Semen Analysis at a Male Fertility Clinic in Singapore

Semen analysis is typically one of the first and most fundamental tests recommended when assessing male fertility. As a core component of fertility evaluation, it provides crucial information about sperm count, movement, structure, and other factors that may influence a couple’s ability to achieve pregnancy. In Singapore, most fertility clinics offer semen analysis as part of their fertility assessment services. By understanding the process, patients can better prepare and know what to expect.

When is a Semen Analysis Recommended?

A semen analysis is recommended when a doctor requires clinical information on sperm production, quality, and behaviour. As such, it is often utilised during fertility assessments, especially if:

• A couple has been trying to conceive for a defined period (typically 12 months for couples under 35, or 6 months for couples over 35) without success.
• Results from a previous semen test require professional clarification or deeper investigation.
• The patient presents with symptoms such as testicular discomfort, known hormonal changes, or has prior conditions that suggest a need for evaluation.
• The patient is experiencing sexual health issues, such as difficulties with erectile dysfunction or ejaculation problems, which can directly affect natural conception.
• A doctor has advised checking sperm quality as part of a broader, proactive fertility assessment.

If some of these factors apply to you, it may be wise to consider visiting a urological health clinic for an assessment.

Key Parameters Assessed in a Semen Analysis

A semen analysis provides a detailed assessment of several important characteristics of the ejaculate. These findings help clinicians determine whether sperm-related factors may be contributing to difficulties with conception.

The analysis typically evaluates the following:

• Sperm Concentration: This refers to the number of sperm present in each millilitre of semen.
• Motility: Sperm movement is assessed, with particular attention to the proportion that swim forward effectively, which is necessary for reaching the egg.
• Morphology: The shape and structure of sperm are examined, as abnormal forms may reduce the ability to penetrate the egg.
• Semen Volume: This measures the total amount of fluid produced during ejaculation.
• pH Level and Viscosity: These properties of the seminal fluid can influence sperm survival and function within the female reproductive tract.
• White Blood Cell Count: An increased number of white blood cells may suggest infection or inflammation and may require further evaluation.

Results are always interpreted alongside medical history, physical examination findings and other relevant tests to ensure an accurate and balanced assessment.

What Should I do Before a Semen Analysis?

Protocols may differ slightly depending on the clinic, but common recommendations before the test include:

• Abstinence: Patients are usually instructed to abstain from ejaculation for a specific number of days, often between 2 and 7 days. The clinic will provide the exact confirmation for this period.
• Avoidance: Patients may be advised to avoid alcohol or excessive heat exposure (e.g., saunas or hot tubs) in the days before the test, as these can temporarily affect sperm quality.
• Disclosure: It is essential to inform the clinic of any recent illness, current medication use, or supplements being taken, as these factors can influence the results.

Following these instructions allows for more accurate analysis results.

What is The Semen Analysis Process Like?

A semen analysis is a straightforward and confidential test. Many fertility clinics in Singapore follow a clear and professional procedure designed to make things as comfortable and accurate as possible.

1. Collection Through Masturbation

Most male fertility clinics in Singapore have a designated, private collection room specifically for semen sample production, while others may permit home collection under strict, specific conditions. The most common and preferred method is masturbation directly into a sterile container provided by the clinic. Patients are typically advised against using lubricants, as some products may contain spermicidal properties or otherwise affect sperm quality.

2. Handling and Labelling

Once collected, proper handling and timely delivery of the sample to the laboratory staff are essential administrative steps. The sample is labelled with personal identifiers such as the patient’s name and collection time, then sealed and logged in by clinic staff.

3. Laboratory Analysis

Trained laboratory staff examine the semen using microscopes and specialised equipment. Detailed measurements for count, motility and morphology are recorded according to internationally recognised standard protocols. Results are then compiled into a report that your doctor will interpret in the context of your medical history.

4. Reporting Results

Semen analysis results are usually available within a few days, although the exact timing depends on the clinic and the testing methods used. A urologist or fertility specialist will review the results in detail and explain what they may mean in the context of fertility.

Taking the Next Steps After a Semen Analysis

If any abnormal findings are identified during your analysis, additional evaluation is often recommended to clarify the cause. This may involve:

• Repeat Semen Analysis: A second test is often performed to confirm whether the initial findings are consistent over time.
• Hormonal Testing: Blood tests are used to assess for hormonal or endocrine factors that may affect sperm production.
• Imaging Studies: Ultrasound or other imaging techniques may be arranged to identify structural or obstructive abnormalities.
• Genetic Testing: In selected cases, genetic testing may be advised, particularly when abnormalities are severe.
• Physical Examination: A clinical examination allows the specialist to assess for conditions such as a varicocele (enlargement of veins within the scrotum).

It is important to reiterate that abnormal results do not automatically mean an individual is sterile or infertile. Many variables can influence sperm quality, and further evaluation is designed to help identify possible and treatable causes.

Depending on the findings of your analysis, a doctor may then discuss various treatment measures to aid in your fertility plan, including:

• Lifestyle adjustments (e.g., diet, exercise, quitting smoking).
• Treatment of underlying infections or hormonal imbalances.
• Management of specific conditions, such as surgical repair for a varicocele.
• Assisted reproductive techniques (e.g., IUI, IVF or ICSI).
• Sperm retrieval methods, if severe sperm abnormalities are present.

The appropriate approach is always personalised and guided by thorough clinical assessment and shared decision-making.

Guiding You on Your Path to Better Fertility Planning

A semen analysis can offer a clear clinical insight into sperm health and reproductive potential. While the test may feel unfamiliar or sensitive, it is a routine and professional process that you can take confidence in. Whether your results fall within the expected range or suggest areas for further evaluation, the findings help guide the next stage of assessment and treatment.

If you are planning to conceive or have concerns about fertility, consulting a male fertility clinic early can provide clarity, reassurance, and a well-informed path forward. Our experienced urologist, Dr Jonathan Teo, can help identify suitable support options and protect long-term quality of life. Contact us today to book an appointment.