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Ejaculate analysis: in any case held

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Ejaculate analysis - an important urological test, in which determine not only the sperm fertility, but also the condition of the urogenital system. Ejaculate fluid is called a complex composition that stands out from the urethra during ejaculation.

It is composed of a secret testes, prostate gland, seminal vesicles. The composition of semen depends not only on the function of the reproductive system of men, but also on its age, urinary, endocrine and nervous systems. Sperm quality is affected by internal and external factors.

Therefore, such a great diagnostic importance is the study of the ejaculate.

Methods macro- and microscopy

To research and study of the ejaculate was complete and informative, the following tests are used:

  1. Clinical studies ejaculate: macroscopic analysis, microscopic examination of sperm morphology (by Kruger).
  2. Biochemical studies: fructose content and flow analysis fruktoliza; level of citric acid (citrate); α-glycosidase concentration; amount of zinc, L-carnitine.
  3. Bakposev and research on pathogenic microflora.
  4. Immunological (MAR) test.
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Sperm examination conducted by various methods. Under the microscope analysis produce colored formulation is applied one of the innovative methods of investigation - the analysis of the native (untreated) sperm.

When interpreting test results ejaculate guided by standards developed by the WHO (World Health Organization), which in 2010

made adjustments to the reference values ​​used previously semen, processing methods and ejaculate study.

Indications for examinations

Determination of the composition and characteristics of the ejaculate is carried out in the direction of an andrologist, urologist, reproductive system. semen analyzes prescribed for:

  • Infertility.
  • Suspected deterioration of sperm fertility as a result of an illness or injury urogenital area of ​​operations.
  • Preparation for IVF (in vitro fertilization).
  • I wish to become a sperm donor.
  • sperm cryopreservation.
  • Diagnosis of diseases, sexually transmitted diseases.
  • Prophylactic study reproductive status optional men and others.

semen analyzes prescribed for suspected infertility.

In addition, analyzes of ejaculate appointed to dynamically monitor the effectiveness of the treatment of certain pathologies.

Terms of delivery and preparation

Before you take to ejaculate analysis, you need to prepare for the procedure.

Since body (testes), which is synthesized and sperm aging, is outside the body, on its composition and characteristics strongly affected by external factors.

Therefore, to improve information research and reduce the risk of errors, it is necessary to prepare to take the analysis as follows:

  1. To refrain from sexual activity for 3-5 days.
  2. Avoid alcohol, drugs.
  3. Avoid overheating of the testicles (sauna, steam room).
  4. Restrict heavy physical activity and intense exercise.

Donating sperm do not need more than 1 hour prior to analysis. Therefore it is recommended to take the ejaculate in a clinic, in a specially equipped room. If this is not possible, it is necessary to know the terms of collection and transport of the material to the place of study. Sperm collected in a sterile plastic or glass container, it is transported to and pass it to the laboratory.

Donating to properly labeled biomaterial. For this purpose, the container label indicate the personal data of the patient and sperm sampling time.

If a man has to take drugs constantly and remove them at the time of preparation it is impossible, to analyze before man must take the container to warn about this call and laboratory preparations which he received. Sperm Transportation also requires adherence to certain rules:

  • The temperature of the container during transport should not exceed 20-37 ° C. Heat destructively affects the composition of the sperm, so it is advisable to carry the container in the armpit.
  • When transporting the container must be subjected to strong vibrations, it is recommended to protect it from physical impacts wool layer or soft tissue.
  • Transported semen analysis should be in a vertically oriented container.
  • Elevated temperatures and sunlight damaging effect on the state of spermatozoa on the composition and physical properties of the ejaculate. Therefore, it is desirable to take the sample immediately after ejaculation, or no more than 1-2 hours after the collection.

For prolonged storage diluted sperm and the sperm lose motility.

The container should not fall into other body fluids, therefore, to take the semen on the analysis needed after emptying of the bladder and careful toilet urogenital area.

For the same purpose it is only necessary to take a sample obtained by masturbation. Sperm selection of condom or after an interrupted sexual intercourse is not allowed, since its composition may affect condom lubricant or vaginal secret partner.

Some medical conditions require a special selection of the sample for the study.

For example, the sample is held for postcoital study sperm interaction with cervical mucus, and sampling requires a special method.

And when retrograde ejaculation spermatozoa recovered from urine sample taken immediately after ejaculation. semen collection especially for these analyzes require special conditions and, as a rule, it is not carried out at home.

