Why have a semen analysis? Meaning of test indicators

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Semen analysis is a basic and essential step in the diagnosis of infertility in couples. Through the results obtained from the test, the doctor will reflect the sperm status in the semen and the man's natural fertility.

1. What is a semen analysis?

A semen analysis is an important test that provides information about the quantity and quality of sperm. Thanks to the semen analysis, the diagnosis and treatment of male infertility becomes easier. Besides, thanks to the results of the semen analysis, the doctor can accurately diagnose the results of the phenomenon of blood in the ejaculate, vasculitis,...

2. Why do semen analysis?

Semen analysis is a test method that helps doctors make preliminary diagnoses about the husband's fertility, to have a more in-depth examination basis and find out the cause of infertility - infertility. Therefore, semen analysis is mostly just a screening test, not absolute.
The semen samples show too good or too bad indicators (such as no sperm in the semen, 100% malformed sperm, ...) have high concluding significance. Meanwhile, semen samples with results that are neither too good nor too bad are often not strong enough to conclude the patient's reproductive status, but enough to guide diagnosis and treatment later.
Evaluation and analysis of semen analysis results to help diagnose the cause of abnormalities in semen requires experienced specialists in the field of male health and infertility. Read and give the best treatment solution.
Semen analysis is an important and necessary, simple and inexpensive test for preliminary assessment of male fertility.

3. Meaning of indicators of semen analysis

A sample of men's semen will be measured (normal volume is about 1.5 - 4 ml) and analyzed under a microscope to:
Count the sperm count. Observe the shape of the sperm. Determine the percentage of motile sperm. Test results can detect abnormalities in the quantity and quality of sperm and that may be the reason why couples are having difficulty conceiving (infertility).
Test results usually fall into 1 of 3 cases below
Normal: Normal semen analysis results according to WHO 2010 are as follows: average volume from 1.5 ml, sperm concentration over 15 million /ml, the survival rate is over 58%, the sperm shape is normal over 4%, there are less than 1 million white blood cells in 1ml of semen. Definitely abnormal, which could be: Very few sperm (oligospermia) or no sperm (azoospermia) Abnormal sperm shape and size (teratozoospermia) Very few normally motile sperm (asthenozoospermia) Or possibly combination of the above (uncommon) May be in the "middle range": ie more normal sperm, higher percentage of motile sperm, better chance of conception. If the test results are abnormal, a man can have the test repeated, as there are a number of other factors that can alter sperm production. If men want to test again, they need to wait about 3 months, this time is the body's new sperm production cycle.

4. Note before performing semen analysis

To get the correct semen analysis results and accurately reflect fertility, men need to:
Abstain from ejaculating for 3-5 days and up to 7 days before the test. Eat a nutritious diet, build a reasonable exercise regimen and rest within 3 months before the test date to get the best index. It is recommended to add seafood in the diet every day to help not only strengthen the necessary nutrients but also provide more vitamins and minerals, especially zinc, selenium, which are essential for sperm production. It is advisable to schedule a time to check the semen map in the morning to get the most comfortable feeling and the most amount of semen. Drink a lot of water to avoid causing concentrated semen, minimize alcohol and tobacco. A semen analysis should not be performed when there is a stimulant such as alcohol in the body. A semen analysis should not be performed when there is a high fever or inflammation in any part of the body.

At the Vinmec general hospital system, the basic pre-marital examination package and the advanced pre-marital examination package are applied, including semen analysis for men. The test is performed by a team of experienced doctors and nurses, with modern equipment, fully ensuring the safety and privacy of the customer, which will help evaluate fertility, detect the cause early. can lead to infertility, infertility, bringing the best peace of mind for couples.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.