Introduction
The analysis of a man’s semen is easy, cheap, and
not too inconvenient and tells the doctor immediately:
1. the number of sperm present (total count);
2. whether they move (their motility) and if so, how well;
3. what they look like (their morphology); and
4. the vitality of sperm (number actively moving).
Other aspects of the examination include the volume and consistency of the ejaculate produced.
When the results of this data are collated an assessment of a man’s potential fertility can be given. Frequently, more than one analysis is required, since the testes are a very sensitive indicator of general health and, as sperm are produced over a ten-week period, many factors can effect their production. Apart from azoospermia (no sperm present) no single measured parameter of a semen analysis in an individual is indicative of fertility—it is the assessment of a combination of factors, including your background health, that enable an overall prognosis to be made.
Appointments
Semen analysis
Semen analysis appointments are available from Monday to Friday, between
7:45am to 11:30am. Please ensure that an appointment has been made, as your
sample may not get processed necessitating a repeat sample;
Artificial Insemination (AI)
Preparation
The laboratory is open for semen preparation everyday, and an appointment
will have been made approximately two hours before AI treatment time. Sometimes,
you may have only an hour’s notice as to when you are needed to provide
a sample. This depends on when your partner is ovulating, so we regret
not being able to give you more notice!
IVF/ICSI preparation
For IVF/ICSI preparation, you will be given an appointment time within two
hours of the estimated time of oocyte collection. If necessary, we can
arrange an earlier time to suit you.
Collection
Some important information regarding the collection of a semen sample includes:
• The sample should be collected in a sterile plastic container, which
the Canberra Fertility Centre will provide. However, you can also obtain
sterile containers from your local pharmacy or doctor’s surgery;
Method of collection
Studies have shown that best results are obtained when the specimen is collected
by masturbation (self-stimulation). Coitus interruptus or withdrawal just
prior to ejaculation is an alternative method, however if this method is
used, then a “seminal collection device” (a condom type sheath
without lubricants) must be used. The “seminal collection device” can
be purchased from the Canberra Fertility Centre. Samples collected
in a semen collection device must be enclosed in the specimen sample bag
provided or alternatively placed in a 50ml sterile container. Failure to
properly package the sample prior to delivery will result in the sample
being disposed of and necessitating the collection of another sample.
All lubricants are potentially toxic to sperm. Please do not use any lubricants e.g. KY jelly or Vaseline. All condoms have lubricants that are toxic to sperm, therefore condoms must not be used.
It is important to make sure you have washed your hands prior to collecting the sample;
Where can I produce the sample?
We have a special
room here at the Canberra Fertility Centre that is used for producing the
semen sample. We do prefer that you use the room, as it enables us to put
the sample into the incubator (and thus maintain the temperature) as soon
as it is produced. However, if arrangements have been made to collect the
sample at home, the sample must be transported to the clinic within 60 minutes
of collection. Please remember that an appointment is required. During transportation,
the sample must be kept as close to body temperature as possible, usually
carried next to the skin and wrapped in aluminum foil (to avoid exposure
to the light). Failure to maintain the sample as per this instruction can
lead to the sample integrity being seriously compromised and result in the
sample being unusable; and
What is the room like?
While it is not as comfortable
as your own room at home, the room has a bed and chair (some adult magazines
are also available). A sink is also in the room for you to wash your hands,
prior to producing the sample.
You are required to fill in a slip of paper regarding the collection of the sample. The reasons for these are shown below:
| QUESTION | REASON |
| Time of collection | Changes in sperm may occur according to the period from collection to analysis |
| Prior abstinence | Will affect seminal volume and sperm numbers. It is ideal to abstain for 2-3 days but no more than 5 days |
| Spillage – first part |
Sperm numbers reduced |
| Spillage – second part |
Seminal volume reduced. |
You are also required to fill in some identification including your date of birth, and partners name. If you have any questions regarding this information sheet, please speak to your specialist, or a staff member at the Canberra Fertility Centre, on 6282 5458.
