Semen Analysis and Sperm Morphology Analysis of Infertile Males

Objective Retrospective analysis of semen and sperm morphology analysis, to prevent excessive clinical treatment for infertile couples. Methods Chose the infertile couples of out-patient department from Oct 1st 2007 to February 29th 2008. All males underwent semen analysis for at least 2 times and sperm morphology analysis for 1 time. Microsoft Excel was used for statistic analysis. Results Totally 1206 cases of semen analysis and 483 cases of sperm morphology were analyzed. Sperm concentration was 0-180 *109/L, with an average of 55.3±32.2*109/L, 75.1% were within 20-100*109/L, only 13.3% were oligozoospermia, and azoospermia accounted for 1.5%; 51.1% of the cases had 30% -50% rapid progressive sperms (a grade+b grade), and only 0.6% were normal according to the WHO standard (a grade+b grade 50%). Only 20.5% of the cases had 14% normal sperm morphology. Conclusion Except azoospermia which were obviously related to infertility, sperm concentration may not be a good indicator for assessment of infertility, but sperm activity and morphology may predict the infertility factors. Analysis of semen and sperm morphology should be used as the first screening method for out-patient infertile couples to prevent excessive treatment for the women.