Semen Analysis
Having trouble conceiving? A semen analysis is a simple noninvasive test to check sperm count and help determine whether there is a male factor involved in a couple’s infertility issues, which is the case 60% of the time. Maze specializes in Semen Analysis for patients in Westchester, New York City NYC, Connecticut and New Jersey.
Maze’s Unique Approach
The essential first step in understanding male fertility
If you and your partner are having trouble conceiving, a semen analysis is often the first and most informative test to perform. This simple, noninvasive laboratory evaluation measures the quantity and quality of a man’s sperm and can determine whether there is a male factor contributing to infertility—a factor present in approximately 60% of all couples experiencing fertility challenges. At Maze Men’s Health, under the direction of Michael A. Werner, MD, a board-certified urologist and fellowship-trained specialist in male infertility, we provide comprehensive and highly accurate semen analyses for patients throughout Westchester, New York City, Connecticut, and New Jersey.
Semen Analysis Overview
A semen analysis provides a window into a man’s reproductive health. It evaluates both sperm production and the fluid that carries the sperm. When performed correctly, it can yield a remarkable amount of diagnostic information about hormone function, potential blockages, infections, or genetic causes of low sperm counts. Since a male factor plays a role in 60% of infertility cases, the semen analysis should always be part of an initial fertility workup.
Approximately 85% of couples will conceive within one year of regular, unprotected intercourse. However, if conception does not occur after twelve months—or after six months if the female partner is thirty-five or older—it’s time to begin an evaluation. Because sperm take about three months to develop and mature, results from a semen analysis reflect what was happening in the body months earlier. This three-month production cycle means that any lifestyle changes—positive or negative—can take up to a full season to affect results. It also explains why it’s important to perform more than one semen analysis to establish an accurate baseline and account for natural fluctuations in sperm count and motility.
What We Measure and Why It Matters
During the semen analysis, we evaluate multiple parameters that together provide a complete picture of fertility potential. We first measure semen volume, which indicates the total amount of ejaculate. A lower-than-expected volume can suggest incomplete collection, hormonal issues, or a blockage in the reproductive ducts. We then assess sperm concentration, which measures how many sperm are present in each milliliter of fluid. Both numbers are crucial: a man may produce a large volume of semen but have a low sperm concentration—or the opposite—and both can affect overall fertility.
We also evaluate sperm motility, which measures the percentage of sperm that are moving, and forward progression, which describes the quality and direction of their movement. Even if sperm are present, they must swim efficiently to reach and fertilize an egg. Morphology refers to the shape of the sperm. Sperm must have a normal head and tail structure to penetrate the egg’s outer layer successfully. Another key metric is the total motile count, which combines volume, concentration, and motility to determine how many moving sperm are present in the entire ejaculate.
Each of these parameters helps determine the likelihood of natural conception or the potential need for assisted reproductive techniques. While certain values are associated with higher fertility rates, it is important to remember that there is no single “perfect number.” Some men with lower counts may still conceive easily, while others with strong results may still face challenges. What matters most is the pattern of findings and the context of the couple’s overall fertility evaluation.
Specialized Testing for More Complex Cases
When a semen analysis reveals abnormalities or when results are on the lower end of normal, Maze offers several advanced tests to refine the diagnosis. A spun-pellet analysis involves centrifuging the semen sample to concentrate any sperm that may be present in very low numbers. Our andrologists then examine this concentrated sample under high magnification to identify even a single viable sperm, which can be cryopreserved for future use in IVF or ICSI.
Viability testing helps differentiate living but immobile sperm from dead sperm. This distinction is essential, as immotile but viable sperm can still be used in assisted reproductive procedures. We also perform fructose testing, which can help determine whether the issue is related to sperm production or a blockage that prevents sperm from entering the semen. Another specialized test, post-ejaculatory urinalysis, helps identify retrograde ejaculation—a condition in which sperm travel backward into the bladder instead of exiting through the urethra.
Each of these tests provides valuable insight that can change the course of treatment and improve a couple’s chances of conception.
How the Results Influence Treatment
A comprehensive semen analysis not only identifies potential causes of infertility but also guides the most effective treatment plan. More than half of men with abnormal results have a reversible condition such as a varicocele, hormonal imbalance, an infection, or an obstruction in the reproductive tract. Correcting these problems—whether through microsurgical procedures, medications, or lifestyle changes—often leads to measurable improvements in sperm count, motility, and morphology within a few months.
For men whose semen parameters remain suboptimal, advanced reproductive technologies may offer the best chance of success. At Maze, we collaborate closely with reproductive endocrinologists to provide seamless integration between diagnostics and treatment. Depending on the results, couples may be advised to pursue intrauterine insemination (IUI), in-vitro fertilization (IVF), or intracytoplasmic sperm injection (ICSI). For men with very low or zero sperm counts, Maze offers exclusive options such as Extended Sperm Search & Microfreeze (ESSM) and Grid Needle Sperm Extraction & Microfreeze (GN-SEM)—innovative, minimally invasive procedures developed by Dr. Werner that have helped many couples conceive when other methods have failed.
