How donors donate spermogram. How to take a spermogram: the right actions (with video and reviews)

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

A spermogram is a biochemical analysis of sperm, which allows to identify the reasons for the inability of a couple to conceive a child. At the time of submission, the following is assessed:

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

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

The difficulty in conducting the survey lies in the fact that certain conditions are required for the collection of ejaculate and special training otherwise, its composition and main indicators may change.

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

Embryologist Alexandra Bartovna Streif tells how the analysis of the ejaculate 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 violations in the composition or function of sperm, as well as the main causes of such a condition.

Indications for the delivery of sperm for analysis are:

Couple planning pregnancy.
Preparing for IVF if conception naturally impossible.
The presence in the anamnesis of a man of various hormonal disorders, injuries and inflammatory processes of the appendages or prostate, varicocele, etc.

Determination of a man's ability to conceive.
Diagnosis if more than 12 months of regular intercourse without contraception, fertilization has not occurred.

AT without fail a potential donor of seminal fluid needs to donate sperm for analysis.

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

Preparing for the spermogram

Whatever the reason for a man to have a sperm test, it is important to properly prepare for this procedure and pass the material. Only in this case, the result of the study can be considered reliable.

Preparing for a spermogram

When appointing a man to conduct a study, the doctor will give certain recommendations that must be followed at the stage of preparation for the analysis. For this you need:

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

How to prepare for the study of ejaculate tells the urologist-andrologist Igor Alekseevich Korneev:

Avoid before the procedure stressful situations and heavy physical exertion.
Within 4 days before collecting the ejaculate, it is forbidden to drink alcohol or take any medication. If a man is sick colds, then the spermogram is postponed until the moment of complete recovery.
During the week before the test, you need to follow a certain diet. At the same time, you should stop eating fatty and fried foods, spicy and canned food, strong tea or coffee. You need to have breakfast before taking a spermogram with light foods.

For several days before taking a spermogram, a man is recommended to completely refuse to take any medications. This is especially true for antibiotics. This is because the action antibacterial agents It has a significant effect on many functions of the male body, including the inhibition of spermatozoa. Thus, 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 spermatozoa. Alcoholic drinks can worsen spermogram indicators by a long period time. If they were taken immediately on the eve of the study, then with a high degree of probability, the result of the analysis will be poor. Reviews of doctors prove that ethanol negatively affects the state of all organ systems and metabolic processes in the body.

How does alcohol affect sperm? More in the video:

If the results of the analysis in a man who regularly drinks alcohol are negative, then the doctor may conclude that there have been major changes in work reproductive system. At complete failure from alcohol, there is a possibility of a gradual restoration of the quality of the seminal fluid.

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

How to take a spermogram?

When prescribing an analysis to 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 stationary conditions through masturbation. For this 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 erotic magazines or watching relevant videos. To collect sperm, a special container made of plastic or glass is used, which is immediately sent to the laboratory for analysis. Seminal fluid is subject to study within 1 hour from the date of analysis.

Analysis steps

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 passing a spermogram are the same for everyone:

Before taking a spermogram, it is important to wash your hands and penis with soap and water.
To pass a spermogram, you cannot use interrupted 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 the delivery of a spermogram. This is due to the fact that the product may contain lubricant, the components of which will get into the material for research.
When transferring a container with ejaculate to a laboratory assistant, the patient must fill out a special form, which indicates his personal data (age, full name, etc.).

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

To rule out the possibility immunological infertility, when passing a spermogram, a man will be advised to do a MAP test.
For a more accurate picture of the state of the male body, it is recommended to take a spermogram several times (2-3) within 1-2 months. If, as a result of the analysis, any violations were revealed, the doctor will be able to determine their nature (permanent or temporary). At the same time, the doctor will tell you how to prepare for the spermogram and when it needs to be taken again. To obtain more accurate data, the patient is advised to take an analysis in different clinics.

Analysis results

How much analysis is done? Usually, the term of the spermogram takes 2-3 days. Decryption gives the following data:

The number of spermatozoa.
their mobility. It is important to remember that with each subsequent sexual intercourse, especially if they occur one after another, the number of mobile copies decreases. Therefore, the doctor always explains to the couple that if they decide to conceive a child, then it is not at all necessary that sexual intercourse be too frequent. As a result of repeated sexual contacts, the formation of "young" spermatozoa occurs, which are not able to overcome the long journey to the egg. That's why male body needs rest. And it is better that there is only one full-fledged sexual intercourse. It has been established that after a two-day abstinence in the ejaculate of a man is maximum amount viable sperm.

The structure of spermatozoa. 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 dysfunction of the sex glands, prolonged abstinence, the presence of inflammatory processes and certain diseases (prostatitis, etc.).
Incorrect accumulation (). In this case, cell mobility decreases. Violation can occur as a result of certain diseases. This condition requires mandatory treatment.
The level of leukocytes. 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 results of the analysis turned out to be negative, this is not a reason to panic. Today developed medical preparations 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 the ability of a man to conceive and suspect some diseases genitourinary system. How is 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 staff. The nurse gives out a container for biological fluid- a special sterile container with a lid. A man washes his hands, rinses himself and retires to a special room in which, if possible, suitable conditions are created for passing a spermogram - nothing medical, soft sofas, erotic magazines.

