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Andrology
Laboratory
Semen fluid analysis (SFA) is the essential part to assess the male
part of the problem. One has to know according to which criteria the
SFA is performed! Before 1999 most of the laboratories was depending
upon the WHO 1992 guidelines for the assessment of the semen.
However, Infertility specialists around the world have noticed that
these guidelines criteria do not reflect accurately the fertility
potential of the semen. The WHO has changed the guidelines in 1999,
also the European Society of Human Reproduction & Embryology (which
is the authority for this speciality all over European countries)
has published their guidelines in 2002. Both of these guidelines
concentrate mainly on three issues of the analysis:-
1- The number of sperms: should exceed 20 million in every ml.
2- The type of motility specially the percentage of forward (fast &
slow) motility, this in opposite to the percentage of total motility
in relation to time.
3- The detailed morphology (shape) of sperms after staining with
certain stains which clarify the different parts of the sperms, to
identify the accurate percentage of normal sperms (with no
abnormalities).
At Ganin we have adopted both of these guidelines in our assessment
for semen. We have found that these guidelines accurately assess the
semen fertility.
The report of SFA produced from Ganin consists of three pages:
Page one: includes all different parts of the analysis except
detailed morphology
Page two: reports full details of sperm morphology; that is
the analysis of each defect present of the different parts of the
sperm (head, mid piece & tail).
Page three: six pictures that shows the different sperm
defect that were found.
The following pictures shows samples of real pictures:
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