I recommended a semen test for 2,000 men, and 6 people responded

In a Japanese workplace study, about 2,000 male employees were guided to participate in semen tests, but only 6 completed it. The reason revealed in the follow-up survey was not indifference, but rather the privacy issues of cost, stigma, shame, and “where do you collect them?” That's why men choose a home rather than a hospital when starting their own tests.

출처: Nakazono et al., JMIR Formative Research (2026) https://doi.org/10.2196/90788

Insight to do and report

Male Reproductive Health · Evidence Review

In the last episode, we talked about “You can't know a semen test once.” But before that, there's a bigger problem. The fact that men don't get tested in the first placeThis is it.

This article is about the reason. Also, if you look at the reasons one by one, it naturally explains why “at-home” male reproductive health products have increased in recent years.

The data published by Japanese researchers in 2026 shows this problem most clearly. At one workplace, approximately 2,000 male employees were invited to participate in a semen test for research. Harvesting was a method designed to be done at home. By the way 6 people who completed the protocol to the endThat was it.

The researchers sent an anonymous survey to those who did not participate and asked why.

  • I didn't know there was research68.5%

  • Rejection of semen collection itself (among those who knew but didn't)26.5%

  • Because I'm ashamed and reluctant 23.5%

  • Because it's cumbersome20.6%

And in a separate question, the respondent's 57.8% are “concerned about collection sites or privacy protection”62.7% said, “I'm worried that the results will be bad.”

The reason is similar to Korea and the US

Cost burden 49.4%

Because I'm confident in my fertility 38.8%

Because I'm afraid of the consequences 28.8%

27.1% because performing the test itself is inconvenient

19.1% because getting a test is cumbersome

Reasons for not getting a semen test (multiple responses) · 340 American men who are trying or planning a pregnancy and have no test experience

In conclusion, about half (49.4%) say “semen tests have stigma (stigma)”I was feeling that.

The issue of male fertility was soon accepted as a “threat to masculinity,” and men completely withdrew from the conversation due to overlapping norms of “not paying attention to hard work.”

One participant's comment compresses this. “I never told anyone about my infertility problem at work.”

That's why men choose homes

A 2021 survey study (Urology) of 634 men without children in the United States asked:

“What if I start my own semen test without a doctor's recommendation?”

Household products14.2%I'll do it at home

Hospitals and examination rooms10.4%I'm going to the agency

634 childless men in the US, Urology 2021 · The difference between the two groups is statistically significant (p =.04)

Both numbers have low absolute values. This is because most men are more likely to do neither.

though Among the men who said they wanted to move on their own, there were statistically significant numbers of those who chose a home rather than a hospital.

Also, among men who said they wanted to move on their own, it also meant choosing a home over a hospital.

Wouldn't the results be worse if I did it at home?

It's a frequent concern. In conclusion, the data so far point in the opposite direction.

In a 2021 study where an American research team analyzed 244 in vitro procedures (IVF/ICSI), samples collected at home took longer to arrive at the laboratory (average 82.6 minutes vs. 35.7 minutes) There were no differences in sperm motility, total sperm motility, fertilization rate, or embryo indicators depending on the collection site.

There was a larger comparison in Europe. Results of analyzing 8,634 semen cases of 5,880 men from 2015 to 2021 (European Society of Reproductive Medicine ESHRE presentation abstract 2022), Samples collected at home were significantly higher in semen volume, sperm concentration, and total sperm count than samples taken at hospitals. Here's the researchers' interpretation — an experience in a hospital collection room acute psychological stressIt means that the sample quality may have decreased. The presenter's conclusion was clear. “If possible, home sampling should be encouraged.”

Shame is not just an emotional issue, Variables that can affect the test results themselvesIt means

So the real key is not “collected at home,” but “finished at home.”

Do and reportis a sperm monitor that allows you to directly observe your own sperm at home. Everything from observation to confirmation ends at home.

The role of Hago Report is in the section where 71% don't talk to anyone even though they are worried, and in the section where the distance to the hospital feels too far First small stepIt's going to be this. Observation at home, judgment at the hospital — the order Inkin says remains the same here.


HAGOBOGO (HAGOBOGO)is a consumer sperm monitor that allows you to directly observe sperm at home, HAGOBOGO PRO (HAGOBOGO PRO)It is an in vitro diagnostic (IVD) sperm analyzer that has received CE IVDR certification and is supplied to the specialized market.

“Hago Report Insight” is a series that presents information on male reproductive health based on academic papers and verified data.

Sources and references

  1. Nakazono A, Kojo K, Oguri T, et al. Very Low Uptake in Workplace Semen Analysis Research: Formative Involved Cross-Sectional Surveying Employees With Self-Disciplined Unawareness From Aware Nonawareness. JMIR Formative Research. 2026; 10:e90788.

  2. Henrich N, Jahnke H, Brinson A, Kovac J, Halpern J. Vaccination and Interventions Semen Testing Among Females Planning or Promising to Conceive. F&S Reports. 2025; 6 (4) :513—514.

  3. Hudnall MT, Greene LI, Pham MN, et al. Perceptions of Perceptions and Semen Analysis Testing Among American Men Without Children. Urology. 2021; 158:95 —101.

  4. Dehghankar L, Abbasi F, Talebi M, Jandaghian-Bidgoli M, Shaterian N. Surviving and thriving: male survives through the lens of meta-ethnography. Discover Social Science and Health. 2025; 5:110.

  5. Sacha CR, Vagios S, Hammer K, et al. THE EFFECT OF SEMEN COLLECTION LOCATION AND TIME TO PROCESSING ON SPERM PARAMETERS AND EARLY IVF/ICSI PREPARATION. Journal of Assisted Genetics and Genetics. 2021; 38 (6) :1449—1457.

  6. Scaruffi P, Bovis F, Maccarini E, et al. P-072 Fertility Semen Samples at Home for Fertility Assessment has a positive effect on sperm quality. Human Incubators. 2022; 37 (Suppl 1). (ESHRE 38th Annual Conference presentation abstract)