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Sperm and Ejaculate Microscopic Examination (with Sperm Count)

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

This test examines the microscopic structure, count, and motility of sperm cells in a semen sample, often used in fertility evaluations or after potential exposure to harmful substances.

Quick summary

["Assesses sperm quality for fertility and potential health risks."]

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

Key facts at a glance

LOINC
98243-9
Short code
Sperm p ejac # Ur Micro
Synonyms
Sperm p ejac # Ur Micro
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
microscopy-light
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What This Test Measures

A semen sample is analyzed under a microscope to evaluate several key aspects: the number of sperm cells present (sperm count), their movement (motility), shape (morphology), and overall concentration. Some labs may also check for signs of infection or abnormal cells.

Why It’s Done

This test is typically ordered when a person struggles to conceive, after exposure to toxins (e.g., chemicals, radiation), or as part of a general health evaluation. It helps determine whether sperm quality is a contributing factor to infertility or other concerns.

Sample Collection

You’ll provide a semen sample, usually collected in a sterile container at a clinic or lab. This may be done at home with instructions or during a visit. The sample is then processed and examined under a microscope.

Preparation and Results

No special preparation is needed, but avoiding ejaculation for 2–5 days before testing may improve accuracy. Results are qualitative (descriptive) and often include a report on sperm count, motility, and morphology rather than specific numeric ranges.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low sperm count, poor motility, or abnormal morphology can indicate infertility, hormonal imbalances, or underlying health conditions (e.g., infections, genetic disorders). It may also help identify exposure to environmental toxins or chronic illnesses affecting reproductive health.

Short name

Sperm Analysis

Frequently asked questions

What does a low sperm count mean?
A low sperm count means fewer sperm cells are present in the semen sample than expected. This can affect fertility and may require further evaluation, such as hormone testing or genetic screening, to determine the cause.
How long does it take to get results?
Results are typically available within 1–3 business days after the sample is processed. Some labs may provide preliminary observations sooner, but final reports may take longer depending on complexity.
Can lifestyle changes improve sperm quality?
Yes, certain lifestyle changes—such as maintaining a healthy weight, avoiding smoking or excessive alcohol, managing stress, and limiting exposure to toxins—may improve sperm quality and motility over time.
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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