Low sperm count, poor motility and abnormal morphology are common findings in male fertility assessments and can significantly affect your chances of conceiving naturally. At London Andrology, these parameters are routinely assessed through a detailed semen analysis, which is the cornerstone of male fertility evaluation. This test measures sperm concentration (count), motility (movement) and morphology (shape) to provide a clear picture of fertility potential.
Understanding the Key Parameters
- Low sperm count (oligospermia) is diagnosed when sperm numbers are below the normal threshold of 15 million per millilitre of semen. Persistent oligospermia may be linked to lifestyle factors, infection, hormonal imbalances or structural issues such as varicoceles.
- Motility refers to how effectively sperm swim towards an egg — poor motility (asthenozoospermia) can hinder fertilisation.
- Morphology describes the shape and structure of sperm. Abnormal morphology can reduce the ability of sperm to penetrate and fertilise an egg.
When to Consider Specialist Input
If you’ve been trying to conceive for over a year without success, or your semen analysis shows abnormalities in count, motility or morphology, it’s time to see a male fertility specialist. A specialist can interpret complex results, investigate underlying causes, and recommend personalised treatment options.
London Andrology’s fertility experts use advanced diagnostics including hormone profiling, DNA fragmentation testing and genetic assessments when needed, building a full picture of your reproductive status.
Treatment Options
Treatment strategies vary depending on the underlying cause but may include:
- Lifestyle changes (e.g., diet, exercise and reducing smoking/alcohol) to improve overall sperm health.
- Hormonal therapy to address imbalances affecting spermatogenesis.
- Surgical interventions, such as varicocele repair, if structural issues are identified.
- Assisted reproductive technologies like IVF or ICSI for severe cases.
Conclusion
Low sperm count, poor motility and abnormal morphology don’t mean the end of your fertility journey. Early diagnosis, specialist evaluation and the right personalised plan can significantly improve outcomes. If your fertility concerns persist, reach out to the specialist team at London Andrology to explore your options.
