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ANDROLOGY AND LABORATORY
SERVICES
Contents:
Andrology
Services
1. Complete semen analysis including
volume, liquefaction, viscosity, pH, concentration, morphology,
motility, forward progression, and evaluation of extracellular
artifacts.
| Semen Variables |
Normal Range |
| Volume |
> 2.0 ml |
| Liquefaction |
Complete within one hour |
| pH |
7.2-8.0 |
| Concentration |
> 20 M/ml |
| Morphology |
30% or more with normal forms (WHO) / 14% by
Strict Criteria |
| Motility |
> 50% |
| Forward progression |
> 2 |
| Debris |
None-Slight |
| Epithelial cells |
None-Few |
| Erythrocytes |
None |
| Round cells |
< 1.0 M/ml |
| White blood cells |
< 1.0 M/ml |
2. Viability assessment: usually employed in
situations of sperm immobility. There are some instances when immotile
sperm cells are actually viable. A viability stain can determine if the
sperm is alive or not. Viable sperm exclude the stain, while dead sperm
take in the stain.
3. Peroxidase stain: used to determine the
concentration of white blood cells in the semen sample. The presence of
white blood cells in a semen sample (i.e., pyospermia) may indicate the
presence of an infection in the reproductive tract.
4. Quantitative fructose test: detects the
presence of fructose in semen. Fructose is a marker for seminal vesicle
function, and is present in semen except when the ejaculatory ducts are
obstructed or congenitally absent.
5. Sperm washing: includes the double-wash,
swim-up, gradient-medium, and retrograde methods.
Fertility
Testing (Blood Tests)
1. Fertility Profile 1: includes T4, FSH, LH,
Estradiol, and TSH.
2. Fertility Profile 2: includes Estradiol and
Prolactin.
General
Laboratory Testing
Idant Laboratories has
three contracted major reference clinical laboratories to perform
laboratory testing. Most insurance carriers are accepted. Please
contact Idant for more information.
| ABO and Rh |
HTLV - I/II |
| CEA (cancer embryonic antigen) |
Lithium |
| Carbamazepine |
hCG (pregnancy test), qualitative |
| Chem-Screen 18 |
hCG, quantitative |
| Chem-Screen 25 |
Iron and total iron binding capacity (TIBC) |
| Cholesterol, total |
17-Ketosteroids |
| CBC (complete blood count) |
Lipid panel |
| CK (creatine kinase) |
Lutenizing hormone (LH) |
| Cytomegalovirus (CMV) antibody (IgG) |
MMR with varicella |
| Cytomegalovirus (CMV) antibody (IgM) |
Mumps virus antibody (IgG) |
| Creatinine |
Parathyroid hormone (PTH) |
| Digoxin |
Progesterone |
| Estradiol |
Prolactin |
| Follicle-stimulating hormone (FSH) |
Prothrombin time (PT) |
| Glucose |
Partial thromboplastin time (PTT) |
| Hematocrit |
RPR (syphilis serology) |
| Hemoglobin A1C |
Rubeola antibody (IgG) immune status |
| Hepatic function panel |
Sickle-cell Screen |
| Hepatitis A |
Tay-Sachs screening |
| Hepatits B core antibody (HBcAb) |
Thalassemia screening |
| Hepatitis B surface antigen (HBsAg) |
Testosterone |
| Hepatitis C (HCV) |
Thyroid panel and thyroid-stimulating hormone (TSH) |
| Hepatitis panel (A,B,C) |
Uric acid |
| Herpes antibody I/II |
Urinalysis (with Micro) |
| HIV-1 |
Urine culture and sensitivity |
| HIV-1/2 |
Varicella-Zoster virus antibody (IgG) |
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