What is a semen analysis?
Last updated September 3, 2026.
The core male fertility test: a sample produced after 2 to 5 days of abstinence, measured in a lab for volume, concentration and count, motility, and shape, per MedlinePlus. Prep matters: too-short abstinence lowers the count, too long hurts motility, and collect the whole sample. One result is never the verdict - counts swing, so an abnormal test earns a repeat in a few weeks. Low numbers often have addressable causes - heat, smoking, medications, varicocele, hormones - with next steps from repeat testing to hormone panels to urology.
What to do
- Follow the abstinence window. 2 to 5 days - both directions skew the numbers.
- Skip the alcohol beforehand. A binge the night before shows in the sample.
- Treat one abnormal as provisional. The repeat is standard, not optional.
- Ask what low results mean. Many causes are fixable or workable-around.
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