What does “sperm qual­i­ty” mean?

Sperm qual­i­ty refers to var­i­ous char­ac­ter­is­tics of sperm that play a role in male fer­til­i­ty and suc­cess­ful fer­til­iza­tion. An ini­tial assess­ment is made with a spermiogram, which exam­ines, among oth­er things, the num­ber, motil­i­ty, and mor­phol­o­gy of the sperm, as well as oth­er prop­er­ties of the ejac­u­late.

  • Con­cen­tra­tion (Count)

    This indi­cates how many sperm are present per mil­li­liter in the ejac­u­late. A reduced count is referred to as oligo­zoosper­mia, while the com­plete absence of sperm is called azoosper­mia.

  • Motil­i­ty (Move­ment)

    Sperm must be able to move active­ly and pur­pose­ful­ly to trav­el to the egg. If motil­i­ty is restrict­ed, it is called astheno­zoosper­mia.

  • Mor­phol­o­gy (Shape)

    This assess­es what pro­por­tion of the sperm has a nor­mal shape. Sig­nif­i­cant abnor­mal­i­ties in sperm shape are referred to as ter­a­to­zoosper­mia.

  • Oth­er Ejac­u­late Para­me­ters

    In addi­tion, ejac­u­late vol­ume, pH val­ue, and liq­ue­fac­tion are assessed. An increased num­ber of inflam­ma­to­ry cells may indi­cate inflam­ma­tion. Addi­tion­al­ly, a MAR test can detect anti­bod­ies on sperm that may impair their func­tion and abil­i­ty to fer­til­ize.

If sev­er­al abnor­mal­i­ties occur simul­ta­ne­ous­ly, it is called oligoas­thenoter­a­to­zoosper­mia (OAT syn­drome) – one of the most com­mon caus­es of impaired male fer­til­i­ty. The spermiogram is the basic exam­i­na­tion for assess­ing male fer­til­i­ty and allows for a stan­dard­ized eval­u­a­tion of sperm con­cen­tra­tion, motil­i­ty, and mor­phol­o­gy.

Qual­i­ty and Quan­ti­ty of Sperm

For male fer­til­i­ty, the num­ber of sperm is not the only deci­sive fac­tor. Their motil­i­ty, shape, and func­tion­al prop­er­ties also play an impor­tant role. A spermiogram there­fore pro­vides essen­tial infor­ma­tion for assess­ing male fer­til­i­ty, but can­not cap­ture all prop­er­ties that may be rel­e­vant for suc­cess­ful fer­til­iza­tion and embry­on­ic devel­op­ment. For spe­cif­ic ques­tions, fur­ther exam­i­na­tions such as DNA frag­men­ta­tion analy­sis, HBA test, or CatSper test can pro­vide addi­tion­al infor­ma­tion.

Tar­get­ed Improve­ment of Fer­til­i­ty – What Real­ly Helps

Since the for­ma­tion and mat­u­ra­tion of new sperm takes sev­er­al weeks, changes usu­al­ly only become appar­ent after about two to three months. Long-term changes in every­day life are there­fore cru­cial.

How­ev­er, not every lim­i­ta­tion of male fer­til­i­ty can be improved through diet and lifestyle alone. In the case of abnor­mal val­ues, a tar­get­ed med­ical eval­u­a­tion makes sense.

1. Nutri­tion

A bal­anced diet that is as min­i­mal­ly processed as pos­si­ble can sup­port sperm for­ma­tion and reduce oxida­tive stress.

Impor­tant nutri­ents for sperm qual­i­ty are:

  • Zinc – impor­tant for sperm for­ma­tion and hor­mone metab­o­lism
  • Sele­ni­um – involved in sperm for­ma­tion and pro­tec­tion against oxida­tive stress
  • Vit­a­mins C and E – impor­tant antiox­i­dants
  • Omega‑3 fat­ty acids – impor­tant for cell mem­branes and sperm func­tion
  • Folic acid – impor­tant for cell divi­sion and DNA syn­the­sis

Ide­al­ly, these nutri­ents are con­sumed through a var­ied diet with plen­ty of veg­eta­bles, fruit, whole grain prod­ucts, legumes, nuts, fish, and high-qual­i­ty veg­etable oils.

