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Semen analysis

Embriólogo realizando un seminograma

What does a semen analysis consist of?

A semen analysis or seminogram is a male fertility study that determines the concentration, motility and morphology of spermatozoa in a semen sample. Although these parameters are important when making this assessment, sperm competence can be influenced by factors that are not reflected here and are decisive inproviding the patient with the best diagnosis and the most suitable treatment.

It is estimated that male infertility is one of the main causes of infertility in couples in up to 50% of cases. Male infertility does not necessarily have to be related to a man's health, as a completely healthy man can produce poor quality sperm that renders pregnancy impossible.A semen analysis is therefore essential to assess male fertility.

How is a semen analysis performed?

A semen analysis, also known as a spermiogram, is carried out by obtaining a semen sample, which is usually collected through masturbation in a private room within the fertility clinic laboratory. The patient is given a sterile container in which the sample must be deposited, as losing part of the sample may affect the results. It is also possible to provide the sample from home if the fertility clinic allows it, provided it is kept at body temperature and delivered within one hour. 

The procedure is quick and non-invasive, and it provides all the necessary information about semen quality and male infertility.

What aspects are evaluated in a semen analysis?

In a semen analysis, both macroscopic and microscopic aspects of the semen are examined:

Macroscopic aspects:

  • Volume: amount of ejaculated semen.
  • pH: indicates the acidity or alkalinity of the sample.
  • Consistency: may be more liquid or gelatinous.
  • Color: provides information about seminal health.

Microscopic aspects:

  • Sperm count:  total number and concentration per milliliter.
  • Motility:  classified as progressively motile, fast, slow, or immotile.
  • Morphology:  evaluation of sperm shape and fertilization capacity.
Laboratory semen analysis Microscopic evaluation of semen Sperm study

DIAGNOSIS

Types of sperm test or sperm analysis

The IVF-Life laboratory can perform advanced sperm tests, an analysis of sperm functionality which includes:

Sperm DNA fragmentation test

The sperm DNA fragmentation test uses flow cytometry to measure the stability of sperm chromatin and estimate the percentage of sperm with fragmented DNA. 

This test is especially recommended for men over 40 years of age, exposed to toxic agents, who have a urogenital infection or who have been treated for cancer. 

The sperm DNA fragmentation test can help couples who have experienced repeated miscarriages or recurrent failed cycles, as well as couples with unknown infertility issues. 

Apoptosis test

Apoptosis or selective cell death plays an important role in spermatogenesis, as it eliminates sperm cells with structural or functional defects. The presence of abnormally high levels of apoptotic sperm in the ejaculate compromises male fertility. 

This test quantifies the number of apoptotic spermatozoa in the ejaculate and in sperm samples prepared for assisted reproduction. 

Y-chromosome microdeletion testing

Microdeletions in the AZF factor region of the Y chromosome are responsible for 10-15% of azoospermia and 5-10 % of oligozoospermia in men.  

The IVF-Life Y chromosome microdeletion test examines four regions of the Y chromosome using PCR (polymerase chain reaction) to help identify possible causes of male infertility. 

Ploidy testing

Semen from patients with severe male infertility and defective spermatogenesis may contain immature germ cells. 

The IVF-Life ploidy test assesses defects in spermatogenesis by identifying ploidy in sperm cells present in the ejaculate. This is a simple, non-invasive and reliable test that can help to diagnose patients with severe male infertility prior to referral for testicular surgery. 

Oxidative stress test (ROS - Reactive Oxygen Species)

The IVF-Life oxidative stress test measures the amount of ROS in a semen sample. Increased levels of ROS can be reduced by a change in lifestyle and a diet rich in antioxidants.

Sperm DNA fragmentation test

The sperm DNA fragmentation test uses flow cytometry to measure the stability of sperm chromatin and estimate the percentage of sperm with fragmented DNA. 

This test is especially recommended for men over 40 years of age, exposed to toxic agents, who have a urogenital infection or who have been treated for cancer. 

The sperm DNA fragmentation test can help couples who have experienced repeated miscarriages or recurrent failed cycles, as well as couples with unknown infertility issues. 

Apoptosis test

Apoptosis or selective cell death plays an important role in spermatogenesis, as it eliminates sperm cells with structural or functional defects. The presence of abnormally high levels of apoptotic sperm in the ejaculate compromises male fertility. 

