How do donors take a spermogram? How to take a spermogram: the right steps (with videos and reviews)

If a man is suspected of infertility, the doctor will prescribe a spermogram. This laboratory analysis makes it possible to determine the main indicators of the ejaculate. In order for the examination result to be as reliable as possible, it is important to properly prepare for taking it. What does a man who needs to take a spermogram need to know?

A spermogram is a biochemical analysis of sperm that allows one to identify the reasons for a couple’s inability to conceive a child. During its delivery the following is assessed:

The volume of ejaculate, its color and degree of viscosity.
Structure and motility of sperm.

The number of sperm in the seminal fluid.
The presence of infections and pathogenic bacteria in the ejaculate.

The difficulty in conducting the survey is that collecting ejaculate requires certain conditions and special training, otherwise a change in its composition and main indicators is possible.

The study of the material takes place in two stages. First, its viscosity, quantity, liquefaction rate, color and acidity level are assessed. At the second stage, the sperm is examined under a microscope. At the same time, its main indicators are determined (sperm shape, their motility, the presence of inflammatory processes and the level of leukocytes).

Embryologist Alexandra Bartovna Struif explains how ejaculate analysis is carried out:

The result of the analysis makes it possible not only to establish big picture men's health, but also to identify various disorders in the composition or function of sperm, as well as the main causes of this condition.

Indications for donating sperm for analysis are:

A couple planning a pregnancy.
Preparing for IVF if conception naturally impossible.
The man has a history of various hormonal disorders, injuries and inflammatory processes of the appendages or prostate, varicocele, etc.

Determining a man's ability to conceive.
Diagnosis if fertilization has not occurred after more than 12 months of regular sexual activity without contraception.

IN mandatory A potential donor of seminal fluid needs to submit sperm for analysis.

At what age can you take a spermogram? Every man who wants to have children, regardless of his age, can undergo the study.

Preparing for a spermogram

Whatever the reason why a man needs to have his sperm tested, it is important to properly prepare for this procedure and submit the material. Only in this case can the research result be considered reliable.

Preparing for a spermogram

When prescribing a test for a man, the doctor will give certain recommendations that must be followed at the stage of preparation for the test. To do this you need:

Abstain from sex for several days. If you ignore this rule, the resulting volume of ejaculate will be reduced.
If abstinence before a spermogram is longer than 4 days, then sperm activity may be reduced.
For 7-10 days before taking a spermogram, you should not take hot bath, visit saunas or baths.

Urologist-andrologist Igor Alekseevich Korneev tells how to prepare for the study of ejaculate:

Before the procedure, you should avoid stressful situations and heavy physical activity.
For 4 days before collecting ejaculate, it is prohibited to drink alcohol or take any medications. If a man is sick colds, then the spermogram is postponed until complete recovery.
During the week before the test, you need to adhere to a certain diet. In this case, you should avoid eating fatty and fried foods, spicy and canned food, strong tea or coffee. Before taking a spermogram, you should have a light breakfast.

For several days before taking a spermogram, a man is advised to completely stop taking any medications. This is especially true for antibiotics. This is due to the fact that the action antibacterial agents has a significant impact on many functions of the male body, including leading to inhibition of sperm. Therefore, the results of the study may be unreliable. The quality of the ejaculate can be updated only 3 months after the end of taking such medications.

Alcohol has the same effect on sperm. Alcoholic drinks can worsen sperm count by a long period time. If they were taken immediately before the study, then with a high degree of probability, the result of the analysis will be bad. Reviews from doctors prove that ethanol negatively affects the condition of all organ systems and metabolic processes in organism.

How does alcohol affect sperm? More details in the video:

If the test results of a man who regularly drinks alcohol are negative, then the doctor can conclude that there is a problem in his body. major changes at work reproductive system. At complete refusal from alcohol, there is a possibility of a gradual restoration of the quality of seminal fluid.

It is important to remember that smoking can negatively affect the quality of sperm.

How to take a spermogram?

