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Second opinion

Bring your numbers to someone who can see the rest

A calculator sees three or four figures. A specialist sees your history, your scans, your partner's results, and how you actually responded to treatment. If you're between cycles, changing clinics, or something in your results doesn't add up, a second opinion is the fastest way to find out whether anything would be done differently.

Free first consultation. No obligation to start treatment, and it doesn't affect your care at your current clinic.

‹ Male fertility

Total motile sperm count

The figure that predicts whether IUI is realistic, better than any single parameter.

Exact calculationArithmetic on the numbers you enter. If your inputs are right, this figure is right.

mLSemen volume×M/mLConcentration×%Total motility=resultTotal motile sperm count (million)
In short

Total motile sperm count is semen volume multiplied by sperm concentration and the percentage of motile sperm. Most units use 5 to 10 million as the threshold at which IUI becomes realistic; below about 1 million, ICSI is usually the route discussed.

Source — Thresholds vary between units; 5–10 million post-wash is a commonly used IUI cut-off. WHO 2021 reference limits apply to individual parameters, not to TMSC.

Enter your values

From your report

Million per mL

Percent moving

Total motile sperm count
60.0million

That falls in the 20+ band.

Total sperm count120.0 million
Motile fraction50%
TMSC60.0 million

Where this sits

Your result of 60.0 million sits in the highlighted band. Bands are reference points used alongside clinical findings — not a diagnosis.

<11–55–99–2020+
Expected Borderline Below expected Worth discussing
20+ million

Well within the range where TMSC is unlikely to be the limiting factor. Where difficulty persists, look at DNA fragmentation and female factors.

Thresholds vary between units; 5–10 million post-wash is a commonly used IUI cut-off. WHO 2021 reference limits apply to individual parameters, not to TMSC.

Where this sits in the process
Planning
Testing
Cycle
Stimulation
Laboratory
After transfer

Highlighted is the stage this measurement belongs to. It is a map of the process, not a schedule — timings vary by protocol and by clinic.

Questions this usually raises

Why is TMSC more useful than concentration alone?

Because it captures how many sperm are actually available and moving. A high concentration in a very small volume, or a normal count with poor motility, both produce a low TMSC — and that is what predicts whether IUI is realistic.

Is this the pre-wash or post-wash figure?

This calculates pre-wash TMSC from a standard semen analysis. Post-wash TMSC, used for IUI decisions, is measured after preparation and is typically lower. Ask your lab which figure they have quoted.

How much do results vary between samples?

Considerably. Sperm production runs on roughly a 74-day cycle plus two weeks of transit, so a sample reflects conditions from about three months ago — including any illness or fever. A single result is not a diagnosis.

Or ask someone
  • A free first consultation covers this properly, with your actual results rather than an estimate
  • Both partners assessed together — male factor is involved in roughly half of cases

Related calculators

Second opinion

Bring your total motile sperm count result to someone who can see the rest

A calculator sees three or four figures. A specialist sees your history, your scans, your partner's results, and how you actually responded to treatment. If you're between cycles, changing clinics, or something in your results doesn't add up, a second opinion is the fastest way to find out whether anything would be done differently.

Free first consultation. No obligation to start treatment, and it doesn't affect your care at your current clinic.

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TMSC thresholds are unit-specific and used alongside clinical findings rather than in isolation. A single sample is not a diagnosis. Nothing here is a diagnosis or a substitute for assessment by a clinician.

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