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Semen Analysis report format

A semen analysis report format with the physical, chemical and microscopic examination, sperm count, motility and morphology.

Sample Semen Method Manual microscopy (WHO)

Report layout used at Sobhana Diagnostics, signed by Dr. V. Aruna Sree, MBBS, DCP · Consultant Pathologist

Semen Analysis report format sample, branded with HealthFlow, showing results, units and reference ranges
Semen Analysis report format on a lab letterhead. Specimen: Semen. Method: Manual microscopy (WHO). Each result is shown against its unit and reference range, with out-of-range values flagged.

Sample format. "Your Lab Name" is a placeholder. On HealthFlow every report carries your lab's own logo, letterhead and colours, and the QR opens the authentic signed copy through a logged verification gateway.

What this Semen Analysis format includes

Every line carries the result, its unit and the reference range, with out-of-range values flagged. The values below are sample values, shown so you can see the layout.

TestResult Unit Reference range
Physical Examination
Volume 2.8 mL 1.5 - 5.0
Colour Opaque Grey-White Opaque Grey / Whitish
Viscosity Normal Normal
Liquefaction Time 25 minutes 20 - 30
Chemical Examination
Reaction (pH) Alkaline Alkaline
Microscopic Examination
Total Sperm Count 68 Mill/mL 60 - 120
Actively Motile 55 %
Sluggishly Motile 20 %
Non-Motile 25 %
Normal Forms 70 % > 60
Abnormal Forms 30 %
Pus Cells 2 - 3 /HPF
Epithelial Cells 1 - 2 /HPF
Red Blood Cells Nil /HPF
Impression Normozoospermia

How a Semen Analysis report is read

  • Semen analysis should be interpreted in conjunction with the clinical history and, where indicated, a repeat sample after 2 to 3 days of sexual abstinence.
  • Results are affected by the abstinence period, collection technique, completeness of the sample and the time and temperature of transport to the laboratory.
  • Reference values vary with the criteria and method used by the laboratory.

What commonly goes wrong with a Semen Analysis

The practical errors that actually cause repeat samples and misread results, mostly at collection and at the point the result is read.

  • Abstinence of 2 to 7 days is part of the test, not a suggestion. A shorter gap lowers volume and count while a longer one tends to reduce motility and vitality, and a report that does not record the abstinence period cannot be properly interpreted.
  • The whole ejaculate must go into a wide-mouth sterile container. The first fraction carries most of the sperm, so a partly spilt sample under-counts badly, and an ordinary condom cannot be used because the lubricant is spermicidal.
  • The sample must reach the laboratory within an hour of production, kept between 20 and 37 degrees Celsius and never refrigerated. Motility is read only after liquefaction is complete, usually within 15 to 60 minutes, and a count done on an unliquefied sample is unreliable.
  • A single abnormal report is not a conclusion. Counts and motility vary widely between ejaculates from the same man, so an abnormal result is confirmed on a repeat sample collected some weeks later.
What does a Semen Analysis report format include?

A semen analysis report format with the physical, chemical and microscopic examination, sperm count, motility and morphology. Each line shows the result, its unit and the reference range, with out-of-range values flagged, followed by clinical notes on how the test is interpreted.

Can this Semen Analysis format carry my lab's brand?

Yes. On HealthFlow the report is white-label: your lab's logo, letterhead, address and colours replace the "Your Lab Name" placeholder, and it can be printed or delivered on WhatsApp from your own number.

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