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Lab Test Catalog

Semen Analysis, Fertility

Ordering Tests

Test Name (Aliases)

Semen Analysis, Fertility

Test Code

LAB216

Code Alt

FER

Tests Included

The sample is measured for volume (at RVH Lab), and then sent to Mayo to be analyzed microscopically to determine the number of sperm present, the number of moving or motile sperm, and the properties of the sperm motility.

Method

Methods

Performing Lab

Mayo Clinic Laboratories

Days Performed

Monday-Thursday 7am-2pm.Send specimen Monday through Thursday only and not the day before a holiday.

Required Forms

Semen Analysis –Fertility patient collection instructions form

Requirements Preps

Abstain from ejaculation for a minimum of 2, but not longer than 7 days, before collecting the specimen, unless the physician specifies otherwise. Do not use lubricants as many lubricants can kill sperm. Avoid vaginal and oral secretions which will contaminate your specimen. Sample should be obtained by masturbation and ejaculated into a wide-mouthed sterile collection container. Transport to outpatient laboratory within 1 hour of collection. During transportation to laboratory, sample should be kept at ambient temperature (close to body). Patient to proceed directly to outpatient laboratory to drop off specimen. Then patient is to proceed to registration after specimen is delivered to outpatient laboratory.
Specimen Collecting and Handling

Specimen Type

Semen, Total Ejaculate

Collection Container

Orange lid-sterile cup with no preservatives.

Required Volume

Total Ejaculate. All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Specimen Handling

Total Ejaculate. All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Name on Report

Name on Report

Clinical Use

Semen is composed of spermatozoa suspended in seminal fluid (plasma). The function of the seminal fluid is to provide nutrition and volume for conveying the spermatozoa to the endocervical mucus.

Male infertility can be affected by a number of causes. Chief among these is a decrease in the number of viable sperm. Other causes include sperm with abnormal morphology and abnormalities of the seminal fluid.

Reference Range

Appearance: Normal

Volume: > or =1.5 mL

pH: > or =7.2

Motile/mL: > or =6.0 x 10(6)

Sperm/mL: > or =15.0 x 10(6)

Motility: > or =40%

Grade: > or =2.5

Motile/ejaculate: > or =9.0 x 10(6)

Viscosity: > or =3.0

Agglutination: > or =3.0

Supravital: > or =58% live

Fructose: Positive

Critical Values

Critical Values
Charge and Set-up

Coding CPT

89310

Coding Loinic

Coding Loinic

Additional Information

Review our policy provided here to learn more about Riverview Health Laboratory’s services, requirements for orders and specimen submission.

Lab Client Services Guidelines

Lab Collection for Nursing Home and Assisted Living

Modified Sample Collection for Long-Term Care Clients – COVID-19 Plan

The Laboratory evaluates quality and integrity for each specimen submitted for testing in order to ensure accurate results. The policy for evaluation and handling of samples that do not meet quality criteria is viewable here.

Specimen Acceptability and Rejection Policy

Lab Client Portal

Riverview Health Laboratory can now connect with outreach clients to provide electronic order entry and results using the LabWorks Portal. Access to the portal is available for professional clients in the clinic, skilled care, and assisted living location. To request site access for your health care team, please contact the Laboratory at 317.776.7241.
Riverview LabWorks Portal

Lab Client Portal

The following forms may be used to submit requests for laboratory services.

Cytopathology Requisition Form

Surgical Pathology and Medical Cytology Requisition Form

Lead Form – Minors Only

AFP Maternal – Prenatal Quad Form

Patient Collection Instructions

Collection Instructions – Clean Catch Mid Stream Urine

Collection Instructions – 24-Hour Urine

Collection Instructions – Pinworm Prep

Collection Instructions – Semen Fertility

Collection Instructions – Semen Post Vasectomy

For More Information

Riverview Health Laboratory
395 Westfield Road
Noblesville, IN 46060

 

317.776.7241