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Test Code LAB216 - Draw only @ Semen Analysis, Screening

Important Note

Draw only at: TidalHealth Peninsula Regional

This test must be scheduled in advance with Special Chemistry. 

Testing available Monday, Tuesday, Thursday, and Friday 7 AM to 2 PM, as staffing permits. 

CPT Code

89322

Methodology

 

SQA-V automated sperm quality analyzer, dipstick, visual

Useful For

 

Semen analysis is a critical part of an infertility work-up. Infertility is caused by the male in approximately 40% of cases. Evaluation of seminal fluid is relatively inexpensive and non-invasive when compared with other diagnostic procedures required for infertility work-up. It is therefore, one of the first procedures performed. This analysis is only to be used as a preliminary screen.  If any parameter of this semen analysis is abnormal, the patient should be referred to a fertility center for the more labor intensive manual analysis.

Semen analysis consists of several parameters. Parameters determined by this procedure include Sperm count, volume, viscosity, pH, % motility and % normal morphology.

Performing Laboratory and Testing Schedule

TidalHealth Peninsula Regional - Special Chemistry

Testing is performed on Monday thru Friday.

Must be scheduled in advance with Special Chemistry.  Only available 0700 - 1400.

Schedule is subject to change based on holidays, instrumentation issues, and reagent availability.

Specimen Requirements

 

Specimen type:                                     Semen

Specimen volume:                                Entire ejaculate

Minimum volume:                               0.5 mL

Provide the patient with the instructions “Patient Instructions for Semen Collection” and verify that they have followed the instructions summarized below: 

·         2-7 days abstinence from ejaculation prior to specimen collection

·         Collect sample by masturbation only

·         Lubricants, spermicides and other contaminants are not to be used

·         Entire specimen must be collected into a clean container (preferably supplied by doctor’s office or lab)

·         Clearly label specimen container with the patient name and date of birth or medical record number.

·         Transport the specimen to the laboratory right after collection (if collected off-site)

·         Keep the sample at ambient temperature, between 20 °C and 37 °C during transportation.

 

The semen sample should be tested within one hour of collection.  Semen samples must be tested by the laboratory on a priority basis upon delivery - expedite to the testing area.  

Reference Range

 

 

SEMEN PARAMETER

REFERENCE RANGE

SOURCE

Volume

≥1.5 mL

WHO 5th  manual*

WBC Concentration

 

   WHO 5th  manual*

pH

≥7.2

WHO 5th  manual*

Appearance

Normal

WHO 5th  manual*

Liquefaction

Normal

WHO 5th  manual*

Viscosity

Normal

WHO 5th  manual*

Motility

≥40%

WHO 5th  manual*

Morphology (% Normal Forms:WHO 5th)

≥4%

WHO 5th  manual*

Sperm Concentration (Count)

≥ 15 M/mL

WHO 5th  manual*