Semen analysis, also called a spermiogram, is one of the most common tests used in the evaluation of male infertility. On Dr. Mirsadeghi’s website, semen analysis is described as a test often requested when a couple has difficulty achieving pregnancy. It helps the specialist assess whether the male partner may have a fertility-related issue.
Why is semen analysis performed?
Semen analysis evaluates sperm and semen characteristics. The test can show whether sperm count, movement, shape, volume, color, and pH are within the expected range. The website explains that sperm are examined under a microscope for appearance and function. If a couple has tried to conceive for more than one year without pregnancy, evaluation of both partners is recommended: the male partner by a urologist and the female partner by a gynecologist.
What does semen analysis measure?
The website lists several important parameters: semen volume, sperm count, sperm movement, sperm shape, semen color, and semen pH. It notes that semen volume should be at least about 2 cc, semen is usually milky in color, pH is generally alkaline around 7 to 8, and normal sperm count is described as 15 million per cc or 40 million in the total ejaculate. Low sperm count is called oligospermia, and absence of sperm is called azoospermia.
How to prepare for a semen analysis
Timing matters. The website recommends avoiding ejaculation for about 2 to 3 days before the test. Testing too early may reduce volume, while waiting too long, such as 5 to 6 days, may affect sperm movement. Sample quality is also important. The website explains that masturbation is the most common collection method. If collection occurs with intercourse, regular condoms should not be used because they may contain spermicidal substances that can damage sperm and affect the result.
Can home semen tests replace laboratory semen analysis?
The website states that home semen tests may only assess sperm count and cannot fully evaluate movement and shape. Because male infertility may involve multiple factors, a normal count alone does not necessarily mean normal fertility. For this reason, laboratory semen analysis is more reliable for medical evaluation.
What factors may reduce sperm quality?
The sperm analysis content on the website lists several factors that may reduce sperm count, movement, or shape: smoking and tobacco use, heat exposure to the testicles from hot baths, jacuzzi use, or placing a laptop on the lap, bodybuilding supplements, untreated testicular infection or swelling, and varicocele.
What is varicocele?
Varicocele is a problem in the veins draining the testicles, similar to varicose veins. According to the varicocele article, the small valves inside the veins may not work properly, causing blood pooling and impaired circulation around the testicle. Over time, this may affect testicular function, sperm production, and hormone production.
Varicocele and infertility
The website explains that the testicles have two main roles: sperm production and sex hormone production. Varicocele may reduce sperm quality by impairing testicular function. It may also affect testosterone production in some patients. Symptoms can include enlarged or twisted scrotal veins, a lump-like feeling, pain that is worse while standing and better when lying down, heaviness after activity, and reduced sperm quality. Some patients are asymptomatic and are diagnosed only during examination or ultrasound.
When is varicocele surgery discussed?
Treatment decisions depend on symptoms, varicocele grade, semen analysis results, and testicular function. The website notes that surgery may be considered based on pain and discomfort, semen analysis and sperm quality, varicocele grade, impaired circulation, and effects on testosterone or sexual function. Varicocelectomy aims to improve blood drainage and reduce the harmful effect of abnormal veins. It should be offered only after examination and review of test results.
Consultation for male infertility
A male infertility visit should include history, physical examination, review of semen analysis, and when needed hormonal tests such as testosterone, luteinizing hormone, and prolactin. In selected severe cases, additional tests such as testicular biopsy may be discussed. Dr. Amin Mirsadeghi evaluates male infertility, semen analysis abnormalities, and varicocele, and patients may book a consultation through the official website.
For individual assessment, patients can book a confidential consultation with Dr. Amin Mirsadeghi through the official website. The final recommendation depends on medical history, examination, and relevant tests.
FAQ Section
When should a couple consider male fertility evaluation?
If pregnancy has not occurred after about one year of trying, evaluation of both partners is recommended.
What are the main semen analysis parameters?
Volume, sperm count, movement, shape, color and pH are commonly assessed.
Can varicocele affect fertility?
Yes. Varicocele may reduce sperm quality and testicular function in some patients.
Can a Urologist Help With Fertility Problems?
Yes. A urologist with expertise in andrology can investigate sperm production, delivery problems, varicocele and selected hormonal causes. Dr. Amin draws on more than 12 years of clinical and surgical experience when reviewing male fertility concerns and semen results. His consultation helps identify the next investigation or treatment to discuss, with coordination of both partners' evaluation and fertility-team care where appropriate. Read more: Who Is an Andrologist? A Guide to Men's Health Care.
How Do I Prepare for a Semen Analysis Test?
Follow the laboratory's instructions; abstinence of two to seven days is commonly requested, but the lab may specify a narrower interval. Use its approved container, avoid ordinary lubricants and report any lost sample. Follow the collection and delivery timing precisely. Dr. Amin can interpret the results in context and advise whether a repeat test or further assessment is needed. Read more: Who Is an Andrologist? A Guide to Men's Health Care.
What Should I Know About Varicocele Treatment Options?
A varicocele is an enlargement of veins around the testicle. Some need monitoring only; selected men with pain or fertility concerns may be offered treatment, including microsurgical repair or embolisation where appropriate. Dr. Amin can review examination and semen findings to discuss whether treatment is justified, the likely benefit and the alternatives rather than recommending an operation for every varicocele. Read more: Who Is an Andrologist? A Guide to Men's Health Care.
What Should I Expect From Microsurgical Treatment?
Microsurgery uses magnification and fine instruments to work on small structures, for example during some varicocele or fertility procedures. It still involves anaesthesia, recovery and procedure-specific risks. Ask Dr. Amin whether a microsurgical approach is suitable for your diagnosis, which structures it aims to preserve and how improvement would be measured over time. Read more: Who Is an Andrologist? A Guide to Men's Health Care.
How Do Urologists Diagnose Fertility Issues?
Assessment combines reproductive history, examination and semen analysis, with repeat testing when needed. Hormone, genetic or imaging tests are selected according to the findings; one result does not describe every aspect of fertility. Dr. Amin can review the male partner's results and coordinate the next steps with the couple's fertility team where appropriate. Read more: Who Is an Andrologist? A Guide to Men's Health Care.
What's the Success Rate for Male Infertility Treatments?
There is no single success rate for male infertility treatment. Outcomes depend on the diagnosis, treatment, both partners' circumstances and whether success means improved semen results, pregnancy or live birth. Dr. Amin can explain the expected benefit of a proposed approach and help you understand when specialist fertility treatment may be needed. No consultation can promise a pregnancy. Read more: Who Is an Andrologist? A Guide to Men's Health Care. Explore a premium consultation with Dr. Amin.
How Can I Improve Sperm Health Before Seeing a Urologist?
Avoid smoking and anabolic steroids, limit alcohol, maintain a healthy weight and avoid repeated excessive heat exposure to the testicles. Do not start testosterone or fertility supplements without discussing your plans for children. Arrange a review with Dr. Amin rather than postponing evaluation until every lifestyle goal is achieved; treatment and practical changes can be considered together. Read more: Who Is an Andrologist? A Guide to Men's Health Care.
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Meet Dr. Amin Mir Sadeghi at his private practice within Medical Village Dubai for confidential, personalised urology care. Outpatient treatment options are discussed after an individual medical assessment.
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Dr. Amin Mir Sadeghi performs urological surgery at American Academy of Cosmetic Surgery Hospital and Trellis Hospital in Dubai. Contact Dr. Amin's team to discuss your procedure and arrange your appointment.
Surgical care with Dr. Amin · Dubai
Surgical care with Dr. Amin · Dubai
Appointments are arranged directly by Dr. Amin's team. The team will confirm the hospital and availability.