Dietary sup­ple­ments can be use­ful in the event of a defi­cien­cy or in cer­tain sit­u­a­tions. How­ev­er, a gen­er­al high-dose intake is not fun­da­men­tal­ly rec­om­mend­ed and should be indi­vid­u­al­ly tai­lored.

In addi­tion to a nutri­ent-rich diet, it is advis­able to reduce the con­sump­tion of sug­ar, trans fats (for exam­ple from fast food and ready-made meals), and alco­hol, as these can neg­a­tive­ly affect fer­til­i­ty.



2. Weight and Exer­cise

Obe­si­ty can affect the hor­mone bal­ance and thus also sperm pro­duc­tion. In par­tic­u­lar, abdom­i­nal fat pro­motes the con­ver­sion of testos­terone into estro­gen. Inflam­ma­to­ry process­es, insulin resis­tance, and oxida­tive stress can also impair sperm qual­i­ty.

Even mod­er­ate weight loss and reg­u­lar exer­cise can have a pos­i­tive effect on metab­o­lism and hor­mone bal­ance. Long-term changes are cru­cial instead of short-term diets.

3. Smok­ing and Alco­hol

Nico­tine and oth­er com­po­nents of tobac­co smoke increase oxida­tive stress and can impair the count, motil­i­ty, and shape of sperm. Increased DNA frag­men­ta­tion is also observed more fre­quent­ly in smok­ers. The rule is: the more you smoke, the stronger the effects can be.

When try­ing to con­ceive, it is there­fore sen­si­ble to avoid cig­a­rettes and oth­er tobac­co prod­ucts as com­plete­ly as pos­si­ble. Even a reduc­tion is a good first step.

Reg­u­lar high alco­hol con­sump­tion in par­tic­u­lar can impair sperm pro­duc­tion, semen qual­i­ty, and hor­mone bal­ance. In con­trast, no clear dete­ri­o­ra­tion in male fer­til­i­ty has yet been proven for occa­sion­al or mod­er­ate con­sump­tion.

Any­one who wants to sup­port their sperm qual­i­ty as best as pos­si­ble should there­fore keep alco­hol to a min­i­mum and, in par­tic­u­lar, avoid reg­u­lar high­er con­sump­tion and binge drink­ing.

4. Testos­terone and Ana­bol­ic Steroids

Testos­terone prepa­ra­tions and ana­bol­ic steroids can sig­nif­i­cant­ly reduce or even com­plete­ly sup­press the body’s own sperm pro­duc­tion. This also applies to testos­terone tak­en, for exam­ple, for mus­cle build­ing or as part of hor­mone ther­a­py.

If there is a cur­rent or future desire to have chil­dren, testos­terone ther­a­py should there­fore always be dis­cussed with a doc­tor.

5. Stress and Sleep

Chron­ic stress can affect hor­mone bal­ance. Per­sis­tent­ly ele­vat­ed stress hor­mones such as cor­ti­sol can impair testos­terone pro­duc­tion and thus also sperm for­ma­tion. In addi­tion, stress is asso­ci­at­ed with changes in sperm con­cen­tra­tion, motil­i­ty, and qual­i­ty.

Get­ting enough sleep is also impor­tant: a large part of dai­ly testos­terone pro­duc­tion takes place dur­ing sleep. Per­ma­nent lack of sleep or a severe­ly dis­turbed sleep rhythm can there­fore unfa­vor­ably influ­ence testos­terone lev­els and sperm qual­i­ty. Reg­u­lar exer­cise, suf­fi­cient sleep, and con­scious recov­ery phas­es can help reduce stress and sup­port a healthy hor­mone bal­ance.

6. Heat and Envi­ron­men­tal Fac­tors

For opti­mal sperm for­ma­tion, the tes­ti­cles require a slight­ly low­er tem­per­a­ture than the rest of the body. Fre­quent or pro­longed over­heat­ing can tem­porar­i­ly impair sperm pro­duc­tion and qual­i­ty.

