Semen analysis (post vasectomy)

Last updated: Tuesday, 01, June, 2004

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Item Process
Specimen

New recommendations:

It has been the custom to require that complete azoospermia be demonstrated in at least 2 specimens to conclude that sterility has been achieved.

The review by ASERNIP-S (Australian Safety and Efficacy Register of New Interventional Procedures – Surgical) published in December 2003 concluded that azoospermia demonstrated in 1 test is sufficient, provided that the test is performed 3 months after vasectomy and after at least 20 ejaculations.

ASERNIP-S publication is available at:
http://www.surgeons.org/asernip-s/publications_vasectomy.htm


Previous recommendations:

Clear written instructions should be provided regarding sample collection and transportation. 

Samples should not be collected until after a minimum of 24 ejaculations post-vasectomy with a post-operative interval of 16 weeks. 

Collection should occur following an ejaculatory abstinence of no less than 48 hours and no more than 7 days. 

The sample should be collected in a wide mouth container and the complete ejaculate must be collected. 

The sample should be transported to the laboratory in less than one hour following ejaculation and should be maintained between 20°C and 32°C (see Semen Analysis).

Method

Microscopic examination.

Reference Interval

No spermatozoa should be detected in at least two samples taken two to four weeks apart.

Reference

Griffin TT, et al. Post-vasectomy testing to confirm sterility: a systemic review. ASERNIP-S Report No. 39. Adelaide, South Australia: ASERNIP-S (December 2003).

Hancock P and McLaughlin E. J Clin Pathol  2002; 55: 812-816.

WHO Laboratory Manual for the Examination of Human Semen and Sperm-Cervical Mucus Interaction. 4th ed. Cambridge University Press 1999.