So You Got a Semen Analysis: Learn How to Understand the Results- Dr Lora Shahine
If you're confused by the results of your semen analysis, this video will walk you through how to interpret the numbers. This video will walk you through what's normal, what's abnormal, and what to do about it with your semen analysis results.
🖤 Stay up to date with my NEWSLETTER:
drlorashahine.com/newsletter
🖤 Listen to my PODCAST Baby or Bust anywhere you listen to podcasts
link.chtbl.com/babyorbust
🖤 FOLLOW ME ON:
▫️ INSTAGRAM → / drlorashahine
▫️ TIKTOK → / drlorashahine
▫️TWITTER → / drlorashahine
▫️ FACEBOOK → / drlorashahine
My BLOG and more resources at my website:
drlorashahine.com/
My BOOKS
drlorashahine.com/books
Also at amazon.com
-----------------------------------
* LIKE, COMMENT, AND SUBSCRIBE *
-----------------------------------
ABOUT : Lora Shahine, MD, is a double board certified reproductive endocrinologist and OBGYN currently practicing at Pacific NW Fertility in Seattle, WA. Originally from North Carolina, Dr. Shahine graduated with a Bachelor of Science in biology from Georgetown University in Washington, DC, and completed her training in medical school at Wake Forest University School of Medicine, residency in obstetrics and gynecology at the University of California at San Francisco, and fellowship in reproductive endocrinology and infertility at Stanford University.
As Clinical Assistant Professor at the University of Washington and Director of the Center of Recurrent Pregnancy Loss at Pacific NW Fertility, she is committed to providing excellence in patient care, teaching the next generation of women’s healthcare providers, and continuing research in the fields of fertility and recurrent miscarriage. She has published over 75 peer-reviewed research projects and is an active member of the American Society of Reproductive Medicine, Seattle Gynecology Society, and the Babyquest Fertility Grant organization. Dr. Shahine is an accomplished author including 'Planting the Seeds of Pregnancy: An Integrative Approach to Fertility Care' and best-selling book, 'Not Broken: An Approachable Guide to Miscarriage and Recurrent Pregnancy Loss.'
Whether through her research, books, lectures, or active social media presense Dr. Shahine is passionate about educating on reproductive health and supporting the feritlity community.
DISCLAIMER: The content contained herein is provided for informational and/or entertainment purposes only and not intended as a substitute for advice provided by a healthcare professional. Use the provided information at your own risk. If you have or suspect that you have a medical problem, please contact your health care provider.
#drlorashahine #spermanalysis #sperm
Chapter
0:00 Intro
0:33 Welcome
1:10 Video overview
1:37 Semen analysis is an essential part
2:10 No excuses
3:32 Semen analysis report
5:32 #1 - Volume
6:36 #2 - Sperm count
13:16 #3 - Motility
15:01 #4 - Morphology
19:33 Recap
22:49 Questions you should be asking
23:53 Outro
male fertility semen analysis, male fertility semen analysis Dr Lora Shahine, sperm count, try guys semen analysis, try guys semen test, try guys sperm test#7try guys sperm analysis, sperm count test, male fertility test, how to understand semen analysis, male fertility the semen analysis and sperm, male fertility semen analysis and sperm, male fertility semen analysis explained, male fertility semen analysis and more, male fertility how to understanding your semen analysis 2023, male fertility semen analysis, sperm test, male factor infertility, fertility test, at home sperm testCap Score, sperm fertility test, male fertility test, male fertility exam, male infertility, male infertility test, sperm test kitsemen test, semen analysis
Пікірлер: 115
Thanks so much for your reassurance and expertise - my morphology is 2% but everything else is ok. The results can feel very final but your guidance is giving me hope.
Very informative video!
@drlorashahine
Жыл бұрын
Glad you liked it!
Could you talk about pre thaw and post thaw semen analysis results? I'm using a known donor and the initial semen analysis was sperm count of 273K. Post thaw is 10K. I did get pregnant from my first IUI but ended in miscarriage. Could the lab have messed up? Or is that normal for it to drop so much? Is the 10K rule based on pre or post thaw?
