    Pls suggest, I am trying to concieve for 1 year, but no success. If we go for IVF will it be success ? And if yes then how many chances of defect in baby ? Do u suggest IVf or ICSI ?
    Many thanks

  3. Hope

    Hello.
    I just want to know the severity of this morphology
    Head: 89%
    Neck: 7%
    Tail: 2%
    The Dr. said it’s a minor case and not that serious since we just married and TTC 7months only. She just give a multivitamins.
    But since we knew this diagnosis we never read a successful rate of conceiving. We are anxious and really worried but the Dr. says just keep trying and don’t feel stress. How should we acknowledge this condition?
    Thank You

    • Sandra FernándezBA, MA

      Dear hope,

      I’m afraid I cannot read it properly, as you didn’t post the percentage of total malformation. Do you have it written on your semen analysis report? I need it to know for sure whether it’s teratospermia or not.

      I’m sorry!

      Best regards

  4. Khaled

    Dear Dr,

    I did the sperm analysis and the result was as follows:

    PH – Normal
    Concentration 35.7
    Total Count 149.94
    Motility in first hour 60%
    The Morphology is that
    Normal forms 28%
    Abnormal head 50%
    Abnormal Tail 20%
    and the last Bacteria is +

    Your advice pls

    Thanks

  5. Emma

    Hi Sandra,

    These are my husband’s results:

    Volume 5.4ml
    Ph level 8.5
    Concentration 23.0 X 10^6ml
    Sperm count 122.0 X 10^6ml
    Sperm progression 57%
    Non progressive 7%
    Non-motile 36%
    Sperm motility 64%
    Normal sperm 0% (0.4- 100)

  6. Dovie Deasis

    Hi Dr,

    Appearence: homogenous,grey-opalescent
    Liquefaction: <40
    Volume:4.4
    Ph:8.1
    Concentration:45
    Motility:46%
    Progressive:26%
    Non progressive:20%
    Total sperm count:198 million
    Total motile sperm count: 91 million
    Vitality: 62%
    Morphology
    Normal: 1 krugers criteria ≥4
    Immature: few
    Round cells:1.7
    WBC:<5
    Agglutination:0
    Debris: n/s
    Classification: mild asthenoteratospermia

    Please, let me know your analysis on the values. Whether I will be able to have a baby in a normal way? Thx. God bless.

  7. Elizabeth

    My husband’s morphology results were:

    % normal – 4.3%
    % head defects- 95.8%
    % mid-piece – 15.3%
    % tail defects – 10.5%

    What does this mean for us?

    • Sandra FernándezBA, MA

      Hello Elizabeth,

      Although these results indicate that your husband is close to the boundary line, by the moment his results are all fine, as his % normal is above 4%.

      I hope I have been able to help,

      Regards

  8. peter

    Hi, I am very stressed right now because my doctor told me that I have high abnormal sperm count and won’t be able to make my wife pregnant naturally in reasonable time and I may have to do IVF. Everything except morphology appears fine. I still believe my results are fine but need your opinion, please:

    Semen Analysis:

    Volume: 3.5 ml
    Ph: 8.0
    viscosity: 3+ marked
    Motility: 80%
    Sperm Density: 61 million/ML
    Morphology:
    200 Sperms Counted
    15% Normal
    85% Abnormal
    (lab references, morphology classification WHO 3rd Edition)

    Lab reference says: 25% is normal morphology

    • Sandra FernándezBA, MA

      Hello peter,

      According to the last classification of the WHO (fifth edition, year 2010), all your values correspond to those of a fertile man. From 4% normal sperm onwards, it is considered to be a correct result.

      Best regards

  9. Natania

    Hi. My husband’s SA came back with 2% morphology and the teratozospermic index is 1.46. I had a chemical pregnancy in December but we couldn’t get pregnant again after this. My husband also had to go on prophylactic HIV treatment for a blood spatter. Does this affect the SA and will we ever get pregnant?

    • Sandra FernándezBA, MA

      Hi Natania,

      If it occurred a few months ago, the prophylactic HIV treatment for a blood spatter could’ve altered the results of your semen analysis. You can take supplements now, and take another SE in a few months to see if the results continue to be altered or have returned to normal. If they continue to be altered, you are advised to turn to assisted reproductive technology (ART).

      Best wishes

  10. Renish

    Dear Dr,

    My report says I have:

    1. Sperm concentration: 150 Million
    2. Rapid progression: 10%
    3. Slow progression: 55%
    4. Non-progression: 5%
    5. Immotile: 30%
    6. Vitality: 82%

    Morphology:
    1. Normal :1%
    2. Head defect: 67
    3. Acrosome defect: 16
    4. Neck defect: 6
    5. Tail defect: 11

    Liquefaction: 30 min
    Volume: 2.2 ml

    My wife and I have been trying to conceive for one year. Is there any chance to get pregnant naturally? What is the next option?

    Best regards

    • Sandra FernándezBA, MA

      Hi Renish,

      Your morphology levels are altered, therefore it is a case of teratozoospermia. The treatment of choice in your case would be ICSI.

      Best regards

  11. Angelo

    Dear Dr. Sandra,

    I did my semen analysis at a local hospital and the following are its results:

    99% abnormal forms
    Amorphous and tapered heads, residual cytoplasm, bent neck and pyriform head.

