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Spermogram in Dnipro

When male infertility is suspected, a comprehensive examination is prescribed, which includes various sperm tests (ejaculate), with the primary test being the spermogram. This is a comprehensive macroscopic and microscopic analysis of the sperm, its physical and chemical characteristics, and both quantitative and qualitative composition. The main purpose of the spermogram is to analyze sperm for infertility and assess its fertilizing capacity (fertility). This very common sperm test can be done at many laboratories in Dnipro and the Dnipropetrovsk region. The interpretation of the spermogram is performed by a reproductive specialist or urologist, and qualified doctors of this specialty are available at the "Helios" Family Health and Rehabilitation Center in Dnipro.

When is a Spermogram Needed?

A spermogram should be performed to check the sperm for quantity and quality, as well as signs of an inflammatory process in the urogenital system in the following cases:

When planning a pregnancy, especially if there is a suspicion of male fertility issues (for example, if the man had mumps, underwent surgery, which may affect sperm production).
In case of infertility, to determine its cause (this analysis is part of the mandatory minimum of tests for both partners and is prescribed even if female infertility is identified).

A spermogram is also conducted in the field of reproductive medicine, and it may be prescribed:

When symptoms of urological diseases are present.
After surgical sterilization (vasectomy) to control its effectiveness.

How to Prepare for a Spermogram

Since the cost of the spermogram is quite high, it is essential to carefully follow the preparation rules to obtain accurate results the first time and avoid unnecessary expenses. The preparation should start in advance. Sperm analysis for infertility is not conducted during inflammatory diseases of the urogenital system (at least 2 weeks after recovery), intoxication (5-10 days of abstinence), or feverish conditions (wait for 7-10 days). Before submitting the sperm for examination, it is necessary to abstain from ejaculation for a minimum of 2 days, but no longer than a week. Additionally:

For one week, avoid exposure to high temperatures on the body, especially in the groin area (e.g., avoid keeping a laptop on your lap).
For 6-7 days before the examination, do not consume alcohol.
For at least 3 days, avoid mechanical stimulation of reproductive organs (prostate massage, cycling, or using a stationary bike) and the use of artificial physical factors (physiotherapy procedures, X-ray).
Within 24 hours, avoid stress, overstrain, exhaustion, and do not take any medications unless they cannot be discontinued.
Before collecting the sperm, empty the bladder, wash the external genitalia, and thoroughly clean your hands.

The sperm is collected by masturbation without using lubricants or condoms, directly into a sterile container. It is necessary to collect the entire ejaculate, as its volume is one of the important indicators of the spermogram.

How the Sperm Test is Done

If the ejaculate for the spermogram is collected at home, the container must be delivered to the laboratory within an hour, maintaining a temperature close to body temperature. It is better if the collection takes place directly at a diagnostic center or clinic that has its own laboratory. In the laboratory, the first step is a macroscopic examination of the sperm – its volume, viscosity, speed of liquefaction, homogeneity, color, transparency, smell, and pH level. Then, a microscopic examination is performed, which includes:

Determining the concentration of sperm per ml and the total number in the entire ejaculate.
Assessing sperm motility.
If there is a significant number of immobile sperm, the percentage of non-viable sperm is determined by adding a special dye (only cells with a damaged membrane are stained).
Studying morphology (structural features).
Identifying agglutination and aggregation (clumping of sperm with each other and with other components of the ejaculate).
Examining other formed elements.

Diagnosis of Pathological Conditions in Ejaculate

A spermogram can identify pathological conditions in the ejaculate, such as:

Low/excessive concentration or complete absence of sperm.
Reduced sperm motility.
A large number of non-viable sperm.
A large number of sperm with morphological defects.
Presence of immature sex cells.
Sperm agglutination.

All of these abnormalities contribute to a reduction in the fertilizing ability of sperm, potentially leading to complete infertility. The spermogram can also reveal signs of inflammatory or stagnation processes in urological diseases, mechanical injuries, or tumors of the reproductive organs. Such pathologies can also be causes of male infertility or temporary reductions in fertility.

Price of Spermogram

The cost of a spermogram varies in different medical institutions and laboratories in Dnipro. The price depends on the range of indicators being assessed (which may slightly vary across laboratories), as well as the pricing policy of the laboratory or clinic.