2 to 7 days of sexual abstinence before collection.
Two separate samples at least 7 days apart.
The duration of abstinence should be constant, if possible, because each additional day can add as much as 25% in sperm concentration
Characteristics of Normal Semen (WHO 2010)?
Viablility - 58% live spermatozoa
Grades of motility of sperm?
A more specified measure is motility grade, where the motility of sperm are divided into four different grades:
Grade a: Sperm with progressive motility. These are the strongest and swim fast in a straight line. Sometimes it is also denoted motility IV.
Grade b: (non-linear motility): These also move forward but tend to travel in a curved or crooked motion. Sometimes also denoted motility III.
Grade c: These have non-progressive motility because they do not move forward despite the fact that they move their tails. Sometimes also denoted motility II.
Grade d: These are immotile and fail to move at all. Sometimes also denoted motility I.
The hypothalamic-pituitary-testicular axis.
Semen volume low, what next?
When semen volume is low, a search must be made for spermatozoa in urine after ejaculation. Absence of spermatozoa and immature germ cells in semen smears suggest complete seminal duct obstruction.