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Semen analysis is a vital tool for assessing male fertility, identifying potential issues, and guiding treatment decisions. It plays a crucial role in both diagnosing and addressing fertility concerns. Take the first step towards understanding and optimizing your reproductive health by choosing Pristyn Care clinics for your semen analysis. Book your appointment today.
Semen analysis is a vital tool for assessing male fertility, identifying potential ... Read More
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Pristyn Care Ferticity, Malviya Nagar, New Delhi
Pristyn Care Ferticity, Malviya Nagar, New Delhi
K1 Primo Building, 2nd floor, Above Ratnadeep Super Market, Kondapur Bus Stop, Hanuman Nagar, Kothaguda, Telangana 500084
Pristyn Care Ferticity, Malviya Nagar, New Delhi
A semen analysis or male fertility test to evaluate sperm count is a lab test that assesses various characteristics of a man’s semen, which includes sperm and other fluids under a microscope. Semen is a substance that is released from a man’s penis when he has an orgasm (ejaculates). It contains sperm and fluids, which make it possible to deposit sperm toward the back of a woman’s vagina.
Semen analysis is typically used to evaluate male fertility and can provide information about sperm count, sperm motility (movement), sperm morphology (shape), and other factors. The results of semen analysis can help diagnose fertility issues and guide treatment options if necessary.
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A Semen Analysis (Sperm Count Test) is typically recommended if you or your partner are experiencing difficulty conceiving or suspect fertility problems. Common reasons for getting a semen analysis include:
It’s crucial to consult with a healthcare expert, such as a fertility or reproductive specialist, if you or your partner are experiencing fertility issues or have problems with reproductive health. They can advise and interpret the results of a semen analysis and provide guidance on appropriate treatments or interventions.
A semen analysis involves a series of steps to evaluate various characteristics of semen. Here’s how it typically works:
Once you’ve provided your semen sample, it will be examined under a microscope to evaluate the following parameters:
1. Sperm count (Concentration): Concentration estimates the number of sperm in one milliliter of semen. A healthy sperm count is generally considered 15 million to greater than 200 million sperm per milliliter of semen. Low sperm count can indicate problems with sperm production or delivery.
2. Semen volume: Semen volume is one of the main parameters of semen analysis. The normal volume of semen secreted during an orgasm is around 1.5 ml to 5.5 ml. A reduction in the semen volume may happen in case of retrograde ejaculation, ductal obstruction, congenital irregularities or absence of the ducts or seminal vesicle, neurological issues, hormonal imbalance, etc.Â
3. Motility: The sperm moves with the help of a flagellum, also known as the tail of the sperm. The sperm typically moves from 1 mm/min to 4 mm/min. The normal motility of the sperm is crucial for the transportation of the sperm through the female genital tract and successful fertilization of the ovum. The grading of sperm motility is as follows :
It is considered normal if more than 60% of the sperm in a semen sample tested show normal motility. Abnormal sperm motility occurs in men with partial duct obstruction, testicular infections, or structurally abnormal sperms.
4. Morphology: Sperm morphology refers to the anatomical characteristics of sperm, such as its shape and size. The different parts of the sperm, such as the head, acrosome, mid-piece, tail, etc, are analyzed in detail under a phase contrast microscope after staining with a special papanicolaou stain. Normal sperms have an oval head and are 3-5 micrometers long and 2-3 micrometers wide. Mature sperms may contain some droplets of cytoplasm in the mid-piece, but undue retained cytoplasmic droplets may be abnormal. Around 200 to 250 sperms are examined during semen analysis, out of which more than 70% of the sperms in a semen sample should be of normal morphology, and less than 2 to 3 % should be immature forms.
5. pH: The pH level of semen measures its acidity or alkalinity. A slightly alkaline pH (around 7.2 to 8.0) is considered normal. Variations from this range can impact sperm survival.
6. Liquification: Normal semen comes out thick during ejaculation. Liquefaction time estimates how long it takes before it becomes liquid. It should take about 20 to 25 minutes. If yours takes longer or doesn’t become liquid, it could indicate a problem.
