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Appearance, Volume, viscosity, pH, sperm concentration and count, motility, and morphology
Parameters reported in semenalysis
gray-white color
what is the normal semen color?
translucent
What is the appearance of semen
musty
what is the odor of semen
almost clear
When the sperm concentration is very low, the specimen may appear?
presence of white blood cells and infection within the reproductive tract.
Increased white turbidity indicates?
immature sperm called as spermatids
During microscopic examination, wbcs must be differentiated from? which is also called as?
leukocyte esterase reagent strip test
this test is useful to screen for the presence of wbcs
red blood cells and are abnormal
red coloration are associated with the presence of?
urine contamination, specimen collection after prolonged abstinence, and medications.
Yellow coloration may be caused by?
Urine
this is toxic to sperm, thereby affecting the evaluation of motility
30 to 60 minutes after collection
fresh semen specimen is clotted and should liquefy within
deficiency in prostatic enzymes and should be reported
Failure of liquefaction to occur within 60 minutes may be caused by
Dulbecco’s phosphate-buffered saline (DPBS) or proteolytic enzymes, such as alpha-chymotrypsin or bromelain
If after 2 hours the specimen has not liquified, an equal volume of what may be added to induce liquefaction and allow the rest of the analysis to be performed.
Jelly-like granules (gelatinous bodies)
may be present in liquefied semen specimens and have no clinical significance
Mucous strands
if present, may interfere with semen analysis.
2 to 5ml
Normal semen volume ranges between
extended abstinence
Increased volume may be seen after periods of
infertility and may indicate improper functioning of one of the semen-producing organs, primarily the seminal vesicles
Decreased volume is associated more frequently with
viscosity
refers to the consistency of the fluid and
may be related to specimen liquefaction.
clumped and highly viscous
Specimens that are liquefied incompletely are
highly viscous and are recorded as abnormal
Droplets that form threads longer than 2 cm are considered
low, normal, or high
Viscosity also can be reported as
sperm motility, sperm concentration, antisperm antibody detection, and measurement of biochemical markers
Increased viscosity and incomplete liquefaction impede testing for
ph of semen
indicates the balance between the pH values
from the acidic prostatic secretion and the alkaline seminal vesicles secretion.
1 hour of ejaculation due to the loss of CO2 that occurs.
The pH should be measured within? because?
7.2 to 8.0
The normal pH of semen is alkaline with a range of
infection within the reproductive tract
Increased pH indicates?
increased prostatic fluid, obstruction of the ejaculatory duct, or poorly developed seminal vesicles.
A decreased pH may be associated with
days of sexual abstinence before the
collection, infection, or stress
Various factors can affect sperm concentration, such as
greater than 20 to 250 million sperm per milliliter
10 and 20 million per milliliter
Reference values for sperm concentration are commonly listed as?; concentrations between are considered borderline.
multiplying the sperm concentration by the specimen volume
The total sperm count for the ejaculate can be calculated by
Neubauer counting chamber
sperm concentration is usually performed using the