Semen Analysis

Question 1

Indications for semen analysis

Answer 1

1. Infertility
2. For artificial and intrauterine insemination
3. Follow up after vasectomy
4. For medicolegal cases

Question 2

Normal findings of semen analysis

Answer 2

Pg 892

Question 3

Define oligospermia

Answer 3

Reduced sperm count <20 million sperm / ml of semen

Question 4

Causes of azoospermia

Answer 4

A. Idiopathic:

B. Pre-testicular causes:

• Hypogonadism due to any cause
• Diabetes mellitus
• Severe illness

C. Testicular causes:

• Genetic defects
• Chromosomal abnormalities (e.g., Klinefelter syndrome)
• Cryptorchidism
• Orchitis
• Varicocele / hydrocele
• Trauma / surgery

D. Post-testicular causes:

• Infection (e.g., epididymitis, prostatitis)
• Obstruction in vas deferens
• Obstruction in ejaculatory duct
• Absence of vas deferens
• Vasectomy

Pg 894