General Hospital of the U.S.
100 State Street
Los Angeles CA 90035
Semen Analysis Report
Patient Information
Laboratory Information
Last Name
Chester
Ordering Physician
N.A.
First Name
FRESH
Test Performed by
Administrator Administrator
Patient ID
52419635896325814786
Release Signature
N.A.
Birth Date
8/9/1977
Release Date
3/30/2006 11:46:49 AM
Abstinence (# of days)
SQA-V SN #
27
Date Sample Collected
2/6/2006
Time Sample Collected
10:44:00
Date Sample Received
2/6/2006
Time Sample Received
11:10:00
Date Test Performed
2/6/2006
Time Test Performed
11:52:00
Sample Processing
Sample Collection and Initial Examination
SQA-V Automated Tests
Sample/Accession #
35418969368523698763
Volume
3.3
Sample Type
FRESH
Viscosity
Normal
Liquefaction
Normal
PH
Appearance
Normal
WBC Conc.
Test Result
ml
Ref. Value
>= 2
>= 7.2
<=1
M/ml
Test Results
SQA-V Automated Tests
Test Result
Ref. Value
Manual Test
Test Result
>= 20
Agglutination
Aggregation
Round cells
N.A.
M/ml
17
M/ml
18.8
Rapid Prog. Motility (a)
10
Slow Prog. Motility (b)
3.5
RBC
N.A.
M/ml
Non-Prog. Motility (c)
5.3
Viability
N.A.
Immotility (d)
81.2
19.2
MSC
3.2
PMSC (a)
Sperm Conc.
Motility (a+b+c)
>= 25
Manual Morphology
% Normal Forms
N.A.
Head Defects
N.A.
M/ml
Neck/Midpiece
N.A.
1.7
M/ml
Tail Defects
N.A.
PMSC (b)
0.6
M/ml
Cytoplasmic Droplets
N.A.
FSC
0.9
M/ml
Pinheads
N.A.
Velocity
mic/s
SMI
26
Morph: % Normal
Forms*
WHO
3rd
All Sperm
56.1
M/Ejac.
Motile Sperm (a+b+c)
10.6
M/Ejac.
Prog. Motile Sperm (a+b)
7.6
M/Ejac.
M/Ejac.
Functional Sperm
>= 30
>= 5
Biochemistry
>= 80
a-glucosidase
N.A.
mU
>= 40
Fructose
N.A.
mmol/l
Zinc
N.A.
mmol/l
>= 20
*Morphology should be run manually when the automated "Morph: Normal Forms" is below the normal range.
This document was printed on 3/30/2006 11:46 from the V-Sperm system ver. 3.45 by MES Ltd.
Semen Analysis Report: 1 of 2
Ref. Value