Spermogram: how to prepare for collection of ejaculate?

Preparation for spermogram delivery

Preparing for a spermogram is an important step before taking this analysis. This research method is indicated for men who want to know the state of their reproductive system, or who are planning a pregnancy that does not occur for a long time. Semen examination allows you to determine if there are sperm that are capable of fertilizing an egg.

Preparation for the delivery of a spermogram will make it possible to obtain the most correct analysis results. Already on their basis, the doctor will say whether it is necessary to carry out treatment, or perhaps just need to change the usual way of life. Let us consider in more detail what a spermogram is, preparation for it, and what should not be done.

Procedure

In medicine, a spermogram is a method for examining the semen of a man, according to the results of which the level of fertility is determined, as well as the ability to naturally conceive (fertilization eggs).

The main indications for performing diagnostics of the reproductive system of this type are:

1. The likelihood of the presence of a male factor of infertility (if pregnancy does not occur when having sex for more than one year without contraception);
2. Suspicion of the presence of pathologies that negatively affect the functioning of the sexual and reproductive systems, for example, hormonal imbalance, intoxication, inflammation and infectious diseases, trauma to the scrotum (testicles);
3. Complications after surgery during the recovery period, which significantly reduce the quality of sperm;
4. General examination of the body, as well as the obligatory diagnosis of men who wish to donate ejaculate for donation;
5. Attempts to conceive a child using assisted reproductive technologies (IVF or ICSI).

Given such versatile indications, preparation for a spermogram for a man is no less important than the results that he will receive after studying his biological mass. Among the indicators that the analysis evaluates, experts note the following:

• The volume of ejaculate received at one time;
• Semen density level;
• Sperm motility;
• Biochemical and morphological characteristics of sperm;
• The presence or absence of antisperm antibodies;
• Acidity of the environment;
• The presence and number of leukocytes.

Any deviations from normal indicators will be considered a pathology, however, it is possible to establish the exact cause of its development only after a thorough diagnosis of the whole organism. Since the results of the analysis are a marker of the state of the male reproductive system, it is important to know how to prepare for a spermogram.

Training

Preparing for the delivery of a spermogram to a man is a simple set of measures, which the doctor who prescribed this study necessarily tells about. The main recommendation before a spermogram is always to observe physical rest. For about two days before the analysis, you need to lead a measured lifestyle and get enough sleep.

In order for the body to be able to give the required volume of ejaculate, it is better to drink a complex of vitamins at least 14 days before taking the spermogram. What kind of substances should be taken, the specialist should tell, because an independent appointment can distort the real picture.

Preparation before the spermogram also provides for keeping calm. If a man is under stress, then the body is actively producing hormones that have a negative effect on the seminal vesicles and the prostate itself. Against this background, a small amount of ejaculate will be produced.

Answering in detail the question of how to prepare for the delivery of a spermogram, it is also necessary to clarify the point that approximately three days before the analysis, you should stop using cosmetics for intimate hygiene. Before going to the clinic, you need to take a spirit, but not hot, but warm, preferably without the use of soap and gels, so that they do not get on the genitals.

Many men are interested in how many days of abstinence before a spermogram the doctor recommends. In most cases, sexual rest is required from 10 to 12 days. This will be enough for the ejaculate to clear of the female microflora and acquire its natural characteristics. If a spermogram is prescribed, abstinence for 12 days is needed in situations where the man was taking any medications.

What is prohibited

Considering in detail the question of how a man to prepare for a spermogram, one should not forget about some prohibitions. Therefore, we will consider in more detail what cannot be done before the spermogram.

First of all, it is necessary to refrain from any sexual contact, including masturbation. Abstinence before the spermogram should be at least two days. This time will be enough for ejaculate to accumulate in the genitals, and the sperm themselves mature.

It should be noted that abstinence and spermogram always go next to each other, because only in this way you can cleanse the body as much as possible, for example, to eliminate the signs of female microflora, you need about weeks. Otherwise, the analysis results will be distorted.

