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Semen, Sperm and Male Fertility: What’s Normal, What Isn’t, and When to Test

Written by Marylebone Diagnostic Centre – London’s leading clinic for private semen analysis.
Over 30 semen tests performed every week.

Semen and sperm are essential parts of male fertility, yet many people feel unsure about what is normal, what is not, and when a test is needed.
At Marylebone Diagnostic Centre (MDC), we help men understand their reproductive health through private semen analysis, advanced sperm DNA testing, and male hormone profiling.

We perform more than 30 semen tests every week, which gives us a strong understanding of the questions men ask and the concerns they often face.
This guide answers the most common searches in the UK, including:

  • What is semen?
  • What does sperm do?
  • Can pre-sperm cause pregnancy?
  • What does semen taste like?
  • Is semen good for your skin?
  • What causes blood in semen?
  • How much protein is in semen?
  • How do I improve sperm quality?
  • Do I need a sperm test?

It also explains how to book a private semen analysis in London with fast, discreet results.

What Is Semen?

Semen is the whitish fluid released during ejaculation. It is made of:

  • Sperm cells
  • Seminal fluid (from the seminal vesicles)
  • Prostate fluid
  • Enzymes, vitamins and minerals

Semen provides protection and nourishment to sperm.

Why people confuse semen, sperm, semen retention and “seaman/semen”

Search engines show many misspellings, including:

  • semens
  • seman
  • seamen (a sailor, not a biological term)

This confusion is normal.
Clinically, “semen” is the correct term.

What Is Sperm

What Is Sperm?

Sperm are the microscopic cells inside semen.
They are responsible for fertilising an egg.

Key facts:

  • They need a normal shape (morphology) to fertilise an egg.
  • Sperm make up less than 10% of total semen volume.
  • Healthy sperm should swim forward (motility).

If you want to know your sperm count, motility or shape, a semen analysis is the correct test.

What Does Normal Semen Look Like?

Normal semen:

  • Is white, off-white or slightly yellow
  • Thickens shortly after ejaculation
  • Liquefies within 10–30 minutes
  • Has a mild, chlorine-like smell

Signs semen may be abnormal:

  • Red or brown colour (possible blood in semen)
  • Green or yellow (possible infection)
  • Very watery (possible low sperm count)
  • Does not liquefy (possible prostate issue)

If you notice changes, a semen analysis and sexual health panel can help identify the cause.

Blood in Semen – Should You Worry?

Blood in semen (haematospermia) is common and often harmless.
It may be caused by:

  • Prostate inflammation
  • Pelvic infection
  • Past injury
  • Recent sexual activity
  • Enlarged prostate
  • Blocked ducts

It is usually temporary, but you should consider a test if:

  • It lasts longer than two weeks
  • You feel pain
  • You have fever
  • You have urinary symptoms
  • You recently had unprotected sex

MDC offers semen analysis, infection screening and prostate blood tests.

Semen Myths and Viral Internet Questions

This section answers the most-searched curiosity questions in the UK.

Is semen good for your skin?

No scientific evidence supports using semen as skincare.

It does not:

  • Reduce wrinkles
  • Improve collagen
  • Hydrate skin

Safe, medically controlled skincare is recommended instead.

How much protein is in semen?

Very little.
One teaspoon of semen contains less than 7 calories and minimal protein.

It is not a nutritional source.

What does semen taste like?

Clinically, taste varies due to:

  • Diet
  • Hydration
  • Smoking
  • Alcohol
  • Infection

A sudden change can sometimes indicate infection.

Is semen retention good for you?

There is no strong medical evidence that semen retention improves hormones, strength or mood.

Avoiding ejaculation for too long may reduce sperm quality in some men.

Pre-Ejaculate (“Pre-Sperm”) and Pregnancy – The Truth

This cluster alone has more than 30,000 UK searches every month:

  • can pre sperm get you pregnant
  • can you get pregnant from pre sperm
  • does pre sperm make you pregnant
  • can pre sperm cause pregnancy

Short answer: yes, pregnancy is possible.

Pre-ejaculate may pick up sperm left in the urethra from a previous ejaculation.

The risk increases if:

  • You ejaculated recently
  • You did not urinate before sex
  • You are close to ejaculation

Withdrawal is not a reliable method of contraception.

If pregnancy is a concern, STD tests and a male fertility check may be recommended.

What Affects Semen Quality?

Semen quality can decline due to:

  • Smoking
  • Alcohol
  • Heat exposure
  • Tight clothing
  • Stress
  • Poor sleep
  • Past infections
  • Hormone imbalance
  • Age
  • Long-term medication

Improving lifestyle can improve semen results.

When Should You Test Your Semen?

You should consider a semen analysis if:

  • You are trying to conceive
  • Your partner had a miscarriage
  • You want a fertility check
  • You have low libido or erection changes
  • You want to understand your hormone levels
  • You have concerns about sperm count or quality
  • You want a post-vasectomy clearance

MDC performs same-day semen analysis in central London.

Types of Male Fertility Testing at MDC

Semen Analysis

Checks sperm count, motility, morphology, volume and other essential markers.

Sperm DNA Fragmentation

Recommended for:

  • IVF/ICSI
  • Recurrent miscarriage
  • Low morphology
  • Unexplained infertility

Male Hormone Panel

Includes:

  • Testosterone
  • LH
  • FSH
  • Prolactin
  • SHBG

Infection / Semen Culture

Identifies whether infection is affecting sperm.

Comprehensive Male Fertility MOT

A full assessment for men planning pregnancy or seeking reassurance.

Why Choose Marylebone Diagnostic Centre?

  • Over 30 semen tests every week
    More experience than most clinics in London.
  • Same day results
    Fast and accurate.
  • Discreet private rooms
    No waiting or shared spaces.
  • Full clinical explanation
    Understand what every number means.
  • Advanced testing
    DNA fragmentation, hormone profiles, infection testing.
  • 5 minutes from Baker Street station
    Easy access to Marylebone, Harley Street and central London.
  • Trusted by London fertility specialists
Marylebone diagnostic centre main

Frequently Asked Questions

Can my GP do a sperm test?
Yes. Most GPs can refer you for a semen analysis on the NHS, but waiting times can be long and advanced tests like sperm DNA fragmentation are rarely offered. Marylebone Diagnostic Centre provides same-day private semen testing with rapid, confidential results.
How long does a semen analysis take?
Producing the sample takes only a few minutes. At MDC, your sample is examined immediately and your full report is ready the same day, including sperm count, motility, morphology and volume.
Is 2% sperm morphology normal?
A result of 2% is below the WHO reference range, but it does not rule out natural conception. Many men with low morphology still achieve pregnancy, especially when count and motility are healthy. Extra tests such as DNA fragmentation or a male hormone panel may provide deeper insight.
Can pre-ejaculate cause pregnancy?
Yes. Pregnancy is possible if sperm are present in pre-ejaculate, which can happen if sperm remain in the urethra from a previous ejaculation. The withdrawal method is unreliable. If there is concern, consider testing or a full male fertility assessment.
Is blood in semen serious?
Blood in semen (haematospermia) is usually not serious and often resolves on its own. Causes include inflammation, infection, recent sexual activity or prostate irritation. Testing is recommended if it persists, recurs, or appears with pain or urinary symptoms. MDC offers semen analysis, infection screening and prostate blood tests.

Book Your Private Semen Analysis Today

Get clarity. Get reassurance.
Book your private semen analysis or fertility test today at Marylebone Diagnostic Centre, one of London’s busiest male fertility testing clinics.

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