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EPIC ORDER CODE LAB216 Semen Analysis, Semen

Important Note

Semen Analysis Patient Questionaire

 

SPECIMEN MUST BE BROUGHT TO TRINITY MUSCATINE LAB MONDAY-THURSDAY ONLY BETWEEN THE HOURS OF 06300 AND 1500.  DO NOT SUBMIT SPECIMENS THE DAY BEFORE OR ON A HOLIDAY.  PATIENT MUST BRING SPECIMEN NO LONGER THAN 1 HOUR AFTER COLLECTION.

 

THE PATIENT QUESTIONAIRE MUST BE COMPLETED BY THE PATIENT.

 

Additional Codes

SQ:FERM

 

Reporting Name

Semen Analysis

Useful For

Determining male fertility status

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Semen


Ordering Guidance


This test should not be used to check patient's sterility following a vasectomy. For such cases, order POSV / Post Vasectomy Check, Semen.

 

Semen analysis specimens submitted to Mayo Clinic Laboratories are not acceptable for fructose testing due to the use of dilution media. For specimen requirements for fructose testing in azoospermia patients, see FROS2 / Fructose, Qualitative, Semen.

 

Submit separate specimen to rule-out ejaculatory duct blockage. Positive result indicates no blockage.



Shipping Instructions


Specimen must arrive within 24 hours of collection. Send specimen Monday through Thursday only and not the day before a holiday. If holiday falls on a Saturday, holiday will be observed on the preceding Friday. Sunday holidays are observed on the following Monday. Specimen should be collected and packaged as close to shipping time as possible. Laboratory does not perform testing on weekends.



Necessary Information


Include the following information:

-Semen volume (required)

-Viscosity

-pH

-Appearance (color)

-Number of days of sexual abstinence



Specimen Required


Patient Preparation: Patient should have 2 to 7 days of sexual abstinence at the time of semen collection for accurate results.

Supplies: Semen Analysis Kit - Dilution Media (T178)

Specimen Volume: Total ejaculate

Collection Instructions:

See complete Semen Collection instructions included with the kit.

1. Prior to use, allow dilution medium to warm to room temperature for 45 to 60 minutes.

2. Allow semen to liquefy at room temperature for up to 30 minutes.

3. Use sterile volumetric pipet or tube for volume measurement.

4. Pour liquefied semen into 50-mL dilution medium container within 60 minutes of semen collection time, cap tightly, but do not overtighten, and gently mix.

Note: Proper temperature maintenance of specimen throughout processing and shipping is critical. All materials the specimen is exposed to should be at room temperature (20-28° C).


Specimen Minimum Volume

See Specimen Required

Specimen Stability Information

Specimen Type Temperature Time Special Container
Semen Ambient

Reference Values

Appearance: Normal

Volume: ≥1.5 mL

pH: ≥7.2

Motile/mL: ≥6.0 x 10(6)

Sperm/mL: ≥15.0 x 10(6)

Motility: ≥40%

Grade: ≥2.5

 

Note: Multiple laboratory studies have indicated that semen parameters for motility and grade, on average, retain 80% of original parameters when our shipping method is used for transport. Using these averages, samples with 32% to 39% motility and grade of 2 may be in the normal range if testing was performed shortly after collection. Therefore, these borderline patients may need to collect another sample at a local fertility center to verify fertility status.

 

Motile/ejaculate: ≥9.0 x 10(6)

Viscosity: ≥3.0

Agglutination: ≥3.0

Supravital: ≥58% live

Fructose: Positive

 

Note: Fructose testing cannot be performed on semen analysis specimens shipped through Mayo Clinic Laboratories.

 

Submit separate specimen to rule out ejaculatory duct blockage. Positive result indicates no blockage.

Day(s) Performed

Monday through Friday

Test Classification

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

89310

LOINC Code Information

Test ID Test Order Name Order LOINC Value
FER Semen Analysis 54231-6

 

Result ID Test Result Name Result LOINC Value
ABSTN Abstinence 10587-4
CLST1 Collection Site 56816-2
TY Study Type 54453-6
CNTN Container Type 74384-9
APP3 Appearance 13359-5
VL53 Semen Volume 3160-9
PH1 pH 2752-4
MOTML Motile/mL 42531-4
SPML Sperm/mL 9780-8
MOTY Motility 6800-7
GR2 Grade 13942-8
MOTEJ Motile/Ejaculate 6800-7
VISC Viscosity 32789-0
AGGLU Agglutination 33217-1
STAIN Supravital Stain 101570-0
FRCT Fructose 13943-6
CMT45 Comment 48767-8

Clinical Information

Semen is composed of spermatozoa suspended in seminal fluid (plasma). The function of the seminal fluid is to provide nutrition and volume for conveying the spermatozoa to the endocervical mucus.

 

Male infertility can be affected by a number of causes. Chief among these is a decrease in the number of viable sperm. Other causes include sperm with abnormal morphology and abnormalities of the seminal fluid.

Interpretation

Semen specimens can vary widely in the same man from specimen to specimen. Semen parameters falling outside of the normal ranges do not preclude fertility for that individual. Multiple samples may need to be analyzed prior to establishing patient's fertility status.

Method Description

The sample is measured for volume and analyzed microscopically to determine the number of sperm present, the number of moving or motile sperm, and the properties of the sperm motility.(WHO laboratory manual for the examination of human semen. 6th ed. World Health Organization; 2021)

Report Available

1 to 4 days

Specimen Retention Time

Not retained

Reject Due To

All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Method Name

Manual

Clinical Reference

1. Cooper TG, Aitken J, Auger J, et al, eds. WHO laboratory manual for the examination and processing of human semen. 5th ed. WHO Press; 2010

2. Bjorndahl L, Apolikhin O, Baldi E, et al, eds. WHO laboratory manual for the examination and processing of human semen. 6th ed. World Health Organization; 2021