When prescribing a test for a man, the doctor will tell you in detail how a spermogram is done. It is impossible to collect ejaculate at home. The procedure is carried out in inpatient conditions by masturbation. For this purpose in medical centers special rooms are created with comfortable conditions for the patient. If a man has difficulty collecting material, he will be offered special magazines with erotic content or watch relevant videos. To collect sperm, a special container made of plastic or glass is used, which is immediately sent to the laboratory for testing. Seminal fluid must be examined within 1 hour from the date of analysis.

Analysis stages

How much it costs to donate sperm depends on the clinic where the analysis is performed and the type of spermogram (simple or extended).

The rules for taking a spermogram are the same for everyone:

Before taking a spermogram, it is important to wash your hands and penis with soap.
To take a spermogram, you cannot use interrupted sexual intercourse to collect material, since cells from the walls of the vagina can get here, and this can somewhat distort the result of the analysis. It is also not allowed to use a condom to collect sperm during a spermogram. This is due to the fact that the product may contain a lubricant, the components of which will get into the material for research.
When handing over a container with ejaculate to a laboratory assistant, the patient must fill out a special form indicating his personal data (age, full name, etc.).

From the video with venereologist-urologist Ekaterina Makarova, you will learn how to take the test correctly:

To eliminate the possibility immunological infertility, when taking a spermogram, the man will be advised to do a MAP test.
For a more accurate picture of the condition of the male body, it is recommended to take a spermogram several times (2-3) over 1-2 months. If, as a result of the analysis, any violations were identified, the doctor will be able to determine their nature (permanent or temporary). In this case, the doctor will tell you how to prepare for a spermogram and when it needs to be taken again. To obtain more accurate data, the patient is advised to get tested in different clinics.

Analysis results

How long does the analysis take? Typically, a spermogram takes 2-3 days. Decryption gives the following data:

Sperm count.
Their mobility. It is important to remember that with each subsequent sexual intercourse, especially if they occur one after another, the number of mobile specimens decreases. Therefore, the doctor always explains to the couple that if they decide to conceive a child, then it is absolutely not necessary for sexual intercourse to be too frequent. As a result of repeated sexual contacts, “young” sperm are formed that are not able to overcome the long journey to the egg. That's why male body needs rest. And it’s better to have only one full sexual intercourse. It has been established that after two days of abstinence, a man’s ejaculate contains maximum amount viable sperm.

The structure of sperm. This indicator is considered one of the main ones, since its deviation provokes infertility. The shape of the cells can change as a result of impaired functioning of the gonads, prolonged abstinence, the presence of inflammatory processes and certain diseases (prostatitis, etc.).
Incorrect accumulation (). In this case, cell motility decreases. Violation may occur as a result of certain diseases. This condition requires mandatory treatment.
Leukocyte level. If this indicator is exceeded, we can talk about the presence of an inflammatory process in the male reproductive system.

It is important to remember that all indicators are purely individual. Therefore, doctors prefer to periodically recheck them, giving the patient advice that will help increase the likelihood of conception.

Even if the test results are negative, this is not a reason to panic. Today developed medical supplies, which help to successfully overcome the diagnosis of infertility, and give a man a chance to become a father.

Spermogram - often used in urological practice a test that allows the composition of sperm to determine a man’s ability to conceive and suspect certain diseases genitourinary system. How is the analysis collected and what results can be obtained?

It's not scary

What is it?

Analysis room

On the appointed day, the man comes to the laboratory and goes through the registration procedure with medical personnel. The nurse gives out containers for biological fluid- a special sterile container with a lid. The man washes his hands, washes himself and retires to a special room, in which, if possible, suitable conditions have been created for taking a spermogram - nothing medical, soft sofas, erotic magazines.

Through masturbation, the patient receives sperm - and all of it, from the first to the last drop, must be caught in a container. The closed jar must be given to the laboratory assistant. The study of the obtained material begins immediately, since the properties of sperm change over time. The analysis result will be ready on the same or the next day.

