Spermogram

One of the most important examinations of male reproductive function is a spermogram. This is a laboratory test of ejaculate that allows you to evaluate the physical, chemical, and morphological parameters of sperm. The analysis shows whether a man can become a father naturally (his ability to fertilize eggs) or whether there are disorders that require treatment. In clinical cases such as preparing for pregnancy planning or diagnosing male factor infertility, this procedure can be the first step towards establishing a diagnosis and choosing the optimal treatment strategy.

Contents

Indications for a spermogram:

A spermogram is not just an analysis for couples who have been unable to get pregnant for a long time. It is an important method of monitoring the state of the male reproductive system in general. Therefore, this test can be performed in different cases:

  • Infertility in a couple. If no pregnancy occurs during a year of regular unprotected sexual intercourse.
  • Pregnancy planning. To assess the quality of sperm before conception or IVF (ICSI).
  • After infectious and inflammatory diseases. Prostatitis, orchitis, urethritis, and venereal infections often affect spermatogenesis.
  • After scrotal injuries or surgeries.
  • Varicocele ( a common pathology of the testicular veins), trauma, and surgical intervention on the genitals can cause a decrease in male fertility.
  • After taking medications or hormones. Some drugs (steroids, antibiotics, chemotherapy) can affect spermatogenesis.
  • With a visual change in ejaculate. For example, if the volume has decreased or the consistency has changed.
  • To monitor the effectiveness of treatment. After infertility treatment or genital surgery to monitor the dynamics.
  • After stress or exposure to harmful factors. For example, after working in hazardous conditions or prolonged overheating.
  • Before cryopreservation. To select the best sample for storage.

Thus, the analysis is not limited to pregnancy planning. It is a diagnostic tool, an assessment of the therapeutic effect, and a preventive measure that allows timely detection of abnormalities in the male reproductive system.

Advantages:

Spermogram makes it possible to diagnose the following pathological conditions of ejaculate:

  • oligospermia - too small a volume of ejaculate;
  • asthenozoospermia - reduced sperm motility;
  • oligozoospermia - low sperm concentration;
  • akinozoospermia - immobility of spermatozoa in absolute form;
  • necrozoospermia - the absence of germ cells (live appearance);
  • teratozoospermia - a large number of sperm with abnormalities;
  • hemospermia - red blood cells in the semen;
  • leukocytospermia - an increased level of white blood cells in the ejaculate;
  • azoospermia - ejaculate without sperm.

Ejaculate, in accordance with the accepted normative indicator, is called normal and the state of this ejaculate is denoted by the term normospermia or normozoospermia.

Preparation and/or course of the procedure

Preparation for semen analysis at IVMED clinic

To ensure that the results of the spermogram are as accurate and correct as possible, it is important to follow certain preparation rules:

  1. Abstinence from ejaculation 2-5 days before sperm donation, but no more. This will help to see the real picture of spermatogenesis parameters.
  2. Abstain from alcohol 48 hours before the test. Drinking alcoholic beverages can temporarily reduce sperm motility.
  3. Exclusion of saunas, hot baths, steam baths, heat exposure (e.g., heated seats, physiotherapy in the groin area) 1-2 days before the test. Heat negatively affects spermatogenesis.
  4. Avoiding heavy physical activity the day before. Heavy loads and sports can temporarily affect sperm quality.
  5. Exclude taking medications for at least a week before taking the sample, as some drugs affect spermatogenesis. If you are prescribed medication for regular use, you must inform your doctor before the test.
  6. Ensuring a comfortable psycho-emotional state. Stress and excessive anxiety can affect ejaculation and sample quality.
  7. If you have inflammation (prostatitis and others), you should inform your doctor. It may be recommended to postpone the procedure until the condition stabilizes.
  8. Limit smoking. Nicotine reduces sperm motility.

Compliance with these rules increases the chance of obtaining truthful results, on the basis of which a specialist can draw the right conclusions.

The process of taking a spermogram

The spermogram procedure in Kyiv at the IVMED clinic is organized in such a way that the patient feels comfortable and can safely submit the material without stress, without worrying about confidentiality.

Preliminary consultation

The man is provided with detailed information on how to collect ejaculate, and then receives a sterile container.

Obtaining a sample

After performing hand and penile hygiene, the patient collects semen by masturbation in a specially equipped room in the clinic. It is important not to use lubricant or saliva during this process and to collect the entire sample from the first to the last drop.

Our own research

Laboratory technicians conduct macroscopic examination of the ejaculate (semen volume, color, viscosity, acidity, odor, and liquefaction time) and microscopic examination (sperm count, sperm motility and morphology, viability, presence of blood cells (white blood cells, red blood cells), bacteria, mucus, and agglutination reactions (sperm gluing together or other components of the ejaculate)).

Generating a report

Within 1-2 days, the laboratory prepares a report that covers all indicators in comparison with the reference laboratory values, sometimes with a commentary by the laboratory doctor.

Consultation with a doctor

After receiving the results, it is advisable to consult an andrologist or reproductive specialist to understand the indicators and determine the next steps.

Interpretation of spermogram results

Quantity (concentration)

The norm is at least 15 million sperm per 1 ml of semen, or a total of about 39 million in the ejaculate. If the number is lower, this may indicate oligozoospermia, a pathological condition that can lead to male infertility. At the same time, there may be a condition where there are no sperm in the ejaculate at all. This is a severe pathology called azoospermia.

