ED Tests and Treatment

A semen analysis provides the most important information about the fertility of men. It is necessary to know that even without available reproductive problem, the study of various parameters of the ejaculate (normal semen analysis, microbiology ejaculate) is important and has a direct connection with the normal operation and / or diagnose various health problems of the male reproductive system .
A semen analysis is a complete analysis of semen (sperm) enabling to assess her ability to fertilize. It should be done in specialized labs, usually in clinics assisted reproduction, subject to certain requirements over a period of sexual abstinence, rejection of alcohol intake, non-acceptance of antibiotics before testing, etc.
What are the normal parameters of semen analysis:
Normal semen analysis diagnosed Normozoospermiya consecutive World Health Organization (WHO) must meet the following the following indicators:
1. ejaculate volume – between 2 ml. and 6 ml 2. pH 7.2-7.8 3. Viscosity – 20 min. 4. Number of spermatozoa in 1 ml. – Over 20 million. 5. Total number of sperm – over 56 million. 6. Mobility (motility) for 60 minutes:
– 25% faster than linearly movable; – More than 65% progressively motile; – Less than 15% fixed;
7. Morphology – more than 30% of spermatozoa with normal morphology;
On the basis of the aforementioned normal parameters can be observed in the different spermatogenesis disorders and abnormal semen quality, the most common of which are the following:
I. With regard to the volume of semen diagnoses can be:
1. hypovolemia – quantity of ejaculate is less than 2 ml In Reduce the volume of sperm fluid or lack of separation of such reasons may be: – Aneyakulatsiya (anejaculation) – in this case was observed and the absence of sperm in urine in the control; – Retrograde ejaculation – the patient has an orgasm during ejaculation, but not ejaculate. In this case, in the control urine are spermatozoa. Sperm laboratories in the leading reproductive clinics have developed algorithms to isolate sperm in patients with retrograde ejaculation. 2. Hypervolaemia – quantity of ejaculate is greater than 6 ml
II. In terms of the number of sperm in semen diagnoses can be:
1. Azoospermia – absence of sperm in two consecutive spermogram confirms the diagnosis of azoospermia. In this diagnosis, a lack of sperm in the ejaculate, but are present preceding them forms – cells in spermatogenesis among the products of secretion of the prostate and seminal vesicles. This diagnosis should be distinguished from aspermia. In azoosper
mia suppress spermatogenesis (division or maturation of sperm) at different stages. To this can be attributed violations toksicheski effects (alcohol, harmful chemicals, some medications, etc.). Other diseases of the body. By azoospermia may result and various types of disorders of patency of the seminal vesicles as a result of inflammatory diseases of the genital organs. Diagnosis azoospermia is considered as one of the causes of infertility in women, which need to be investigated further. There are 2 types of azoospermia:
– Excretory azoospermia – in patients with normal testes and normal balance when it comes to obstacles in the genital tract. – Secretory azoospermia – she in turn is divided into two subspecies:
– The first form of the secretory azoospermia is associated with various types of congenital and acquired diseases affecting the pituitary gland and hypothalamus, located in the human brain. These conditions in turn lead to disorders in the levels of hormones released by these centers, which have a direct impact on the testicles and in particular are involved in spermoobrazuvaneto and testosterone production. – The second form of secretory azoospermia include congenital and acquired diseases affecting male reproductive system.
The forecast recovery in all the above types of azoospermia is different and highly individualized to the particular case.
2. oligozoospermia – in this diagnosis, the number of sperm is less than 20 million per ml. or less than 40 million of the total volume of the particular ejaculate. The reasons for oligozoospermia due to various diseases requiring a different treatment approach and treatment. Forecasts for each case are different.