Biomaterial for is collected in a similar way. This test allows you to clarify the causative agent of infection and its susceptibility to antimicrobials. Sowing takes 3-7 days.

3 most frequently asked questions about the procedure

Is it possible to collect material at home?

Conversation with the doctor

Some laboratories allow collection of sperm at home, but then the jar with the contents must be delivered to the laboratory assistant within 40-60 minutes after ejaculation, otherwise the test result is unreliable. It is advisable to use sterile pharmaceutical containers for testing. During transportation, the sample cannot be overheated or overcooled: the temperature should be within 20-37C, that is, from room temperature to body temperature.

Is it possible to collect the material in a condom and then transfer it to a container?

No, because when sperm comes into contact with latex and the “lubrication” of the condom, chemical reaction, and the test results are distorted.

Is it possible to collect material through interrupted coitus?

No, because components of the partner’s vaginal secretions may get into the biological material. There is also a risk of losing the first drops of ejaculate.

Preparing for the test

What needs to be done to ensure that the results are as reliable as possible and that the test does not have to be repeated due to defects in the collection of biomaterial?

Rejection of bad habits

Avoid any sexual contact 3-4 days before the test. If abstinence is less than 3 days, the amount of ejaculate is not enough for diagnosis, and if more than 7 days, there will be a lot of abnormal sperm in the sample.
During the period of abstinence before the test, any alcoholic drinks. Tobacco smoking, excessive exercise, psycho-emotional stress also negatively affect the analysis results.
If you regularly take any medications, tell your doctor about this. If possible, they should also be abandoned on the eve of the examination.
You cannot visit the bathhouse, sauna, or sunbathe. Replace the bath with a hygienic shower.
Do not take a spermogram against the background of ARVI, intestinal disorder and other acute infectious diseases.
You cannot collect material directly after prostate massage.
As a rule, diagnosis requires 2-3 repetitions of the spermogram with an interval of 2-4 weeks between samples. After a course of treatment for prostatitis, a follow-up examination is also required. If deviations from the norm are found in at least one sample, the rules for taking a spermogram must be strictly observed.

Indications for the test

A spermogram is prescribed in the following cases:

examination of an infertile couple;
suspicion of prostatitis, prostate adenoma;
suspicion of diseases of the testicles, seminal vesicles;
sperm donation planning;
sperm conservation planning;
preparation for assistive technologies fertilization - IVF and ICSI.

Analysis results

More than 50 characteristics can be determined from a semen sample. Here are the most important ones:

Research Analysis

amount of ejaculate;
color;
smell;
acidity;
liquefaction time;
viscosity;
the number of sperm in the entire ejaculate and in 1 ml;
determination of the proportion of mobile, living and anatomically normal forms;
the presence of leukocytes, erythrocytes, and epithelial cells in the ejaculate prostate gland, bacteria, mucus;
the presence of amyloid bodies;
assessment of agglutination (sticking).

Most of these parameters are used for diagnostics male infertility. It is impossible to establish a diagnosis of prostatitis from a single spermogram - you can only see signs of inflammation in the genitourinary system and refer the patient for further examination.

Analysis of urine

urine tests - general, three-glass test, etc.;
general and biochemical tests blood;
smear from the lumen of the urethra;
PCR diagnostics of sexually transmitted infections;
transrectal ultrasonography(TRUSY);
cystoscopy;
computed tomography (CT), etc.

Spermogram and prostatitis

The prostate gland produces a special secretion that facilitates the sliding of sperm and urine through urethra. He has alkaline reaction, which allows you to neutralize the acidity of urine and keep the germ cells in the sperm intact and unharmed. More than half of the ejaculate consists of this liquid. That is why with prostatitis there is a decrease in the amount of sperm up to a dry orgasm and at the very early stages male infertility appears.

What changes in sperm should push a man to the urologist’s office?

Conversation with the doctor

or orgasm during intimacy.
The sperm changes its milky white color to yellow, greenish, pink or brown.
The ejaculate has an unpleasant odor.
Sperm is absolutely transparent or, on the contrary, it contains clots like lumps in semolina or threads.