There­fore, avoid as much as pos­si­ble:

  • fre­quent very hot baths and pro­longed inten­sive heat expo­sure
  • hav­ing a lap­top direct­ly on your lap for a long time
  • heavy or reg­u­lar occu­pa­tion­al heat expo­sure

Envi­ron­men­tal chem­i­cals can also play a role. Cer­tain hor­mon­al­ly active sub­stances – so-called endocrine dis­rup­tors – are asso­ci­at­ed with changes in sperm qual­i­ty. These include, for exam­ple, phtha­lates and oth­er plas­ti­ciz­ers from plas­tics, as well as cer­tain pes­ti­cides.

Expo­sure can­not be com­plete­ly avoid­ed in every­day life. How­ev­er, it makes sense to heat food in plas­tic as lit­tle as pos­si­ble, reduce unnec­es­sary con­tact with plas­ti­ciz­ers, and ensure suit­able pro­tec­tive mea­sures when han­dling chem­i­cals pro­fes­sion­al­ly.

7. Ejac­u­la­tion Fre­quen­cy and Tim­ing

The fre­quen­cy of ejac­u­la­tion also affects sperm qual­i­ty. With longer peri­ods of absti­nence, the sperm con­cen­tra­tion in the ejac­u­late often increas­es, but at the same time, motil­i­ty and DNA qual­i­ty can be less favor­able. “Sav­ing up” sperm for fer­tile days over a long peri­od of time is there­fore not sen­si­ble.

When try­ing to con­ceive, we rec­om­mend reg­u­lar sex­u­al inter­course – about every two to three days, and even more fre­quent­ly dur­ing the fer­tile phase. Although very fre­quent ejac­u­la­tions can reduce the sperm count per ejac­u­late, they do not fun­da­men­tal­ly wors­en fer­til­i­ty.

Before a spermiogram, how­ev­er, defined absti­nence peri­ods apply so that the results can be reli­ably assessed and com­pared with one anoth­er.

Close-up of a flower vase in the bright practice atmosphere at the fertility center in Munich for a relaxed consultation.

Why Choose the Pri­vate Cen­ter Die Kinder­wun­schärztin in Munich?

Make an appoint­ment
  • Keep­ing Fer­til­i­ty in Mind Ear­ly On

    Whether it’s a pre­cau­tion­ary fer­til­i­ty check or an exist­ing desire to have chil­dren: we exam­ine male fer­til­i­ty indi­vid­u­al­ly and advise you on sen­si­ble next steps.

  • Com­pre­hen­sive Sperm Diag­nos­tics

    From a clas­sic spermiogram to fur­ther exam­i­na­tions, we assess not only count, motil­i­ty, and shape, but also func­tion­al prop­er­ties and the DNA qual­i­ty of the sperm if required.

  • In-house Androl­o­gy Lab­o­ra­to­ry

    The exam­i­na­tions take place direct­ly in our own androl­o­gy lab­o­ra­to­ry – for short dis­tances, coor­di­nat­ed process­es, and reli­able diag­nos­tics.

  • Per­son­al Med­ical Con­sul­ta­tion

    We con­sid­er your results in con­nec­tion with your lifestyle, his­to­ry, and desire to have chil­dren and dis­cuss indi­vid­u­al­ly which fur­ther exam­i­na­tions or mea­sures are sen­si­ble.

  • Mod­ern Repro­duc­tive Med­i­cine

    If sperm qual­i­ty can­not be suf­fi­cient­ly improved, mod­ern repro­duc­tive med­i­cine treat­ment options are avail­able to pro­vide tar­get­ed sup­port for the desire to have chil­dren.

  • Dig­i­tal & Uncom­pli­cat­ed

    From book­ing appoint­ments to trans­mit­ting find­ings, we design the process­es to be dig­i­tal, data-pro­tec­tion com­pli­ant, and uncom­pli­cat­ed.

  • Cen­tral­ly Locat­ed in Munich

    Our pri­vate cen­ter is locat­ed in the heart of Munich and can be eas­i­ly inte­grat­ed into every­day life with flex­i­ble appoint­ment options.

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Costs for Freez­ing Sperm in Munich

The costs depend on the indi­vid­u­al­ly required ser­vices. Before cry­op­reser­va­tion, a spermiogram is usu­al­ly sen­si­ble to assess the semen qual­i­ty.