This test quantifies the number of apoptotic spermatozoa in the ejaculate and in sperm samples prepared for assisted reproduction. 

Y-chromosome microdeletion testing

Microdeletions in the AZF factor region of the Y chromosome are responsible for 10-15% of azoospermia and 5-10 % of oligozoospermia in men.  

The IVF-Life Y chromosome microdeletion test examines four regions of the Y chromosome using PCR (polymerase chain reaction) to help identify possible causes of male infertility. 

Ploidy testing

Semen from patients with severe male infertility and defective spermatogenesis may contain immature germ cells. 

The IVF-Life ploidy test assesses defects in spermatogenesis by identifying ploidy in sperm cells present in the ejaculate. This is a simple, non-invasive and reliable test that can help to diagnose patients with severe male infertility prior to referral for testicular surgery. 

Oxidative stress test (ROS - Reactive Oxygen Species)

The IVF-Life oxidative stress test measures the amount of ROS in a semen sample. Increased levels of ROS can be reduced by a change in lifestyle and a diet rich in antioxidants.

What seminal abnormalities can be detected by a semen analysis?

This test makes it possible to identify alterations in semen quality that may affect male fertility. 

By analyzing sperm motility, concentration, and morphology, it is possible to guide the patient toward the most appropriate assisted reproduction treatment for each case.


PATIENTS

Which patients is a sperm test recommended for?

Case 1

Men who are trying to get pregnant with their partner and suspect fertility problems.

Case 2

Men who have undergone surgery or treatments that may affect their fertility, such as a vasectomy, chemotherapy or radiotherapy.

Case 3

Men at risk for infertility, such as cryptorchidism, varicocele, testicular infections, chronic diseases, etc.

Case 4

As part of routine screening in couples who have failed to get pregnant after 12 months of unprotected sex.

Case 5

Before an assisted reproduction procedure such as IVF or ICSI to assess sperm quality.

Case 6

After a treatment for male infertility to assess its efficacy.

Case 7

As part of routine evaluation in men wishing to freeze sperm to preserve fertility.

FIND ANSWERS TO YOUR QUESTIONS

Frequently asked questions about semen analysis

Does an abnormal result mean that I will no longer be able to have children?

No, an abnormal result in a semen analysis does not mean that having children is impossible. In most cases, it indicates that achieving a natural pregnancy may be more difficult.

In fact, with seminal alterations such as oligospermia, asthenospermia, etc., many couples are able to start a family through fertility and assisted reproduction treatments such as in vitro fertilization (IVF), artificial insemination, or the ICSI technique (intracytoplasmic sperm injection).

Does lifestyle and diet influence the test results?

Yes, lifestyle and diet do influence the results of this test. Factors such as smoking, alcohol consumption, drug use, lack of exercise, and stress are associated with poorer sperm motility, concentration, and morphology. Adopting a healthy lifestyle is recommended to promote better semen quality. 

Recommendations before undergoing a semen analysis

  • Sexual abstinence should be maintained for 2 to 5 days before the test, avoiding both sexual intercourse and masturbation.
  • It is recommended to avoid tobacco, alcohol, recreational drugs, and certain medications in the days leading up to the test, and to always inform the physician about any medication being taken or any recent illness.
  • On the day of the semen analysis, proper hygiene of the genital area and hands should be performed, and the semen sample should be collected by masturbation directly into a sterile container, taking care not to lose any part of the ejaculate. 

WHAT OUR PATIENTS SAY

IVF-Life patient reviews & testimonials

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Privacy Policy 

IVF-LIFE, hereby informs you of its privacy policy applied to personal data. The use of the website does not imply that the user must provide any information regarding their identity, and cannot be associated with a specific user by the company. In the event that personal data is provided, this data will be collected and used in accordance with the limitations and rights set out in the aforementioned regulation.  

 WHO IS RESPONSIBLE FOR THE PROCESSING OF YOUR DATA?  

