Background: Assessment of sperm morphology is an important criterion in determining the semen quality and it plays a major role in male infertility. Aim: To assess the morphological defects of the spermatozoa in patients with normal sperm counts. Materials and Methods: This was a cross-sectional study carried out in a tertiary care centre for a period of one year. A total of sixty semen samples with normal sperm counts were included. Morphological assessments of spermatozoa were performed on smears stained with Hematoxylin and Eosin and Papanicolaou.stains. The defects were categorized based on the abnormalities in different parts such as head, middle piece and tail. Results: All cases 60 samples despite normal sperm count showed morphological defects. The percentage of defects ranged from 1% to 20% but none of the sample showed abnormality more than 20%. The most common defect observed was in the region of head (tapering head - 86.67%) followed by thick middle piece defect (71.67%). Ninety five percentages of cases showed multiple defects. Conclusions: Qualitative defects are observed in all patients with normal sperm counts
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