Rules of selection and processing of semen regulated document - "WHO Guidelines for laboratory testing of human semen and sperm interact with the cervical mucus."

Before you take the analysis, it is necessary to clarify the requirements of standardization, which makes laboratory selected to the sample, as well as the possibility of a home sperm collection. Donating ejaculate better equipped, separate room at the laboratory.

Since the absence of such a study and sperm sampling in general, the toilet can lead to difficulties in obtaining the ejaculate, especially in patients with sexual dysfunction.

Norm and deviation

It includes a detailed analysis of up to 33 parameters. So, on gross examination in the ejaculate is evaluated:

  1. Volume.
  2. Viscosity.
  3. Smell.
  4. Colour.
  5. Acidity.

In normal ejaculate volume is 2-5 ml, but there are significant deviations, which take into account a decoding result. Thus, reducing the volume of below 1.5 ml may indicate stricture seminiferous tubules, prostate diseases or disorders urethral patency.

With an excess of the selected sperm is suspected prostatitis or vesicles. However transcript analysis should be conducted expert who takes into account other factors influencing on the volume of ejaculate (sedentary lifestyle, sexually active, overweight, bad habits and et al.).

Viscosity ejaculate is determined by the length of the thread, which is formed between the test specimen and the glass rod, wherein it is mixed. Wand slowly recovered and measure the length of the yarn until the yarn separation of sperm. Normally it is 10-50 mm.

Increased viscosity secret decrypting analysis may indicate pathological processes in the prostate and seminal tract. Time semen liquefaction, which should be up to 1 hour is important in determining its ability to fertilize.

Increasing the period indicate chronic inflammation or lack of enzymes in the composition of the ejaculate.

Ejaculate has an odor which is described as "the smell of flowers chestnut". The structure of the sperm enters the spermatozoon, which gives it a particular flavor. No smell may indicate a lack of prostate function.

The products of the bacterial microflora of life or pus alter the smell of sperm that is taken into account when interpreting the results. The normal color of the sample is described as whitish, milk.

Other colors indicate variations:

  • If the color is bluish or ejaculate semen is transparent, it may indicate a critically low sperm count.
  • Reddish, brown or brownish color indicates haematospermia.
  • Purulent yellow ejaculate when analyzing the decryption can be indicative of increased amounts of leucocytes or pus.
  • Yellowish color standards may be one or mean liver disease, the presence of pigments in the use of certain products, excess vitamins.

An important indicator for sperm examination is its color.

In determining the hydrogen index sperm use indicator or pH-meter. Under normal conditions, this figure varies from 7.2 to 7.8.

Such a wide range must be taken into account when interpreting the results of the study. If the same person based on the analysis of the ejaculate stored in said pH range, it is considered normal.

WHO experts to impose restrictions only on the lower boundary of the acid-base reaction.

What is evaluated under a microscope

Microscopic sperm study was carried out as in the native ejaculate, and after dyeing it. evaluated under the microscope:

  • Density - the number of germ cells in 1 ml sample. When decoding the obtained value is compared with a norm - 12-16 million.
  • The total content of sperm cells (39 million and ˃).
  • Mobility which is estimated as progressive and non-progressive motile (38-42%), still.
  • The morphology of the spermatozoa (by Krueger) - determination of normal cells is carried out by evaluating the shape and size of the head, presence and localization acrosome, location, size and the presence of cytological drop, shape, size, the presence of flagellum and others. Normally, the number of morphologically normal forms should be 40-60%, and ideal forms a part of - no less than 4%.
  • The number of live sperm is considered normal if their content is not less than 50% of the sample. The viability of sperm is evaluated by two methods, and the determination of this index is performed on the basis of the integrity of the deceased cytomembranes sperm.
  • Agglutination - bonding of sperm missing.

Under the microscope, we can estimate the number of sperm in the ejaculate.

In addition, the composition may include spermoplasm leukocytes (˂ 1 mln / ml) and other elements spermatogenic cells (less than 1.5%), lecithin grain, seed crystals Behtery et al.

Explanation composition ejaculate is of great diagnostic value in determining the diagnosis of certain diseases of the genitourinary system.

If there is a sperm leukocytes, erythrocytes, or other items that should be omitted, performed an extensive analysis and testing of ejaculate.

