<abstract>
<p>Sperm morphology analysis (SMA) is a significant factor in diagnosing male infertility. Therefore, healthy sperm detection is of great significance in this process. However, the traditional manual microscopic sperm detection methods have the disadvantages of a long detection cycle, low detection accuracy in large orders, and very complex fertility prediction. Therefore, it is meaningful to apply computer image analysis technology to the field of fertility prediction. Computer image analysis can give high precision and high efficiency in detecting sperm cells. In this article, first, we analyze the existing sperm detection techniques in chronological order, from traditional image processing and machine learning to deep learning methods in segmentation and classification. Then, we analyze and summarize these existing methods and introduce some potential methods, including visual transformers. Finally, the future development direction and challenges of sperm cell detection are discussed. We have summarized 44 related technical papers from 2012 to the present. This review will help researchers have a more comprehensive understanding of the development process, research status, and future trends in the field of fertility prediction and provide a reference for researchers in other fields.</p>
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