Thursday, October 25, 2007

Name :Dorene Chen

Department:Microbiology


Hello people,sorry for late blog posting, for this week I will talk about one special type of testing I had during my attachment :Seminal Analysis.


Clinical Significance:

Semen analysis is used to determine male fertility status or to determine the success of a vasectomy.


Semen is composed of spermatoza suspended in seminal fluid, which provides nutrition and volume to transfer the spermatoza to endocervical mucus.


Male in fertility can be affected by a number of causes eg:
1) Decrease in the number of viable sperm
2) Sperm with abnormal morphology
3)Abnormalities of seminal fluid


In determining successfulness of vasectomy, sperm count should decrease slowly from a time span of 6 weeks to 3 months for even longer.


Specimen must be fresh, perferably lesser than 2 hours as viability decreases as time increases. Sample is collected through masturbationm after a minimum of 3-7 days of sexual abstinence and kept into a clean, wide mouthed plastic container and kept at body temperature best.


Method:


Vital Stain (for viability)
1) mix one drop of semen with 2 drops of 1% Eosin Y
2) add 3 drops of 10% Nigrosin solution after 30 seconds and mix
3)place a drop of mixture into a glass slide to make a smear.
4) Viavle spermatoza will be unstained and non viable spermatopza will be stained.( spermatoza shape with purple background seen)
5) Percentage of viabililty can be accessed.


Motility test
1) fill KOVA slide chamber with 20 microlite of neat semen (undiluted, pure specimen)
2) examine under microscope for motility as well as percentage of active, sluggish, non-progressive and non-motile sperms


Sperm count, leucocytes and morphology of sperm

1) specimen is diluted with sodium bicarbonate-formalin solution in 1:20 ratio ( 50 microlite of semen with 950 microlite of solution)
2) fill KOVA slide chamber with 20 microlite of diluted semen suspension
3) examine under microscope for number of spermatoza and leucocytes.
4) access the percentage of normal spermatoza, and abnormal morphology eg: double headed, no head, 2 tails, no tail, wrong head- tail ratio (head too big) etc etc.



Lastly apearance, viscosity, liquefaction time (time taken for semen to be liquid-like), anstinence, time collected, volume of specimen, time received and pH (must be alkaline) should be reported in to seminal analysis as well.


























Counting Spermatoza: chose only 1 large grid.

Source : http://www.clt.astate.edu/wwilliam/cls_1531_seminal_fluid_lab_1_.htm




























undiluted Specimen
Source :http://www2.uni-jena.de/hautkl/elbandro.htm

19 comments:

ALsubs said...

hi dorene!liuqian here...
what is the reference value for this test?
thanks

The Lab Freaks said...

Hey Dorene!

Very cool test. Just wnna know, what's the diff btwn viable and non-viable sperm?

Sharifah

royal physicians said...

hi dorene..for the Vital stain..what is the use of Eosin Y and Nigrosin solution? thx..
-sharon ang
0503219H
tg02

first6weeks said...

Hello Dorene,

I would like to know how results will be affected without sex abstinence since it's not impossible that the patient will maintain 100% transparency.
Thanks.

-Alex Tg02

ALsubs said...

Hi Dorene,
For samples with low sperm count, do you still have to dilute it with sodium-formalin? Thank you.

Shu Hui
TG02

VASTYJ said...

Hello

U mention about to count the percentage of active sperm, but is this significant since the sperm might not be viable after some time? So the specimen should be tested within 2 hours

Chaur Lee

royal physicians said...

Hello!

very interesting post indeed =) May i know what's "anstinence"? Also, all patients are suppose to collect their samples at the hospital itself?? or they can bring it from home like those urine samples??

Kangting
0503331A

first6weeks said...

hello

may i ask why must specimen collected after a minimum of 3-7 days of sexual abstinence?

Juexiu
tg02

MedBankers said...

hey

just wanna know whether the patient msut avoid eating any type of food or medicine before doing this test?

elaine

ALsubs said...

hello Sharifah

non-viable sperms are dead sperms while viable sperms are still living..

the difference is that viable sperms will not be stained by dyes, while non-viable sperms will be stained. so under microscope, you can see unstained sperms only

ALsubs said...

Hello Sharon

for vital stain,

eosin Y - to stain non-viable sperms. viable sperms exclude eosin Y so under microscope, the viable sperm are transparent in color

Nigrosin - for background, acts as counterstain

ALsubs said...

Hello Alex


If abstinence is too short, it affects the concentration of sperms because there is a need to produce sperms again.. it will lead to a low concentration of sperms in test results which is considered abnormal.

If abstinence is too long, it will diminish sperm motility,

ALsubs said...

Hello Shu Hui

I have never seen any dilution done in the case of low sperm count. But i can't confirm it with you that there is no such method though

ALsubs said...

hello Chaur Lee

yup... "Specimen must be fresh, perferably lesser than 2 hours as viability decreases as time increases."

for sperm viability test, the specimen will be delivered on the spot to the department for analysis immediately to keep the specimen fresh...

counting the percentage of active sperm as it determines how "strong" and healthy the sperms are... if they are weak ie: sluggish movement, non-viable sperms. it means that there is a possibility of impotence..

ALsubs said...

Hello Kangting

abstinence means: the voluntary self-denial of food, drink, or sex.

In this case, it refers to sex. the patient is refrained from sex for a few days in order to collect sperm specimen.

As I am not attached to hospital, I am not sure of how they are going to deal with the specimen. But for my lab, we will dispose it away.

ALsubs said...

Hello Juexiu

If abstinence is too short, it affects the concentration of sperms because there is a need to produce sperms again.. it will lead to a low concentration of sperms in test results which is considered abnormal.

If abstinence is too long, it will diminish sperm motility,

ALsubs said...

Hello elaine

I don't think there is any restriction of food.

however,
1)a moderate amount of food (glucose is preferred over fruit sugars)
2)no alcohol intake (alcohol dissolves the membranes)
3)fruits, vegetables and nuts intake

improve quality of sperms

ALsubs said...

Hello Liu Qian

I lost the reference values for the test.. sorry!

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