What changes in the spermogram are typical for inflammation in the prostate gland?
Pyospermia - “pus in semen” - detection of more than 1 million leukocytes in 1 ml in a sample.
Bacteriospermia is the presence of more than 103 CFU in 1 ml of microorganisms in a sample. Both of these deviations can also be detected in orchitis, vesiculitis, urethritis, etc.
Hemospermia is an impurity.

Distinguish between true and false. With false hemospermia, an admixture of fresh blood obtained from microtrauma during sexual intercourse is detected in the biomaterial. The sperm portion has a pink tint. The causes of true hemospermia are inflammatory and oncological diseases genitourinary system. In this case, the sample is colored brown, chocolate.

Asthenozoospermia - immobility of sperm. Occurs as a result chronic inflammation caused by exposure to toxic substances (alcohol, tobacco, occupational hazards) or infectious factors. Most common cause is chronic prostatitis.
Oligozoospermia - an insufficient amount sperm in the ejaculate, less than 20 million in 1 ml.

Teratozoospermia is an excess of anatomically defective germ cells incapable of fertilizing an egg.

Only a doctor will give a detailed conclusion on the test results.
It may be necessary to take a spermogram psychological stress for men. However, this simple and very informative examination allows for early detection of many pathologies of the intimate sphere and excretory system. Early diagnosis- deposit successful solution health problems.

Mainly with donor or diagnostic purpose. In any case, it is important that the original qualities of this material are not lost during the sperm collection process. For this purpose, the male donor or patient (depending on the goals) undergoes many examinations and tests. But even after taking sperm, there is a danger of changes in its properties, because sperm is a quickly deteriorating substance, and after half an hour or an hour irreversible changes occur in it.

To prevent this from happening, not only the method of collection and storage is important, but also the choice of place for sperm donation. For obvious reasons, choosing a place is not only a medical, but mainly an ethical, moral, and sometimes religious problem. To solve this problem at least a little, special rooms for sperm donation are being created. These offices are usually located in medical institutions, within the laboratory diagnostic departments, or in close proximity to them. After all, the distance from the place of delivery to further research should be minimal.

What is the sperm donation room like?

This is a small room equipped with a washbasin and often a shower. The rules of personal hygiene in this matter must be strictly observed. The door to the office must be locked from the inside, because sperm donation is an intimate process, carried out without the presence of medical staff. It is important that the office environment is relaxing and does not cause negative emotions. A minimum of furniture, walls in neutral tones, soft, not too bright lighting.

But even more important is compliance optimal temperature and humidity in the office. As you know, sperm retains its properties in the temperature range from 20 to 37 o C. Therefore, it is important that the temperature in the office does not go beyond these limits. In cold weather, the office should be heated, and in hot weather, air conditioned.
Optimal humidity should be within 60%. To monitor these indicators, having a thermometer and hygrometer in the office will not be superfluous.

It goes without saying that the office should have sterile disposable containers for collecting ejaculate. After the subject has left the office and the material has been sent to the laboratory, the office must be processed disinfectants according to established technology. Abroad, some classrooms are trying to be equipped with stimulating illustrated literature and televisions for watching similar films. Some have gone even further and are trying to introduce mechanical devices for donating sperm. This is not our practice. And even abroad, these “innovations” were not understood by everyone.

After watching some American films, many probably wondered: how exactly does sperm donation take place? What does the place where everything happens look like? What is the situation there? Are there comfortable sofas and armchairs, erotic magazines, selected porn? Is there finally a medical assistant? Not so long ago, for the purpose of prevention after surgery, the author under the online nickname Stem84 was lucky enough to visit such a place...

Before passing, you had to follow some requirements:
- do not drink alcohol (even beer), medications
- you can’t take a steam bath or sauna, it’s better to wash in the shower
- abstain from sex and masturbation for at least 3-4 days!

By the way, if anyone wants to repeat (), then such an analysis is called SPERMOGRAM; in St. Petersburg this pleasure () costs about 1000 rubles.

