Semen Analysis in Kenya

Semen Analysis in Kenya

A semen analysis also called “seminogram” evaluates certain characteristics of a male’s semen and the sperm contained therein. It is done to help evaluate male fertility, whether for those seeking pregnancy or verifying the success of vasectomy.
A semen analysis is often recommended when couples are having problems getting pregnant. The test will help a doctor determine if a man is infertile. The analysis will also help determine if low sperm count or sperm dysfunction is the reason behind infertility.
A lower sperm count is considered oligozoospermia. A vasectomy is considered successful if the sample is azoospermic (zero sperm of any kind found). Semen Analysis Kenya

Low sperm count symptoms might include:

  • Problems with sexual function — for example, low sex drive or difficulty
  • maintaining an erection (erectile dysfunction)
  • Pain, swelling or a lump in the testicle area
  • Decreased facial or body hair or other signs of a chromosome or hormone abnormality

Examples of parameters measured in a semen analysis are: sperm count, motility, morphology, volume, fructose level and pH.

Sperm shape/ morphology
The size and shape of sperm is one factor that’s examined as part of a semen analysis to evaluate male infertility.Normal sperm have an oval head with a long tail. Abnormal sperm have head or tail defects —such as a large or misshapen head or a crooked or double tail.

Sperm Count
Sperm count, or sperm concentration measures the concentration of sperm in a man’s ejaculate, distinguished from total sperm count, which is the sperm count multiplied with volume. Over 15 million sperm per milliliter is considered normal, according to the WHO .A lower sperm count is considered oligozoospermia.

Semen volume
The average volume of semen produced at ejaculation is 2 to 5ml. Volumes consistently less than 1.5ml (hypospermia) or more than 5.5ml (hyperspermia) are probably abnormal. Lower volumes may occur after very frequent ejaculation and higher volumes are seen after prolonged abstinence. Semen Analysis Kenya

Fructose test
Fructose is one of the components secreted by the seminal vesicles.
Fructose positive is normal, it means secretions from the seminal vesicles are making it to the ejaculate. The absence of fructose in the semen would mean that the sperm lack an energy source and could be a cause of male infertility.

Ph
WHO criteria specify normal as 7.2-7.8. Acidic ejaculate (lower pH value) may indicate one or both of the seminal vesicles are blocked. A basic ejaculate (higher pH value) may indicate an infection.

Abnormalities:
Aspermia: absence of semen
Azoospermia: absence of sperm
Hypospermia: low semen volume
Hyperspermia: high semen volume
Oligozoospermia: Very low sperm count
Asthenozoospermia: poor sperm motility
Teratozoospermia: sperm carry more morphological defects than usual
Necrozoospermia: all sperm in the ejaculate are dead
Leucospermia: a high level of white blood cells in semens

How Sample is collected:
In order to test your semen, your doctor will ask you to provide a semen sample. Normally, you ejaculate into a collection cup in a private room at your doctor’s office.
There are four main ways to collect a semen sample:

  • masturbation
  • sex with a condom
  • sex with withdrawal before ejaculation
  • ejaculation stimulated by electricity

Masturbation is considered the preferred way to get a clean sample.

Some can negatively affect factors the test, including:

  • semen coming into contact with spermicide
  • taking the test when you’re ill or stressed
  • lab technician error
  • contamination of the sample

How long does sperm analysis results take?
The semen analysis result can take anywhere between 24 hours to a week or  more depending on the laboratory that is used. Sperm analysis Kenya

Treatments for low sperm count include:

  • Surgery.

For example, a varicocele can often be surgically corrected or an obstructed vas deferens can be repaired.

  • Treating infections.
  • Treatments for sexual intercourse problems.
  • Hormone treatments and medications.
  • Assisted reproductive technology (ART)( See fertility Clinics).

Foods high in sperm count-boosting nutrients include bananas, dark
chocolate, ginseng, and walnuts.
walnuts.
citrus fruits.
whole wheat and grains.
most fish, especially wild salmon, cod, and haddock.
most shellfish, especially oysters.
vitamin D enhanced milk and milk products.
dark chocolate.
garlic.                                                          Sperm analysis Kenya

How much is Fertility Test in Kenya:
Depends on the hospital.Some hospital charges start atKsh: 1500 for sperm count.                                        Sperm analysis Kenya

Fertility Drugs Available in Kenya
You are not supposed to self diagnose, prescribe or take any fertility drugs unless its prescribed by a doctor.
Sperm analysis Kenya

See also:


References
Evenson, D. P., LARSON, K. L., & Jost, L. K. (2002). Sperm chromatin structure assay: its clinical use for detecting sperm DNA fragmentation in male infertility and comparisons with other techniques. Journal of andrology, 23(1), 25-43.

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