By 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, as the properties of the sperm change over time. The result of the analysis will be ready on the same or the next day.

Similarly, biomaterial is collected for. This test allows you to specify the causative agent of infection and its susceptibility to antimicrobials. Sowing takes 3-7 days.

3 most common questions about the procedure

Is it possible to collect material at home?

Conversation with the doctor

Some laboratories allow the 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 a pharmacy sterile container for testing. During transportation, the sample must not be overheated or supercooled: the temperature should be in the range of 20-37C, that is, from room temperature to body temperature.

Can the material be collected into a condom and then transferred to a container?

No, because when semen 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 by coitus interruptus?

No, because the components of the partner's vaginal secretion can get into the biological material. There is also a risk of losing the first drops of ejaculate.

Preparation for the delivery of the analysis

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

Rejection of bad habits

Refrain from 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 more than 7 - there will be many abnormal spermatozoa in the sample.
During the period of abstinence before the test, any alcoholic drinks. smoking, excessive exercise, psycho-emotional stress also negatively affect the results of the analysis.
If you are constantly taking any medications tell your doctor about it. If possible, they should also be abandoned on the eve of the examination.
You can not visit the bath, sauna, sunbathe. Replace the bathtub with a hygienic shower.
Do not take a spermogram against the background of SARS, intestinal disorder and other acute infectious diseases.
You can not collect material immediately after prostate massage.
As a rule, a 2-3-fold repetition of a spermogram with an interval of 2-4 weeks between samples is required for diagnosis. 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 passing a spermogram must be strictly observed.

Indications for the test

Spermogram is prescribed in the following cases:

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

Analysis results

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

Analysis studies

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

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

Analysis of urine

urinalysis - general, three-glass sample, etc .;
general and biochemical analyzes blood;
smear from the lumen of the urethra;
PCR diagnostics of sexually transmitted infections;
transrectal ultrasound procedure(TRUS);
cystoscopy;
computed tomography (CT), etc.

Spermogram and prostatitis

The prostate gland produces a special secret that facilitates the sliding of semen and urine along urethra. He has alkaline reaction, which allows you to neutralize the acidity of the urine and keep the germ cells in the sperm intact. The ejaculate consists of this fluid more than half. 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.
Sperm changes its milky white color to yellow, greenish, pink or brown.
The ejaculate has an unpleasant odor.
Sperm is absolutely transparent, or vice versa - there are clots in it like lumps in semolina or threads.

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

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

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

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

A detailed conclusion on the results of the test will be given only by a doctor.
The need for a spermogram is psychological stress for men. However, this simple and very informative examination allows early detection of many pathologies of the intimate sphere and excretory system. Early diagnosis- pledge successful solution health problems.

Basically, with donor or with diagnostic purpose. In any case, it is important that the initial qualities of this material are not lost during the collection of sperm. To this end, a male donor or a patient (depending on the goals) undergoes many examinations and tests. But even after taking sperm, there is a danger of changing its properties, because sperm is a rapidly 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 the place for donating sperm. For quite understandable reasons, the choice of a place is not only a medical problem, but mainly an ethical, moral, and sometimes even a religious problem. In order 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 their immediate vicinity. After all, the distance from the place of delivery to further research should be minimal.

What is the semen donation room itself?

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 closed 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. Minimum furniture, walls in neutral tones, soft, not too bright lighting.

But more importantly, compliance optimal temperature and humidity in the office. As you know, sperm retains its properties in the temperature range from 20 to 37 ° 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.
The optimum humidity should be within 60%. To control these indicators, the presence of a thermometer and hygrometer in the office will not be superfluous.

It goes without saying that there should be sterile disposable utensils in the office for collecting ejaculate. After the subject has left the room, and the material is sent to the laboratory, the room must be processed without fail disinfectants according to established technology. Abroad, some offices are trying to equip exciting illustrated literature and televisions to watch similar films. Some have gone even further and are trying to implement mechanical donation devices. We do not practice this. And 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 a medical assistant? Not so long ago, for the purpose of prevention after surgery, the author under the nickname Stem84 was lucky enough to visit such a place...

Before submitting, you had to follow some requirements:
- do not drink alcohol (even beer), drugs
- you can not bathe in a bath or sauna, it is better to wash in the shower
- refrain 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 out just such a jar (the height of a matchbox and a diameter of only a 5-ruble coin!) for collection and led him into the room, providing him with a key. He showed me what and how ... in general, I wished you a pleasant pastime. (Total 9 photos)

The room is quite small - 5-8 meters. Of course, you don’t seem to need more, but such tightness, cold-colored walls and the mediocrity of the room did not cause much excitement =)
ps: if I knew that everything would be like this, I would take my girlfriend with me

In this corner of hygiene, the doctor offered to clean himself up after

All? what you need for drocheva collection of material: a couch, selective fucking and ... an air freshener

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

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

As I said before, it was not easy for me personally to achieve persistent fantasies in such a place .. 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, appreciated ... dripped under the microscope and let it look.

