Sperm Motility – What should Patients Know?
UPDATED ON 4 MAR. 2023
AUTHOR

Dr Jay Mehta
Scientific Director & IVF Specialist with 10+ years of experience
CONDITION
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One of the most critical factors that can impact fertility is sperm motility. It refers to the ability of sperm to move and swim towards the egg.
As leading fertility specialists, a lot of patients ask about sperm motility. So we decided to pack all the critical information in this quick blog and deliver it to you.
So let’s begin.
Sperm Motility
As we all know, a sperm is formed from a single cell with a head, a middle part and a tail. This tail helps the sperm swim towards an egg during fertilization. But to swim, the sperm needs some energy or power.
The middle part of the sperm has some structures called Mitochondria, also known as the powerhouse of the cell.
As a patient, you should keep these 4 important things in mind about sperm motility:
- Rapidly Progressive:
This condition means that there is no issue with sperm motility and everything is fine. - Slow Progressive:
This condition refers to the sperm not moving at the speed that it should. It means there is some defect with the Mitochondria that provides energy to the sperm. - Non-Progressive:
This condition indicates that the sperm is unable to move even after moving its tail. - Immotile:
This condition indicates that the sperm is not making any movement. There are two possibilities here, either the sperm is dead, or it is alive but unable to move.
It’s important to note here that the first three categories should sum up to form at least 40% of the total sperms.
Similarly, the Rapid Motility should be at least 32% in a normal result.
Treatment for Various Motility Conditions
If the reports indicate that the sperms are Rapidly Progressive, then no treatment is needed.
If the sperm is Slow Progressive, it can be easily cured with medication and lifestyle.
This involves stopping the consumption of Tobacco, alcohol and smoking from improving motility.
Now let’s talk about Non-Progressive and Immotile conditions.
These conditions indicate there is some structural problem with sperm. There might be a defect in the head, middle part or tail that’s hampering the sperm’s motility.
So if you are diagnosed with Non-Progressive or Immotile sperm, the only treatment option left is ICSI.
IVF will not be successful as it depends on sperm motility. Due to some misconceptions and wrong guidance, many patients go for IUI to treat these two conditions.
But this is the wrong approach.
The reason is in IUI; the sperm has to show some movement after the placement in the uterus to reach the egg. But if the sperm is not moving, the chances of success are next to zero.
So remember that the only option for the last two categories is ICSI, not IVF or IUI.
Taking this approach will waste your time and resources and drain you emotionally.

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Closing Thoughts
Sperm motility plays a crucial role in a successful pregnancy. If your report indicates that your sperm is rapidly progressive, you won’t need any treatment.
Even if they are Slowly Progressive, they can be fixed with simple medications.
But if you are being diagnosed with Immotile or Non-progressive Sperm, the only option left is ICSI. So if you are having an issue conceiving, you should consult your specialist and follow their guidance strictly.
In case you need any more assistance related to Immotility or Infertility, we are always available for support and assistance. Get in touch, and our team members will offer you the right guidance.
AUTHOR
Dr Jay Mehta
Scientific Director & IVF Specialist with 10+ years of experience
CONDITION
CALL US 24/7 FOR ANY HELP
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