What if a man has a bad spermogram?


What if a man has a bad spermogram?

Male fertility depends on the production of normal sperm that is able to reach and fertilize the egg. If there is a problem in a man that reduces his chances of reproduction or sometimes prevents him from causing pregnancy, then we consider male infertility.

The most common disorders of male fertility are associated with low sperm count, poor sperm quality, poor morphology, or even both.

How to improve sperm morphology?

Sperm morphology refers to the shape of a sperm when placed under a microscope. Sperm head shape and size are measured. The sperm head is what helps to dissolve the outer surface of the egg to fertilize. Normal sperm have an oval head with a long tail. Abnormal sperm have defects in the head or tails such as too large a head or a crooked tail. Defects such as these may affect the sperm’s ability to retrieve and fertilize the egg.

What is an abnormal sperm?

An abnormally shaped sperm can contain abnormal DNA. It is possible that sperm with abnormal morphology may be short and contain an additional chromosome. If this is the case, the body may not allow the sperm to penetrate the egg, in an attempt to maximize the genetic potential for embryo development. Therefore, this does not allow conception to arrive.

Causes of abnormal sperm morphology

Studies show that there are three main causes of abnormal sperm morphology:

  • Exposure to toxic chemicals
  • Increased testicular temperature
  • Genetic trait 

When to seek help?

If you and your partner have been trying to become a parent for more than a year, it may be time to seek medical help. Sperm morphology is just one piece of the puzzle when it comes to fertility.  It is important that you talk to your fertility doctor or doctor to get any medical treatments or assistance you may need.

Research shows that if low sperm morphology occurs, physicians may recommend assisted reproduction technologies. A commonly recommended assisted reproduction technology for low sperm morphology is IVF with IntraCytoplasmic Sperm Injection (ICSI). Normal sperm were isolated from the semen sample and injected directly into the ovum for conception. This process allows the specialist to select the best option for fertilization from the sample.

In situations of azoospermia in more than 80% of cases, the TESE testicle biopsy method at a price of 545 EUR can be helpful as well as the program of IVF with sperm donation at a price of 2,800 – 3,000 EUR.


In these situations, we also practice offering our patients the option of doing TESE or microTESE together with an IVF program, and also provide a sperm donor. In one IVF cycle, the eggs would be fertilized in separate vessels with partners’ sperm (if TESE or microTESE were treated) and donor sperm. In this way, another chance is given to the sperm of the partner to fertilize eggs, but the IVF cycle is not wasted because embryos can be created from donor sperm.

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