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Semen

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 3 min read

The thick, yellowish-white, viscid fluid secretion of male reproductive organs discharged upon ejaculation.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (627 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

The thick, yellowish-white, viscid fluid secretion of male reproductive organs discharged upon ejaculation. In addition to reproductive organ secretions, it contains spermatozoa and their nutrient plasma.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Seminal Plasma; Plasma, Seminal.

Where it fits in the MeSH classification

Broader topics
Bodily Secretions
See also
Sperm Banks; Spermatozoa

Related concepts

  • Spermatozoa

Research landscape

PubMed indexes 26,983 records tagged with the MeSH heading “Semen” (counts retrieved 2026-10-31). 7,548 of them (28.0%) were published from 2020 onward, and the busiest period so far is through 1999 with 10,820 records.

Reviews account for 2,219 records (8.2%) and meta-analyses for 189. Randomized controlled trials number 385 (1.4%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 10,820 records; 2000-2009: 3,976 records; 2010-2019: 4,639 records; 2020 onward: 7,548 records10,820through 19993,9762000-20094,6392010-20197,5482020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 199910,820
2000-20093,976
2010-20194,639
2020 onward7,548
Share of records by publication typeReviews: 8.2 percent; Meta-analyses: 0.7 percent; Randomized controlled trials: 1.4 percentReviews8.2% (2,219)Meta-analyses0.7% (189)Randomized controlled trials1.4% (385)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 26,983 PubMed records
TypeRecordsShare
Reviews2,2198.2%
Meta-analyses1890.7%
Randomized controlled trials3851.4%

Method: PubMed query "Semen"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Human fertilization in vivo and in vitro requires the CatSper channel to initiate sperm hyperactivation
Young S, Schiffer C, Wagner A, Patz J, Potapenko A, Herrmann L, et al.
2024Research article
Design not recorded in structured metadata
41cc by
PMID 38165034 · DOI · PMC10760960
Derivation of human primordial germ cell-like cells in an embryonic-like culture
Esfahani SN, Zheng Y, Arabpour A, Irizarry AMR, Kobayashi N, Xue X, et al.
2024Research article
Design not recorded in structured metadata
37cc by
PMID 38167821 · DOI · PMC10762101
RNA polymerase II pausing is essential during spermatogenesis for appropriate gene expression and completion of meiosis
Kaye EG, Basavaraju K, Nelson GM, Zomer HD, Roy D, Joseph II, et al.
2024Research article
Design not recorded in structured metadata
32cc by
PMID 38287033 · DOI · PMC10824759
Novel HPLC-laser-stimulated fluorescence profiling of seminal plasma amino acids linked to ejaculate quality
Naik M, Meitei HY, Uppangala S, Predheepan D, Adiga SK, Patil A
2026Research article
Design not recorded in structured metadata
0cc by
PMID 42390790 · DOI · PMC13598000

Human fertilization in vivo and in vitro requires the CatSper channel to initiate sperm hyperactivation [1]

Research article Young S, Schiffer C, Wagner A, Patz J, Potapenko A, Herrmann L, et al. · · 2024 · cited 41 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The infertility of many couples rests on an enigmatic dysfunction of the man's sperm.
Closing excerpt
Finally, our study also revealed that defective CatSper function and ensuing failure to hyperactivate represents the most common cause of unexplained male infertility known thus far and that this sperm channelopathy can readily be diagnosed, enabling future evidence-based treatment of affected couples.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (199 words)

The infertility of many couples rests on an enigmatic dysfunction of the man's sperm. To gain insight into the underlying pathomechanisms, we assessed the function of the sperm-specific multisubunit CatSper-channel complex in the sperm of almost 2,300 men undergoing a fertility workup, using a simple motility-based test. We identified a group of men with normal semen parameters but defective CatSper function. These men or couples failed to conceive naturally and upon medically assisted reproduction via intrauterine insemination and in vitro fertilization. Intracytoplasmic sperm injection (ICSI) was, ultimately, required to conceive a child. We revealed that the defective CatSper function was caused by variations in CATSPER genes. Moreover, we unveiled that CatSper-deficient human sperm were unable to undergo hyperactive motility and, therefore, failed to penetrate the egg coat. Thus, our study provides the experimental evidence that sperm hyperactivation is required for human fertilization, explaining the infertility of CatSper-deficient men and the need of ICSI for medically assisted reproduction. Finally, our study also revealed that defective CatSper function and ensuing failure to hyperactivate represents the most common cause of unexplained male infertility known thus far and that this sperm channelopathy can readily be diagnosed, enabling future evidence-based treatment of affected couples.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 38165034 · DOI · PMC10760960