And the majority of men has been some secret algorithm of allocation of a certain composition. For example, different fractions contain different components from different parts of the reproductive system.

A certain part of them to one of the factions will help locate the source of pathological elements. Determination of germ cells is carried out in a colored sample. Processing performed by nigrosine Eosin or Romanowsky method.

Determination of morphological forms is also carried out at the microscope stained preparation.

Biochemical studies secret

The semen contains a large number of different substances - hormones, enzymes, fats, macro- and trace elements that are part of the normal ejaculate. However, due to the fact that their role in the reproduction process is not fully understood, the preference in determining the biochemical composition of the sperm is given:

  1. Estimating the amount of fructose and fruktoliza decoding process required for determining the quality of energy processes in spermatozoa. Normally, the fructose content - 6,7-33,4 umol / ml. If the result is below normal, it constitutes a violation of the functions of the seminal vesicles or fibrous degeneration of the ejaculatory ducts.
  2. The concentrations of citrate (citric acid) which is a unique marker for testicular hormonal function. Normally, its content - 20-30 mmol / l.
  3. Determining the amount of α-glucosidase necessary for the evaluation function appendages testicle. Deficiency leads to the absence of sperm in the ejaculate (azoospermia) reducing motility (asthenozoospermia) or to their low concentration (oligozoospermia).
  4. Activity of zinc in semen, indicating the state of the reproductive system. Norm element content - 450 ng / ml. If this figure is lower, at decoding analysis suggests the presence of disease, such as bacterial prostatitis.
  5. L- carnitine is involved in the transport of fatty acids across the cytoplasmic membrane of the sperm. Its deficiency affects the mobility of male gametes.

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To decrypt the test results should refer to a doctor.

To determine the concentration of the substances listed above is used photocolorimeter. Immunoassay and ejaculate study conducted to determine the presence of antisperm antibodies (ACAT).

The presence of sperm antibodies leads to agglutination of cells. If agglutination of sperm takes place in the vicinity of the flagella, the cells lose their mobility.

If clumped sperm heads, they are not able to penetrate the egg.

In both cases, the ejaculate is losing fertility, and the presence of ACAT leads to infertility. To determine this index is used MAR test. When interpreting the graph analysis is necessary to pay attention to the figure in front of MAR-test. Normally, there should be zero.

About sperm fertility can also be judged on the basis of the Swim-up test results. Sperm that are capable of overcoming the density gradient, possess the largest fertilizing properties.

Normally, they should be contained in the test sample at least 2 Mill.

bacteriological sowings

Bakposev appointed to suspect the presence of pathogenic microorganisms in the urogenital system.

Thus there is not only the definition of the type of organisms to cause disease, but also to study their sensitivity to antibiotics.

For example, inflammation in the urogenital system can cause pneumonia, Klebsiella (K. pneumoniae) - conditionally pathogenic gram-negative bacterium. It can cause:

  • Prostatitis.
  • Obstruction of the urinary channel.
  • Adversely affect the composition and volume of ejaculate.

Causing inflammation, Klebsiella can be transmitted with sperm partner. In the literature, several proven cases when Klebsiella was the cause of fetal death, miscarriage or habitual abortion.

Correctly decipher the results obtained in bakposeve doctor can only, as is that for one patient may be a variant of the norm, for another can pose a serious threat to the reproductive system function and cause permanent infertility.

Especially dangerous is an error in the interpretation of semen analysis at conception planning, since many infections can cause fetal mutation or spontaneous abortion.

A source: https://fertilnost.com/analizy/eyakulyat

Semen analysis will determine the cause of low fertility in males and methods of treatment

Semen is made in case of problems in couples conceiving a child and to identify the causes of male infertility. It is fully decode the state of the seminal fluid, indicating rejection, helps the doctor prescribe treatment.

Analysis ejaculate - semen is carried out on the basis of standards defined by WHO. According to the results we can determine male fertility - the ability to conceive a child. Full study shows the presence of abnormalities, and therapies.

semen

Analysis of semen men, in the course of which the estimated quantity and quality performance, status and activity of sperm, its ability to conceive a child is called semen or spermiogram. Sometimes used the English name - spermogram.

Wikipedia gives a complete answer to the question, what is the semen, which is carried out, and what parameters are investigated. In addition to families who could not conceive, sperm analysis necessarily make sperm donors before delivery of the material. Cryopreservation is also important for structure and activity of sperm, their density per unit volume and the number of each species.

At the same time when analyzing the measured number of enzymes, lubricants, fructose and coagulant agents, which produce and secrete various glands. All of these components are necessary for the normal functioning of sperm. Semen analysis is conducted according to the standards of the World Health Organization and one of the defined indicators include:

  • quantity of ejaculate;
  • Sperm color;
  • smell of excreta
  • concentration of sperm;
  • viability;
  • activity;
  • total amount;
  • leukocyte concentration;
  • antisperm antibodies;
  • during liquefaction of the ejaculate.

Characteristics and types of spermatozoa

Sperm is a movable male sex cells. They have a round head, neck and tail. One ml of the seed liquid should be no less than 20 million. Only one eulyate more than 40 million. With fewer problems with fertilization.

Sperm motility is measured by the speed of movement. As a reference site are sexual cells and the length of time in seconds. The most active group A move up to 2 seconds on its body length (head + tail). Norm is the content of such sperm in semen for about 25%.

Straight moving seed cells at a slower rate than a minute half body belong to the group B. Ejaculate is considered to be healthy and able to conceive, if the semen analysis will reveal it includes half of the sperm, of Groups A and B.

Fixed and simply stirring or moving in zigzags, the sperm is not able to reach the uterus and take part in the fertilization of the female cell. Their relationship with spermogram not count.

sperm characteristics

Sperm cells make up a small part of the ejaculate. When conducting spermogrammy determine contents:

  • round cells;
  • leukocytes;
  • antisperm body;
  • the ability of the sperm cells to stick together.

A source: https://oprostatite.info/andrologiya/besplodie/uxudshenie-kachestva-spermy/spermogramma

analysis of ejaculate

Ejaculate analysis allows you to make a qualitative assessment of the state of men's health. Direction for research can be obtained by following advice from an andrologist.

The test is advisable in the following cases:

  • prolonged lack of fertilization in compliance with all the rules (if there are no violations on the part of the female reproductive system);
  • the presence of infectious diseases, inflammatory diseases of a chronic nature;
  • preparation for in vitro fertilization procedure.

Couples planning pregnancy in order to conduct preventive diagnostics analysis male ejaculate (semen).

Where to get tested ejaculate?

Service is provided by most modern laboratories in major cities. Diagnosis is carried out in a specialized center of Reproductive Medicine, or on the basis of the profile of public health institutions. Your doctor may suggest a few options for passing examinations.

Price semen analysis depends on the venue. In private medical centers it will cost a bit more expensive, but in general the price is available for patients.

Do not use seminal fluid resulting from intercourse interrupted, oral stimulation, since the sample can get a variety of biological isolation. This affects the objectivity of data. The collected sample home is important to bring to the lab within an hour.

Depending on the symptoms specialist prescribes a series of repeated diagnostic tests. This takes into account the cycle of maturation of sperm. In order to accurately determine the level of viability and function of the seminal fluid, the test is done 2-3 times with an interval of about one month.

There are clear rules for the preparation, with which compliance is mandatory:

  • abstinence from sexual intimacy for a week;
  • rejection of alcoholic beverages, tobacco blends, including cigarettes, the sauna receiving hot bath for about a month;
  • in case of receiving any medication should consult a doctor. All medications must cancel any pre-estimate their impact on the results;
  • to avoid hypothermia during the preparatory period. If you have symptoms of colds, feel unwell should postpone examination.

Neglecting one of the above items give fraught of false values.

Deciphering semen analysis explains the diagnosis, revealed during the meeting. Common pathology - the inability to ejaculation, which is determined by a puncture for sampling.

Also assess motor activity of sperm - reducing characteristic of asthenozoospermia. Morphological defects inherent with teratozoospermic.

Prevention of fertility problems is a healthy lifestyle and nutritious diet, timely medical examination in order to prevent the development of pathological processes in organs genitourinary system.

Going through such a procedure, it is important to know the normal semen analysis:

  • the volume of the material should be within 2 ml;
  • viscosity of 1-2 cm;
  • thinning occurs after 15-30 minutes in the laboratory;
  • liquid should have a white-gray tint;
  • alkaline index - in the range 7.2-8.0;
  • spermatozoon concentration of 20 mln / ml in a total volume - greater than 40;
  • of which 25% are movable, inactive - less than half, normal - 50% or more, with a normal structure - more than 30%;
  • white blood cells - up to 1 million.

The seed is not allowed the presence of impurities, mucus, bleeding clots.

The attending physician analyzes the results and assigns the appropriate therapy. In infectious diseases the treatment is carried out immediately.

Shows the rate of antibacterial drugs, immunomodulators, other medicines, depending on the diagnosis.

Prostatitis prescribed a course of anti-inflammatory agents, after removing the aggravation - physiotherapy. In other cases, the test should be repeated after 30 days.

A source: http://MedBooking.com/blog/article/muzhskoje-zdorovyje/analiz-eiakuliata

A study of the ejaculate

Semen of men, better known under the name of sperm. in medicine is called semen. This natural liquid secreted by the testes having the characteristic structure of mucous, viscous and opaque.

Highlight of ejaculate is due to sexual stimulation when sexual intercourse or masturbation. Ejaculate different specific smell, like the aroma of chestnut, light, almost white.

The taste of the liquid depends on the products used male and general state of health. In healthy males it has a slightly salty taste with a slightly bitter flavor.

As with any human body fluid, ejaculate can be investigated in vitro to assess the health of the patient. Analysis of semen is carried out in two ways - a bacteriological seeding and semen.

Main characteristics of the sperm

During intercourse or masturbation allocated a small amount of seminal fluid. The volume of this fluid differs and depends on several factors.

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According to medical standards, this amount should be in the range of two to ten milliliters.

However, in men aged sperm count can be less reduced and its volume with each sex act, the next with short time intervals. Therefore, doctors often guided by the normal limit of two to five milliliters.

Very often, the representatives of the stronger sex accept reduction in the amount of semen released for disturbing signs that the deterioration of male strength and health.

At the young age of the men is believed that the more sperm released during ejaculation, the greater the effect it produces on the sexual partner. In fact, the amount allocated to ejaculate and its quality - two completely different things.

It is not always a large amount of semen is indicative of its high fertility. But the main thing in the ejaculate - is the number of healthy and active sperm can reach the egg and fertilize it.

Such sperm fertilizing capacity is calculated in the laboratory. According to studies in 1 milliliter of semen should be from 20 to 25 million healthy sperm.

Himself ejaculate consists of seminal plasma and formed elements. The latter include not only sperm but also gonocytes. Seminal plasma - is the basis of sperm that is responsible for its proper structure. Provided it is in the event that all of the internal male organs are working properly and smoothly. Evaluate how healthy semen may only spending laboratory tests.

Sowing ejaculate semen and administered to patients in the following cases:

  1. Infertility. This diagnosis is for couples who are sexually active could not conceive a child on their own within a year.
  2. In a survey prior to in vitro fertilization procedures.
  3. For suspected sperm possible loss properties due to an illness or injury genital (infectious disease, hormonal imbalances, and varicocele t. D.).
  4. As a preventive examination of the patient.
  5. ejaculate study is part of the mandatory diagnostics when planning conception kid married couple.

However, the main objective of this study - the definition of the reasons hindering the man to become a father, that is.. infertility. It helps to find out a study of the ejaculate and causes decrease the volume of seminal fluid released, reducing the number of active sperm.

Identify data analysis of possible inflammation and infection afflicting the patient, that help does not start Only the treatment of infertility, but also other diseases, as well as help increase the number of active man spermatozoa.

Factors in a position to infertility

Bakposev semen - one of the most frequent diagnosis, prescribed for men's health research. The diagnosis of "infertility" is increasingly being perfectly healthy young people who do not complain about the other aspects of health. What leads to the development of this disease?

First of all, it's the patient's fault.

Unhealthy lifestyle, bad habits, poor diet - all this leads to hormonal imbalance organism, resulting in reduced number of healthy sperm and reducing their activity.

Promiscuity in sexual relations, disregard the rules of contraception and as a result, reproductive system disease, also affect the ability of man to conceive.

These factors can add poor environmental conditions, constant stress and high emotional stress, lack of minimal physical exertion, bad working conditions.

Through analysis, the doctor will be able to establish the exact cause of why there is no conception of a natural way, as well as prescribe treatment that will eliminate these factors, increase sperm quality and restore the natural functions of men's health. Typically, such treatment involves a series of events: taking medication, physical therapy, lifestyle changes.

Bacteriological seeding task - to determine the reasons for which there is no conception, to identify possible inflammation, infectious diseases and other reproductive dysfunction patient functions.

Bacteriological sowings ejaculate and semen

In conducting this study, you can identify harmful microorganisms present in the ejaculate and and find out the sensitivity of the pathogenic microflora to certain types of antibiotics drugs. Bacteria and infection present in semen ejaculate may cause changes in the structure, ie. E. changes its viscosity.

This phenomenon is called viskozipatii. The reasons for its occurrence - a prostatitis, varicocele, orchitis, inflammation of the urogenital male organs. There are cases when the doctor is unable to establish the exact cause of these changes. In this case, the diagnosis sounds as "idiopathic viskozipatiya".

To clarify the diagnosis is carried out together in bakposeve and semen, which confirms or refutes "viscous semen syndrome".

With this phenomenon in the body having an abnormality in the internal reproductive organs, resulting in the processes responsible for the liquefaction of semen proceed correctly.

If you ejaculate too tough, tight, sperm can not move freely in it, their speed decreases, they are unable to reach the fallopian tubes, will melt more susceptible to the effects of environmental factors and vaginal environment and uterus.

Notice such disorders without clinical trials it is impossible, t. To. The semen volume may remain the same, but oplodotvoritelnaya ability of semen to be very low. In a normal ejaculate viscosity should not be greater than two centimeters. Exceeding this norm becomes the basis for a diagnosis of "viskozipatiya".

In carrying out such data recorded spermogrammy semen parameters and, as with other surveys, and some additional features. This quality of the sperm, the presence or absence of red blood cells (normally they should not), the presence or absence of liquid forms of mucous as well as biochemical parameters.

When appointed Bacteriological sowings

Bakposev sperm carried in parallel with the study of the characteristics of prostate secretions. Appointed by the procedure in all patients in whom a clinician suspects the presence of an inflammatory process. It is necessary to survey in order to identify infections and prescribe treatment that can stop these processes and prevent their transition to the acute or chronic stage.

The study identified pathogens that can provoke diseases in urology or cause venereal diseases. This is one of the highly sensitive investigations necessary not only to choose the tactics of drug therapy, but also for monitoring the treatment.

Native ejaculate and reactive oxygen species

One of the newest methods of investigation of semen - the study of the native (pure, unprocessed) sperm.

This technique allows us to study the ejaculate at the subcellular level, with the result that identifies the different anomalies present in the sperm cells.

For the study are taken "live" sperm emitted under the microscope, which allows them to increase to 15 thousand times.

To conduct the study properly, semen is best to take directly in the clinic, which will conduct research. Since semen collection to the beginning of the laboratory diagnosis must be not more than one hour. Another requirement before delivery of the analysis - complete sexual rest for a few days before the visit to the lab.

As in other studies, this analysis examines both the sperm and seminal secret. These settings must correspond to healthy standards. Thus, a balance must be alkaline in the range of pH 7.2 to 7.8, the volume of liquid - at least two ml. The number of spermatozoa in 1 ml - no less than 20 million, with at least 50% of them should have a translational motion.

The total volume of cells with normal morphological structure should not be less than one third of the total.

Another important white blood cell count - normally the number is not less than a million per milliliter. It takes into account the presence of adhesion, which is absent in a healthy patient.

Also in the native ejaculate may occur spermatogenesis cells - 2-4 pcs. Inactive or damaged sperm should not be more than half the resulting volume of semen.

In the event that at least one of these parameters is broken, we can talk about male infertility.

There are situations when the native ejaculate there is excess production of reactive oxygen species (ROS). ROS are major causes of oxidative processes in the seminal fluid.

The reasons for this phenomenon may be a disease of the reproductive system, the body's autoimmune disorders, exposure to the environment. ROS production is also increased with patient age, chronic illnesses of the endocrine system, with heavy physical exertion.

All this affects the amount of sperm in the ejaculate, and their lack of the required number of leads to infertility.

How to prepare for the analysis

To conduct a survey correctly and get the most accurate results, it should be responsible to prepare for the delivery of ejaculate.

Collecting semen is carried out only in special sterile disposable containers, which are given at the clinic that performed similar tests.

Prohibited used to collect semen any glass containers from the foods, condoms, plastic bags and the like. D.

It is important to note on the container not only the date when the ejaculate has been collected, but also the exact time. This will depend on the accuracy of some of the indicators studied in the diagnostic process. For the analysis should give preference to the clinic recommended by the attending physician.

