Semen Analysis
Semen analysis is the cornerstone of testing for male infertility
problems. This test provides important information
about the quality and quantity of the sperm.
The semen sample is analyzed for volume, viscosity
(thickness), pH and color of the ejaculate, sperm
concentration, motility, morphology, and forward progression of the
sperm. The sample is also examined for the presence of white or red
blood cells which may indicate infection or inflammation.
We perform
both manual and computer assisted semen analyses
(CASA). From this simple test, we can tell how
many sperm are present, how many appear normal and how many are moving.
A semen analysis does not assess sperm function. Therefore, it does
not accurately answer the question "are the sperm good enough to conceive."
The
normal semen parameters established by the World
Health Organization are:
Variables: |
Normal Range: |
volume |
1.5-5.0 ml |
sperm density |
>20 million sperm/ml |
motility |
>50% |
morphology |
>30% normal forms |
forward progression |
(scale 1-4) 2+ |
viscosity |
no hyperviscosity |
white blood cells |
0-5 per high power field |
Collection Instructions
The semen sample should be collected
at the laboratory in a special sterile container
within 2-5 days of abstinence. Alternatively,
the sample may be brought in from home within
1 hour of ejaculation. The sample should be maintained at body temperature.
No lubrication should be used while obtaining the sample as it can
be toxic to sperm. Occasionally, due to religious reasons, the sample
may have to be obtained during intercourse. A special condom designed
for this purpose will be provided.
If your semen analysis is abnormal,
we recommend a second collection several weeks
later because sperm counts may to fluctuate.
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