Derivation of human primordial germ cell-like cells in an embryonic-like culture [2]

Research article Esfahani SN, Zheng Y, Arabpour A, Irizarry AMR, Kobayashi N, Xue X, et al. · · 2024 · cited 37 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Primordial germ cells (PGCs) are the embryonic precursors of sperm and eggs.
Closing excerpt
hPGCLCs are successfully derived from eight non-obstructive azoospermia (NOA) participant-derived hPSC lines using this biomimetic platform, demonstrating its promise for screening applications.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (137 words)

Primordial germ cells (PGCs) are the embryonic precursors of sperm and eggs. They transmit genetic and epigenetic information across generations. Given the prominent role of germline defects in diseases such as infertility, detailed understanding of human PGC (hPGC) development has important implications in reproductive medicine and studying human evolution. Yet, hPGC specification remains an elusive process. Here, we report the induction of hPGC-like cells (hPGCLCs) in a bioengineered human pluripotent stem cell (hPSC) culture that mimics peri-implantation human development. In this culture, amniotic ectoderm-like cells (AMLCs), derived from hPSCs, induce hPGCLC specification from hPSCs through paracrine signaling downstream of ISL1. Our data further show functional roles of NODAL, WNT, and BMP signaling in hPGCLC induction. hPGCLCs are successfully derived from eight non-obstructive azoospermia (NOA) participant-derived hPSC lines using this biomimetic platform, demonstrating its promise for screening applications.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 38167821 · DOI · PMC10762101

RNA polymerase II pausing is essential during spermatogenesis for appropriate gene expression and completion of meiosis [3]

Research article Kaye EG, Basavaraju K, Nelson GM, Zomer HD, Roy D, Joseph II, et al. · · 2024 · cited 32 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Male germ cell development requires precise regulation of gene activity in a cell-type and stage-specific manner, with perturbations in gene expression during spermatogenesis associated with infertility.
Closing excerpt
Further, we uncover unanticipated roles for Pol II pausing in the regulation of meiosis during spermatogenesis, with the presence of paused Pol II associated with double-strand break (DSB) formation, and disruption of meiotic gene expression and DSB repair in germ cells lacking NELF.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (148 words)

Male germ cell development requires precise regulation of gene activity in a cell-type and stage-specific manner, with perturbations in gene expression during spermatogenesis associated with infertility. Here, we use steady-state, nascent and single-cell RNA sequencing strategies to comprehensively characterize gene expression across male germ cell populations, to dissect the mechanisms of gene control and provide new insights towards therapy. We discover a requirement for pausing of RNA Polymerase II (Pol II) at the earliest stages of sperm differentiation to establish the landscape of gene activity across development. Accordingly, genetic knockout of the Pol II pause-inducing factor NELF in immature germ cells blocks differentiation to spermatids. Further, we uncover unanticipated roles for Pol II pausing in the regulation of meiosis during spermatogenesis, with the presence of paused Pol II associated with double-strand break (DSB) formation, and disruption of meiotic gene expression and DSB repair in germ cells lacking NELF.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 38287033 · DOI · PMC10824759

Novel HPLC-laser-stimulated fluorescence profiling of seminal plasma amino acids linked to ejaculate quality [4]

Research article Naik M, Meitei HY, Uppangala S, Predheepan D, Adiga SK, Patil A · · 2026

Abstract reading summary — source excerpts
Opening excerpt
PurposeAmino acids are vital biomolecules that can provide important insights into sperm functional competence.
Closing excerpt
The low relative abundance of AA in the non-normozoospermic men could be attributed to aberrant metabolic pathways, underscoring their significance in male infertility.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (143 words)

PurposeAmino acids are vital biomolecules that can provide important insights into sperm functional competence. However, the level of amino acids (AAs) in seminal plasma and their implications on sperm characteristics remain less understood.MethodsFor the first time, high-performance liquid chromatography (HPLC) in combination with a laser-stimulated fluorescence (LSF) system was used to profile AAs from the seminal plasma of 30 normozoospermic and 51 nonnormozoospermic ejaculates. Sperm characteristics, along with DNA integrity, were assessed and correlated with individual AAs.ResultsThe HPLC-LSF system was able to detect a total of 18 AAs in the seminal plasma. A significant variation was observed between the two groups for all AAs (p ConclusionThe HPLC-LSF platform could serve as a potential tool in identifying seminal plasma AA levels. The low relative abundance of AA in the non-normozoospermic men could be attributed to aberrant metabolic pathways, underscoring their significance in male infertility.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42390790 · DOI · PMC13598000

