{"id":27059,"date":"2020-04-10T12:33:02","date_gmt":"2020-04-10T12:33:02","guid":{"rendered":"https:\/\/www.iolife.eu\/male-infertility\/spermodiagramma\/"},"modified":"2020-11-03T17:49:29","modified_gmt":"2020-11-03T15:49:29","slug":"semen-analysis","status":"publish","type":"page","link":"https:\/\/iolife.dope.studio\/en\/you\/man\/male-infertility\/semen-analysis\/","title":{"rendered":"Semen Analysis"},"content":{"rendered":"

[vc_row equal_height=”yes” type=”color” vertical_align=”yes” column_gap=”no” padding_top=”0″ padding_bottom=”” margin_top=”0″][vc_column width=”1\/3″][vc_column_text]<\/p>\n

Semen Analysis<\/h2>\n

[\/vc_column_text][vc_empty_space height=”80″][\/vc_column][vc_column width=”1\/3″ css=”.vc_custom_1585738318112{padding-right: 10% !important;padding-left: 10% !important;}”][\/vc_column][vc_column width=”1\/3″][vc_single_image image=”14404″ img_size=”full” alignment=”right” full_width=”yes”][vc_empty_space height=”80″][\/vc_column][\/vc_row][vc_row type=”color” bg_color=”#e8e8e8″][vc_column width=”1\/3″][vc_column_text text_color=”#ffffff” css=”.vc_custom_1604417529268{margin-top: -150px !important;padding-top: 25% !important;padding-right: 12% !important;padding-bottom: 25% !important;padding-left: 12% !important;background-color: #ac6bbc !important;}”]<\/p>\n

A semen analysis is the key test for investigating male infertility.<\/span><\/h3>\n

[\/vc_column_text][\/vc_column][vc_column width=”2\/3″][vc_column_text]It is performed in compliance with the principles of the World Health Organization (WHO), provides a basic overview of the semen and, at times, highlights whether further special tests are required. It helps the doctor determine whether the male factor is the cause of the couple\u2019s infertility, while it often identifies the fertility treatment that needs to be followed to achieve pregnancy.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner][vc_column_inner width=”1\/4″][vc_custom_heading text=”Tests” font_container=”tag:h2|font_size:36|text_align:left|color:%23ac6bbc” use_theme_fonts=”yes” el_id=”#tests”][vc_separator color=”custom” align=”align_left” border_width=”3″ el_width=”60″ css_animation=”bounceInLeft” accent_color=”#ac6bbc” css=”.vc_custom_1586641440969{margin-top: -20px !important;}”][vc_empty_space height=”2″][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n

Macroscopic Semen Exam<\/h3>\n

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[\/vc_column_text][vc_column_text]Semen Volume<\/strong><\/p>\n

According to the reference range, semen volumes ranges from 1.5 ml to 5 ml after 2-5 days of sexual abstinence. It examines cases of hypospermia, hyperspermia and aspermia linked to pathological conditions.<\/p>\n

Liquefaction \/ Viscosity \/ pH<\/strong><\/p>\n

Sample liquefaction should occur within 60 minutes from ejaculation, while the pH must be higher than 7.2. Viscosity should not be high 20 minutes after ejaculation. If these are not within the normal range, this indicates a pathological condition, usually inflammation and\/or glandular disorder.[\/vc_column_text][vc_separator el_width=”80″][vc_column_text]<\/p>\n

Microscopic Semen Exam<\/h3>\n

The following parameters are examined during a microscopic semen exam:[\/vc_column_text][vc_column_text]Sperm count<\/strong><\/p>\n

Sperm concentration should be equal to or greater than 15 million per ml<\/strong>, and equal to or greater than 39 million<\/strong> in the total ejaculate. Cases of azoospermia, oligospermia, cryptospermia and polyspermy are examined through further testing, so as to identify the cause and treat them accordingly. Usually, in cases of low sperm count (oligospermia or cryptospermia), cryopreservation of the sample is recommended.<\/p>\n

Sperm motility<\/strong><\/p>\n

According to the reference range, total progressive sperm motility, i.e. the sperm that is able to travel to reach the egg, should be equal to or greater than 32%. Low motility may be due to inflammation, structural sperm abnormalities and presence of increased oxidative stress.<\/p>\n

Sperm morphology<\/strong><\/p>\n

According to the strict evaluation criteria for sperm morphology laid down by Tygerberg, the percentage of sperm with normal morphology should be equal to or greater than 4%. Morphology plays a significant role in fertilization, as the sperm and the egg should fit together like a lock and key. Low morphology has a negative effect on normal fertilization.<\/p>\n

Sperm vitality<\/strong><\/p>\n

This test assists in the further evaluation of sperm quality. The test should be performed on samples with a high rate of immotile sperm or completely immotile sperm, as it provides crucial information as to the existence of live sperm, which, though immotile, may be used for fertilization using the ICSI method.<\/p>\n

Other cellular elements<\/strong><\/p>\n

The presence of other types of cells apart from sperm (round, epithelial, etc.) is examined.[\/vc_column_text][vc_separator el_width=”80″][vc_column_text]<\/p>\n

Immunology Testing<\/h3>\n

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[\/vc_column_text][vc_column_text css=”.vc_custom_1604417972622{margin-top: -40px !important;}”](agglutination, antisperm antibody tests)[\/vc_column_text][vc_column_text el_id=”pre”]Immunology testing includes an exam that tests for the existence of antisperm antibodies in semen, by identifying two of the most significant of those, IgA and IgG, which are the cause of infertility and inability to procreate. This information can lead to the treatment of the problem, either with pharmaceutical treatment or with the most suitable assisted reproduction method.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner][vc_column_inner width=”1\/4″][vc_custom_heading text=”Preparation” font_container=”tag:h2|font_size:36|text_align:left|color:%23ac6bbc” use_theme_fonts=”yes”][vc_separator color=”custom” align=”align_left” border_width=”3″ el_width=”60″ css_animation=”bounceInLeft” accent_color=”#ac6bbc” css=”.vc_custom_1586641440969{margin-top: -20px !important;}”][vc_empty_space height=”2″][\/vc_column_inner][\/vc_row_inner][vc_column_text]Before the semen analysis, your treating physician will tell you about everything that needs to be followed as part of your preparation for the test. For accurate results, it is important that the patient follows these instructions:<\/p>\n