DATA CONTROLLER: IVF SPAIN ALICANTE S.L.U (hereinafter IVF-Life) 

CIF: B-54973227 

Postal Address: Avenida de Ansaldo, no. 13, 03540, Alicante (Alicante) 

Contact with the Data Protection Officer: dpo@ivf-life-group.com 

DATA CONTROLLER: Instituto Vasco de Fertilidad (hereinafter IVF-Life) 

CIF: B95575874 

Postal Address: Avenida de Tolosa, 71-73, 20018 Donostia / San Sebastián (Spain) 

Contact with the Data Protection Officer: dpo@ivf-life-group.com 

DATA CONTROLLER: IVF Spain Madrid (hereinafter IVF-Life) 

CIF: B 85138113 

Postal Address: C/ de Manuel de Falla, 6-8, 28036 Madrid (Spain) 

Contact with the Data Protection Officer: dpo@ivf-life-group.com  

WHAT TYPE OF DATA DO WE PROCESS?  

Depending on the products, services, or functionalities that you wish to enjoy, we may need to process different types of data. In general, this data will be, depending on the case, the following:  

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- Connection, geolocation and navigation data.  

 - Commercial information if you are subscribed to our newsletter.  

- Data about your tastes and preferences.  

WHAT IS THE ORIGIN OF THE DATA?  

The use of certain services or requests addressed to IVF-LIFE are subject to the prior completion of the corresponding form. All the information provided by the User through the forms on the Portal for the above purposes or any other must be truthful.  

To this end, the User guarantees the authenticity of all the data provided and will keep the information provided to IVF-LIFE perfectly up to date so that it corresponds at all times to the User's real situation. In any case, the User will be solely responsible for any false or inaccurate statements made and for any damage caused to IVF-LIFE or third parties because of the information provided.  

By clicking on the "send" button on the corresponding form, the User expressly consents to his/her data being used to send professional communications about his/her query by e-mail or by any other means.  

However, the User may revoke the consent given and oppose the sending of such communications in each of the communications received or by sending them to the address indicated in this legal notice and enabled for this purpose. Likewise, in each of the communications sent, the procedure for opposing the sending of new professional communications shall be expressly indicated.  

Users who provide personal data of other natural persons are obliged to comply, in relation to said data, with all obligations deriving from the data protection regulations in force, and in particular the duty to inform and obtain the consent of the owner of the personal data.  

When we request your personal data to provide access to certain website functionalities, we will mark the required fields to ensure the service can be delivered. 

Please note that if you choose not to provide us with this data, you may not be able to complete your registration as a user or you may not be able to enjoy those services or functionalities.  

For the processing of data, IVF-LIFE adopts the security levels required by current European and national legislation on the Protection of Personal Data. Notwithstanding the above, technical security in a medium such as the Internet is not impregnable and there may be leaks due to the malicious actions of third parties.  

Our services are aimed at people of legal age, in the event that some of our services are specifically aimed at minors, IVF-LIFE will request the consent of parents or guardians for the collection of personal data or, where appropriate, for the automated processing of data as set out in current legislation. If the User is a minor, they are required to have the prior consent of their parents or guardians before proceeding to the inclusion of their personal data in the forms on the Website.  

Initially, your personal data are provided directly by you, but in certain cases they may originate from centres, referring doctors and public health systems with which there is collaboration.  

FOR WHAT PURPOSES DO WE PROCESS YOUR PERSONAL DATA?  

Depending on how you interact with our website, we will process your personal data for the following purposes:  

To deal with requests or requests that you make through the different means incorporated into our website. 

We only process the personal data that is strictly necessary to manage or resolve your request or application.  

For marketing purposes

 To the extent that you subscribe to our newsletter, your personal data will be used for the periodic sending of company newsletters.  

You should remember that you can unsubscribe from the newsletter, at any time and free of charge, by contacting us via the e-mail address of the data controller or by following the instructions that we will provide you with in each of our communications.  

For the management of social networks 

If you follow us or contact us through the different social networks in which we are present, we will process the data that you provide to us through these for the sole purpose of responding to your messages or comments and managing our contact list.  

Usability and quality analysis to improve our services (cookies). 

If you access our platform, we inform you that we will process your browsing data for analytical and statistical purposes, i.e. to understand how users interact with our platform and thus be able to make improvements to it. Likewise, we sometimes carry out quality actions and surveys aimed at finding out the degree of satisfaction of our customers and users and detecting those areas in which we can improve.  

WHAT IS THE LEGAL BASIS FOR PROCESSING YOUR DATA?  

