Although the terms are often confused or used interchangeably, sperm and semen are not the same thing. Semen is the fluid that comes out of the penis, while sperm are the microscopic cells within the semen. Sperm cells are specialized for the task of fertilizing an egg. Semen analysis is considered essential for diagnosis of male infertility, but is not readily available at medical institutions other than those specializing in infertility treatment. 'Fertility specialists take it for granted that the first step in diagnosing male infertility is to perform a semen analysis,' Professor Kobayashi added.

If you've got somebody that's had an egg collection, and you've got eggs that need to be fertilised, there's only a small time window for us to be able to do that. Speeding up the process would be hugely advantageous.

Infertility affects females and males equally. In male infertility, azoospermia (a medical condition with no sperm in semen) is a major problem that prevents a couple from having a child. For the treatment of patients with azoospermia, testicular sperm extraction (TESE) is required to obtain mature sperms. When examined, histological specimens are typically given a score, called the Johnsen score, on a scale of 1 to 10, based on the histopathological features of the testis. The Johnsen score has been widely used in urology since it was first reported 50 years ago.

Artificial intelligence (AI) is being used to evaluate tissue samples in men who produce low levels of, or no, sperm.