If you are one of those people who are worried or wondering why your couple still do not have children no matter how hard you try and do not know what else to do or where to start, this article should be able to help you. In the case of women, it should not be too hard to evaluate the cause as women already have a menstrual period as a base measurement for fertility. In the case of men, they may need to go through several different examinations for this evaluation. The choice of which examination you should take depends on your medical record/history and your checkup record. Nevertheless, the examination that all men go through is the Sperm/Semen Analysis, which is a very easy examination. Sperm/Semen Analysis is the examination used to determine the amount, movement and the abnormality of sperm. The sperm/semen analysis can be divided into 2 types as follows:
- The volume of normal semen is usually equal or greater than 1.5 ml.
- The pH of normal semen should be mild alkaline with a value equal to or more than 7.2
- The Viscosity of normal semen, when dropped through the pipette, should not be longer than 2 cm. Higher viscosity will affect its movement.
- Liquefaction of normal semen should not take longer than 1 hourMicroscopic Examination
- Viability of a live sperm should be at least 58% of living cells or more.
- Sperm concentration should be at least 15 million cells per millimeter or more
- Motility of the inspected semen should mean at least 40% of the semen are able to move.
- Morphology of the inspected semen should show a normal shape for more than 4%.
- WBC should be found in semen, but not exceeding 1 million cells per millimetre. If there are more than 1 million
- WBC cells in semen, it would be an indication of an infection.
- RBC should be found in semen with less than 1 million cells per millimetre. A higher amount of RBC might indicate that there is an infection or injury after ejaculation.
In addition, it should be noted that the accuracy of the examination depends substantially on how well you prepare yourself for the examination and how you collect your specimen. Men should know the following procedures and precautions:
- It is suggested that you abstain yourself from having sex or from any kind of ejaculation for at least 2-3 days, but no longer than 7 days.
- The specimen collection is usually obtained by masturbation. Put the specimen in a clean and dry wide mouth container, then pass it on for examination within 1 hour
- There should be no use of a condom in the specimen collection because condoms contains certain substances that will cause abnormality in the semen’s movement.
- It is strictly prohibited to store the specimen in the refrigerator or ice. The doctor will be able to suggest an appropriate examination, diagnosis and treatment after the patient has finished his early-stage test. This means that a checkup is well advised if you are wondering whether you have an infertility problem. If you are one of the many couples experiencing infertility problem, we encourage you to take the examination or at least consult the doctor.Provided by Health Lab Hua Hin