Table 2

Semen quality of fertile men from four cities in Japan

ObservedAdjusted
Mean (SD)Median (5–95)Median (95% CI)
Semen volume (ml)
 Entire study population3.1 (1.5)3.0 (1.0–6.0)3.0 (2.9 to 3.2)
  Sapporo3.2 (1.6)3.0 (1.0–6.1)2.9 (2.7 to 3.1)
  Osaka2.9 (1.5)2.6 (1.0–5.2)2.7 (2.5 to 3.0)
  Kanazawa3.5 (1.6)3.2 (1.4–6.0)3.2 (3.0 to 3.4)
  Fukuoka2.8 (1.4)2.6 (1.0–5.2)2.7 (2.5 to 3.0)
  p Value0.006
Sperm concentration (mill/ml)
 Entire study population105 (83)84 (18–257)84 (76 to 92)
  Sapporo110 (84)95 (22–244)89 (76 to 104)
  Osaka97 (79)76 (15–253)80 (70 to 93)
  Kanazawa105 (76)84 (17–259)80 (70 to 92)
  Fukuoka115 (102)89 (21–263)98 (80 to 120)
  p Value0.04
Total sperm count (mill)
 Entire study population317 (294)239 (38–818)255 (230 to 282)
  Sapporo331 (300)255 (44–800)264 (223 to 312)
  Osaka266 (239)198 (26–712)222 (195 to 267)
  Kanazawa357 (307)284 (50–848)266 (228 to 309)
  Fukuoka324 (350)229 (48–1007)276 (221 to 346)
  p Value0.07
Motile spermatozoa (%)
 Entire study population67 (21)66 (31–100)77 (74 to 79)
  Sapporo62 (18)65 (28–87)66 (61  to 70)
  Osaka85 (19)92 (46–100)94 (93 to 95)
  Kanazawa55 (15)56 (30–77)60 (48 to 56)
  Fukuoka60 (14)60 (34–82)69 (62 to 74)
  p Value<0.0001
Morphologically normal spermatozoa (%)*
 Entire study population9.8 (6.1)8.5 (1.5–21.5)9.3 (8.4 to 10.3)
  Sapporo
  Osaka8.6 (5.2)8 (1.0–1.08.5)8.4 (7.3 to 9.6)
  Kanazawa11.8 (6.9)10.5 (2.0–24.5)11.3 (10.2 to 12.4)
  Fukuoka8.1 (5.1)7.0 (1.5–18.0)7.7 (6.4 to 9.0)
  p Value<0.0001
  • Observed: results based on raw data.

  • Adjusted median and 95% CI calculated by linear regression analysis.

  • Semen volume, sperm concentration and total sperm counts adjusted to a period of ejaculation abstinence of 96 h for a 32-year-old man.

  • Motility controlled for duration from ejaculation to assessment (30 min for a 32-year-old man).

  • Morphology adjusted to winter season for a 32-year-old man. See text for further explanation.

  • p Value based on regression analyses, comparing all four groups.

  • (5–95), 5–95th percentile.