To the cost overview
Spermiogram (Basic Exam­i­na­tion) — approx. €164

Sam­ple col­lec­tion takes place in our Munich pri­vate cen­ter in a qui­et, pro­tect­ed atmos­phere. The sub­se­quent analy­sis is car­ried out in our in-house androl­o­gy lab­o­ra­to­ry and is eval­u­at­ed by a spe­cial­ist. You will usu­al­ly receive the find­ings encrypt­ed by email with­in about five days.

Make an appoint­ment
Spermiogram at Home — approx. €172

You col­lect the semen sam­ple dis­creet­ly at home and then bring it to our fer­til­i­ty cen­ter with­in a max­i­mum of 40 min­utes. We will pro­vide you with a suit­able con­tain­er in advance and inform you about the pro­ce­dure. The analy­sis is car­ried out in our in-house androl­o­gy lab­o­ra­to­ry and is eval­u­at­ed by a spe­cial­ist. You will usu­al­ly receive the find­ings encrypt­ed by email with­in about five days.

Make an appoint­ment
Cry­op­reser­va­tion of Sperm — approx. €600

The cry­op­reser­va­tion includes the exam­i­na­tion, prepa­ra­tion, and freez­ing of the sperm cells. In addi­tion, costs for the required infec­tion serol­o­gy and sub­se­quent stor­age may apply.

Make an appoint­ment
Stor­age — approx. €380 per year

For the long-term stor­age of cry­op­re­served sperm, costs of approx­i­mate­ly €380 per year are incurred at our FERTILA GmbH. In addi­tion, a pro­cess­ing fee of €75 is charged for stor­age or removal.

Notes on Billing

No fixed or flat-rate prices: We bill on the basis of the offi­cial scale of fees for doc­tors (GOÄ). Accord­ing to the GOÄ, we are not allowed to quote fixed or flat-rate prices for med­ical ser­vices. The prices men­tioned are intend­ed to pro­vide ori­en­ta­tion and are typ­i­cal for the treat­ments men­tioned.

Pos­si­ble VAT lia­bil­i­ty: Med­ical ser­vices may be sub­ject to VAT (cur­rent­ly 19%). This applies if, after diag­nos­tics have been car­ried out, no med­ical indi­ca­tion or con­firmed diag­no­sis is present and it is there­fore not a med­ical treat­ment in the strict sense. This can be the case in par­tic­u­lar with social freez­ing treat­ments, but also with the treat­ment of sin­gle moms and same-sex cou­ples.

Note on Cost Cov­er­age

We would be hap­py to pro­vide you with detailed cost infor­ma­tion for the planned treat­ment in advance. This allows you to clar­i­fy cost cov­er­age with your pri­vate health insur­ance (PKV) as best as pos­si­ble before­hand. Statu­to­ry health insur­ance (GKV) does not cov­er costs at our cen­ter.

 

