Semen
Semen
Also known as: seminal fluid, ejaculate, semen analysis
The ejaculated mixture of spermatozoa (<5 % of volume) and secretions of the seminal vesicles, prostate and bulbourethral glands that transports, nourishes and protects sperm.
Overview
A normal ejaculate is ≈2–5 mL. Sperm from the epididymis and ampulla contribute only a few per cent of the volume; seminal vesicles add ≈60–70 % (fructose, prostaglandins, semenogelins, alkaline), the prostate ≈20–30 % (PSA, citrate, zinc, acid phosphatase), and the bulbourethral and urethral glands a small mucous fraction. The first fraction of the ejaculate is sperm-rich prostatic fluid; the last is mainly seminal vesicle fluid.
Immediately after ejaculation semen forms a gel (semenogelins), then liquefies within 15–30 minutes as PSA cleaves the semenogelins, releasing motile sperm. Its slightly alkaline pH (≈7.2–8.0) buffers vaginal acidity. Semen also contains immunosuppressive factors and antimicrobial zinc.
- Location
Formed in the urethra during emission; expelled at ejaculation.
Function
- Transports sperm into the female tract.
- Provides energy (fructose) and buffering (alkaline pH).
- Coagulates then liquefies to retain sperm near the cervix and then release them.
- Physiology
WHO 2021 lower reference limits (5th centile of fertile men): volume 1.4 mL; concentration 16 × 10⁶/mL; total sperm number 39 × 10⁶ per ejaculate; total motility 42 %; progressive motility 30 %; vitality 54 %; normal forms 4 %. Analyse after 2–7 days of abstinence; repeat abnormal results because of high biological variability.
Clinical significance
Interpreting semen analysis
Low volume with acidic pH and no fructose → ejaculatory duct obstruction or congenital absence of the vasa (CF). No ejaculate after orgasm with sperm in post-ejaculatory urine → retrograde ejaculation (diabetic neuropathy, α-blockers, bladder-neck surgery). Haematospermia is usually benign in young men but warrants assessment in older men.
Test yourself
Which accessory gland contributes most of the volume of semen, including fructose?
- Prostate
- Seminal vesicles
- Bulbourethral glands
- Epididymis
Answer: Seminal vesicles
The seminal vesicles provide ≈60–70 % of semen volume: an alkaline fluid rich in fructose (sperm fuel), prostaglandins and semenogelins (coagulation). The prostate adds ≈20–30 % (PSA, citrate, zinc).
Compiled from standard anatomy and physiology references — see the Reproductive System sources. For education only; not medical advice.