Mobility

A very important indicator: motile sperm are able to overcome the cervix and penetrate the egg. Motility is divided into categories: A - rapidly progressive, B - slowly progressive, C - non-progressive, D - immobile. If the number of motile sperm is low (less than 40%), it is called asthenozoospermia, which can affect the ability to conceive.

Form (morphology)

Morphological analysis of spermatozoa is an equally important criterion by which the shape of the head, neck, and tail is evaluated. The rate of normal shapes can vary, but less than 4% of normal spermatozoa in the ejaculate. If the rate is lower than 4%, this indicates morphologically impaired sperm and is called teratozoospermia. Abnormalities in shape may be associated with genetic disorders, toxicity, infections, or inflammatory diseases.

Other parameters

Ejaculate volume, acidity level, presence of leukocytes or red blood cells, the number of live forms (should be more than 58%), sperm agglutination, etc. are additional indicators that help the doctor to draw a complete picture.

Evaluation of spermogram results

It is important not to draw conclusions on your own. Only a doctor can correctly assess whether a deviation from the norm is critical. Based on the results of a spermogram, the following can be determined at a consultation with a reproductive specialist or andrologist:

  • Whether there is a need for additional examinations (genetic testing, detection of antisperm antibodies, etc.).
  • Is there a male factor in infertility or does the sperm have normal indicators and it is worth looking for other causes of fertilization problems.
  • Which option of assisted reproductive technology may be appropriate (insemination, IVF, donation).
  • Whether medical or surgical correction of disorders is required (varicocele treatment, hormonal therapy, antioxidant programs).
  • Assess the degree of spermatogenesis disorder.
  • Monitor the effectiveness of the prescribed treatment.

A spermogram is not just numbers, but a part of the clinical picture that allows you to formulate a treatment plan, assess the chances of conception and choose the best tactics for further action. If necessary, doctors draw up an individualized plan for restoring male fertility.

Features and interesting facts

Where to get a spermogram in Kyiv

Choosing a clinic is important, because the test requires comfortable conditions, accurate equipment, and experienced specialists. If you are looking for a place to get a spermogram in Kyiv, IVMED Medical Center is a reliable place where every man can check his reproductive health without any worries.

The clinic has a modern laboratory certified according to international standards, where experienced doctors work. They not only perform the analysis, but also explain the results in clear language.

Advantages of the IVMED fertility clinic in Kyiv:

  • confidentiality and comfort for patients;
  • Highly accurate results;
  • modern equipment;
  • the possibility of further treatment within the clinic;
  • reasonable prices.

Remember, even if the result is not perfect, it is not a sentence. In most cases, the situation can be corrected by contacting a qualified specialist. So don't delay - the sooner possible changes in reproductive health are detected and measures are taken, the higher the chances of successful treatment.

All procedures

Sign up for a consultation

Leave your contact information and our consultant will call you back and select the most convenient time, date, and doctor for a visit or online consultation.

Ваше ім'я *
Телефон *
Email
Оберіть місто

Why choose IVMED?

A team of experienced professionals
Clinical practice of leading specialists for over 20 years. We have helped more than 10,000 couples become parents. We have experience in solving the most difficult cases of infertility.
Individual programs for everyone
Diagnostic tests, the choice of treatment, medications, programs - everything is adapted to your individual indicators and circumstances.
Legality and complete confidentiality
The clinic operates in compliance with all applicable laws. We guarantee anonymity and medical confidentiality.
Modern genetic laboratory
Cytogenetic and molecular genetic studies from a single gene to the whole genome. Preimplantation genetic diagnosis of 24 embryo chromosomes by NGS (Next Generation Sequencing) with an accuracy of 99.99%.
Advanced embryology laboratory
All assisted reproductive technologies that exist in the world are used in the clinic's embryology laboratory.
Individual programs for everyone

Diagnostic tests, the choice of treatment, medications, programs - everything is adapted to your individual indicators and circumstances.

Certificates and security

The clinic has been registered with the US Food and Drug Administration (FDA)

The clinic is certified according to the international quality management standard ISO 9001: 2015.

IVF-ID. Ukraine's first electronic system for protecting patient data and biological material.

Doctors of the IVMED clinic

Galina Strelko
medical director, obstetrician-gynecologist of the highest category, Doctor of Medical Sciences
Strelko
Work experience: more than 25 years
Veranika Ulanova
Head of the medical and diagnostic department, obstetrician-gynecologist of the highest category
ulanova
Work experience: more than 21 years
Karolina Parpaley

obstetrician-gynecologist of the first category

parpalej-1-1-min
Work experience: more than 16 years
Liliia Makarenko

obstetrician-gynecologist of the highest category

макаренко
Work experience: more than 14 years
Olga Pranova

obstetrician-gynecologist of the highest category

пранова
Work experience: more than 26 years
Yulia Buldygina
Endocrinologist of the highest category, Doctor of Medical Sciences
buldigina
Work experience: more than 32 years
Залиште контактні дані, і ми скоро зв'яжемось з вами, аби погодити лікаря, час, та дату запису
Ваше ім'я *
Телефон *
Email
Оберіть місто
Залиште контактні дані, і ми скоро зв'яжемось з вами!
Ваше ім'я *
Телефон *
Email
Оберіть місто
Leave your contact information and we will contact you shortly to agree on a doctor, time, and date of the appointment
Ваше ім'я *
Телефон *
Email
Оберіть місто
Leave your contact details and we will get back to you soon!
Ваше ім'я *
Телефон *
Email
Оберіть місто

By clicking, you accept the terms and conditions
“Consent to the collection and processing of personal data”