The doctor gave me this jar (the height of a matchbox and the diameter of only a 5-ruble coin!) for collection and led me into the room, providing me with a key. He showed what and how... in general, he wished you a pleasant time. (Total 9 photos)

The room is quite small - 5-8 meters. Of course, there doesn’t seem to be anything more needed, but such cramped conditions, cold-colored walls and the medical quality of the room didn’t really cause excitement =)
ps: if I knew that everything would be exactly like this, I would take a friend with me

In this corner of hygiene, the doctor suggested getting yourself in order after everything)

All? what you need for jerking off material collection: a couch, choice fucking and...an air freshener

A little closer. The name is already breathtaking and evokes the first fantasies)

Everything for remote control of a porn media center. To be honest, it was scary to touch with your hands... how many people were here before me

As I said before, achieving persistent fantasies in such a place was not easy for me personally... You know, in theory everything is so interesting) In general, after 10 minutes I still had to add girls...

Finish! Can you imagine the whole process and how you can get into such a tiny jar? It's not easy for you to piss)

Okay, I won’t show the result so as not to break anyone’s psyche. A jar to the doctor, the doctor chatted, looked, assessed...dropped it under a microscope and let me take a look.

And there they are, like in the picture. Damn, it’s interesting that you have such crap inside you... there’s a lot of them! And such! Not just any onion dyed with iodine. There it all rushes in all directions as if scalded.

Actually, this is what it looks like finished result. A bunch of different understandable and not so clear indicators.

PS: According to this data small deviations from the norm because I smoke, but in principle it’s normal.

IF YOU WANT CHILDREN, DON'T SMOKE!

Every man reproductive age may encounter the fact that he will need knowledge about how a spermogram is taken. Donation of ejaculate occurs both as part of voluntary monitoring of one’s own health, and to determine many serious illnesses in representatives of the stronger sex, including the factor of infertility. Sperm analysis is performed under a microscope and involves identifying pathological and viable germ cells.

The process of taking a spermogram is not as complicated as it might seem at first glance, but it is necessary to understand that a man will have to carefully prepare for it. Only if you comply with all the rules and requirements can you really get correct results diagnostics, which will allow doctors to prescribe correct treatment. Therefore, below we will detail how to take a spermogram and what is required for this.

If a man expressed a desire to go preventive examination from doctors specializing in sexual health, then he will definitely need to undergo examination seminal fluid. People may wonder what is needed to take a spermogram, so we offer detailed information for your reference.

Actually, not so much is required:

Select a clinic where the diagnostics will be performed;
Make an appointment with a specialist;
Receive a referral for testing from your doctor;
Purchase shoe covers and a container for spermogram;
Find out where the sperm analysis room and laboratory are located.

This is the entire list of what is needed to take a spermogram. Perhaps the doctor will give some more recommendations, but this set is standard. The spermogram jar must comply with sanitary standards and be sterile. It is best to purchase a special container for taking a spermogram at a pharmacy, but you can also get a glass container from the laboratory at the clinic.

The spermogram room is often located in close proximity to where the qualitative, quantitative and biochemical parameters seminal fluid. Also, many are interested in the room itself for taking spermograms, what this room looks like and what it is equipped with.

The spermogram room has its own characteristics, represented by the following:

The room is presented in the form of a separate office, no different from the outside from other rooms;
A favorable climate atmosphere has been created inside, that is, warm and cozy, so that a man can relax;
Furniture must include a sofa or a comfortable chair;
There is also a place where you can put your things;
To speed up the results, there is literature in the room, and in some clinics, video media of an erotic nature;
The door must be closed from the inside;
There is also a washbasin in the room.

In most cases, the doctor always tells you what is needed for a spermogram and how the analysis is performed. The resulting ejaculate must be collected correctly, so some modern clinics They have a special apparatus for taking spermograms.

Preparation

Donation of sperm for analysis must take place after following a number of preparatory procedures. When is the best time to take a spermogram depends on what diagnostic goal the patient is pursuing, but doctors always give recommendations on how to behave before collecting the ejaculate.

