Background: Infertility is a global concern affecting around 17.5% of adults. Semen analysis is crucial in assessing male infertility, providing insights into potential causes and guiding therapeutic interventions. This study aimed to analyze seminal patterns in males within infertile couples and identify factors contributing to infertility. Methods: This retrospective study analyzed the medical records of men attending the infertility clinic. Semen analysis parameters, including semen volume, pH, viscosity, sperm concentration, motility, morphology, and white blood cell counts, were recorded. WHO reference thresholds were considered for analysis. Results: The study included medical records of 187 patients with a mean age of 33.12 years. The majority of the patients (68.86%) were over 30 years old. The mean duration of infertility was 4.10 years, with 63.64% reporting <5 years of infertility. Primary infertility was observed in 93.01%, and secondary infertility in 6.99%. Varicocele was observed in 30 patients, while erectile dysfunction was observed in 8 patients. Abnormalities in sperm count, motility, and morphology were prevalent. Primary infertility was observed in a significantly greater number of patients with abnormal total sperm counts as compared to those with normal total sperm counts (p=0.031). A significantly greater number of patients who consumed alcohol reported an abnormal total sperm count than those with normal sperm count (p=0.035). Normozoospermia was present in 29.95% of patients, asthenozoospermia in 18.18%, and oligoasthenozoospermia in 13.37%. Conclusion: Semen analysis plays a pivotal role in diagnosing male infertility. Abnormal sperm parameters were common in infertile males, with primary infertility and alcohol consumption linked to abnormal sperm count.