Sperm Head Morphology Analysis (Qualitative)
This test evaluates the shape and size of sperm cells under a microscope to check for abnormalities that may affect fertility.
["Abnormal sperm shapes can impact pregnancy success and may require further medical evaluation."]
Key facts at a glance
- LOINC
- 66496-1
- Short code
- Sperm abnorm head size NFr Smn
- Synonyms
- Sperm abnorm head size NFr Smn
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Specimen volume
- 5 mL
- Stability
- Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
- Hemolysis max
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 4–24 hours
- Order
- routine
Why This Test Is Done
Doctors may order this test if you’re struggling to conceive, have unexplained infertility, or have a history of repeated miscarriages. It helps identify whether sperm shape or size issues are contributing to fertility challenges.
What to Expect Before the Test
You’ll likely provide a semen sample (usually via masturbation) into a sterile container. Avoid ejaculation for 2–3 days before testing to ensure a representative sample. Wear a condom if sexual activity is possible during this time.
What Happens During the Test
A lab technician will examine your semen under a microscope. They’ll count and classify sperm based on standard criteria (e.g., head shape, size, and surface defects). Results are qualitative, meaning they describe proportions of normal vs. abnormal sperm rather than exact numbers.
What the Results Mean
Results are reported as a percentage of sperm with normal morphology (typically 14% or higher is considered normal). Abnormalities may include irregular shapes (e.g., head defects, double heads, or misshapen tails). These findings don’t diagnose a specific cause but may guide further testing (e.g., hormone checks, genetic evaluation).
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
Clinical Significance
Frequently asked questions
What causes abnormal sperm head size or shape?
Can this test alone confirm infertility?
What if my results show abnormal sperm morphology?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy