Normospermia - analysis, regulatory and complementary indicators, causes of abnormality
Recently, more and more young families who can not conceive a child face male infertility.
Sperm analysis( spermogram) - allows you to assess the health status of the reproductive system and reproductive capabilities of men.This study helps to identify the ability to fertilize.
The normosmermia is the full functioning of the organs of the reproductive system that are capable of producing a sufficient number of active and healthy spermatozoa.
Important! Abnormalities can provoke infertility, which requires immediate treatment.Table of contents: How is the ejaculate used for analysis?Normative indicators of ejaculate Additional indicators of ejaculate Reasons for changes in indicators
How is the ejaculate used for analysis?
To obtain the required dose of sperm, the following methods are used:
- Take post-change urine, which contains the required amount of sperm.
- Collect the required amount of postcoital sperm that is delivered in a condom within an hour.
- Sperm is received directly in the hospital, when the patient masturbates in a special jar with a wide comfortable throat.The fence is conducted under the supervision of a medical professional.The container is immediately transferred for analysis.
Normative parameters of the ejaculate
Normospermia shows whether the sperm production is normal. When spermogramme pay attention to the following indicators:
- Time dilution of the ejaculate.Initially, the sperm is a viscous and thick liquid.For analysis, take 2-6 ml of liquid.From ten minutes to an hour after taking the analysis, the sperm remains thick.Then, under the influence of special enzymes, it begins to liquefy.During the analysis, measure the thread that stretches behind the ejaculate.Normally its length should be approximately 2 cm. If liquefaction does not occur, this means that the prostate gland is broken.Biochemistry of ejaculate does not correspond to the norm.In this case, the spermatozoa will be immobile or completely immobile.
- Volume of ejaculate. Before the study, it is necessary to abstain from intimate life during the week .The normal volume of sperm during this time is from 2 to 4 ml.If the volume is more than 5 ml, this is an excessive indicator.Conception does not happen, the sperm simply flows.The volume of ejaculate below the norm indicates that there is not enough sperm for conception.Odor and color of ejaculate.
- .Sperm has a white-gray color.With normospermia, it is white-milk or milky.If there is sediment or flakes in the ejaculate, and the liquid itself is clear and has a chestnut smell, this indicates that the sperm has abnormalities.
- Hydrogen, acidity.If all other indicators, except for acidity, are normal, then ejaculate is considered normal, and there are no deviations affecting fertilization.Pathology is observed only if the acidity indices are 9-10.An acidic medium with an incidence of 6-6.8 indicates an obstruction of the outflow ducts, or a complete absence of spermatozoa.In a slightly alkaline medium, the movement of spermatozoa is slowed down.
Additional indicators of the ejaculate
If the white blood cell count is from 1 million to 1 ml of seminal fluid, this means that the seminal vesicles have inflammatory processes that can lead to prostatitis.
Erythrocytes should not be present in the ejaculate.
There should be no mucus in the semen, if present, this indicates the presence of inflammatory processes of the genital organs.
A small amount of spermatozoa in the fluid is a sign of male infertility .
Important! Sperm analysis is performed several times to obtain more accurate results about its condition.
Reasons for changes in the indicators
The causes of male infertility can be very different .As a rule, low quality of ejaculate and insufficient amount of spermatozoa cause pathological processes in the body, in which normospermia is not productive .These processes have a negative impact on the work and condition of the central nervous and endocrine systems, as well as internal organs.
Pathology can lead to a change in the tissues of the testicles and seminal tubules, which leads to a decrease in reproductive function.
Changes in indices can lead to the development of obstructive azoospermia - obstruction of the vas deferens.
Infectious and venereal diseases, frequent stresses, mumps, alcohol abuse, dropsy of the testicles, overheating of the inguinal region, radiation exposure are factors that may cause a decline or complete cessation of sperm production in the testicles.
Injury to the testicles, inflammatory processes, infections and injuries of the inguinal organs lead to a rejection of normospermia, in which sperm are unable to move normally.
If the results of the spermogram are not in accordance with the norm, the patient undergoes a comprehensive examination that detects the cause of the deviations of .Most often, normospermia is not productive due to a disorder of the hormonal background.
To improve the normative indices and the number of spermatozoa, a man needs to cure the underlying pathology.
Radevich Igor Tadeushevich, a sexually-pathological andrologist of the 1st category