What Our Patients Say

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Sandra B
105 days ago
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Had a very good experience, I felt very well taken care of, everyone very professional, standardized routines, can definitely recommend
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Lauren W
141 days ago
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We flew from overseas to work with Dr Mann and her team. Everyone was so kind, empathetic and extremely helpful. Everyone spoke English and made us feel very welcome. We could not have asked for better care than what we received from Dr Mann and her team. Bonus, the offices are beautiful.
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Andrea C
185 days ago
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After visiting two other fertility clinics (one of which I left in tears), I had almost lost hope of finding a place where I would truly feel heard. Then I met Dr. Sarah Comploj, and everything changed. From the very first consultation, I felt genuinely listened to and treated as an individual. Unlike my previous experiences, where I was quickly told I needed IVF without anyone really taking the time to understand my situation or carefully review my test results, here I felt that my case truly mattered. Every step was explained thoughtfully, and my concerns were taken seriously. What stood out the most was that I never felt like just another patient or that the focus was on money. Instead, I felt that the entire team was committed to helping me achieve my dream in the most appropriate and personal way possible. Today, I am holding my one-month-old baby in my arms, and I will forever be grateful for the care, compassion, and expertise I received here. I can only highly recommend this clinic and Dr. Comploj 🩷
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Viktoria O
323 days ago
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Every appointment I’ve had over the last few months has been consistently informative, professional, and conducted in a personal manner. The treatment plan was explained in detail and any concerns or questions always answered. She also speaks perfect English if required. I’m impressed with how well organised the clinic is and how quickly results are processed, and last-minute appointments made available. For anyone who is going through the struggle of infertility it’s a difficult and vulnerable time, but I always felt so reassured and in good hands with Dr Mann.
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Local R
331 days ago
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A heartfelt thank you to Dr. Gerber for the exceptional support and warmth during a very sensitive journey. I always felt respected and in good hands. Truly grateful.
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V D
452 days ago
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I'm very grateful for my experience, the staff from reception to the doctors were very kind. You can feel accompanied during the treatment. Also, overall I had a successful treatment, especially considering my age, it's a costly treatment but it's worth it. So I'm very happy for the result, my doctor was Sara Comploj.
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Marina
489 days ago
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I had a wonderful experience with the Kinderwunsch practice, and especially with dr. Corina Mann. From the very beginning, dr Mann was attentive, knowledgeable, and truly invested in helping me achieve the best possible outcome. She took the time to understand my goals and tailored my treatment plan to make sure I had the best chance of success. Thanks to her care and expertise, I was able to maximise my results and reach my goals. I always felt supported, informed, and in the best hands. Dr Mann always answered my countless questions with a smile :) I’m incredibly grateful for her dedication and would wholeheartedly recommend her to anyone starting their fertility journey.
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Carmencita
491 days ago
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I just want to say a big thank you to the whole team of Dr. Mann and Dr. Albrecht. I felt really taking care off in this Praxis and really can recommend everyone to go to this clinic, as here you can get at least the most possible personalization and time dedicated to you! Thanks again for your support!
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Maria K
587 days ago
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Since my doctor was busy and couldn't do the procedure herself, I had an appointment with Sarah to have my fallopian tubes checked. I was very nervous before the procedure, but it turned out to be for nothing! Sarah described and explained every step of the procedure and was extremely friendly.
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Jay B
1149 days ago
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Our multiple years-long Kinderwunsch journey was spent under the care of Dr. Mann and her Kinderwunsch practice team. Dr. Mann is not only a highly competent expert in her field, she's also empathetic and kind. She treated each appointment with a sense of being genuinely invested — listening to concerns or questions, planning for my unique treatment needs, and explaining processes or procedures without rushing (because she knows it's likely your first time going through something ... even though it might be her 40000th time). Her practice is busy and it's because she's the best. The practice team is cheerful and helpful. The waiting area is comfortable with pleasant music, flowers, and they even laid out gingerbread during Christmas time. They have a lab on-site so results are often same-day. I particularly found the technology they use to share results via email quickly so helpful. And I always felt at ease speaking in my native language and not pressured to try to keep up with unfamiliar German terminology. I'm forever grateful to have found Dr. Mann. We plan to visit soon with our new plus-one :) - RB & JB
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Aparna P
1649 days ago
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Dr.Albrecht is really good and friendly. She is best at her own way. But reception staff is very very very worst and disappointing. They themselves book an appointment and say it’s not booked. Luckily in Doctorlib my appointment was visible. Staff is very very rude. And they respond very rudely. I can give 0 rating for Staff at reception.
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Cindy L
1670 days ago
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We had an absolutely wonderful experience with Dr. Mann. Her positive energy and competence was so reassuring and much appreciated during the potentially stressful time of trying to have a baby. I really loved how we could communicate in either English or German over complicated and sensitive reproductive matters. She took the time to answer all of our questions and offered us a wealth of information regarding the treatments. And her staff brought the same good vibes and Expertise to the practice. Some of the best and painless blood draws I’ve ever had, and they were always very responsive through emails as well as telephone communication. Online appointment system was also great. Video consults super convenient. The setting of the practice itself is an oasis of peace and calmness. As soon as I stepped through the doors I felt relaxed with the music, green plant wall, and well designed and decorated space. Technology and quality of equipment is very good. Yes, sometimes the waiting time had been 30+ minutes, but because the patient care is so excellent, I’ll be back for future treatments as needed, and would highly recommend this practice and team to anyone.
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Raluca O
1854 days ago
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I have only the best words to describe my experience at the clinic. I personally worked with Dr. Albrecht and she was amazing. Every appointment was done on time, informative and clear on what the next steps are. She offered details and support with my every question. Where I wasn’t sure of my German we swapped to English to make sure I understood everything. The clinic is run in a very efficient way, organized, planned and as a process oriented person I loved it!

