In it, the physical aspects of the semen are evaluated, such as volume, pH, viscosity, color; it also studies the number of spermatozoa, their motility, morphology and vitality. It also offers valuable information about the presence of other cells such as macrophages, lymphocytes, leukocytes, bacteria and fungi, which depending on their number can be the cause of the infertility.
The spermogram provides a broader view of a man’s reproductive capacity. It is a low-cost exam that allows a first diagnostic impression to be made and the achievements of medical and surgical treatments (vasectomy – recanalization) that are carried out during an assisted reproduction treatment can be evaluated.
Interpretation should always be done by medical personnel ideally specialized in the area of reproduction, since based on the results obtained and their correlation with the medical history of the couples, decisions will be made to determine the most appropriate medical treatment.
It is important that the spermogram procedure be performed under conditions that represent the actual state of health and basal activity of the individual. To minimize variables in the collection of the spermogram, the recommendations established by the (WHO) should be followed, since some medications, foods or stressful situations generate drastic changes in their results.
An abnormal spermogram result does not necessarily indicate a health problem, and must be confirmed by performing a second spermogram 60 days after the first result.
Below are the reference values for basic seminal evaluation according to the World Health Organization (WHO)
| PH | Plus 7.2 | |||||||
| Volume | 1.5 ml (1.4 – 1.7) | |||||||
| Sperm | 15 million sperm/ml (12 – 15) | |||||||
| Mobility | 40% or more of fast and slow motile sperm (type A + B) | |||||||
| Morphology | Greater than 4% | |||||||
| Vitality | 58% or more alive | |||||||
| Leukocytes | Less than 1 million cells/mL | |||||||