Dr Lora - what are your thoughts on DNA frag testing? Do you recommend it when all sperm parameters are low (OAT)? We are trying to decide on IVF vs just using donor sperm.. it seems that even ICSI may not be able to overcome high DNA frag,? Tho I understand this testing is newer and debated, it seems there is some evidence dna frag affects IVF success rates, from what I have read. We are thinking it might be good to know before deciding, because if it is high, donor sperm may be the better route for us.
Thank you for all these videos! I’m a nurse practitioner in California and these are great
@drlorashahine
10 ай бұрын
I'm so glad you enjoyed them! Thank you for watching!
@armandacosta1914
10 ай бұрын
my sperm concentration said it was 1.56. I’m not sure if that’s normal it said concentration, M/ML, and then it said 1.56. and then, under the comments it said Too few sperm to perform accurate morphology. Everything else look like it was a normal range
Thank you for your content 🙏🏼 appreciate you sharing this knowledge clearly and making everything clear. Be blessed.
@drlorashahine
11 ай бұрын
You are so welcome! Thank you for watching :)
lol you really helped my anxiety other morphology. Thanks!!!
@drlorashahine
8 ай бұрын
I'm so glad to hear that. Thank you so much!
Hey so my husband just got his results back. They tested something called clumping the standard range is None-1+, his results were 2+. My obgyn explained to me that his clumping level was high which means it can prevent moving forward. Also his viscosity has high which I was told that means his seman is too thick. I was wondering how can he lower his levels of both clumping & viscosity?
@drlorashahine
Жыл бұрын
Best to review with your doctor or a male fertility focused urologist. Prepping the Sperm for an IUI would likely improve parameters
My husband had 2 percent once and then 3 percent, urologist asked him to use another lab and he got 6 percent morphology. Urologist says there is nothing wrong, it's been an year with all these test but we have still not conceive. Things are fine at female end, my husband already have a son from an ex though that happen 21 years back. What should be do now? Should we moved to iui or ivf
@drlorashahine
Жыл бұрын
I would advise you to consult your medical provider, as I can't give medical advice to personal situations on social media. I have a lot of content on the subject on this channel, website drlorashahine.com, KZread and Instagram account @drlorashahine that are great sources for you
Appearance: Homogeneous Grey opalescent Liquefaction: Viscosity: normal Volume: 2.3 Count :52/ ml Motility: 48 Forward progression: 2,3 Normal forme: > 4% Normal Total sperm count: 119.6 million Agglutination: NIL Is this results okay for natural pregnancy?
@drlorashahine
Жыл бұрын
This is a great question. I would advise you to consult your medical provider, as I can't give medical advice to personal situations on social media. I have a lot of content on the subject on this channel, website drlorashahine.com, KZread and Instagram account @drlorashahine that are great sources for you. Thank you so much for watching!
Thoughts on at home sperm count tests? We did one and it was really amazing and said he was within normal range but we are having fertility issues.
@drlorashahine
8 ай бұрын
Home semen analysis can be a great first step but if you don’t conceive soon it’s best to get a full fertility check up ❤️🤞🍍
My husband has a Volume ( 0.08 ml ) And Forward Progression ( 2 ) they said its Hypospermia .. i ask him he said he was just embarrassed and probably thats why it was not a lot in the volume portion and we dis abstinence for 6 days ..
Can you please do a video on retrograde semen analysis ?
Debris: moderate particulate debris: please what does this mean?
They tested my semen and I was declared very virile but I had ED.
Aggregation on particulate debris: high. Please what does this mean?
Hi Doctor, my doctor prescribed gondatropin injection. Is that harmful to my fertility and normal sperm formation? I hope you see my comment and guide me. I am very confused on what to do?
@drlorashahine
10 ай бұрын
Gonadotopin injections can help boost sperm production. I'd advise you talk to your doctor about how it will work for your personal situation and best wishes!!
here are the general reference values for a semen analysis: Volume of ejaculate: Typically, an ejaculate volume of at least 1.5 to 5 milliliters is considered normal. Sperm concentration: A sperm count of over 15 million sperm per milliliter is generally considered normal. Sperm motility: Progressive motility of at least 32% or more of sperm is usually considered normal. Sperm morphology: A percentage of at least 4% of sperm with normal morphology is considered normal. These are general reference values, and specific laboratory ranges may vary. If you are considering parenthood and have undergone a semen analysis, it's advisable to discuss the results with a fertility specialist for a more detailed evaluation and personalized.