Fre­quent­ly Asked Ques­tions About Sperm Qual­i­ty

How long does it take for sperm qual­i­ty to improve?

Since the new for­ma­tion and mat­u­ra­tion of sperm takes sev­er­al weeks, changes usu­al­ly only become appar­ent after about two to three months. Mea­sures such as a health­i­er diet, weight reduc­tion, less alco­hol, or avoid­ing nico­tine should there­fore be main­tained for sev­er­al months. Depend­ing on the cause, it can also take longer for changes to show in the spermiogram.

How can you test sperm qual­i­ty?

The most impor­tant exam­i­na­tion is ini­tial­ly a spermiogram. This assess­es, among oth­er things, the count, con­cen­tra­tion, motil­i­ty, and shape of the sperm. How­ev­er, a nor­mal spermiogram does not cap­ture all prop­er­ties that are impor­tant for fer­til­iza­tion. For spe­cif­ic ques­tions, fur­ther exam­i­na­tions such as a DNA frag­men­ta­tion test, HBA test, or CatSper test may there­fore be use­ful.

Which dietary sup­ple­ments can improve sperm qual­i­ty?

Zinc, sele­ni­um, folic acid, omega‑3 fat­ty acids, and vit­a­mins C and E are impor­tant for sperm for­ma­tion, among oth­er things. Dietary sup­ple­ments can be use­ful, espe­cial­ly in the case of a proven defi­cien­cy or in cer­tain sit­u­a­tions. How­ev­er, a gen­er­al high-dose intake is not fun­da­men­tal­ly rec­om­mend­ed and should be indi­vid­u­al­ly tai­lored. We would be hap­py to advise you in detail on this.

What influ­ence does stress have on sperm qual­i­ty?

Chron­ic stress can affect the hor­mone bal­ance and impair testos­terone pro­duc­tion via increased cor­ti­sol lev­els. This can also change sperm pro­duc­tion and sperm qual­i­ty. Oth­er fac­tors such as lack of sleep, lit­tle exer­cise, or an unbal­anced diet are often added.

Can a poor spermiogram nor­mal­ize again?

Yes. Sperm val­ues can fluc­tu­ate and improve again, for exam­ple after infec­tions, with changes in lifestyle, or after treat­ment of an under­ly­ing cause. An abnor­mal spermiogram should there­fore usu­al­ly be checked and med­ical­ly clas­si­fied. In the case of sig­nif­i­cant­ly lim­it­ed val­ues, fur­ther diag­nos­tics may be use­ful.

When is it referred to as male infer­til­i­ty?

Male infer­til­i­ty is spo­ken of when no preg­nan­cy occurs despite reg­u­lar unpro­tect­ed sex­u­al inter­course over a peri­od of about twelve months and the cause lies entire­ly or par­tial­ly with the man. The diag­no­sis is not based on a sin­gle lab­o­ra­to­ry val­ue, but on repeat­ed exam­i­na­tions and a com­pre­hen­sive med­ical clas­si­fi­ca­tion. Even with lim­it­ed sperm qual­i­ty, preg­nan­cy is still pos­si­ble in many cas­es – if nec­es­sary with sup­port­ive mea­sures.

Does sperm qual­i­ty change with age?

Yes, sperm qual­i­ty can also decrease in men with increas­ing age – although usu­al­ly less sig­nif­i­cant­ly than in women. The motil­i­ty and qual­i­ty of the sperm can dete­ri­o­rate, and at the same time, DNA dam­age can occur more fre­quent­ly. As a result, it can take longer for a preg­nan­cy to occur. How­ev­er, there is no fixed point in time from which male fer­til­i­ty sig­nif­i­cant­ly decreas­es.

Can you get preg­nant despite poor sperm qual­i­ty?

Yes. Even with lim­it­ed sperm val­ues, a nat­ur­al preg­nan­cy can be pos­si­ble. How high the chances are depends on which para­me­ters are affect­ed and how pro­nounced the lim­i­ta­tion is. If preg­nan­cy does not occur, insem­i­na­tion, IVF, or ICSI may be con­sid­ered depend­ing on the find­ings.