Semen Analysis Test
2,800 Kshs | Home Collection Available
Synonyms
sperm count test, male fertility test
Purpose
The Semen Analysis Test is a laboratory test used to evaluate the quantity and quality of a man’s semen and sperm. Healthcare providers often order this test to investigate possible causes of male infertility, especially when a couple is having difficulty conceiving. It can also be used to confirm the success of a vasectomy by ensuring that sperm are no longer present in the semen.
This test provides critical insights into sperm count, motility (movement), morphology (shape), volume, and overall semen health. Abnormalities in any of these parameters can point to reproductive issues or underlying health concerns, such as hormonal imbalances, infections, or genetic conditions.
The test can be done alongside Hormone tests (e.g., testosterone, FSH, LH), Scrotal ultrasound, Genetic testing, Anti-sperm antibody testing, and Post-ejaculation urinalysis.
Together, these tests provide a comprehensive evaluation of male reproductive health.
Patient Preparation
Ejaculation should be avoided for 24 to 72 hours before the test. It’s best not to drink alcohol before the test. Any herbal medications, such as St. John’s wort and echinacea, should be stopped.
Samples
2 – 5ml of Semen collected in a Sterile wide-mouthed container. Masturbation is considered the preferred way to get a clean sample. Keep the semen at body temperature and deliver it to the testing facility within 30 to 60 minutes of leaving the body.

Reference Range
Sperm shape: 50 percent of sperm(normally shaped. Movement: 0 – 4 score. pH: 7.2 – 7.8. Volume: greater than 2 milliliters. Liquefaction: 15 – 30 minutes. Sperm count: 20 million to over 200 million. Appearance: whitish to gray and opalescent.
Results Turnaround
1 – 14 days after receipt of the sample.
Diseases / Diagnostic indicators
A semen analysis test provides detailed information about male fertility and reproductive health. The possible outcomes help identify potential issues that may affect the ability to conceive:
Abnormal Sperm Shape (Morphology): If more than 50% of sperm are abnormally shaped, it can indicate reduced fertility.
Low Sperm Motility (Movement): A motility score of 0 means sperm are not moving, which significantly lowers the chances of fertilization.
High Semen pH (Above 8.0): This could suggest the presence of an infection in the reproductive tract.
Low Semen Volume: This may mean there’s an insufficient amount of sperm to reach and fertilize an egg.
Delayed Liquefaction: Semen that does not liquefy within 15–30 minutes could affect sperm mobility and reduce fertility.
Low Sperm Count: A reduced sperm count lowers the likelihood of conception.
Color Abnormalities:
Red-Brown Tint: May indicate blood in the semen (hematospermia).
Yellow Tint: Could point to jaundice or be a side effect of certain medications.
Other Abnormal Indicators May Suggest:
- Infections (e.g., prostatitis or sexually transmitted infections)
- Hormonal imbalances affecting sperm production
- Genetic defects that impair fertility
- Prior exposure to radiation or harmful environmental toxins
Overall, these outcomes guide further diagnostic steps or treatments in managing male fertility issues.
For more on the Semen Analysis Test, read this study.