@drlorashahine
6 ай бұрын
And check normal values with the lab doing your test - they vary a little lab to lab
Can you explain what is grade A, B, C, D motility grade and also normal percentage for each of the grades?
What about abnormal viscosity? Thanks!
Thanks!
@drlorashahine
13 күн бұрын
You're welcome! Thank you for watching ❤️
My sperm count is 502 million total count My concentration count is 76 million My motility is 64 % My total progressive is 63% Non progessive is 1% My ph level is 8.3 My morphology is 3% I had a fever 3 months ago and had to take a course of antibiotics could this effect my morphology. I dont understand if this is bad and my doctor clealry doesnt seem to care. I am now very worried they never explained just sent me them.
@drlorashahine
8 ай бұрын
I'd advise you to ask your medical provider for answers to your personal situation, as I can't give personal medical advice on social media. I hope my content on my website drlorashahine.com can help - there you can find links to my books at amazon.com, KZread channel, Baby or Bust Fertility podcast, blog, instagram, TikTok and more! Best wishes ❤️🤞🍍
So a low morphology (my husband's is 1% after being tested twice 6 weeks apart) would be a big factor in infertility when trying naturally then? TTC over a year and nothing... My labs are normal. He has low testosterone as well. Just looking for some insights.
@drlorashahine
Жыл бұрын
Make sure no one gives your partner testosterone- that will lower Sperm counts. Morphology is not a great predictor of fertility - good to review options with your doctor❤️
@nyc-687
Жыл бұрын
@@drlorashahinenything you can add to TRT to keep male fertility ? Like pregnyl, Clomid could you made a video please
@Brooke-zq7se
8 ай бұрын
We received the same morphology results, had any luck with treatment or conception?
@samshalomdee61
8 ай бұрын
If you are good at testosterone, that means your sperm is good to go as well?
What male fertility supplements do you recommend? ❤
@drlorashahine
Жыл бұрын
This is a great question. I would advise you to consult your medical provider, as I can't give medical advice to personal situations on social media. I have a lot of content on the subject on this channel, website drlorashahine.com, KZread and Instagram account @drlorashahine that are great sources for you.
Operation varicocele done 2 month before 😢😢 waiting next to do test as per Dr.
hello dr, i have a question i got my semen analysis result and it is normal. my wife also checked hers last yr says normal. but stil cannot conceive. what could it be the problem? we are both tired from work and stress. I also vape daily. Could that be the reason even both of our result are normal? please help
@drlorashahine
Жыл бұрын
There are so many factors involved with fertility - I am so sorry this is tough!!! Being healthy overall (like quitting vaping) May not be THE answer but can help! Our reproductive health is improved when our overall health is improved ❤️❤️❤️
@ALHack29
8 ай бұрын
Yes stop vaping. Other fertility specialists on you tube have said this. Vaping, smoking, marijuana, alcohol etc are all very bad for male fertility. My obgyn said the same thing. She had a patient who couldn’t get pregnant for over a year. The husband finally quite these habits and they fell pregnant 3 months later. Stop vaping.
Thank you for your advice, doctor I had the one question my Semen is brown not normal what I should do to make healthy and White Colour Thank you
@drlorashahine
7 ай бұрын
Thank you for watching! I'd advise you to ask your medical provider for answers to your personal situation, as I can't give personal medical advice on social media. I hope my content on my website drlorashahine.com can help - there you can find links to my books at amazon.com, KZread channel, Baby or Bust Fertility podcast, blog, Instagram, Tiktok and more! Best wishes ❤️🤞🍍
Hi, thanks for the video, how does transgender hrt affect sperm and if the doses affect it more and chances of permanent sterility or just temporary in most cases
@drlorashahine
11 ай бұрын
HRT decreases and can stop sperm production in transgender patients. Preserving fertility by freezing sperm samples before transition keeps Reproductive options open in the future. There are some studies showing return of sperm production after stopping HRT in some patients. This is a relatively new field of medicine (meaning the field is paying more attention and researching more) so we’ll learn more in the future.