Abstinence before taking a spermogram lasts on average 7 days, more doctors do not recommend limiting yourself in sexual intercourse. However, it all depends on what the initial diagnosis was, and why such a study was ordered. Longer abstinence will lead to a high concentration of sperm in the ejaculate that have died naturally, which will indicate pathology.

You should also take into account such recommendations before taking a spermogram:

1. It is necessary to observe the temperature regime, avoiding overheating of the scrotum (optimal indicators for sperm are 32-32 degrees);
2. In order for the maturation of sperm to take place at the proper level, do not wear tight and tight trousers, as well as swimming trunks;
3. You should not visit the bathhouse or sauna for at least two days before taking the spermogram analysis;
4. Preparation for spermogram analysis provides for the refusal of prolonged exposure to sunlight.

Also, a man should not attend a prostate massage for about four days, since such manipulations act as a stimulant for the production of ejaculate, which leads to a distortion of the results.

Preparation for the delivery of a spermogram analysis is always postponed until the patient is fully recovered, especially in situations where there is suspicion of progression of acute inflammatory or infectious process. If you donate biological mass when a man has a body temperature of 37 degrees or more, the bulk of the dead sperm will be detected in the ejaculate.

Even after the disease has passed, it is necessary to wait another week so that all previously taken medicines are completely eliminated from the body. In the case of antibiotic therapy, it is required to postpone the analysis for about 12 days, and preferably for 2 weeks.

Considering the question of how to prepare for a spermogram, doctors strongly recommend refraining from smoking for about 2-3 weeks. Thanks to such actions, the ejaculate is completely renewed, and when examining the ejaculate in the sperm, no pathological or morphologically altered germ cells will be detected.

Before taking a spermogram, you must not use alcohol and drugs. If there has been alcohol poisoning or intoxication of the body, or if potent drugs have been taken for a long time, then it is better to postpone the analysis for 2 or 3 months.

It makes no sense to have a spermogram in the first month after the man underwent chemotherapy.

The diet

Many are interested in whether it is possible to eat before taking a spermogram, but you should not exhaust yourself with hunger, but it is better to use only healthy and high-quality products. It is worth noting that a man is allowed to eat almost anything he wants, but at the same time, some recommendations should not be neglected.

Before taking a spermogram, preparation also provides for the following nuances:

• It is better to refuse dishes that are cooked by frying, and also have a significant amount of spices and herbs, black tea and coffee are also contraindicated, as they inhibit sperm activity and the results will be incorrect.
• Diet before spermogram completely excludes the use of strong and low alcoholic beverages, including beer, since ethyl alcohol acts as a sperm destroyer and results will show cryptoospermia or otherwise pathology.
• Asking the question of what is in front of the spermogram, it is best to give preference to products that contain a large amount of protein, for example, chicken, rabbit or beef, fermented milk products are also useful, which will be an additional stimulation for the production of seed liquids.

Some men ask whether a spermogram is taken on an empty stomach or not. It is impossible to give an unequivocal answer to this question, but at the same time, doctors do not prohibit eating well before the analysis.

Even clearly knowing how to prepare for the delivery of a spermogram to a man, it is necessary to understand that it is better to take this type of tests 2 or 3 times within a few weeks. In situations where an andrologist or urologist detects certain deviations from the norm in the results of the test material, the patient will be assigned a retake of the analysis.

Only with this approach it will be possible to establish exactly what caused the distortion of the results - improper preparation or the presence of any pathology of the reproductive system. After passing the first spermogram, it is better for a man to adhere to a diet for several weeks, which the doctor will advise, and it is also worth avoiding stress and sexual intercourse, physical activity.

If a spermogram was prescribed by the doctor, what is needed before the analysis was described in sufficient detail. Provided that all recommendations are followed, you can be sure that the result will be correct, and even if a pathology is detected, the specialist will be able to develop the correct treatment.

