What items are included in a routine semen analysis?

Patient's question:

I want to ask what items are included in a routine semen analysis? My partner and I have been married for more than three years. Previously, we focused on our careers and didn't have children, always using contraceptive measures. Now that our careers are somewhat stable, both of us want to have a child. However, after preparing for over a year, there has been no progress. Recently, we went to the hospital for a check-up, and the doctor said it is very likely due to my reasons, recommending me to undergo a semen analysis. I want to ask what specific items are checked in a routine semen analysis?

Doctor's answer:

What are the items included in a routine semen analysis? Let me tell you, a standard semen analysis includes:
1. Semen color check: Normal semen is transparent and grayish-white. If the abstinence period is long, it may appear light yellow. During reproductive tract infections, it may turn yellow or even present with blood in the semen.
2. Sperm count: Normal semen volume for men is 2ml–6ml per ejaculation. If influenced by ejaculation frequency and frequency, the volume may be less than 1ml per ejaculation, which is considered abnormal.
3. Sperm motility check: Sperm motility is classified into four levels.
4. Semen liquefaction time: Immediately after ejaculation, semen is gel-like and becomes liquid within 5–30 minutes.
5. Sperm density check: Sperm density refers to the number of sperm per milliliter of semen. Normal sperm density for men is above 20 million per milliliter. If it is less than 20 million/ml, it is classified as oligospermia, which can affect male fertility.
Regarding the cost, there is no definitive answer. The main reason is that the specific tests may vary depending on individual conditions, leading to differences in fees. In addition to this factor, it is recommended to choose a formal urological hospital for a semen analysis. This is my response to the question: What are the items included in a routine semen analysis? Is it expensive?

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