Jak se připravit na spermiogram: co musíte vědět a co dělat

When you're trying to get pregnant and nothing's working, the spermiogram, laboratorní vyšetření kvality a množství mužských pohlavních buněk. Also known as semenogram, it is one of the first and most important tests in diagnosing neplodnost. Many couples focus only on the woman’s body, but up to half of infertility cases involve male factors. The spermiogram doesn’t lie—it shows you exactly what’s happening inside.

So how do you make sure the test gives you real, usable results? First, you need to abstain from sex and masturbation for 2 to 7 days before the test. Too short, and your sperm count will be low. Too long, and most of the sperm will be old and slow. The sweet spot? Around 3 to 5 days. Don’t drink alcohol, don’t smoke, and avoid saunas or hot tubs for at least a week before. Heat kills sperm. That’s it. No magic pills, no special diets—just basic hygiene and patience. Also, don’t take any antibiotics or anti-inflammatory drugs right before the test unless your doctor says it’s okay. These can mess with the results.

The sample itself? You collect it in a private room at the clinic, usually by masturbation. Some men feel awkward, but clinics are used to it. If you’re too nervous, you can collect at home—just make sure you deliver it to the lab within 30 minutes and keep it at body temperature. No plastic bags, no bottles from the fridge. Use the sterile container they give you. And don’t forget: if you’ve had a fever, flu, or heavy illness in the last 3 months, tell the lab. Illnesses can temporarily tank sperm quality, and that’s not your fault.

What do they actually check? Sperm count (how many per milliliter), motility (how many are swimming well), and morphology (how many look normal). A normal result doesn’t mean you’re 100% fertile, but a bad one tells you exactly where to look next. And if your first test comes back abnormal? Don’t panic. Sperm quality changes. Repeat the test in 2–3 months. One bad result doesn’t mean you can’t be a dad.

You’ll also find posts here about how mužská plodnost changes with age, what foods help or hurt sperm, and how stress plays a role. We’ve got real stories from men who went through this, and clear advice on what to do after the test—whether the results were good, bad, or somewhere in between.

This isn’t about blame. It’s about getting answers. If you’ve been trying for months and nothing’s happening, the spermiogram is the most straightforward place to start. No needles, no hormones, no guessing. Just a simple test that gives you real data. And knowing the truth? That’s the first step toward fixing it.