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Sperm Vacuolated Head Count (Per Microscopic Field)

Published: August 9, 2026Updated: August 17, 2026

This test examines the shape and integrity of sperm cells, specifically counting those with abnormal vacuolated (empty) heads, which may indicate underlying reproductive health concerns.

Quick summary

["Assessing sperm head abnormalities can help diagnose potential fertility issues or genetic conditions."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
10629-4
Short code
Sperm Vacuolated Head NFr Smn
Synonyms
Sperm Vacuolated Head NFr Smn
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
135
Ref high
980
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82626
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 have trouble getting pregnant, unexplained infertility, or recurrent pregnancy loss. It helps evaluate sperm quality and identify structural defects that could affect fertility.

What to Expect Before the Test

You’ll need to provide a semen sample after sexual stimulation (typically 2–7 days of abstinence). A healthcare provider will collect the sample, and a lab technician will prepare it for microscopic examination.

How the Test Works

A trained specialist vacuolates (cleanses) sperm cells under a microscope to highlight vacuolated heads. The count and appearance of these defects are recorded for analysis.

What the Results Mean

Results focus on the proportion of sperm with vacuolated heads relative to total sperm count. While specific thresholds vary by lab, high counts may suggest genetic disorders (e.g., Klinefelter syndrome) or other reproductive health concerns.

Reference range

NCBI: DHEA-S Male 135-980 µg/dL; Female 30-260 µg/dLN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Sperm Morphology Analysis (Vacuolated Heads)

Frequently asked questions

High vacuolated sperm heads may indicate genetic abnormalities, oxidative stress, or chromosomal issues that could impact fertility. This test is often part of a broader evaluation for male infertility.
This test alone doesn’t diagnose a condition but helps guide further testing if fertility issues persist. Results should be interpreted by a healthcare provider in context with other symptoms and lab findings.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on lab processing times. Follow-up with your doctor to discuss findings and next steps.
Is there any preparation needed beyond semen collection?
No special preparation is required beyond abstaining from ejaculation for 2–7 days before testing. Avoid alcohol or heavy exercise before collection to ensure accurate results.
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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 17, 2026. · Read our editorial policy