Semen analysis; motility and count (not including Huhner test)
CPT4 code
Name of the Procedure:
Semen Analysis; Motility and Count
Summary
Semen analysis is a test conducted to assess the health and viability of a man's sperm. The primary aspects analyzed include sperm count (the number of sperm) and sperm motility (the ability of the sperm to move effectively).
Purpose
Semen analysis is used to evaluate male fertility, diagnose potential reproductive issues, and monitor the success of treatments affecting sperm production. It helps in understanding and addressing conditions of infertility.
Indications
- Difficulty conceiving a child after one year of unprotected intercourse.
- Suspected male infertility due to medical conditions or lifestyle factors.
- Follow-up assessment after vasectomy reversal or other fertility treatments.
- History of infections, trauma, or surgeries in the reproductive region.
Preparation
- Abstain from ejaculation for 2-7 days before the test.
- Avoid alcohol, caffeine, and certain medications, as instructed by a healthcare provider.
- Inform the healthcare provider of any current health issues or medications.
Procedure Description
- The patient provides a semen sample, usually collected through masturbation in a private room at a clinic or at home.
- The sample is placed in a sterile container and delivered to the laboratory within a specified time, typically within an hour.
- Laboratory technicians analyze the sample under a microscope to assess sperm count and motility.
- Additional parameters such as sperm morphology (shape) and other factors may also be evaluated.
No anesthesia or sedation is required for this non-invasive procedure.
Duration
The collection of the sample takes a few minutes. Laboratory analysis typically takes a few hours to a day to complete and interpret results.
Setting
- Fertility clinics
- Hospital laboratories
- Specialized outpatient clinics
Personnel
- Laboratory technicians
- Fertility specialists or urologists (for consultation and interpretation of results)
Risks and Complications
Semen analysis is a low-risk procedure with no direct complications. Occasionally, patients might feel embarrassed or anxious about providing a sample, but no physical harm is involved.
Benefits
- Accurate assessment of male fertility potential.
- Identification of issues that may be addressed through medical or lifestyle interventions.
- Aid in planning and guiding fertility treatments.
Recovery
There is no recovery needed as the procedure is non-invasive. Patients can resume normal activities immediately after providing the sample.
Alternatives
- At-home sperm testing kits (less comprehensive).
- Scrotal ultrasound (if structural issues are suspected).
- Blood tests for hormone levels related to reproduction.
- Counseling and lifestyle modifications to improve fertility naturally.
Each alternative has its benefits, but semen analysis is often the first step due to its direct assessment of sperm health.
Patient Experience
Patients might feel self-conscious or stressed about providing a semen sample but should know it's a common and medically important procedure. Healthcare providers typically ensure privacy and confidentiality. Discomfort is minimal, and no pain is involved.