7. White blood cells: The presence of white blood cells in semen can mean infection or inflammation in the male reproductive system.
8. Appearance: The appearance of the semen should be whitish to gray and opalescent. A semen with a red-brown tint could show the presence of blood, while a yellow tint could mean jaundice or be a medication side effect.
9. Fructose level: Fructose is a sugar produced by the seminal vesicles. Its existence in semen provides energy for sperm. A low fructose level can indicate a problem with the seminal vesicles.
10. Viscosity: Viscosity refers to the stickiness or thickness of semen. Normal semen should become less viscous during liquefaction. High viscosity can hinder sperm movement.
These parameters are collectively evaluated to determine the overall quality and health of sperm. A thorough analysis helps diagnose potential causes of male infertility and guides appropriate treatment options if required. It’s essential to consult a medical professional to thoroughly evaluate and interpret the results.
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Some of the ways to prepare for semen analysis for accurate results include the following:
1. Abstain from ejaculation for 2 to 6 days before the test. This helps ensure a representative sample.
2. Avoid alcohol, caffeine, and drugs like cocaine and marijuana 2 to 5 days before the test, as they can affect sperm quality.
3. Drink plenty of water in the days leading up to the test to make sure you’re well-hydrated.
4. Stop taking any herbal and hormonal medications, as recommended by your healthcare provider. Drugs that can impact your results of semen analysis include the following:
5. Wash your hands properly before producing the semen sample.
6. If you choose to produce a sample from the comfort of your home, ensure that the sample is kept warm and delivered to the fertility center or clinic within exactly one hour of ejaculation.Â
7. Follow any specific instructions provided by your healthcare provider. This may include collection techniques and any additional information.
8. Remember to discuss any concerns or questions you have with your healthcare provider before the test.
Some advantages of semen analysis include the following:
Abnormal results of semen analysis may indicate that you have a below-average chance of getting a woman pregnant. It can also mean various problems related to sperm quality and quantity, and these abnormalities can have different implications. Here’s what abnormal results might mean:
When semen analysis results appear abnormal, further tests and evaluations may be conducted to determine the underlying causes. These additional tests may include the following:
The specific tests conducted will depend on the initial abnormal findings. The results of these additional tests can help determine the cause of the abnormal semen analysis and guide the appropriate treatment options. Individuals with abnormal semen analysis results must consult a fertility specialist for a thorough evaluation and personalized guidance.
Semen analysis cost in India ranges from Rs. 500 to Rs. 2000. However, the cost of a semen analysis in India can vary widely depending on several factors, including the location, the type of facility, etc. Some factors that influence the cost include the following:
When discussing the results of a semen analysis with your doctor, it’s vital to ask relevant questions to gain a clear understanding of the findings and any potential implications. Here are some questions you may want to ask:
Different types of semen analysis tests exist for different reasons. A complete semen analysis is the first step toward determining if there is any male infertility. In contrast, a partial semen analysis will be used after a vasectomy to know whether the procedure has been successful. There is also retrograde semen analysis. It is used to see if you’re producing sperm in your urine.
Sperm are temperature sensitive. If you are collecting your semen sample at home, it is essential to keep the specimen container against your body to keep it as close to your body temperature as possible to ensure the most accurate results.
Factors like hormonal imbalances, infections, lifestyle choices, and genetic factors can affect the semen analysis results.
Yes, adopting a healthier lifestyle by quitting smoking, reducing alcohol intake, and maintaining a balanced diet can positively impact semen quality.
Often, multiple tests may be required to establish a clear diagnosis, as sperm quality can vary over time.
HPFs are high-power fluids in your semen. Approximately 30 types of HPF are analyzed in each sample during a semen analysis test. When measuring HPF in your semen, the results of the level of movement of sperm cells, as well as the count of sperm cells in different HPF, are reported.
Teratospermia is a condition in which a high percentage of sperm have abnormal shapes, potentially impacting their ability to fertilize an egg.
Semen analysis primarily assesses sperm quantity and basic quality, while a sperm DNA fragmentation test evaluates genetic damage within the sperm.
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