Example Semen Analysis Report

Sample Semen Analysis Report – John SMITH DOB 2/10/73 Partner’s name Date of sample Duration of abstinence (days) Difficulty in producing Was all the sample collected? Interval between ejaculation and start of analysis (min) Volume (ml) Appearance Liquefaction Viscosity PH Debris Agglutination Location

Patient Value Jane SMITH 1/11/04 3 No yes 60

Reference Range

3.2 Normal Complete Normal 8.0 None None -

2 mls or more Normal Complete within 60 mins Normal 7.2 – 8.0 Not significant (NS) Not significant (NS)

2 – 5 days No Yes Up to 2 hrs

Motility (%)

50% or more (a + b) 25% or more (a)

(a) rapid progression (b) slow progression (c) non-progressive (d) immotile Vitality (%)

52 12 6 30 -

> 50%

Other Cells (x 106/ml) round cells white blood cells

0.1 2.8

< 5 x 106/ml < 1 x 106/ml

Antisperm Antibodies (% bound) MAR test for IgA

2

< 10% absence of antibodies < 50% may not affect fertility

Location MAR test for IgG

0% head 2 % tail 3

0 % head & tail

1% head 2 % tail

0 % head & tail

Location Concentration (x 106/ml) Count/ml Total count in ejaculate

< 10% absence of antibodies < 50% may not affect fertility

67 214

Morphology (%) normal abnormal head defects midpiece defects tail defects cytoplasmic droplets teratozoospermia index (TZI) Comment:

20 x 106/ml or more 40 x 106 per ejaculate or more Multicentre studies now in progress. Current values 15% or more normal forms

23 77 72 16 10 2 1.3

1.6 or less

All parameters within normal range

Notes: This report does not give any information about the integrity of the sperm DNA. DNA fragmentation levels are now considered to be more reliable than conventional semen parameters in

assessing male fertility. This sample has been cryopreserved and will be stored for 4 weeks. To request sperm DNA fragmentation as an additional test, please telephone TDL Andrology on 0207 307 7312.