Preparing for the Test
Proper preparation ensures the most accurate results. Men should abstain from ejaculation for 48 hours before the test, as longer periods can increase count but reduce motility, and shorter intervals may lower count but improve quality. Semen samples can be collected at home or in our private, comfortable collection rooms. If collected off site, the sample should be kept at body temperature and delivered to the lab within one hour.
We understand that producing a specimen on demand can feel awkward or stressful. Our staff is compassionate and discreet, and we offer accommodations to make the process as comfortable as possible. For those who prefer, partners may accompany patients into the collection room. Men who experience difficulty achieving an erection or ejaculation may be prescribed a short-acting oral medication such as Viagra or Cialis, which does not affect sperm quality. For individuals who do not masturbate for personal or religious reasons, Maze provides non-spermicidal collection condoms for use during intercourse, allowing for accurate testing without compromising beliefs or comfort.
Why Choose Maze Health
At Maze Men’s Health, we combine cutting-edge laboratory technology with decades of experience in male infertility. Every semen analysis is processed within one hour of collection to ensure optimal accuracy and freshness. Our laboratory uses single-use counting chambers, advanced microscopy, and strict protocols that meet or exceed World Health Organization standards. Because we can perform additional diagnostic testing on the same sample, patients often receive a complete picture of their reproductive health after a single visit.
Beyond accuracy, Maze stands apart for accessibility and communication. We offer flexible scheduling, including evenings and weekends, and provide patients and their referring physicians with detailed reports and follow-up consultations. Our collaborative approach ensures that results translate quickly into action, whether through medical treatment, surgical correction, or advanced fertility procedures.
Taking the first step toward understanding your fertility
A semen analysis is more than just a laboratory test—it’s the foundation of an informed, effective fertility plan. The results can identify problems, guide treatment, and save months or even years on your journey to conception. To schedule your semen analysis or learn more about Maze’s specialized male fertility services, contact Maze Men’s Health at 646-380-2600. Our team serves patients from Westchester, NYC, Connecticut, and New Jersey, providing answers, solutions, and renewed hope for your family’s future.
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Our deepest thanks for your support in our fertility journey
We want to express our deepest thanks for your support in our fertility journey.
We are still very much in the throes of our family building story, but as we reflect back on the last year, the moment we stepped into your office is one of our biggest turning points. We were terrified, and your guidance, reassurance, and compassion during a time of extreme uncertainty for us meant more than words can express. That moment when you let us know that having biological children would be a possibility for us will hold a special place in our hearts for the rest of our lives.
Your ability to create an atmosphere of comfort and understanding sets a benchmark in patient care that is truly unparalleled.
L, NY
I deeply appreciate the efforts you and your staff have made...
Maze has created an experience of gaining insight and comfort with and acceptance of, my post surgical sexual self.
Based on my experience with Maze, I would highly recommend you, your clinicians and staff, to others — your approach and quality of concern and support (and determination!) have been hugely valuable.
A, NJ
I have been a patient for almost 10 years...
If you want to go to an office where everyone there is encouraging, helpful, and sincere then Dr. Werner and staff is the place for you. I have been a patient for almost 10 years and never did I think it was about money for his operation.
They have always gave me clear information and guided me through any procedure or process I was working through. I would recommend this office to anyone that needs help!
SR, NY, 49
I could not recommend Dr. Werner and his great team more highly!
I have been seeing Dr. Werner and his fine staff for a few years now and simply put-its the best medical care I’ve ever experienced. Due in large part to the guidance and healthcare I’ve experienced here I feel like the best version of myself at age 41. I could not recommend this Dr. Werner and his great team more highly! Thank you all for what you do!!
JC, NY, Age 41
I Wish I Could Give Them More Stars!!
This is an amazing place!!!! Not only is Dr. Werner great, but the entire staff is incredible. They have completely changed my life for the better. Only wish I had known about them sooner. I wish I could give more stars!!!
David, NY, Age 39
I am in great, knowledgeable, and experienced hands.
Excellent care and follow up by Dr. Werner and Nick. As a doctor myself, I feel I am in great, knowledgeable, and experienced hands. A+
A, NY, Age 44
To state that Dr. Werner saved my life, would be an understatement!
I have been under his care for almost a decade during which he guided me through successful Peyronies treatment, a penile fracture, erectile dysfunction, and in the end, a life beyond my wildest dreams. Dr. Werner, Nick, Paul, Rima, and his entire staff, have spent so much time investing in my physical health, in an effort to not only solve medical problems, but to maximize my overall quality of life.
Dr. Werner is beyond a great practitioner. He’s a great man. His balance of exemplary knowledge, comprehensive treatment, humor, and individualized patient care, has far exceeded any expectation that I have ever had for a doctor. This is to say that Dr. Werner has always treated me as a human being, first. Therefore, his understanding of the person whom he treats, in addition to only the most sound scientific research, makes his work life-altering.
Over the past 10 years, I have continually peppered his staff with questions and concerns, as I have always felt the need to stay educated. Backed by tremendous patience and humility, Dr. Werner has never made me feel like a number. I feel grateful that I found his office, years ago. To that end, I no longer consider him, Nick, or Paul, mere practitioners, but dear friends. I owe much, if not all of my progress over the last few years, to MAZE MENS HEALTH.
