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Test ID: FER
Semen Analysis

Secondary ID A test code used for billing and in test definitions created prior to November 2011

81641

NY State Approved Indicates the status of NY State approval and if the test is orderable for NY State clients.

No

Useful For Suggests clinical disorders or settings where the test may be helpful

Determining male fertility status

Method Name A short description of the method used to perform the test

Manual

Reporting Name A shorter/abbreviated version of the Published Name for a test; an abbreviated test name

Semen Analysis

Aliases Lists additional common names for a test, as an aid in searching

Fertility Test
Semen Count
Semen Motility
Semen Volume
Sperm Analysis
Sperm Count
Sperm Motility
Sperm Volume

Specimen Type Describes the specimen type needed for testing

Semen

Specimen Required Defines the optimal specimen. This field describes the type of specimen required to perform the test and the preferred volume to complete testing. The volume allows automated processing, fastest throughput and, when indicated, repeat or reflex testing.

Specimen must arrive within 24 hours of collection. Send specimen Monday through Thursday only and not the day before a holiday. If holiday falls on a Saturday, holiday will be observed on the preceding Friday. Sunday holidays are observed on the following Monday. Specimen should be collected and packaged as close to shipping time as possible. Laboratory does not perform testing on weekends.

 

Container/Tube: Semen Analysis Kit (Supply T178)

Specimen Volume: Total ejaculate

Collection Instructions: Patient should have 2 to 7 days of sexual abstinence at the time of semen collection for accurate results.

Additional Information: Include the following information: semen volume, viscosity, pH, appearance (color), and number of days of sexual abstinence.

Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen.

Specimen Minimum Volume Defines the amount of specimen required to perform an assay once, including instrument and container dead space. Submitting the minimum specimen volume makes it impossible to repeat the test or perform confirmatory or perform reflex testing. In some situations, a minimum specimen volume may result in a QNS (quantity not sufficient) result, requiring a second specimen to be collected.

Total ejaculate

Reject Due To Identifies specimen types and conditions that may cause the specimen to be rejected

Hemolysis

NA

Lipemia

NA

Icterus

NA

Other

NA

Specimen Stability Information Provides a description of the temperatures required to transport a specimen to the laboratory. Alternate acceptable temperature(s) are also included.

Specimen TypeTemperatureTime
SemenAmbient

Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test

Semen is composed of spermatozoa suspended in seminal fluid (plasma). The function of the seminal fluid is to provide nutrition and volume for conveying the spermatozoa to the endocervical mucus.

 

Male infertility can be affected by a number of causes. Chief among these is a decrease in the number of viable sperm. Other causes include sperm with abnormal morphology and abnormalities of the seminal fluid.

Reference Values Describes reference intervals and additional information for interpretation of test results. May include intervals based on age and sex when appropriate. Intervals are Mayo-derived, unless otherwise designated. If an interpretive report is provided, the reference value field will state this.

Appearance: normal               

Volume: > or =1.5 mL                   

pH: > or =7.2                           

Motile/mL: > or =6.0 x 10(6)          

Sperm/mL: > or =15.0 x 10(6)        

Motility: > or =40%                   

Grade: > or =2.5     

Motile/ejaculate: > or =9.0 x 10(6)

Viscosity: > or =3.0

Agglutination: > or =3.0

Supravital: > or =58% live

Fructose: positive

Note: Fructose testing cannot be performed on semen analysis specimens shipped through Mayo Medical Laboratories. If patient is azoospermic, refer to FROS/81164 Fructose, Semen or Seminal Plasma. Submit separate specimen to rule out ejaculatory duct blockage. Positive result indicates no blockage.

Interpretation Provides information to assist in interpretation of the test results

See Reference Values.

Cautions Discusses conditions that may cause diagnostic confusion, including improper specimen collection and handling, inappropriate test selection, and interfering substances

Semen specimens can vary widely in the same man from specimen to specimen. Semen parameters falling outside of the normal ranges do not preclude fertility for that individual.

Method Description Describes how the test is performed and provides a method-specific reference

Semen is incubated for up to 1 hour at body temperature (37 degrees C) to allow the sample to liquefy. The sample is then measured for volume and analyzed microscopically to determine the number of sperm present, the number of moving or motile sperm, and the properties of the sperm motility.(The WHO Laboratory Manual for the examination of human semen and sperm-cervical mucus interaction. Fifth edition. Cambridge University Press, 2010)

Day(s) and Time(s) Test Performed Outlines the days and times the test is performed. This field reflects the day and time the sample must be in the testing laboratory to begin the testing process and includes any specimen preparation and processing time required before the test is performed. Some tests are listed as continuously performed, which means assays are performed several times during the day.

Monday through Friday; 3 p.m.

Send specimen Monday through Thursday only and not the day before a holiday.

Analytic Time Defines the amount of time it takes the laboratory to setup and perform the test. This is defined in number of days. The shortest interval of time expressed is "same day/1 day," which means the results may be available the same day that the sample is received in the testing laboratory. One day means results are available 1 day after the sample is received in the laboratory.

1 day

Maximum Laboratory Time Defines the maximum time from specimen receipt at Mayo Medical Laboratories until the release of the test result

4 days

Specimen Retention Time Outlines the length of time after testing that a specimen is kept in the laboratory before it is discarded

Specimens are discarded after testing.

Performing Laboratory Location The location of the laboratory that performs the test

Rochester

Test Classification Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer's instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR), Investigation Use Only (IUO) product, or a Research Use Only (RUO) product.

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

CPT Code Information Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.

89310

LOINC® Code Information Provides guidance in determining the Logical Observation Identifiers Names and Codes (LOINC) values for the result codes returned for this test or profile.

Result IDReporting NameLOINC Code
ABSTNAbstinence10587-4
CLST1Collection SiteN/A
TYStudy TypeN/A
CNTNContainer TypeN/A
APP3Appearance13359-5
VL53Semen Volume3160-9
PH1pH2752-4
MOTMLMotile/mL42531-4
SPMLSperm/mL9780-8
MOTYMotility6800-7
GR2GradeN/A
MOTEJMotile/EjaculateIn Process
VISCViscosity32789-0
AGGLUAgglutination33217-1
STAINSupravital StainIn Process
FRCTFructose13943-6
CMT45Comment48767-8