Once the ejaculate is collected, it should be immediately taken to the laboratory. It is not advisable to store the collected biological material. As if this is not possible, the container does not need to put in the fridge.

The optimum storage temperature seminal fluid - from 20 to 40 degrees. Lack of proper storage conditions can lead to false results.

Also, a few days before the analysis is to abandon the intimate relations.

The assay results are usually obtained within one day from the date of deposit of biological material in the laboratory. The resulting form of personal data, the main parameters studied rules and parameters is handed to the patient.

Decryption of the data holds only the doctor who gave the direction to carry out the diagnosis. He also sets the final diagnosis and assigns medical therapy.

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Sometimes, in addition to the doctor - you may need to consult a reproductive and other specialists: urology, venereology, surgeon, endocrinologist.

How to increase the number of active sperms

The results of the laboratory tests the doctor will establish the exact cause of infertility and prescribe treatment designed to increase the number of active and healthy sperm in the semen. But besides receiving medications and various physical treatments, treatment should include the other parameters.

Increase sperm quality will help compliance with a healthy lifestyle. Refusal of alcoholic beverages and cigarettes helps to improve test results in the shortest time. Ejaculate will be of higher quality if the patient's life will include even minimal exercise - morning exercise, walking, giving up the elevator, and so on..

If there is a possibility to visit fitness centers, should give preference to training, which will not lead to excessive overheating of the body. It can be swimming, yoga, stretching exercises.

Increase the number of active spermatozoa and are capable of interruptions, if it is related to prolonged periods of sitting in one spot.

Regular breaks every hour, in which the patient can get up and walk around the room, do not allow only to give rest to your eyes, but also improve blood circulation in the pelvis, which directly affects the condition of the male health. If the stand is not possible, you can do a few exercises while sitting.

It is important to eat regularly and to give up snacking, especially harmful food.

To ejaculate was more qualitative basis of the diet should be protein and vegetable products, as well as fish and milk drinks. You need to eat regularly, frequently and in small portions.

It should avoid unnecessary stress and emotional strain, which also have a direct impact on the state of men's health.

Increase the amount of sperm will refusal to visit places where there is increasing temperature: bath, beach. Underwear, especially in the summer, it should be only from natural fabrics.

Synthetics body temperature increases in the groin, which decreases the quality of sperm.

These simple measures will help to supplement the treatment prescribed by the attending specialist, in a shorter time to improve the results of the analyzes and faster to conceive a long-awaited baby.

A source: http://MyHome23.ru/1180

Sowing sperm: indications for analysis results

Semen analysis or culture of sperm is usually given to men with the aim to identify the cause of infertility.

By this procedure resorted suspected infection male body venereal diseases.

In addition, semen culture flora can detect the presence of the patient's problems dermatological and urological character.

Focusing on the bacterial inoculation test, the specialist selects the direction of treatment.

In some cases, the assigned semen?

Venereology and urologists are often prescribed to their patients the change in the ejaculate bakposev. Using this procedure microbiologists possible to identify the presence of a specific biological material, in other words - the pathogenic flora.

It bakposeve guided when it is necessary to determine the cause of male infertility.

In addition, seeding ejaculate can select the type of drugs that can help to normalize the male body's health.

For putting semen on the microflora is better to visit the clinic, as collected for analysis to home biomaterial It must be delivered to the laboratory within 60 minutes, otherwise the results may be semen untrue.

In the laboratory, ejaculate was taken up in nutrients that beneficially affect growth and development of all types of pathogenic cells.

This phase of research is needed to examine the nature of the vital functions of pathogenic bacteria and Based on these results to confirm or deny the presence of the male body pathological changes.

Delivery of semen for analysis is prescribed to men who are not able to conceive a child for two years, at the same time be examined and inviting the patient's spouse.

It explains the approach to the diagnosis of the causes of infertility statistics, which says that the earlier culprits childless families are almost always women.

But to date, male infertility has been observed more frequently, and the reason for this, as studies show, are:

  • Unhealthy Lifestyle;
  • unbalanced diet;
  • psycho-emotional stresses and frequent load;
  • physical and mental stress.

All the chances to conceive a child have those men who have sown in 1 ml of semen was found about 20 million gametes.

The reason for this is the different degree of activity of cells, wherein, in addition to the active one part gametes may have defects in the morphological structure, the other does remain inactive.

