Спермограмма Что нужно знать

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Спермограмма – метод исследования спермы (эякулята) для оценки оплодотворяющей способности (фертильности) мужской спермы!

Оценивать «качество» спермы и ее способности к оплодотворению по отдельно взятым параметрам некорректно, необходимо учитывать одновременно все показатели. Рекомендованные ВОЗ показатели нормы для фертильной спермы не являются минимально необходимыми для зачатия, т. е. мужчина с даже более низкими показателями вполне способен к оплодотворению партнерши!

В случае уточнения диагноза мужского бесплодия при получении результатов спермограммы, отличных от нормы, необходимо через 1–2 недели пересдать анализ и уже на основании вновь полученных результатов искать причины возникшего неблагополучия.Правила сбора материала 1. Анализ спермы сдается после не менее чем 48-часового и не более 7-дневного полового воздержания (оптимально – 4 дня).

Необходимо добавить – от всех видов сексуальной активности! В период воздержания при подготовке к анализу нельзя принимать алкоголь, лекарственные препараты, посещать баню или сауну, подвергаться воздействию УВЧ и интенсивных магнитных полей.

При повторном исследовании желательно выдерживать одинаковые периоды воздержания для снижения колебаний полученного результата. Эякулят получают путем мастурбации. Собирают в специальный стерильный контейнер, который обычно выдается в лаборатории. На контейнере необходимо указать фамилию, дату и точное время получения эякулята.

Использовать презерватив для сбора спермы запрещено: латекс и вещества, используемые для смазки презервативов, могут влиять на степень подвижности сперматозоидов и другие их характеристики.5. Во время транспортировки в лабораторию сперму сохранять при температуре от 20 до 40 °C, но лучше сбор материала осуществить непосредственно в лаборатории (большинство специализированных лабораторий предоставляют условия для этого).

Если мастурбация была успешной, но эякулят не получен, необходимо сразу помочиться и доставить на анализ всю полученную мочу.Показания к назначению анализа: • бесплодный брак (выявление мужского фактора);• бесплодие у мужчин (простатит, варикоцеле, инфекции, травмы, гормональные нарушения);• подготовка к использованию вспомогательных репродуктивных технологий (ЭКО, ИКСИ).

Спермограмма включает: физические параметры (объем, цвет, pH, вязкость, скорость разжижения), количественные характеристики (количество сперматозоидов в 1 мл и во всем эякуляте, подвижность), а также их морфологию (содержание нормальных форм, с патологией), наличие агглютинации и клеток сперматогенеза и другие показатели.

Ниже представлены нормальные значения спермограммы.

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