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Final Exam
Miscellaneous Body Fluids: Seminal Fluid
32
Science
Graduate
04/17/2013

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Term
primary specimen types referred to the clinical laboratory
Definition
Blood, Urine, and cerebrospinal fluids
Term
miscellaneous fluids include
Definition
seminal, synovial, pleural, pericardial, peritoneal, amniotic, ascities and other fluids.
Term
components of semen
Definition
sperm, and seminal plasma
Term
Testis
Definition
produce spermatozoa
Term
Seminal plasma
Definition
produced by contributions from the seminal vesicle, prostate, and bulbourethral gland
Term
Seminal fluid is composed of four fractions
Definition
bulbourethral and urethral glands, the testis and epididymis, the prostate, and the seminal vesicles.
Term
Normal Semen colors
Definition
white in color, but grey or even yellowish semen can be normal as well.
Term
hematospermia
Definition
Blood in the semen can cause a pink or reddish color
Term
Collection time period in relation to sex
Definition
48 hours- 7 days
Term
Ordinary condoms
Definition
must not be used for semen collection because they may interfere with the viability of spermatozoa
Incomplete samples should
Term
The primary reasons for evaluating seminal fluid are:
Definition
Infertility cases
Post-vasectomy validation
Identification of the fluid in forensic cases.
Term
In infertility studies the following parameters are often evaluated
Definition
Volume
Viscosity
pH
sperm count
Motility
Morphology
Term
Volume Normal range
Definition
2.0 to 5.0 mls
Term
Viscosity Normal Range
Definition
1 (liquid) to 4 (gel-like).
Term
Abnormalities
Definition
increased turbidity
presence of blood
abnormal/unexpected color
Leukocyte esterase strips may be used to check for presence of white blood cells
Term
Normal pH
Definition
7.3 to 8.3
Term
Why is seminal fluid acidic
Definition
high ratio of prostate to seminal vesicle fluids
Term
Acidic ejaculate may indicate
Definition
one or both of the seminal vesicles are blocked
Term
A basic ejaculate
Definition
infection
Term
Sperm Count
Definition
measure of fertility
Term
Normal Sperm count
Definition
20 to 160 million per milliliter.
Term
Immobilization of specimen for sperm count
Definition
The traditional diluent contains Sodium Bicarbonate and formalin
Term
Motility
Definition
The sperm must propel themselves from the cervix through the fallopian tubes to reach the ovum
Term
Poor motility translates
Definition
difficulties in fertilization.
Term
Motility is assessed microscopically by
Definition
determining the percentage of sperm exhibiting active forward movement.
Term
normal Motility
Definition
50-60% motile
Term
Morphology
Definition
is evaluated with respect to both head and tail appearances
Term
Abnormalities in the head structure
Definition
associated with poor ovum penetration
Term
Abnormalities in head include
Definition
double heads, giant head, pinhead, tapered heads and constricted heads
Term
Viability
Definition
usually evaluated by mixing the specimen with eosin-nigrosin stain and examining microscopically for dead cells – dead cells appear red against a purple background. Living cells are not infiltrated by eosin..
Term
Fructose levels
Definition
Low sperm counts may result from inappropriate support medium produced by the seminal vesicles. This is often demonstrated by a decreased fructose level. Fructose should be evaluated within 2 hours of collection since fructolysis will occur.
Term
Sperm agglutination
Definition
Agglutination results from antibodies in either partner’s plasma. These antibodies will cause clumping and inactivation of the sperm. If the antibodies are in the male there is usually an abnormal semen analysis showing clumps. If they exist within the female, the male’s semen analysis will be unremarkable but infertility continues. To demonstrate female anti-sperm antibodies perform a mixing study that combine the female’s plasma with male’s semen and observe for agglutination
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