Spermiogram: procedure, preparation and evaluation of the semen analysis
A semen analysis is the most important test for assessing male fertility. During the test, the sperm are examined for their count, motility, shape, and functionality. The analysis provides information on whether and to what extent fertility is present.
When is a semen analysis recommended?
A semen analysis is recommended if:
- Inability to conceive: No pregnancy has occurred despite regular, unprotected intercourse for over a year
- After a vasectomy: To confirm the success of the sterilization
- Concerns about fertility: In cases of known risk factors or personal uncertainty
For a reliable assessment, we recommend two semen analyses two to three months apart, as sperm quality is subject to natural fluctuations.
Possible causes of reduced fertility
Various factors can influence sperm quality:
- Previous testicular infections or surgeries in the testicular area
- Testicular torsion during childhood
- Varicocele (varicose veins in the testicles) — unilateral or bilateral
- Drug use or testosterone abuse
- Genetic predisposition
- Environmental factors and lifestyle
Preparing for the semen analysis
To ensure the results are meaningful, the following conditions must be met:
- Sexual abstinence: No ejaculation for at least 3 and no more than 6 days prior to the test
- Fresh sample: The ejaculate should be as fresh as possible and at body temperature when submitted for analysis
You have two options for submitting the sample: Either bring the sample in a sterile container to the office within 30 minutes, or use a specially equipped room on-site where you can collect the sample undisturbed in a comfortable atmosphere.
Evaluation and Quality Control
The analysis is performed using state-of-the-art laboratory equipment that enables precise evaluation of sperm parameters. Additionally, each semen analysis is manually reviewed by a urologist to assess any abnormalities even more closely.
Costs
A semen analysis is a private service and costs 120 euros. The examination is not covered by public health insurance.