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Source: https://1ivf.info/ru/infertility/male-factor/podgotovka-k-spermogramme

How a man needs to prepare for a spermogram

Preparing for a spermogram is an important issue of interest to most men who are faced with reproductive problems, reproductive system disorders. In medicine, a number of diseases are described that relate to the genitourinary system of the stronger sex.

Spermogram is the best technique today, which allows with greater accuracy to determine the ability of a man, or rather, his biological material, to fertilize an egg women. In order for the analysis to be with more accurate results, it is very important to prepare for a spermogram in compliance with special rules.

Below we will talk about how to properly prepare for the analysis.

1When a spermogram is required, how is the process going?

Any tests should be assigned to a man by a doctor. There should be indications for a spermogram. Spermogram indications are determined by:

1. Fertility check of the stronger sex.
2. Investigation of the ability to fertilize sperm.
3. Conception problems within 6 months.
4. A study of sperm activity, the quality of the testicles.

The analysis is carried out in two steps:

1. At the first stage, a study of the properties of the material is carried out. The survey is mainly carried out in order to study the viscosity of the material, as well as the time during which it liquefies. In addition, semen volumes, material acidity, color and consistency are examined at this stage.
2. In the second stage, sperm is examined under a microscope. The medical device allows you to accurately count the sperm count. At this stage, there is a study of sperm motility, their quality. The ratio of mobile cells and immobile cells is being studied. Determine if there is inflammation (in the event that a large percentage of leukocytes in the semen are found).

2How to properly prepare for the study?

Exceptionally correct, competent preparation for a spermogram makes it possible to establish the correct diagnosis. How to prepare properly? Doctors have identified several rules that are extremely important to follow.

Preparation for the delivery of a spermogram consists of 10 points, and it is important to comply with all of them. None of the points can be excluded, since otherwise the result will be incorrect, and the diagnosis made will be erroneous.

The preparation is simple:

1. Before the spermogram, about 7 days before the test, the patient must adhere to a special diet. Fatty foods, canned food, coffee drinks, strong teas should be removed from the patient's menu. This is done in order to get the correct result, since the above food helps to reduce the volume of semen, reduces sperm motility. To create conditions for increasing sperm activity, it is recommended to include dairy products, foods rich in protein, and foods rich in vitamins in the dietary table.
2. In preparation for the study, you need to refrain from intercourse for 2-3 days. This is necessary in order for the research data to be as accurate as possible. If you do not abstain, then sperm volumes can be small and the examination will be inaccurate. However, you need to know that abstinence for more than a week can also distort the results of the spermogram. If abstinence is more than 7 days, the sperm will die in the seminal vesicles.
3. In the process of preparing for the test, about 7 days before the study, you should completely abandon alcoholic beverages. Alcohol reduces sperm motility, reduces their activity, changes shape and at the same time increases the number of inactive sperm.
4. If a man is diagnosed with diseases of the genitourinary system, then it is important to first cure the inflammatory process, and only then prepare for a spermogram. The course of treatment for inflammation should be completed no later than 7 days before the study. This is necessary in order for medications to be removed from the body, as they can distort the result of the study.
5. The procedure should be postponed in case of ARVI or ARI. The study can be done after complete recovery, since intoxication during the period of the disease will distort the result of the spermogram.
6. To properly prepare, you should exclude trips to the bathhouse or sauna, since the high temperatures that affect the man's body interfere with the maturation of new cells.
7. It is forbidden for a man to engage in the gym before the procedure and generally overload the body greatly, as this will also distort the results of the spermogram.
8. Depression and stress should be avoided, as this affects the state of the hormonal background, and as a result, the research indicators change.
9. In no case should you massage the prostate, even if the procedure was prescribed by a doctor. Prostate massage degrades sperm quality and distorts test results.
10. Before the study, you need to sleep very well, rest.

Spermogram as a study is very effective, but only with proper preparation can it be guaranteed correct results, on which the diagnosis will depend and effective treatment will be prescribed.

