Question

A 36-year-old man and his 32-year-old wife are undergoing an evaluation for infertility. A seminal fluid specimen is collected at home and brought to the laboratory for routine testing.

Semen analysis:

Physical Examination

   Color:           Gray

   Volume:       4.5 ml

   Liquefaction:       50 minutes

   Viscosity:       0 (watery)

Microscopic Examination

   Motility:       70%

   Concentration:       15 x 10⁶ sperm/ml

   Morphology:        70% normal

   Vitality:       60%

   Leukocytes:       0.8 x 10⁶ cells/ml

1) Identify any abnormal or discrepant urinalysis findings.

2) Do any of the results obtained suggest improper specimen collection or laboratory error

3) Are any of the results obtained associated with male fertility   

4) Based on these results, what chemical test should be performed to evaluate the functional integrity of the seminal vesicles and ejaculatory ducts?

Answer 1

1.Its a semen analysis not a urinalysis.

2.yes ,its a wrong method of specimen collection.It should collected In a private room near to laboratory. Transporting the specimen will bring changes in temperature hence the analysis will be incorrect.

3.Many of the results are missing.For sperm analysis most important thing is sperm count and its characteristics.

4.Normal sperm analysis should be done initially. If any abnormalities suspect in seminal vesicles and ejaculatory duct,then the proper diagnostic is aspiration of semen from seminal duct and evaluating it.