Can you get pregnant with 2.8% normal sperm morphology?

The normal sperm morphology rate of 2.8% is considered low, which reduces the likelihood of natural conception, but does not make pregnancy impossible. If the female partner is in good health and other semen parameters such as sperm motility are normal, natural conception remains possible. However, if poor sperm motility or other male-factor issues are present, or if the female has fertility problems, the chances of conception will be significantly reduced.

Natural conception may still occur when, despite a low normal morphology rate, the sperm have strong motility and sufficient quantity, and the female has good ovarian function, patent fallopian tubes, and a favorable endometrial environment. In such cases, a portion of morphologically normal sperm may still overcome various barriers to fertilize the egg, although it may take longer to achieve pregnancy compared to cases with normal morphology rates.

Difficulty in conceiving typically arises when low normal sperm morphology is accompanied by additional issues such as reduced motility or low sperm count, or when the female has conditions like blocked fallopian tubes or ovulatory disorders. Abnormally shaped sperm have weaker fertilization capacity and struggle to complete the fertilization process; the combination of these factors greatly diminishes the probability of natural conception.

Daily habits should include maintaining a healthy lifestyle—avoiding smoking and alcohol, minimizing prolonged sitting and exposure to high temperatures, and reducing contact with radiation. Diet-wise, increase intake of zinc- and selenium-rich foods such as oysters and nuts, maintain regular sleep patterns, and engage in moderate physical exercise.