@hadhad129
11 ай бұрын
@drlorashahine thank you for responding. I have just started, and I'm on quite low doses, not planning for full doses, so I wonder if on low doses I should be safe I'll probably get tested and then go from there maybe get off freez 1st
All my numbers a great except morphology is 1% but my urologist is focusing on rapid % which is 0. Can you talk more about this and how to fix it if there’s a way
@dafelixfamily4574
10 ай бұрын
My first semen analysis morphology was 0 but the second one was 1%
Is there any other way to extract sperm from the penis in the case of a of sperm count? I am getting my sperm count done next Thursday.
Antipsicotics drugs can affects the results?
Hi Dr What can you recommend for low motility.
Can abnormal Morphology cause birth defects or disability in fetus?
@drlorashahine
11 ай бұрын
No. I think of morphology impacting the ability of sperm to fertilize an egg (not impact the health of a baby). Thank you for watching!
my sperm analysis saying both non-motile sperm m/m.l and non-motile sperm vol
What about the liquefaction time of the sperm? Can this be a reason for infertility?
@drlorashahine
9 ай бұрын
This is not well understood yet. Sperm typically liquifies in the female reproductive tract within 15-20 mins. Delayed liquefaction may be an issue but not necessarily for fertilization. Thank you for watching.
Hi doctor I have a question my husband semen analysis came back normal but on the round cells , it came back at 1.5 is that high? Can you please let me know ? Or that is normal it says high but the doctor says everything is normal
@drlorashahine
Ай бұрын
Thank you for watching ❤ ️ I'd advise you to ask your medical provider for answers to your personal situation, as I can't give personal medical advice on social media. I hope my content on my website drlorashahine.com can help - there you can find links to my books at amazon.com, KZread channel, Baby or Bust Fertility podcast, blog, Instagram, Tiktok and more! Best wishes ❤️🤞🍍
Should I be worried about my husband PH 7.0, viscosity 3 ? What does these mean?
@drlorashahine
9 ай бұрын
This is a great question. I would advise you to consult your medical provider, as I can't give medical advice to personal situations on social media. I have a lot of content on the subject on this channel, website drlorashahine.com, KZread and Instagram account @drlorashahine that are great sources for you
Hi there, we are in 🇬🇧 UK..we used insemination process yesterday, and my wife is due to ovulate today, she has had the cup in her vagina overnight, just to keep the sperms in the correct place for at least 12 hours, and hopefully the sperms should stay in the correct place to hopefully fertilise an egg..I think this is the correct method? And am I right to get the sperms in prior to ovulation or after ovulation..and how long can sperms live in the vagina..I hope you can advise me, regards Tim Chapman
@drlorashahine
7 ай бұрын
Ejaculated sperm can be found in the female reproductive tract for up to 5 days after trying❤️🤞🍍
What about the at home semen analysis me and my hubby bought the $50 one from cvs could you speak on the accuracy please
@drlorashahine
2 ай бұрын
I’m not sure about how accurate home sperm tests are - they can be a good first test to screen for significant abnormalities. Thank you for watching!
Hi, What does isolated severe teratozoospermia means?
@drlorashahine
Жыл бұрын
Teratospermia means irregular shape of Sperm - not sure what ‘severe’ means since every lab has their own definitions - ask the doctor that ordered the test to help clarify ❤️
@Marcusdan40
Жыл бұрын
Thanks Dr. Lora🌝
Please doc i have a question been bothering me can someone ovulate and still not get pregnant?
@drlorashahine
8 ай бұрын
Yes - there are many reasons people can ovulate every month and still not get pregnant 💔
Is Clomid good to improve testosterone?
@knowledgelover2736
3 ай бұрын
It does increase testosterone by blocking estrogen receptors your brain thinks hormone production needs to be up regulated.
What is the pregnancy success rate for a grade 3 varicocele repair?
@drlorashahine
Жыл бұрын
This is a great question Sarai. I would advise you to consult your medical provider. I have a lot of content on the subject on this channel, website drlorashahine.com, KZread and Instagram account @drlorashahine that are great sources for you.
@saraitoston09
Жыл бұрын
@@drlorashahine Thank you!
@jumanahaseen8816
Жыл бұрын
Even I want to know..the doctor recommended to do an operation to repair varicose but he’s reluctant..so please I want to know is there any chance?
