Metrics
Sperm health
The semen measurements that describe sperm number, movement and shape, and where to go next if you have a result or want a test.
- Published
- Modified
- Clinician review
- Not yet
Short answer
Sperm health on a semen analysis is a set of measurements, not a single score. The ones that change clinical decisions most often are concentration, total sperm number, total motility, progressive motility and morphology. Each has a WHO lower reference limit. None of them is a fertility certificate.
Key takeaways
- “Count” is used loosely. Concentration and total number are different.
- Motility splits into total movement and forward movement.
- Morphology uses strict criteria. 4% normal forms is the lower limit.
- Lifestyle and supplement pages are secondary to an actual test and clinical history.
The measurements
- Sperm count — total sperm in the ejaculate. Lower reference limit 39 million.
- Concentration — sperm per millilitre. Lower reference limit 16 million/ml.
- Motility — movement. Total motility 42% or more; progressive motility 30% or more.
- Morphology — normal shape. 4% or more.
- Vitality — sperm that are alive. 54% or more.
- Total motile sperm count — a calculation, not a WHO reference limit.
Three places to start
If you already have a report, use results explained or the decoder. If you need a test, start with testing and the UK or US route. If you want to know what evidence says about habits and supplements, start with improving sperm health rather than a product page.
Related
Sources
- WHO laboratory manual for the examination and processing of human semen, 6th edition — World Health Organization, 2021
- Fertility problems: assessment and treatment (NG257) — NICE, 2026
- NG257: investigation of fertility problems and management strategies — NICE, 2026
- Low sperm count — NHS
How this page was prepared
Drafted with automated research assistance and checked against the cited primary sources. A named clinician has not reviewed this page. Medical review is pending. Changes to reference values are not published automatically.