And there they are, as in the picture. Damn, it's interesting, inside you and such garbage ... dofiga! And such! Not just some onion stained with iodine. There it all rushes about in all directions like scalded.

Actually, this is what it looks like finished result. A bunch of all sorts of different understandable and not very indicators.

PS: According to these data small deviations from the norm because I smoke, and so in principle the norms.

WANT KIDS - DON'T SMOK!

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

The process of passing a spermogram is not as complicated as it might seem at first glance, but it must be understood that a man will have to carefully prepare for it. Only if you follow all the rules and requirements, you can really get correct results diagnostics, which will allow doctors to prescribe right treatment. Therefore, further details on how to take a spermogram and what is required for this.

If a man has expressed a desire to pass preventive examination from doctors specializing in sexual health, then he will definitely need to pass for research seminal fluid. People may wonder what they need to take a spermogram, so we offer detailed information for review.

Actually, it doesn't take much:

Choose a clinic where diagnostics will be carried out;
Make an appointment with a specialist;
Get a referral from a doctor for analysis;
Buy shoe covers and a container for spermogram;
Find out where the spermogram room and laboratory are located.

That's the whole list of what you need to pass a spermogram. Perhaps the doctor will give some more recommendations, but this set is standard. The spermogram jar must necessarily comply with sanitary standards and be sterile. It is best to purchase a special container for taking spermograms in a pharmacy, but you can also get a glass container in the laboratory at the clinic.

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

The spermogram room has its own characteristics, presented as follows:

The room is presented in the form of a separate office, no different from the outside from other rooms;
A favorable climatic atmosphere has been created inside, that is, warm and cozy so that a man can relax;
Of the furniture, there is always a sofa or a comfortable chair;
There is also a place where you can put your things;
To speed up the result, 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 about what is needed for a spermogram and how the analysis is done. The resulting ejaculate must be collected correctly, so some modern clinics have a special apparatus for the delivery of spermogram.

Training

The delivery of sperm for analysis should take place after following a number of preparatory procedures. When it is better to take a spermogram depends on the purpose of the diagnosis for the patient, but at the same time, doctors always give recommendations on how to behave before taking the ejaculate.

At least three days before the appointed date for the delivery of biological fluid, a man must refrain from contact with toxic substances. This recommendation includes not only chemicals, but also the use of hard liquor, as well as weak alcoholic beverages.

At this time, it is better to take time off from work if it is associated with production that is harmful to the body, avoid the use of perfumes and household chemicals with strong odours. 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 the diagnosis it is strictly forbidden to have any sexual relations. Those who have taken spermogram repeatedly say that it is better to abstain for about 10 days.

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

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

If the doctor has prescribed a semen analysis, it is better to pass it in good condition. psycho-emotional state. To do this, you need to lead a measured lifestyle for a day, avoid stress and nervousness, do not abuse physical activity. Also, about a week before the diagnosis, you need to stop visiting baths, saunas and taking hot baths, because in such conditions spermatozoa do not feel well.

Spermogram with a cold does not give up. If you have recently moved respiratory disease, then the diagnosis is postponed for some time to restore the body. Therefore, to the question of whether it is possible to take a spermogram with a cold, the answer is unambiguously negative.

Ways

When the doctor has prescribed a spermogram, he will definitely tell you how the ejaculate is taken. Exist different ways spermogram, but the most practiced is masturbation. The presented method is recommended not only medical workers, it is approved World Organization Health. The analysis of spermatozoa, more precisely, the collection of ejaculate, is best performed in a clinic, because this way the specialist will be able to start the study of the biological fluid as quickly as possible.

In some institutions, spermogram sampling is practiced by 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 wrong 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 welcome this. You can resort to such a technique if you are sure that all sanitary norms ejaculate delivery time 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 spermogram delivery at home are:

Collection of material in sterile dishes;
Prevention of exposure to the sun's rays on the ejaculate;
Avoidance of hypothermia;
Collection of the entire volume of seminal fluid.

To get really accurate results doctors advise taking a spermogram analysis several times.

How to take

How the spermogram is delivered in the clinic and at home is relatively clear. If a man wants to see a good example, then for this a video is presented on the Internet on how to properly take a spermogram. The most important thing in the analysis of spermatozoa is undoubtedly the volume of the obtained ejaculate, so it must be collected in its entirety, whether at home or in the hospital.

A man in the clinic must visit a specially designated room. There, for closed door, there is everything you need for comfortable receiving seminal fluid. Before proceeding, you should thoroughly wash your hands, and you should also take a shower at home and conduct hygiene of the genitals.

Then, through masturbation, one has to reach the moment of ejaculation. It is very important not to use any lubricant or condom when doing this. In the first case, the diagnostic results are distorted, and in the second, the spermatozoa simply die. The sperm is collected in a sterile container, then closed with a lid and transferred to the laboratory for analysis.

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 results of the analysis, he will be able to make a correct diagnosis, which he will inform the patient about in a personal meeting.