Can anyone help interpret these semen analysis results before my DH looses his mind?

[EmiliaRosa]

Hi all, myself and DH have been ttc for a long time, I have pcos endometriosis and adenomyosis so expected it to be difficult on my side. We recently moved to a new area so needed to go through all the tests again to be reffered to local fertility team and DH has got the results back from his sperm analysis back today and was told he needs to make a telephone appt to discuss with gp (3 week wait) can anyone help us figure out what's the result means?Semen analysis results:Volume: 3.1 mLViscosity after 20 mins: LowpH: 8.5Progressive motility (A): 23%Non-progressive motility (B): 20%Immotile (C): 57%Normal morphology: 4%Sperm concentration: 37.6 × 10⁶/mLDuration of abstinence: 3 daysTime analysed: 14:14Reference ranges:Semen volume: ≥1.5 mLpH: ≥7.2Progressive motility (A): ≥32%Total motility (A+B): ≥40%Normal morphology: ≥4%Sperm concentration: ≥15 × 10⁶/mLVitality (live spermatozoa): ≥58%

Have you asked chat gpt or similar

Agreed put it in to chat gpt

It looks like a couple of results are borderline or low

OP I’m awake and pottering online and saw your post, this is what AI chat GPT has to say, obviously it’s not a GP, but I do use it for results all the time and it’s been very helpful.

Overall, this is not a severely abnormal result. The main issue is that fewer sperm than expected are swimming forwards effectively.

• Volume: 3.1 mL — normal.
• Concentration: 37.6 million/mL — comfortably normal.
• Estimated total sperm count: about 116 million — reassuring.
• Progressive motility: 23% — below the laboratory’s 32% reference level.
• Total motility: 43% — just above the 40% reference level. So 43% are moving, but quite a few are not moving forwards efficiently.
• Morphology: 4% — exactly on the lower limit of normal. This sounds low, but the test uses very strict criteria.
• Abstinence: three days — appropriate for the test.
• Low viscosity — generally less concerning than abnormally high viscosity.
• pH 8.5 — slightly alkaline. It can sometimes be associated with inflammation or infection, but it cannot diagnose an infection by itself, particularly without information about white blood cells or symptoms.
• Immotile 57% does not necessarily mean 57% are dead. Vitality is a separate measurement and has not been reported here.

Based on the volume and concentration, the sample contained roughly 27 million progressively moving sperm in total. That does not rule out natural conception. The result could be described as mildly reduced progressive motility, sometimes called mild asthenozoospermia, with borderline-normal morphology.

Just as an aside I have endometriosis and adenomyosis and had my boys at 27 & 30 years old it took us 18 months to conceive our diets but back in the early 2000s all of this testing wasn’t really a thing we just carried on and thought it will happen soon.

Im only saying the above as having endometriosis etc don’t 100% signal infertility on your side it can just mean things take time.