3 Norms, interpretation, mistakes of men

A spermogram allows you to establish the quality, quantity of sperm and assesses the possibility of conceiving a child.

In medicine, it is recognized that the analysis of semen, its further study is an important method for assessing the functionality of the gonads and the fertility of the stronger half.

The study is appointed at the first visit to the urologist, andrologist if infertility is suspected. When the spermogram is normal, then one study is enough.

The recommendations of the Ministry of Health clarify that in case of a negative result, the spermogram should be performed again with an interval of 1-3 weeks. If the results of the first and second studies differ greatly, then a spermogram with the best indicators is taken for research.

In this case, the main criterion will be sperm motility. The rules for preparing for a spermogram were listed above. Let's talk about the rules for donating sperm. The main method of taking the analysis is masturbation.

It is believed that it is better to take the analysis in the clinic than at home, since while the patient is carrying material from at home, he cannot always observe the correct temperature regime for transportation and the optimal delivery time to laboratory.

Patients usually make the same mistakes. The main ones are the following:

1. The material is collected in non-sterile, dirty containers. Plastic containers are tested and must not be toxic to germ cells.
2. The ejaculant is brought in a condom.
3. Material obtained during interrupted sexual intercourse.
4. Sperm collected in insufficient volumes.
5. Semen transported at the wrong temperature. The permissible temperature range is from 20 to 36 ° C.

The spermogram result is given to the patient without a description. The decryption is made by the attending doctor during the appointment after the examination.

Below are the norms of research indicators, however, only a doctor can prescribe treatment.

Nomes of indicators are presented with material volumes from 2 to 6 ml, with a sperm concentration of 20 million / ml and 40 million in the total volume. Mobility is categorized as follows:

1. Active. They move very quickly and correctly. Not less than 25%.
2. Inactive. They move slowly, progressively. A symbiosis of active and weakly active cells is normal, at least 50% in the total number.
3. Swinging. They move slowly and sway at the same time. 5 to 15%.
4. Immobile. Elderly sperm that have died or are dying. 10 to 20%.

It is important to understand that every man has all four categories of mobility, and this is associated with different ages of sperm. Quality sperm should be more than 50% morphologically.

Bonding or agglutination should not be normal. The acidity of the material should be between 7.2 and 8 pH. The ejaculant should liquefy for more than an hour - this is the norm. The viscosity should be no more than 2 cm. If the viscosity is increased, then, moving, the cells quickly lose energy, the possibility of meeting with the egg decreases.

The MAR test is positive if at least 50% of the mobile material, the antibody-coated ejaculate, is detected.

The standard spermogram regards them as normal, but these cells do not take part in the fertilization of the egg, because antibodies act as an obstacle.

A negative MAR test may indicate that the patient is infertile. After examining the spermogram, the doctor makes one of the following diagnoses:

1. When the tests are normal, the patient is healthy, then the doctor diagnoses normospermia.
2. With a reduced sperm count, the doctor diagnoses oligozoospermia.
3. With low sperm motility, asthenozoospermia is diagnosed.
4. With a low number of normal forms, the diagnosis of teratozoospermia is made.
5. With the complete absence of cells in the ejaculant, azoospermia is diagnosed.
6. In the absence of sperm, the doctor diagnoses aspermia. In this case, an additional examination is prescribed for the presence of retrograde ejaculation.

The doctor can diagnose necrozoospermia in the complete absence of living cells. The diagnosis of leukocytospermia is possible when the norm of leukocytes is exceeded. Hemospermia - in the presence of erythrocytes in the material.

4 Limitations to research

It is not recommended to take a spermogram:

1. If for 30 days a man's body temperature rises to 38-39 ° C at least once.
2. If the man took medication, antibiotics for 90 days.
3. Immediately after intercourse with a woman.
4. After visiting a sauna, steam bath or after taking a hot bath.
5. During the period of acute colds.
6. After taking alcoholic beverages and medicines.
7. During the period of exacerbation of pathological diseases.
8. If urethritis is diagnosed.
9. If prostatitis is diagnosed.
10. If orchitis is diagnosed.
11. If cystitis is diagnosed.
12. After massaging the prostate.
13. After experiencing stress or depression.