The legal basis that allows us to process your personal data also depends on the purpose for which we process them, so we will find different legal bases under the following purposes:  

Attention to requests for information. 

The legal basis for the processing of your data is the informed consent to respond to queries raised through the website, forms and other means provided, which implies the prior reading and acceptance of these conditions by the interested party.  

Marketing

The legitimate basis for processing your data for marketing purposes is the consent you provide.  

Social networking 

The basis of legitimacy is the informed consent to respond to queries raised through the social network, as well as the time when you follow us and want to be part of our contact list.  

Usability and quality analysis (cookies) 

User consent to the use of cookies.  

HOW LONG WILL WE KEEP YOUR DATA?  

Request for information. We will process your data for as long as it is necessary to deal with your request or request and thereafter 1 year.  

Marketing 

We will process your data until you unsubscribe or cancel your subscription to the newsletter.  

Social media 

We will process your data for as long as it is necessary to deal with your request and for as long as you are a follower of our profile.  

WILL WE SHARE YOUR DATA WITH THIRD PARTIES?  

 Personal data will not be transferred or communicated to third parties, except: legal obligation, we obtain your express consent, or we understand that there is a legitimate interest on our part, which will be duly communicated to you.  

 However, we inform you that we are present in the following social networks: Facebook, LinkedIn, Instagram and YouTube, to keep our followers informed regarding the company's news and services.  

 You can access these social networks voluntarily and through the links available on the website itself or by accessing directly and on your own from your browser or installed app.  

You should know that this website is not responsible for the use of the data that these social networks may make. However, when these data are generated in the social network and derive from an interaction with our website, we will not be held responsible for the use of such data.  

In order to consent to our transfer from this website and the processing of your data, you should carefully read the privacy policy of the social network you wish to access:  

Facebook: Facebook Privacy Policy

Instagram: Instagram Privacy Policy

LinkedIn: Linkedin Privacy Policy

YouTube: Youtube Privacy Policy

Spotify: Spotify Privacy Policy

 

In this way, before clicking on the logos of the SS. RR. present on our website, you can inform yourself and make a redirection with prior knowledge of the processing of your data and on a voluntary basis.  

Other technological services:  

- WhatsApp: WhatsApp Privacy Policy  

 - Companies of the "IVF LIFE Group" on the legal basis of consent or legitimate interest: Instituto Vasco de Fertilidad S.L.U., with NIF B95575874 and address at Avda Tolosa, 71-73 Donostia (Gipuzkoa), and IVF Spain Madrid S.L., with NIF B85138113 and address at Calle Manuel de Falla, 6-8, 28036 Madrid.  

WHAT ARE YOUR RIGHTS WHEN YOU PROVIDE US WITH YOUR DATA? 

 We undertake to respect the confidentiality of your personal data and to guarantee you the exercise of your rights.  

 You may exercise them free of charge by sending us an e-mail to our address above, simply by providing proof of identity, the reason for your request and the right you wish to exercise.  

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Ask us for access to the data we hold about you.  

Ask us to rectify the data we already hold about you. Please note that by actively providing us with your personal information in any way, you warrant that it is true and accurate and you undertake to notify us of any changes or modifications to it.  

Ask us to delete your data to the extent that they are no longer necessary for the purpose for which we need to process them as we have previously informed you, or to the extent that we no longer have the legitimacy to do so.  

Ask us to restrict the processing of your data, which means that in certain cases you may ask us to temporarily stop processing the data or to keep it longer than necessary when you may need it. If you have given us your consent to process your data for any purpose, you also have the right to withdraw your consent at any time.  

To receive the personal data concerning you that you have provided to us in a structured, commonly used and machine-readable form and to transfer it to another data controller.  

Moreover, where the processing of your data is based on our legitimate interest, you also have the right to object to the processing of your data.  

Finally, we inform you of your right to lodge a complaint with the relevant data protection supervisory authority, with the Spanish Data Protection Agency.  

CHANGES TO THE PRIVACY POLICY

We may change the information contained in this Privacy Policy from time to time. If we do so, we will notify you by various means through the Platform, or we will notify you at your email address when the change in question is significant to your privacy, so that you can review the changes, assess them and, where appropriate, object to or unsubscribe from any service or functionality.  

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