Alix B, NJ, Age 51
Dr. Werner and team are knowledgeable, confident and really care about you as an individual!
My first impressions of Dr. Werner: smart, caring, confident, warm. He really listened to me and demonstrated a high level of confidence that he could help me. He understood the impact my symptoms were having on my life and didn’t minimize them. Paul (therapist) and Kristy (exercise physiologist) were also professional and inspired both calm and confidence.
I was initially referred to Dr. Werner for ED and began using a combination of medication and penile injections. Once Dr. Werner found the right dose for me, I was able to get the best erection I had had in over six months. I later developed Peyronie’s Disease as well. I was fortunate that Dr. Werner had significant experience treating Peyronie’s Disease, as he was able to assess me and recommend Xiaflex injections. While treating my Peyronie’s, Dr. Werner also suggested I begin Shockwave Therapy to further help my ED. Since completing both treatments, not only has my Peyronie’s seen dramatic improvement, but my ability to get an erection has improved 95%!
I feel very positive about my experience with Dr. Werner and Maze. These are good people and they are good at what they do. They understand the problem, treat you with respect and take your concerns seriously. I can’t imagine there’s any sexual health issue Dr. Werner would not be able to help you with! If you do consider coming to Maze, it’s important to stick with it and remember that these are medical issues and results do not happen overnight. I was incredibly nervous when I came in for my first appointment, but Dr. Werner has created an environment and a team at Maze that will immediately put you at ease.
Additionally, you and your partner must be on the same page since treatment is a process and requires both patience and good communication. I’m happy to say my wife and I have seen tremendous benefits, becoming even more communicative and closer as a couple throughout this process. Two years ago, I never would have believed coming in for treatment would have changed our relationship so positively.
D, PA, Age 69
Bottom line is that Dr. Werner and all the staff were wonderful!
Very impressive and professional medical practice. Top staff, rigorous process, timely service and excellent follow-up. There is also a positive and vibrant demeanor projected by everyone in the office that I have not seen in other places. There is extensive testing that can get pricey for out of network patients, but cannot argue with the treatment process, quality and results. Bottom line is that Dr. Werner and all the staff are wonderful!
AP, NY, Age 63
The word I would use for Dr. Werner is “thorough."
In 2009, I came to see Dr. Werner for erectile dysfunction, but I was having symptoms for ten years before I got here! I had seen many other urologists, but they just couldn’t figure it out. When I found Dr. Werner, all that changed.
I was very impressed with the caring and knowledge he possesses. He really went out of his way to find out everything that was a piece of my issues. The word I would use for Dr. Werner is “thorough.”
He discovered that I had low testosterone as well as erectile dysfunction. Once I started treatment he had me come in every 4-6 months to check my numbers and regulate me. Together, we found the right treatment cocktail, and my issues were resolved within 4-6 weeks!*
If you ever feel, at any point in your life, that there is a problem, seek help immediately!
A, NY, Age 47
Dr. Werner combines thoroughness with panache.
Dr. Werner combines thoroughness with panache. I feel like his care is totally comprehensive and I feel total confidence that no details will be missed. I have very high standards and he more than surpassed them all.
R, NY, Age 59
Dr. Werner helped us start a family. We will always be extremely thankful.
How are you, Bat Sheva, and Dr. Werner? We hope all of you are doing well and I’m sure helping people move towards sexual wholeness.
We’re doing really well. Our little miracle from God, Anna Joy, is almost 5 months old now!! She is rolling over, babbles a lot, and has the cutest toothless smile. Stan and I absolutely adore her and marvel every day that God gave us this amazing little girl to take care of. We’re so blessed.
We will never forget how Dr. Bat Sheva, and Dr. Werner played such a vital role in our journey towards parenthood. We will always be extremely thankful to God for you.
Please send our love to them.
S & J, NJ
Most compassionate, friendly doctor.
I have been a patient of Dr. Werner’s for over 21 years and he is the most compassionate, friendly doctor I have ever met.
I look for his advice even outside of his specialty. The same can be said for Nick and all of the staff at Maze.
A, NY, Age 59
How to Become a New Patient
Schedule a Free Phone Consultation
Your journey begins with a quick, confidential phone call with one of our Patient Care Coordinators. We’ll discuss your symptoms, explain what to expect, and schedule your first appointment at a convenient location.
Complete Your Intake Forms
Before your visit, you’ll receive secure online forms to share your medical history, medications, and goals. This helps our providers prepare for your evaluation and design a tailored plan from day one.
Comprehensive First Appointment
Your initial consultation lasts 45–60 minutes and includes a detailed review of your medical, sexual, and lifestyle history, lab testing (including hormones), and discussion of both physical and psychological factors that may be contributing to delayed ejaculation.
Begin Your Personalized Treatment Plan
Based on your evaluation, we’ll create a customized plan that may include medications, hormone therapy, behavioral techniques, or desensitization exercises—all designed to improve function, pleasure, and confidence.