5 Treatment of infertility in men

Male infertility therapy includes:

1. Surgical treatment.
2. Treating the infection.
3. Treatment of sexual problems.
4. Correction of hormonal imbalance, hormonal therapy.
5. Physiotherapy treatment.
6. Assisted reproductive technologies.

The principle of infertility treatment is to examine both partners: both men and women. When diagnosing and treating infertility in a man, it is imperative to take into account the fertile status of the partner. This status can influence the result.

In addition, the urologist must examine the man for the presence of infections of the genitourinary system, so how, in order to make the correct diagnosis and prescribe effective treatment, you should know exactly reason. It is very important not to despair, but to start treatment. With modern medicine, you can achieve good results in treatment. Perseverance and common sense will definitely be rewarded.

Source: https://prostatis.ru/kak-muzhchine-nuzhno-gotovitsya-k-sdache-spermogrammy.html

How is a spermogram taken?

One of the problems of infertility in men is the disruption of the normal activity of the sperm.

To determine the exact cause of the disease, ejaculate should be taken for analysis for spermogram.

The method of such a study is to determine the properties of the ejaculate, the characteristics of the spermatozoa, the identification of the cause of the inability to fertilize.

In addition, with the help of a spermogram, it is possible to identify the cause of diseases of the genital area, causative agents of inflammatory processes.

What it is

Spermogram - examination of a portion of ejaculate by visual and microscopic characteristics, by chemical and physical composition. Ejaculate for research is taken from adult men. Spermogram includes a detailed analysis of male semen according to its composition and characteristic indicators.

What is a spermogram for?

Sperm examination is done in cases of patient complaints about the impossibility of conception. With the help of the analysis of the ejaculate, the patient's fertility is revealed, and the presence of microorganisms leading to the disease of the genital area is also determined. In addition, the spermogram is taken by patients who are sperm donors to confirm its sterility.

The ejaculate in the sperm bank can become biomaterial for in vitro fertilization. It is also necessary to conduct a semen analysis for people who plan to carry out cryopreservation (keeping in the cold) of the ejaculate.

Video: "What is a spermogram?"

Where and how the spermogram is given

To donate sperm for its research, you can contact a special laboratory center, which may be in large cities.

There are other places for submitting biomaterial for analysis:

• in a polyclinic or hospital of profile importance, which has a department of andrology or urology;
• in a reproductive medicine clinic with specialized equipment;
• in clinics of frequent activity that specialize in the problems of infertility and artificial insemination.

The doctor gives a referral to donate sperm for examination after the patient's complaints or to confirm the presence of the disease. As a rule, a spermogram is taken repeatedly to determine the complete picture of its composition.

In order for a high-quality biomaterial to be handed over the first time, you should follow the sequence of steps for the delivery of ejaculate.

Preparation for delivery

Actions for the delivery of biomaterial for research are carried out in stages: preparatory activities, collection of analysis, sending for research.

To obtain a high-quality ejaculate, you should adhere to the rules for preparing the body for the procedure:

• exclude alcohol at least a week before sperm collection;
• exclude taking antibacterial drugs in 14 days;
• it is recommended to refrain from exposure to toxic substances - smoking, as well as take a vacation if the main job is at an enterprise with harmful emissions;
• if the treatment of diseases of the genital area of ​​an inflammatory nature (urethritis, orchitis, prostatitis) was carried out, then the spermogram should be taken no earlier than two weeks after therapy;
• for several days (up to four) you should refrain from sexual intercourse;
• in case of previous colds or infectious and inflammatory diseases with an elevated temperature, the collection of the analysis should be carried out 14 days after the cure;
• avoid visiting thermal procedures (baths, saunas) ten days before the procedure;
• if it is necessary to massage the prostate gland, sperm must be donated no later than 10 days;
• immediately before donating sperm, mental, physical and emotional stress should be avoided.

