Sperm analysis

Below is a recent semen analysis from May 2023. It shows a fairly high count (127 million/ml, 444 million total) along with decent motility and morphology. I believe the key number is total motile, which came in at 306 million, or perhaps progressive motile of 191 million. Sperm analyses can vary a bit, but those factors (good count, some that aren't moving, normal morphology) have been consistent across many analyses over nearly two decades.

 I was surprised by this analysis because it shows a high count despite an abnormally low abstinence period of just one day. Labs typically request 2-7 days abstinence on the theory that counts will go down otherwise. But I had a couple recipients contact me in the days prior to my appointment, so this was my fourth ejaculate within 48 hours. Despite that, it was the highest concentration I've ever had on an analysis, even higher than I got nearly twenty years ago when I was in my mid-twenties.

Honestly I think semen analysis are a bit overrated, since we don't understand male fertility that well. If a man has recent successes, than he is likely at least decently fertile. And even a bajillion sperm in an analysis doesn't guarantee success, or even high fertility. If a man has very few motile sperm than his fertility will be poor, but beyond that who knows. 

Since I have had quite a few recent successes, I wasn't concerned about my fertility in doing this test. Rather I did it because A) I wanted to get to know more about the fertility clinic and that was the first step with them B) because I sometimes look at my samples under a microscope (with a Makler counting chamber) and I wanted an "expert" frame of reference to compare with. Accordingly I took a video of a drop of the sample before handing it in, and have linked that below as well.