Semen Analysis Explained - Role in getting pregnant | EP- 19 | Dr Rhythm Gupta - IVF Specialist

Sat, 22 Nov 2025 11:37:05 +0000

Welcome to the next episode of Fertility Focus Podcast!

If you’ve been trying to conceive and still not seeing results, it’s time to look beyond female fertility alone. Did you know that 50% of infertility cases are due to male factors?
This episode from Fertility Focus dives deep into male infertility, how semen analysis works, what your reports really mean, and what to do if the numbers don’t look right.

We bust myths, decode complex terms, and offer science-backed clarity on improving chances of conception.

What we covered:
✅What is semen analysis, and why is it important?
→ It checks sperm count, movement, and shape, all critical for natural conception.
✅When should a man get a semen test done?
→ After 12 months of trying to conceive, or after 6 months if the female is over 35.
✅Can semen quality be judged by its colour or thickness?
→ No, only lab analysis can determine true sperm health.
✅What are the prerequisites before giving a semen sample?
→ 2 to 5 days of abstinence and sample collection at a proper lab, not at home.
✅Can sperm count be too low even if the volume looks normal?
→ Yes, concentration matters more than total volume.
✅What is the difference between total sperm count and concentration?
→ Count is the total number of sperm in the ejaculate; concentration is per ml.
✅Why does one man have 2 million count and another has 100 million, despite similar lifestyles?
→ Hormonal levels, genetic factors, or testicular issues may be at play.
✅Can a very low sperm count be increased with treatment?
→ Sometimes yes, especially if it’s due to hormone imbalance or infection.
✅What lifestyle habits reduce sperm count and motility?
→ Obesity, smoking, stress, lack of exercise, poor diet, and steroids.
✅What is sperm motility, and why is it important?
→ Motility is how well sperm can swim to reach the egg. Without it, fertilisation is unlikely.
✅What are progressive vs. non-progressive motility types?
→ Progressive means forward movement; this is needed to fertilize the egg.
✅What causes poor sperm motility (Asthenozoospermia)?
→ Often infections, poor lifestyle, or damage to mitochondria in sperm.
✅Can poor motility be improved?
→ In many cases, yes—through infection treatment, lifestyle change, and antioxidants.
✅What is sperm morphology, and how much does it matter?
→ It's about sperm shape. While poor shape doesn’t always stop pregnancy, extreme defects like globozoospermia do.
✅Can someone have 0% normal sperm morphology and still conceive?
→ Yes, studies show conception is possible if count and motility are good.
✅Why do semen reports vary from time to time?
→ Illness, stress, sample error, and abstinence period can all affect reports.
✅What if sperm count and motility are fine but pregnancy still isn’t happening?
→ Advanced tests like DFI (DNA Fragmentation Index) or ROS (oxidative stress) may be needed.
✅What is DFI and who should get it done?
→ DNA Fragmentation Index helps identify sperm DNA damage; best for smokers, failed IUI/IVF cases, or unexplained infertility.
✅What is hemizona assay and why is it done?
→ It checks sperm’s ability to bind with the egg’s outer layer—helpful in unexplained infertility.
✅What causes blood in semen or sudden colour changes?
→ Usually infection or trauma, and rarely can indicate cancer. Always consult a urologist.
✅What to do if no semen comes out during ejaculation?
→ It could be retrograde ejaculation. A urine test may help recover sperm.

Infertility isn’t just a female issue. Every couple trying to conceive should consider a complete semen evaluation by a trained expert. Don’t rely on guesswork or myths. Get real answers from real tests. If your report is confusing or concerning, we’re here to help.

Watch the full episode to get clarity!
Book your consultation with our fertility experts today and move forward confidently on your parenthood journey.

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About Dr. Rhythm Gupta and Excel IV

Founded by Dr. Rhythm Gupta, a highly qualified IVF expert in Delhi, Excel IVF offers treatments of an exceptional team of specialists, sonographers, nurses, counselors, etc. who have high-end experience and exceptionally professional in their respective fields.

To know more
Consult Dr. Rhythm Gupta, an Infertility Specialist at Excel IVF.
☎️ 98114-74471 | 89209-63596
📧 drrhythmgupta@gmail.com
🌎 Visit our website: https://excelivf.com/