When collecting material for analysis, you must follow the instructions:

• collection of ejaculate should be done exclusively by masturbation. With sexual intercourse, the ejaculate may contain elements of the female microflora. Do not use a condom, intimate gels or lubricants, or saliva;
• the best place for collection is a specialized laboratory, since at home it is difficult to maintain the required storage temperature and ensure sterile conditions.

If sperm collection is supposed to be done at home, then you should take care of the rules of personal hygiene, as well as ensure the delivery of biomaterial to the laboratory in a proper manner:

• collection of ejaculate should be done at room temperature;
• semen should be collected in a special plastic sterile container, which is intended for transportation;
• transportation of biomaterial should be carried out at a temperature equal to 37 ° С. To do this, use a special thermostat;
• sperm should be delivered to the laboratory for analysis within an hour after collection.

Important! In order for the spermogram indicators to have the most reliable result, it is necessary to collect the ejaculate several times.

The interval between testing should be about 10 days. At the same time, you should avoid stress, try to eat right, adhere to a healthy lifestyle.

Video: "How to prepare for delivery"

Spermogram indices

To obtain a detailed picture of the spermogram, indicators are determined that characterize the biomaterial by its properties.

Doctors who specialize in this field can make conclusions based on the results of spermograms. There are no legally approved norms for the testimony of the procedure, however, experts draw conclusions based on practical research and conclusions.

Spermogram readings include the following values ​​and their norm:

• volume. The entire volume of ejaculate should normally be 2-6 ml;
• consistency. Characterized as viscous;
• liquefaction. Should occur between 10 minutes and an hour;
• viscosity. Up to 2 centimeters;
• Colour. Healthy color - white-grayish;
• smell. Specific;
• pH reaction. Average rates are from 7.2 to 8.0. The ratio of negative and positive ions;
• turbidity. Characteristic turbidity;
• slime. Absent (or minimum amount);
• sperm count (in 1 ml). More than 20 million;
• the total number of sperm in the ejaculate. 40-500 million;
• active sperm cells. More than 25%;
• indicators of sperm viability. More than 75%;
• the total number of active and inactive sperm. More than 50%;
• immobile sperm. Less than 50%;
• the number of leukocytes. No more than 1 million;
• spermatozoa without deviations in head morphology. Over 30%.

According to the standards of the World Health Organization, some indicators were changed in 2010:

• ejaculate volume. From 1.5 ml;
• the total number of all sperm. More than 39 million;
• sperm count (in 1 ml). More than 15 million;
• general mobility (active and inactive). From 40%;
• active sperm cells. From 32%;
• viability. From 58%;
• spermatozoa without deviations in head morphology. More than 4%.

According to the qualitative and quantitative indications of the spermogram, the specialist draws conclusions about the presence / absence of diseases or infertility. If the indicators are close to normal, then this circumstance suggests that the man has good fertility.

As a rule, accurate conclusions (especially about the presence of infertility) based on one analysis are not enough. The indicators can be influenced by various factors: stress, physical activity, nutrition, alcohol.

Variation in results

If the spermogram indices differ from the normative indices, then the semen contains such processes that prevent fertilization or indicate the presence of a disease.

Indicators that deviate from normal are characterized by the following concepts:

