Sperm morphology refers to the structural characteristics of spermatozoa, including head shape, midpiece integrity, and tail formation. Abnormal morphology may impair the sperm’s ability to penetrate the zona pellucida and successfully fertilize the oocyte.
Teratozoospermia, characterized by a high proportion of morphologically abnormal sperm, can result from genetic abnormalities, testicular dysfunction, heat exposure, and toxic insults. While morphology alone does not determine fertility, it provides valuable insight into spermatogenic quality.
Modern andrology emphasizes integrated interpretation of morphology alongside motility, concentration, erotic and functional testing to guide fertility management.