Around 40% of fertility cases are related to sperm issues—so how are they diagnosed, what treatments are available, and what can be done to improve quality? This comprehensive guide includes updated information on testing, treatment, and services available through Leumit.
Sperm and Fertility
It was once believed that fertility problems were mostly a female issue. Today we know that about 40% of fertility challenges originate with the male partner. That tiny sperm cell, which carries half the genetic material of the future child, plays a crucial role—and when pregnancy doesn’t occur, it's important to understand the male contribution.
Semen analysis looks at four key aspects:
- Volume: Normal ejaculate volume is over 1.5 mL.
- Concentration: A healthy sperm count is approximately 20 million sperm per mL of semen.
- Motility (movement): It’s not just about how many sperm are present, but also how well they move. Sperm need to swim forward effectively to reach and fertilize the egg. Normal progressive motility is around 25% or more.
- Morphology (shape): Sperm must have a normal shape to swim properly and penetrate the egg. At least 4% of sperm should be normally shaped for optimal fertility.
What Happens When There’s a Sperm Issue?
About 6% of men aged 15–50 experience infertility, such as low sperm count or poor motility. However, there are many available options—and even with low sperm counts, pregnancy is still possible.
Leumit offers access to expert care and a variety of treatments:
Semen Analysis and Evaluation
A key first step to assess sperm count, movement, and morphology.
High-Magnification Sperm Selection (MSOME/IMSI)
Used to select the best quality sperm, especially after recurrent miscarriage or failed IVF attempts.
Micromanipulation (ICSI)
Injection of a single sperm cell directly into an egg. This is part of IVF and is especially useful when sperm count is extremely low.
Surgical Sperm Retrieval (TESE/MESA)
For men who cannot ejaculate sperm naturally, due to blockages or extremely low sperm production.
Electrostimulation Sperm Retrieval
A solution for men who cannot ejaculate due to conditions like spinal cord injuries.
Leumit covers these treatments based on medical eligibility and the criteria set by Israel’s national health basket.