VARICOCELLE AND INFERTILITY
PHIMOSIS CIRCUMCISSION
HAEMATURIA
Aetiology.
MALE INFERTILITY
Aetiology.
FLEXIBLE CYSTOSCOPY
Quick and painless.
PSA AND PROSTATE CANCER
PROSTATE HYPERPLASIA
New developments.

SEMEN ANALYSIS

WHAT IS A SEMEN ANALYSIS?
The semen analysis or sperm analysis is used to determine whether a man is fertile or not. Sperm analysis takes into account many parameters and performs various tests on sperm.
A semen analysis to determine fertility should be performed on at least two samples, during a period of two to three months because some conditions can affect sperm levels.

WHEN SHOULD I HAVE A SEMEN ANALYSIS?
The semen analysis should be done in the following cases:

  • Investigating the fertility of the couple who wants to have children.
  • For sperm cryopreservation and future use.
  • In the process of assisted pregnancy in couples who are unable to get themselves their own child.
  • Before surgical operations or treatments, which may affect testicular function.

WHAT IS THE PREPARATION FOR SEMEN ANALYSIS?

  • do not ejaculate for at least two days, but abstinence should not be more than 7 days.
  • have no history of high fever (> 39 a C) in the last 3 months at least.
  • do not use pharmaceuticals or other substances that can harm the sperm .

WHAT IS THE PROCEDURE FOR COLLECTING SEMEN?

  • The sample of semen is collected by masturbation in a room next to the lab or in home .
  • The man first needs to clean the penis thoroughly with water and soap.
  • During collection, the man should give great care to collect the entire volume of semen. The first drops contain the largest number of discharged sperm, but the last drops contain important substances for the proper evaluation of other parameters of the semen, such as viscosity, acidity etc ..
  • The transfer to the laboratory is to be done in a special sterile container and within twenty to thirty minutes .
  • During transport of the sample must be kept warm (20-37 the C) .The maintenance near the armpit during transport to the laboratory is an effective way.

WHAT FEATURES HAVE IMPORTANT MEANING?

  • The standard semen volume collected is about 2-6ml. Less sperm indicates fewer sperms, which might affect fertility. More semen indicates too much fluid, which would dilute the density of sperm, also impeding fertility.
  • The density of spermatozoa in the semen, measured in millions of spermatozoa per millilitre sperm. Normal is greater than or equal to 20 m. Per ml (over 80 million sperm in an ejaculation in total). The lower density occurs on a sperm sample, the less are the chances of achieving pregnancy.
  • Sperm motility , the percentage of those who are moving in a sample. The more slowly moving (or immobile) and the fewer the chances of pregnancy. Progress sperm scores a zero basis (no movement) to 4 or higher for the semen moves in a straight line with good speed.
  • Morphology analysis is the study of the size, shape, and appearance of the sperm cells. The analysis evaluates the structure of 200 sperm, and any defects are recorded. The more abnormal sperm are present, the lower the probability of fertilization.

WHAT ARE THE POSSIBLE RESULTS OF AN ABNORMAL SPERM TEST?
A semen sample can be characterized by:

  • oligospermia when the sperm count is lower than normal (<20 mil. / ml).
  • asthenospermia where the mobility rate is low.
  • oligoasthenospermia , when the number and motility are lower than normal.
  • teratospermia when a high percentage of malformed spermatozoa is observed.
  • azoospermia when spermatozoa are not detected at all.

SEMEN ANALYSIS

 

WHAT IS A SEMEN ANALYSIS?

The semen analysis or sperm analysis is used to determine whether a man is fertile or not. Sperm analysis takes into account many parameters and performs various tests on sperm.

A semen analysis to determine fertility should be performed on at least two samples, during a period of two to three months because some conditions can affect sperm levels.

 

WHEN SHOULD I HAVE A SEMEN ANALYSIS?

The semen analysis should be done in the following cases:

·         Investigating the fertility of the couple who wants to have children.

·         For  sperm cryopreservation and future use.

·         In the process of assisted pregnancy in couples who are unable to get themselves their own child.

·         Before surgical operations or treatments, which may affect testicular function.

 

WHAT IS THE PREPARATION FOR SEMEN ANALYSIS?

 

 

·         do not ejaculate for at least two days, but abstinence should  not be more than 7 days.

·         have no history of high fever (> 39 a C) in the last 3 months at least.

·         do not  use pharmaceuticals or other substances that can harm the sperm .

 

WHAT IS THE PROCEDURE FOR COLLECTING SEMEN?

·         The sample of semen is collected by masturbation in a room next to the lab or in home .

·         The man first needs to clean the penis thoroughly with water and soap.

·         During collection, the man should give great care to collect the entire volume of semen. The first drops contain the largest number of discharged sperm, but the last drops contain important substances for the proper evaluation of other parameters of the semen, such as viscosity, acidity etc ..

·         The transfer to the laboratory is to be done in  a special sterile container and within twenty to thirty minutes .

·         During transport of the sample must be kept warm (20-37 the C) .The maintenance near the armpit during transport to the laboratory is an effective way.

 

WHAT FEATURES HAVE IMPORTANT MEANING?

·         The standard semen volume collected is about 2-6ml. Less sperm indicates fewer sperms, which might affect fertility. More semen indicates too much fluid, which would dilute the density of sperm, also impeding fertility.

·         The density of spermatozoa in the semen, measured in millions of spermatozoa per millilitre sperm. Normal is greater than or equal to 20 m. Per ml (over 80 million sperm in an ejaculation in total). The lower density occurs on a sperm sample, the less are the chances of achieving pregnancy.

·         Sperm motility , the percentage of those who are moving in a sample. The more slowly moving (or immobile) and the fewer the chances of pregnancy. Progress sperm scores a zero basis (no movement) to 4 or higher for the semen moves in a straight line with good speed.

·         Morphology analysis is the study of the size, shape, and appearance of the sperm cells. The analysis evaluates the structure of 200 sperm, and any defects are recorded. The more abnormal sperm are present, the lower the probability of fertilization.

 

WHAT ARE THE POSSIBLE RESULTS OF AN ABNORMAL SPERM TEST?

A semen sample can be characterized by:

·         oligospermia when the sperm count is lower than normal (<20 mil. / ml).

·         asthenospermia where the mobility rate is low.

·         oligoasthenospermia , when the number and motility are lower than normal.

·         teratospermia when a high percentage of malformed spermatozoa is observed.

·         azoospermia when spermatozoa are not detected at all.