• azoospermia. It is characterized by a complete absence of sperm in the semen and indicates infertility. In this case, spermatogenesis cells are present, that is, substances that are formed as a result of the secretion of the prostate and seminal vesicles. The function of maturation of spermatozoa is impaired, as well as their division;
• aspermia. Complete absence of spermatogenesis cells and, accordingly, spermatozoa. A mild orgasm and its sensation may persist. The amount of semen released is insignificant;
• akinospermia (akinesia). Sperm immobility. It is characterized by an inability to fertilize;
• asthenozoospermia. A pathology in which the speed of movement of sperm is reduced or the number of sperm is low. A small number of mobile forms (less than 30%) can be the reason for the inability to fertilize. You should undergo a full study of other tests to identify the cause of this ailment;
• hemospermia. The presence of erythrocyte cells in the ejaculate. Blood in the semen indicates the presence of diseases of the genital area;
• necrospermia. It is characterized by the presence of dead sperm in the ejaculate. This can occur as a result of the ingress of individual chemical elements into the biomaterial during laboratory research. In this case, it is required to repeat the collection of the biomaterial. If the pathology is confirmed, then the diagnosis of infertility with the absence of viable sperm is confirmed;
• oligozoospermia. Reduced sperm count in semen. The degree of low (abnormal) sperm count varies. The lowest rate for fertilization is 20 million. (in 1 ml). In the presence of normal mobility and speed, even with such an amount, fertilization can occur;
• oligospermia. Ejaculate volume too low. At the same time, the volume is reduced to 1-1.5 ml;
• pyospermia. Purulent impurities in semen. Indicate inflammatory processes in the male genital organs. In this case, damage to the sperm occurs, which leads to a decrease in their ability to fertilize;
• polyspermia. Significant excess of the normal sperm count in the ejaculate. At the same time, there is a high concentration of sperm that are not capable of fertilization;
• teratozoospermia. The presence of a large number (more than 50%) of spermatozoa that have pathology in development. This pathology can lead to impaired fetal development, miscarriage or inability to endure pregnancy.

Normal sperm counts are characterized as normospermia. At the same time, normal spermatogenesis, high viability of spermatozoa are noted.

Important! With normospermia, there is not always a guaranteed probability of fertilization.

Psychological or immunological factors can be the reason for the rejection of such sperm by antibodies produced in the woman's body.

Conclusion

Thus, it is necessary to donate ejaculate for spermogram in the event that there is a suspicion of infertility: when the couple has not had children for a long time. In the presence of diseases of the genital area, it is also required to donate sperm for research to identify the causative agent of the inflammatory process.

A spermogram may include:

• indicators of the state of the ejaculate;
• the presence of pathogenic elements;
• sperm characteristics.

With values ​​that are close to normal, the composition of the semen, as a rule, is not the cause of infertility. In this case, other reasons are identified that may contribute to this.

If there are any deviations, then it is necessary to carry out therapeutic measures, or choose alternative methods of fertilization.

Source: https://kakbyk.com/bolezni/seksualnye-rasstrojstva/problemy-s-eyakulyatsiej/kak-sdayut-spermogrammu.html

Getting ready to take a spermogram

Doctor's recommendations

The spermogram procedure is carried out if the spouses cannot conceive a child with regular sexual activity during the year without protection. Negative factors, past illnesses, inattention to one's health lead to the loss of the viability of male germ cells, which cannot fertilize an egg.

Causes of sperm abnormalities

Causes of a bad spermogram

Even men who consider themselves absolutely healthy may not even suspect that they have sperm with impaired morphology. Violations in the morphology of sperm can be in male prostatitis, inflammatory and venereal diseases of the genitourinary system.

Defective sperm cells appear in connection with trauma and surgery, courses of radiation and chemotherapy.
A decrease in testicular function can be observed with the expansion of the veins of the spermatic cord and varicocele.

All of these pathologies result in an inadequate ability of the male testicles to produce normal seminal fluid.

Spermogram procedure

To determine the ability to fertilize, men must donate sperm for analysis, that is, for a spermogram. Spermogram is performed in two stages:

The first stage for the delivery of the analysis includes an examination of the properties of the eukulate:

The laboratory assistant makes a transcript of the analysis

• Its volume and acidity
• Consistency and color
• Viscosity.

An important factor in the analysis is the determination of the time during which the sperm liquefaction occurs, for this there are standards.