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Temporal trends in sperm count: a systematic review and meta-regression analysis of samples collected globally in the 20th and 21st centuries [5]
    Levine H, Jørgensen N, Martino-Andrade A, Mendiola J, Weksler-Derri D, Jolles M, et al. · Hum Reprod Update · 2023 · cited 455 times (Europe PMC)
  • Research article Association between socio-psycho-behavioral factors and male semen quality: systematic review and meta-analyses [6]
    Li Y, Lin H, Li Y, Cao J · Fertil Steril · 2011 · cited 206 times (Europe PMC)
  • Research article The Female Response to Seminal Fluid [7]
    Schjenken JE, Robertson SA · Physiol Rev · 2020 · cited 167 times (Europe PMC)
  • Research article The Role of Kisspeptin in the Control of the Hypothalamic-Pituitary-Gonadal Axis and Reproduction [8]
    Xie Q, Kang Y, Zhang C, Xie Y, Wang C, Liu J, et al. · Front Endocrinol (Lausanne) · 2022 · cited 166 times (Europe PMC)
  • Research article The enigmatic seminal plasma: a proteomics insight from ejaculation to fertilization [9]
    Samanta L, Parida R, Dias TR, Agarwal A · Reprod Biol Endocrinol · 2018 · cited 140 times (Europe PMC)
  • Research article Sexual conflict and seminal fluid proteins: a dynamic landscape of sexual interactions [10]
    Sirot LK, Wong A, Chapman T, Wolfner MF · Cold Spring Harb Perspect Biol · 2014 · cited 139 times (Europe PMC)

References

  1. Young S, Schiffer C, Wagner A, Patz J, Potapenko A, Herrmann L, et al.. Human fertilization in vivo and in vitro requires the CatSper channel to initiate sperm hyperactivation. . 2024. PMID 38165034 · DOI · PMC10760960
  2. Esfahani SN, Zheng Y, Arabpour A, Irizarry AMR, Kobayashi N, Xue X, et al.. Derivation of human primordial germ cell-like cells in an embryonic-like culture. . 2024. PMID 38167821 · DOI · PMC10762101
  3. Kaye EG, Basavaraju K, Nelson GM, Zomer HD, Roy D, Joseph II, et al.. RNA polymerase II pausing is essential during spermatogenesis for appropriate gene expression and completion of meiosis. . 2024. PMID 38287033 · DOI · PMC10824759
  4. Naik M, Meitei HY, Uppangala S, Predheepan D, Adiga SK, Patil A. Novel HPLC-laser-stimulated fluorescence profiling of seminal plasma amino acids linked to ejaculate quality. . 2026. PMID 42390790 · DOI · PMC13598000
  5. Levine H, Jørgensen N, Martino-Andrade A, Mendiola J, Weksler-Derri D, Jolles M, et al.. Temporal trends in sperm count: a systematic review and meta-regression analysis of samples collected globally in the 20th and 21st centuries. Hum Reprod Update. 2023. PMID 36377604 · DOI
  6. Li Y, Lin H, Li Y, Cao J. Association between socio-psycho-behavioral factors and male semen quality: systematic review and meta-analyses. Fertil Steril. 2011. PMID 20674912 · DOI
  7. Schjenken JE, Robertson SA. The Female Response to Seminal Fluid. Physiol Rev. 2020. PMID 31999507 · DOI
  8. Xie Q, Kang Y, Zhang C, Xie Y, Wang C, Liu J, et al.. The Role of Kisspeptin in the Control of the Hypothalamic-Pituitary-Gonadal Axis and Reproduction. Front Endocrinol (Lausanne). 2022. PMID 35837314 · DOI · PMC9273750
  9. Samanta L, Parida R, Dias TR, Agarwal A. The enigmatic seminal plasma: a proteomics insight from ejaculation to fertilization. Reprod Biol Endocrinol. 2018. PMID 29704899 · DOI · PMC5923003
  10. Sirot LK, Wong A, Chapman T, Wolfner MF. Sexual conflict and seminal fluid proteins: a dynamic landscape of sexual interactions. Cold Spring Harb Perspect Biol. 2014. PMID 25502515 · DOI · PMC4315932

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

26,983
PubMed records on this heading
28%
published since 2020
2,219
review articles
385
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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