Fertility of the partner couple is conditional on the factors with both females and males. Therefore, it is important to diagnose both of the partners. In the diagnostics of male fertility, it is necessary to examine the ejaculate. It is the easiest and most affordable examination in men, resulting in a spermiogram. Spermiogram parameters will provide important information on the spermiogenesis status of the male and on the quality of the sperms at a given time.
The Assisted Reproduction Centre, SPLN spol. s r.o., offers a spermiogram examination. The basic parameters of the spermiogram include: volume, viscosity, concentration, sperm motility, presence of the so-called circular forms, and evaluation of the sperm morphology from the stained preparation. It is frequently necessary to supplement the spermiogram with additional examinations, especially if the parameters of the basic spermiogram are below the standards. Over the past decades, the norm for spermiogram parameters has been modified several times. As a result of the decreasing sperm quality in the population, the lower limits of the normative parameters of the spermiogram, i.e. the concentration, motility, and percentage of the sperm with normal morphology in the ejaculate, have gradually been decreasing.
If the spermiogram parameters do not meet the prescribed standard, the andrological factor of infertility for couples can be anticipated, which for laymen means that the sperms have aggrieved conditions for the ovum fertilization and the partners are unable to conceive their offspring in a natural way. However, it is important to have a comprehensive diagnostics of both of the partners in the Sanatorium for the Treatment of Infertility – SPLN spol. s r.o., so that we may assist them.

The environment, lifestyles, health, genetics, and many other factors affect the male spermiogenesis. The quality of the sperms has a decreasing tendency today. These findings have led us to monitor the occurrence of an andrological infertility factor in patients who have their spermiogram evaluated at this workplace. We have included screening examinations of the ejaculate of the patients within the monitored group between September 2016 and September 2017.We have evaluated the sperms volume, concentration, overall concentration, motility, progressive motility, and their morphology. The baseline parameters – the “normal” spermiogram standards according to the WHO 2010 – are as follows:

  • ejaculate volume: 1.5 ml or more
  • sperm concentration: 15 million/ml or more
  • the total number of the sperms in the ejaculate: 39 million or more
  • total mobility – motility: 40% or more
  • progressive motion – motility: 32% or more
  • morphology: 4% or more.

The results of this SPLN evaluation in the age group of patients between 17 and 55 years of age were as follows:
38 % of the spermiograms were within the standard, the basic parameters of the spermiogram met the 2010 WHO standard.
62 % of spermiograms did not meet the standard with at least one of the basic parameters, and 0,4 % of spermiograms from this group were evaluated as Azoospermia.


Azoospermia is the most serious condition in a man whose sperms are not present in the ejaculate, and the male is infertile. This diagnosis needs to be confirmed by further examinations. Before we evaluated these data, we had not assumed such a high number of samples with pathological values. These results reflect a serious problem in today’s population, male fertility is diminished.The aim of this analysis was to find out the most up-to-date state of fertility of men of working age who identify the problem of unsuccessful attempts to make their partner pregnant. Sanatorium for the Treatment of Infertility – SPLN spol. s r.o., offers a spermiogram examination, as well as comprehensive examinations of both of the partners, and at the same time, implements the methods by which we help the infertile couple to satisfy their dream of having a family.