    Your early response on this matter will be highly appreciated. Thank you.

    Best regards,

    Concerned

  12. mariecris santos

    Dear Dr. Sandra,

    My husband’s result are as follows:

    Viscosity: viscuos
    Volume: 2.00ml
    Concentration: 28 million/ml
    Motile sperm:
    – A motility: 20.0%
    – B motility: 36.0%
    – C motility: 44.0%
    Morphology: 3.0% normal forms

    Comments: viscuos, teratozoospermic sample

    Does this mean we will never fall pregnant traditionally? And AI is the only way? Can this be cured through meds or surgery?

    Please help us analyze the result, and what can we do for it?

    Many thanks

  13. mariecris santos

    Dear Dr. Sandra,

    My husband’s result are as follows:

    Viscosity: viscuos
    Volume: 2.00ml
    Concentration: 28 million/ml
    Motile sperm:
    – A motility: 20.0%
    – B motility: 36.0%
    – C motility: 44.0%
    Morphology: 3.0% normal forms

    Comments: viscuos, teratozoospermic sample

    Does this mean we will never fall pregnant traditionally? And AI is the only way? Can this be cured through meds or surgery?

    Please help us analyze the result, and what can we do for it?

    Many thanks

  14. Salim

    Dear Dr. Sandra,

    I did my seminal fluid analysis in a local hospital and following are its results:

    Liquefaction time: 30 min
    Color: off white
    Consistency: liquid
    Volume: 4 ml
    pH: 8.0
    Count: 25 million/ml
    Motility: 70%
    Rapid forward movement: 0%
    Normal forward movement: 10%
    Sluggish forward & circular movement: 50%
    No forward movement: 10%
    Acrosome: Normal
    Morphology: 1%
    Head abnormalities: 74%
    Neck / Mid piece defect: 15%
    Tail Defects: 10%
    Agglutination: Nil
    Immature cells: 0%
    Leukocytes: 1-2/HPF

    Based on these figures, I would like to know your feedback as per your convenience. If there’s any issue, then what measures can be taken to rectify them at the earliest?

    Your early response in this matter will be highly appreciated. Thank you.

    Best regards,

    Concerned

    • Sandra FernándezBA, MA

      Hello Salim,

      After analyzing your results, I can see that sperm motility is altered (only 10% of progressive sperm), which is a typical figure in cases of asthenozoospermia. Besides, with just 1% of normal forms, it is also a case of severe teratozoospermia.

      I hope I have been able to help,

      Regards

  15. Jafar ansari

    Hello,

    I am 36 years old. My recent semen dated 03-05-2016 shows this result. Married in 2014.

    Appearance: milky white
    Transparency: translucent
    Self liquification: occurred in 20 minutes
    Viscicity: normal
    Volume: 5 ml
    Fructose: positive
    pH:7.5
    No. of spermatozoa per ml: 48 million
    Total No. of sperms per ejaculate: 240 million
    Viability : 60% spermatozoa alive at the end of 1/2 hours
    Motility:

    – after 1/2 hours: A 20% / B 30% / A+B 50% / non-progressive 5%
    – after 2 hours: A 10% / B 25% / 35% / 3%

    Active sperms in the ejaculate (at the end of 1/2 hour): 120 million
    Total No. of abnormal spermatozoa: 66%
    Epithelial cells: squamous type
    Macrophage cells: occasional
    Puss cell: occasional
    Candida: nil
    Red blood cell: nil
    Trichomonads: nil
    Precursors (approximate number per ml): occasional
    Spermatogonia: …%
    Spermatocycles: …%
    Spermatids: …%
    Cells in spermiogenesis: …%
    Granular debris: present +
    Crystal: …
    Agglutination of sperm: …
    Grams stain: no pathogen seen

  16. Alice

    Hi,

    My husband results came back as:

    Normal – 2%
    Amorphic – 97%
    Tails – 17
    Neck -2
    No. of spermatozoa – 40

    Does this mean we will never fall pregnant traditionally? And AI is the only way? Can this be cured through meds or surgery?

    • Sandra FernándezBA, MA

      Dear Alice,

      I’m afraid with only 2% of normal spermatozoa, achieving a natural pregnancy is rather difficult. I’m not saying it’s impossible, but the truth is, amorphous sperms are unable to fertilize an egg. Achieving it or not will depend fundamentally on the cause behind teratospermia. For this reason, in some cases it may improve by taking vitamin supplements; however, if not, you’ll have to turn to IUI or IVF.

      Best wishes

  17. opy

    My husband has 3% normal sperm although he is on Tamoxifen which has improved the count and motility to 65% and 20 million, but the morphology still remains 3%. The sperm is also watery. Can we achieve pregnancy naturally because our first year of trial is over and now we’re in second year of trial.

    • Sandra FernándezBA, MA

      Hello opy,

      Achieving a natural pregnancy is more complicated with teratozoospermia, since only 3% sperm are normal shaped, with the rest being abnormal and therefore unable to fertilize an egg. Vitamin supplements and antioxidants can be helpful of course, but if even with that your husband’s semen analysis doesn’t improve, you should turn to assisted reproduction to have a child.

      Best regards

  18. Sandra FernándezBA, MA

    Hello Saba,

    The following topic may be of interest: Pinhead sperms.

    Should you have any further questions, please post them there.

    All the best