Semen Analysis
General
Synonym/Acronym:
N/A
Rationale
To assess for male infertility related to disorders such as obstruction, testicular failure, and atrophy.
Patient Preparation
There are no food, fluid, or medication restrictions unless by medical direction. Instruct the patient to refrain from any sexual activity for 3 days before specimen collection.
Normal Findings
Method: Macroscopic and microscopic examination.
Test | Normal Result | ||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Volume | 2–5 mL | ||||||||||||||||||||||||||||||||||||||||
Color | White or opaque | ||||||||||||||||||||||||||||||||||||||||
Appearance | Viscous (pours in droplets, not clumps or strings) | ||||||||||||||||||||||||||||||||||||||||
Clotting and liquefaction | Complete in 15–20 min, rarely over 60 min | ||||||||||||||||||||||||||||||||||||||||
pH | 7.2–8 | ||||||||||||||||||||||||||||||||||||||||
Sperm count | Greater than 15 million/mL | ||||||||||||||||||||||||||||||||||||||||
Total sperm count | Greater than 39 million/ejaculate | ||||||||||||||||||||||||||||||||||||||||
Motility | At least 40% at 60 min | ||||||||||||||||||||||||||||||||||||||||
Vitality (membrane intact) | At least 58% | ||||||||||||||||||||||||||||||||||||||||
Morphology | Greater than 25%–30% normal oval-headed forms | ||||||||||||||||||||||||||||||||||||||||
The number of normal sperm is calculated by multiplying the total sperm count by the percentage of normal forms. |
Critical Findings and Potential Interventions
N/A
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Citation
Van Leeuwen, Anne M., and Mickey Lynn. Bladh. "Semen Analysis." Davis's Lab & Diagnostic Tests, 10th ed., F.A. Davis Company, 2023. Nursing Central, nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425296/all/Semen_Analysis.
Van Leeuwen AMA, Bladh MLM. Semen Analysis. Davis's Lab & Diagnostic Tests. F.A. Davis Company; 2023. https://nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425296/all/Semen_Analysis. Accessed November 11, 2024.
Van Leeuwen, A. M., & Bladh, M. L. (2023). Semen Analysis. In Davis's Lab & Diagnostic Tests (10th ed.). F.A. Davis Company. https://nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425296/all/Semen_Analysis
Van Leeuwen AMA, Bladh MLM. Semen Analysis [Internet]. In: Davis's Lab & Diagnostic Tests. F.A. Davis Company; 2023. [cited 2024 November 11]. Available from: https://nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425296/all/Semen_Analysis.
* Article titles in AMA citation format should be in sentence-case
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