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Sperm Morphology Analysis (Teratozoospermia Index)

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

This test evaluates the proportion of abnormally shaped sperm cells in your semen, which can help assess fertility and identify potential causes of infertility.

Quick summary

["Assessing sperm shape is key to understanding fertility health."]

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

Key facts at a glance

LOINC
68910-9
Short code
Teratozoospermia index Smn-aCnc
Synonyms
Teratozoospermia index Smn-aCnc
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 Might Be Ordered

Your healthcare provider may recommend this test if you or a partner are struggling with infertility, unexplained fertility issues, or recurrent pregnancy loss. It’s also used in cases where other fertility tests (like semen analysis) show concerns about sperm quality.

What to Expect Before the Test

You’ll need to provide a semen sample, typically collected through masturbation into a sterile container after 2–5 days of abstinence. Avoid ejaculation for this period to ensure accurate results. No special preparation is needed beyond this.

How the Test Works

A trained technician examines a drop of semen under a microscope, counting and classifying sperm based on shape (normal vs. abnormal). The teratozoospermia index quantifies the percentage of abnormal sperm cells, which is compared to standard reference ranges.

What the Results Mean

A low teratozoospermia index (fewer than ~14% abnormal sperm) often correlates with better fertility potential. High percentages may indicate underlying issues like chromosomal abnormalities, genetic disorders, or exposure to toxins.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

High teratozoospermia index can signal infertility causes like genetic defects, hormonal imbalances, or exposure to environmental toxins. It’s often used alongside other tests (e.g., semen volume, motility) to create a comprehensive fertility profile. Results may guide treatments like assisted reproductive technologies (ART) or lifestyle adjustments.

Short name

Sperm Morphology Test

Frequently asked questions

What does a ‘teratozoospermia index’ measure exactly?
It measures the percentage of sperm cells with abnormal shapes (terata) in your semen sample. This helps assess whether sperm quality may affect fertility.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on lab processing times. Your provider will discuss findings during a follow-up visit.
Can lifestyle changes improve sperm morphology?
Yes! Avoiding smoking, limiting alcohol, managing stress, and maintaining a healthy diet may support sperm health. Some studies suggest reducing exposure to certain chemicals (e.g., pesticides) could also help.
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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