Mam my total sperm count 38million ha Active motile sperm 6% ha Sluggish motile 38% ha Non motile 56% ls it normal report
@drlorashahine
Жыл бұрын
This is a great question. I would advise you to consult your medical provider, as I can't give medical advice to personal situations on social media. I have a lot of content on the subject on this channel, website drlorashahine.com, KZread and Instagram account @drlorashahine that are great sources for you
Omg I just spent the whole morning in bed because my husband’s morphology came back as 2%!
@drlorashahine
8 ай бұрын
It’s really not a perfect test. Hope my video reassured you
Azospermia 😢 life stuck
If you are good at testosterone that means you are good to go as well?
@drlorashahine
8 ай бұрын
Normal testosterone levels are reassuring but don’t skip the semen analysis❤️🤞🍍
volume.. 2.5 ML Liquefaction Time..30 minutes Motility Progressive 25% Non progressive 20% No motile 55% Total count 68 M/ml Morphology Normal spermatozoa 80% Adnormal spermatozoa 20% Pus cells 4-6 R.B.Cs nil.. Plesse reply.. This on good not good
@drlorashahine
8 ай бұрын
Thank you for watching. I would advise you to consult your medical provider, as I can't give medical advice to personal situations on social media. I have a lot of content on the subject on this channel, website drlorashahine.com, KZread and Instagram account @drlorashahine that are great sources for you.
I got back with 0 morphology 😢
@drlorashahine
Жыл бұрын
Talk to your doctor about testing again❤️ and ask what they recommend if still low
My husbands concentration unit was x10^6/ml. What is the normal level for this unit?
@drlorashahine
Жыл бұрын
Lindsay I would advise you to consult your medical provider, as I can't give medical advice to personal situations on social media. I have a lot of content on the subject on this channel, website drlorashahine.com, KZread and Instagram account @drlorashahine that are great sources for you
@Ceecy50
7 ай бұрын
Did you later find the meaning of this concentration
How can i don this test ?
@drlorashahine
7 ай бұрын
See my videos on understanding and preparing for this test. You can ask a doctor to order it for you❤️🤞🍍
@naelsamhan
7 ай бұрын
@drlorashahine what type of doctors , or my general doctor can ask it for me?
my morphology is 9 is that normal?
@drlorashahine
9 ай бұрын
I would advise you to consult your medical provider, as I can't give medical advice to personal situations on social media. I have a lot of content on the subject on this channel, website drlorashahine.com, KZread and Instagram account @drlorashahine that are great sources for you
If you have a history of gonorrhea in your past you can still make a baby in men ?
@AUSSIEBLOKE76
6 ай бұрын
Yes I lived in asia and had it many times and still made babies
@drlorashahine
6 ай бұрын
History of any STI may be associated with some decreased fertility (if pelvic adhesions from an active infection) but many with a history of STI have no fertility issues. Thank you for watching!
Does drink beer affect sperm
@lordsummerisle3139
9 ай бұрын
Im not a doctor but alcohol generally will do your stuff no good whatsoever
I jizzed all over the sample room I dropped the cup it went on walls and floor sink. I have huge loads and I was wanting to see why my loads are so big it was embarrassing the nurse had to clean up with me..never again 😢
Low volume but normal sperm count effect and why low volume
@drlorashahine
4 ай бұрын
I'd advise you to ask your medical provider for answers to your personal situation, as I can't give personal medical advice on social media. I hope my content on my website drlorashahine.com can help - there you can find links to my books at amazon.com, KZread channel, Baby or Bust Fertility podcast, blog, Instagram, Tiktok and more! Best wishes ❤️🤞🍍
@hunzatube596
4 ай бұрын
@@drlorashahine ok
@user-of6xz5tl9l
Ай бұрын
@@hunzatube596I love you
Insane! Watching how I blasted all over the "place" in less than a month was shocking, I used what I talked about the other day, and although it actually took about 5 weeks for my volume to double, I just go'ogled Jan Venstaker's Shooting Ropes and her reaction has been priceless!
Lot of lag
You’re inconsistent with your naming of men and women. You refer to women as ‘people with uteruses and ovaries’ and men you address as men in stead of people with testicles and a penis, why is that ? You might want to evaluate how many people you alienate vs win by using such terminology…