At least three days before the scheduled date for donating biological fluid, a man must refrain from contact with toxic substances. This recommendation includes not only chemicals, but also the consumption of strong alcoholic beverages, as well as weak alcoholic beverages.

At this time, it is better to take time off from work if it is associated with production harmful to the body, avoid using perfumes and household chemicals with pronounced odors. If it is not possible to take a day off, then a spermogram analysis is possible on the first day after the weekend.

The conditions for taking a spermogram are always the same. Therefore, experts pay attention to the fact that before diagnosis it is strictly forbidden to engage in any sexual relations. Those who have taken a spermogram more than once say that it is better to abstain for about 10 days.

Also, for a spermogram, the conditions for submitting include stopping smoking at least three hours before submitting the ejaculate. You will also need to stop taking medications hormonal group, and from cytostatic medications, even if they were prescribed by other specialists. The procedure for taking a spermogram after stopping medications is prescribed at intervals of six months.

Sperm analysis is not performed for men who are currently undergoing course treatment pathologies of a urological nature. The fact is that if at this time spermatozoa are donated for diagnosis, then progressive inflammatory processes will significantly reduce the quality of seminal fluid.

If the doctor ordered a sperm test, it is better to take it in good condition. psycho-emotional state. To do this, you need to lead a measured lifestyle every day, avoid stress and nervousness, and do not abuse physical activity. Also, about a week before diagnosis, you should avoid visiting baths, saunas and taking hot baths, since sperm do not feel well in such conditions.

A spermogram does not work for a cold. If it has recently been rescheduled respiratory disease, then the diagnosis is postponed for some time to restore the body. Therefore, to the question whether it is possible to take a spermogram if you have a cold, the answer is definitely negative.

Methods

When the doctor has ordered a spermogram, he will definitely tell you how the ejaculate is collected. Exist different ways taking a spermogram, but the most practiced method is masturbation. The presented method is recommended not only medical workers, it's approved World Organization Healthcare. Sperm analysis, or more precisely, ejaculate collection, is best performed in a clinical setting, because this way a specialist can begin examining the biological fluid as quickly as possible.

Some institutions practice sperm collection through interrupted sexual intercourse. This method is very rarely practiced, and all because during copulation and ejaculation, part of the seminal fluid may be lost, and this will cause incorrect results. Also, the indicators will be distorted due to the admixture of female microflora.

You can take a spermogram at home, but doctors do not encourage this. You can resort to this technique if you are sure that all sanitary standards time of ejaculate delivery after receiving. The doctor will also tell you how to properly take a spermogram at home, but you should be prepared that the results will not be entirely correct.

Features of taking a spermogram at home are:

Collecting material in sterile containers;
Avoid exposure of ejaculate to sunlight;
Avoiding hypothermia;
Collection of the entire volume of seminal fluid.

To get really accurate results Doctors advise taking a spermogram test several times.

How to take it

How a spermogram is taken in the clinic and at home is relatively clear. If a man wants to see a clear example, then there is a video on the Internet on how to take a spermogram correctly. The most important thing in sperm analysis is undoubtedly the volume of ejaculate obtained, so it must be collected in its entirety, regardless of whether this happens at home or in the hospital.

A man in the clinic must visit a specially designated room. There, behind closed door, there is everything necessary for comfortable collection of seminal fluid. Before you begin, you should wash your hands thoroughly, and you should also take a shower at home and perform genital hygiene.

Then, through masturbation, you need to reach the moment of ejaculation. It is very important not to use any lubricants or condoms. In the first case, the diagnostic results are distorted, and in the second, the sperm simply die. The sperm is collected in a sterile container, then capped and sent to the laboratory for testing.

It is very important not to forget to indicate your data on the jar: last name, first name, patronymic, date of birth. Some institutions provide a special form that is similar to a questionnaire; all the necessary information about the patient will be collected there. After the doctor receives the test results, he will be able to make the correct diagnosis, which he will inform the patient about during a personal meeting.