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: Sperm Agglutination Titers, Semen

Published: August 9, 2026Updated: August 16, 2026

: This test measures the level of antibodies in semen that cause sperm to clump together (agglutinate). It helps evaluate whether immune factors may be contributing to male infertility.

Quick summary

[": Sperm agglutination titers detect antibody-mediated sperm clumping that can interfere with fertility."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
106115-9
Short code
Sperm agglutn Titr Smn Aggl
Synonyms
Sperm agglutn Titr Smn Aggl
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
aggl
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

: What Is Being Tested

: The test measures antibodies, typically of the IgA and IgG classes, that bind to sperm and cause them to stick together. The result is reported as a titer, which indicates how dilute the sample must be before agglutination is no longer seen—a higher titer suggests a stronger antibody effect.

: Why the Test Is Ordered

: It is usually ordered as part of a male infertility workup, especially when a semen analysis shows sperm clumping, reduced motility, or unexplained poor sperm function. It may also be used when a couple's fertility problems remain unexplained after routine testing.

: How the Sample Is Collected

: A semen sample is collected, generally after a period of abstinence recommended by the laboratory. The sample is then processed to assess whether antibodies are present and to determine the agglutination titer. Follow your lab's specific collection instructions.

: What the Results Mean

: A low or negative titer generally suggests that sperm antibodies are not a major factor. A higher titer suggests that antibody-related sperm clumping may be present and could affect sperm movement or function. Results are interpreted alongside the semen analysis and the full clinical picture.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

: Sperm Agglutination Titer

Frequently asked questions

: Does a high sperm agglutination titer mean I cannot father a child?
: Not necessarily. A high titer indicates that sperm antibodies are present and causing clumping, which may reduce fertility potential, but it does not by itself rule out the possibility of conception. A fertility specialist can interpret the result together with other tests.
: Are there risks to collecting a semen sample for this test?
: Semen collection is non-invasive and generally carries no physical risks. The main consideration is following the laboratory's instructions on abstinence and sample handling so the results are reliable.
: Can sperm agglutination be treated?
: Treatment depends on the cause and severity and may include assisted reproductive techniques such as intrauterine insemination or in vitro fertilization. Discuss options with a fertility specialist, who can tailor a plan to your situation.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

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