At the second stage, semen is examined using a special medical device. The amount of biomaterial, its quality and mobility are calculated. The ratio of non-viable and mobile gum is determined. At this stage, the presence of inflammatory processes in the genitourinary system is detected in terms of the percentage of leukocytes in the semen.

A man should have a seminal fluid in which more than half of the sperm have a high-quality morphology. If the analysis reveals that he is dominated by non-viable live animals, then there is no hope of conceiving naturally.

To obtain the correct accurate result, to establish the correct diagnosis, it is necessary to prepare in advance for the procedure for taking a spermogram. Men should know how to prepare for a spermogram and follow the simple rules of delivery and preparation, which consist of ten points.

Preparation for spermogram delivery

Before the delivery of the euculate, about a week in advance, the patient must reconsider his diet. From the menu, it is necessary to exclude fatty, fried and spicy foods, all kinds of canned food, limit strong drinks like tea and coffee.

These foods can distort test results, reduce semen production, and reduce sperm motility and activity.

The diet should include dairy products rich in protein, meals with the correct balanced ratio of proteins and carbohydrates, saturated with trace elements and vitamins.

Eat healthy foods

1. To obtain accurate survey data, spouses should refrain from intimacy for 2-3 days. If this rule is not followed, the amount of semen may not be sufficient for analysis. But abstinence for more than a week also distorts the sperm test results.

   If there is no sexual intercourse for more than a week, then this can lead to the death of sperm in the seminal vesicles.

2. In preparation for sperm donation a week before the examination, a man is recommended to completely stop drinking alcohol.

   Alcoholic drinks cause a decrease in sperm motility, their activity decreases, the shape changes, the number of non-viable immotile sperm increases.

3. If a representative of the stronger sex had diseases of the genitourinary system, then you should take it from a doctor - urologist appointment for the treatment of the inflammatory process, and only after recovery come to spermogram. The therapeutic course should end no later than a week before the examination.

   Compliance with this rule is important, because the remnants of medications must be removed from the patient's body, as they can adversely affect the results of the analysis.

4. The spermogram procedure is postponed if the patient has a viral or respiratory disease.

   The examination is done only after complete recovery, because intoxication and taking medications during an illness may result in incorrect results.

5. To prevent sperm from losing the ability to fertilize, men are not recommended to frequent baths and saunas.

   This is especially important before preparing for a spermogram examination, since the effect of high temperature on a man's body can adversely affect the maturation of new active sperm. Abstinence from intimacy

6. Those who are involved in strength sports, exercise in gyms, their body is overloaded.

   To obtain accurate spermogram results, it is recommended that you temporarily stop exercising before taking tests.

7. Anxiety, depression, nervous conditions and stress affect the hormonal background of a man, and as a result, the research indicators may be incorrect.
8. During preparation for the tests, the patient being tested should not be prescribed a prostate massage, as the quality of sperm deteriorates during massage.
9. Men before the eukulate spermogram, preparation for which requires relaxation, calming, should have a very good rest, sleep well, be in a positive mood.

Therefore, preparation for a spermogram is an important point in the delivery of tests. A spermogram is considered an effective procedure for determining the fertility of men, but only if the recommendations for proper preparation are followed, there is a guarantee of obtaining correct results. Only on the basis of accurate data can we establish the correct diagnosis and prescribe timely treatment of the disease.

Happy couple

Spouses who wish to have a baby should be aware that semen analysis is considered to be an effective method for determining a man's ability to fertilize a woman's egg.

The examination is appointed in case of suspicion of infertility during the first visit to the urologist, andrologist. If the tests are normal, then one examination is enough.

In case of a negative negative spermogram result, it is necessary to do the tests again with an interval of several weeks.

The delivery of semen for analysis should be carried out in a clinic where there are special rooms for this. The collection of biological material can be done at home, if sterility and temperature conditions are observed.
To reliably find out the pathology in the body, men must take a responsible attitude to the spermogram.

Source: http://prostamed.ru/diagnostika/gotovimsya-sdat-spermogrammu.html