When sperm study taking into account the period of sperm activity, which should move a few hours after ejaculation.

Sowing ejaculate prescribed to patients with infectious diseases of the genitourinary system, which can cause male infertility.

Procedure semen bacterial inoculation test to diagnose serious diseases such as HIV, bacterial vaginosis, genital herpes, syphilis, different types of parasitic lesions.

During the study each kind of pathogenic microorganisms tested for sensitivity to medicinal drugs, including antibiotics.

Video:

Features of semen collection on bakposev

Letting ejaculate on bacteriological analysis should take place according to established rules.

Patient violation of the rules of collecting biological material causes microbiologist getting incorrect results.

The basic requirements that apply to each clinic collection of sperm for bacteriological sowing, is to prepare the organism and are represented by the following paragraphs:

  1. For a week it is necessary to abstain from sexual intercourse, or in sperm sowing are found cells of the female reproductive system;
  2. Postpone saunas and baths - high temperature adversely affects the state of the sperm;
  3. Complete abstinence from alcoholic beverages - scientists have proved devastating effects of alcohol on the activity of sperm;
  4. Changing the diet - the use of a large amount of fat, salt and spicy food reduces the amount of seminal fluid and reduces the activity of gametes;
  5. If, before delivery of the analysis were treated with any antibiotics disease, sperm can be taken for planting only after two weeks, otherwise the analysis of the results will be skewed.

Collect sperm on crop need in the morning after a night's sleep, after emptying bowels and carefully performing hygiene procedures.

Semen on bakposev collected in a special sterile container, which can be bought at the pharmacy (if the sperm will be collected at home) or take in the hospital laboratory.

If the procedure will be carried out at home, the biomaterial should be taken for analysis within an hour, otherwise the results of bacteriological seeding will be incorrect.

For this reason a man shall not collect semen for culture in one container and then pour into another.

Additionally, distorted analysis results are obtained if the sperm collected for culture by Withdrawal.

Be sure to collect semen during male procedures must ensure that the tank along with the semen did not get a drop of sweat or hair pieces.

For this reason it is not recommended during masturbation use saliva or cream.

Usually after this surrender semen for analysis is transferred to a 4-5 day. It is important that in the process of masturbation man gathered all poured out of the biological material is a member that will provide accurate test results.

In addition to sperm it was suitable for the study must first be transported to the laboratory at a temperature that will not be different from the body temperature.

Therefore, a jar of ejaculate is recommended during transportation to keep in an inner pocket, close to your body.

Deciphering bacterial inoculation test ejaculate

Once the sperm gets to the lab for analysis, it is placed in a special reservoir saturated with nutrient medium.

In such circumstances, the biological material is day - this time period enough to exhibit themselves started present therein pathogenic microorganism.

Pathogenic bacteria begin to actively colonizedThat allows microbiologist easily determine their type and identify the causative agent.

Once a virus or bacteria, triggering a violation of microflora in the semen, installed laboratory moves to the next stage of the research results of bacteriological seeding.

Before microbiologist faced with the task to establish how the antibiotics revealed the pathogen can not resist. With this in mind, the physician selects the direction of medication.

If a patient who has passed a tank crop sperm allergic to certain medicinal ingredients before doctor there is another problem that comes down to choosing the right man for therapeutic the drug.

In some cases, the technician is difficult to determine the pathogen type, provoked abnormalities in sperm microflora, which means that the treatment can not be assigned.

This occurs in situations when the detected pathogen in the structure no morphological features.

Therefore, a separate group of patients after analysis of sperm sowing additional studies are appointed.

It turns out that the bacteriological seeding ejaculate in specific cases can only confirm or refute the presence of sperm in the flora of pathogenic microorganisms, but it does not say anything about their type.

As for decryption semen analysis results, it can only make a specialist. This factor explains the personality of the human body.

The presence of a certain number of pathogenic bacteria in the assay type of a patient can be considered norm, whereas the analysis of other human subject with such indicators will relate to pathological.

Any error related to the decoding of the analysis may lead to serious consequences, such as infertility or spread of infection throughout the body.

Therefore, if the doctor doubts about the validity of planting analysis results that can occur when inconsistencies of the data with indicators of further investigation, it is better to spend spermogrammu repeatedly.

A source: http://moydiagnos.ru/analizi/spermogramma/posev-spermy.html

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