Spermiogram

You are looking for an experienced specialist to perform a spermiogram? At PRIMO MEDICO you will only find specialists, clinics and centers in your field in Germany, Austria and Switzerland. Learn more about the process and evaluation of a semen examination and which medical experts are responsible.

List of doctors Spermiogram

Dr. med. Bloechle - Portrait

Dr. med. Matthias Bloechle

Reproductive Medicine / Endocrinology
Berlin

Urology St. Anna - exterior view

Urology St. Anna

Information on the field of spermiogram

What is a spermiogram?

The spermiogram is a test that can be used to examine a man’s fertility (ability to have children). If a couple cannot have children, for example, the cause can be sought in the man. In addition, a spermiogram can be used to check whether a sperm vessel is available Vasectomy successfully performed was.

How much does the sperm test cost?

An examination of the sperm usually costs between 60 and 90 euros. That the health insurances take over the costs is not always not always the case. In the case of an unfulfilled desire to have a child over a longer period of time and for clarification of the causes, however, the assumption of costs should not be a problem. It is best to discuss the subject with your specialist.

How does a spermiogram work?

The semen sample is obtained from the patient through masturbation. A sterile vessel should be used and this should be filled in a separate room in the practice or clinic. The vessel is provided by the doctor in this case. Immediately afterwards, the vessel with the semen sample is stored at 37 degrees resp. Room temperature left. The liquid of the ejaculate liquefies due to the ingredients. However, the sample must not be left too long, otherwise sperm motility decreases and the number of dead sperm increases. This could falsify the sample.

The analysis should therefore be carried out 30 to 60 minutes after collection at the latest. In order to be able to make a diagnosis, at least 2 ejaculate examinations are carried out within 6 weeks to 3 months, because a spermatogenesis cycle (time until completely new sperm has been formed) takes about 10 weeks. The analysis is performed by the physician with the help of a microscope (light microscope with 400x magnification).

For accurate counting of sperm there are devices that count the correctly diluted ejaculate for sperm (Neubauer-improved chamber). The first examination under the microscope is the examination of sperm motility (mobility). When examining the shape of the sperm, different staining techniques are used to stain different components of the sperm. The purpose of the morphology test is to find potentially fertile spermatozoa. The examination is always performed by means of two samples (double determination), whereby at least 400 sperm should always be counted and evaluated.

What is tested during the spermiogram?

During the spermiogram the following parameters of the sperm are examined and evaluated:

  • Consistency
  • Color
  • Smell
  • pH value
  • Volume
  • Sperm concentration per milliliter
  • Sperm density per ejaculation
  • Sperm morphology (shape of sperm)
  • Sperm motility (motility of the sperm)
  • sperm vitality and leukocyte concentration (number of immune cells in the sperm)

In addition, other substances are examined which, in the case of deviation from the normal values, provide information about a restriction of epididymal passage (alpha-glucosidase), indicate seminal vesicle dysfunction (fructose) or detect a restriction of prostate secretion (zinc).

The lower reference limits of the various values are based on worldwide investigations and studies of fertile men who have initiated a pregnancy with their partner within 12 months. The values thus indicate on average the minimum fertility required by a man’s sperm to impregnate a woman within one year.

Furthermore, the ejaculate can be examined for sperm autoantibodies (MAR test). This is done mainly when there is a fearfulness disorder despite normal sperm count and motility. Sperm autoantibodies are formed because the own body recognizes the sperm as foreign and wants to destroy them.

Where to get a sperm test done?

A spermiogram is usually performed by a specialist in urology. However, a sperm test can also be carried out by a reproductive physician in order to clarify a man’s ability to procreate.

Sources:
Hautmann, Gschwend; Springer-Verlag: Urology

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