How should routine semen analysis be performed?

Patient's question:

Medical history: Married for half a year without children, went for a routine semen analysis yesterday, the specific results are in the picture. Previous treatment history and effectiveness: No history of treatment in this regard. What help do you want: I want to know if my condition is serious? What might be the problem?

Doctor's answer:

1. Abstain from sexual activity for 3 to 7 days, during which time no ejaculation through masturbation, nocturnal emission, or other means is allowed. No history of fever, saunas, or tub baths within two weeks.
2. Collect the semen using the special container provided by the laboratory. Ensure that all semen released is collected in the cup without any. Then, deliver it to the laboratory immediately for examination. In winter, pay special attention to keeping it warm and place it in a nearby undergarment pocket to deliver it to the laboratory as soon as possible (within 1 hour).
3. It is best to collect semen through masturbation, with the help of a partner if needed, or using tools such as a massager. If it is still not possible to collect the semen, alternative methods such as interrupted intercourse or external ejaculation can be used.
4. Condoms should not be used, as they kill sperm and make it easy for semen to adhere to the inside. However, for patients without sperm, condoms may be used if necessary, as the presence of sperm cells can help rule out the diagnosis of azoospermia.

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