CELLULAR PATHOLOGY DEPARTMENT
                   ANDROLOGY

PATIENT INFORMATION SHEET - COLLECTION AND TRANSPORT OF SEMEN FOR INFERTILITY INVESTIGATION

An appointment day MUST be booked with the laboratory on 01268 598212 for your sample to be tested. Failure to do so may result in a repeat sample being required.

ABOUT YOUR TEST

The semen sample will be tested for the speed at which the spermatozoa move, sperm structure and how many spermatozoa are present in each ml. of sample. Analysis of these will enable us to determine if there are any problems with the spermatozoa that might be associated with non-conception.

PROCEDURE

1.

The patient should abstain from sex or masturbation for at least two days prior to producing the specimen but to have an abstinence period of no longer than 7 days.

2.

One specimen is required for initial evaluation. If abnormal we will ask you to repeat the test.

3.

The specimen should be obtained by masturbation.

4.

The entire specimen should be collected directly into the container provided.  A sheath must not be used for collection of the specimen.

5.

The specimen container should be securely fastened and clearly labelled with the date and time of collection and the patient’s name.

6.

Is the specimen complete? Since most of the spermatozoa are found within the first part of the sample, it is important to know if the entire specimen was collected.

7.

The specimen must be placed in a plastic bag along with a Histology/Cytology request form signed by the doctor.

8.

Specimens should be kept warm and therefore carried in an inside pocket or other situation taking advantage of body heat.

9.

Specimens must not be sent by post. Specimens should reach the Cellular Pathology Department at Basildon Hospital within one hour of collection, Monday to Friday only between 08:30 and 16:00 hours. 

10.

All specimens for the investigation of infertility must be taken directly to the Cellular Pathology department at Basildon Hospital.

11.

A reliable report cannot be guaranteed if the above instructions are not observed.

12.

Under no circumstances will the report be given to anyone other than the requesting doctor.

If your require further information please telephone 01268 598212

Produced by Steve Clarke, Chief Biomedical Scientist, Cellular Pathology - Last edited 07/08/08


REQUIRED INFORMATION

Please complete the tear off strip and include with the specimen and request form

Date of Specimen Collection:

______ / ______/ _______

Time of Specimen Collection:

______ : ______

Is the specimen complete?

YES [  ]

NO   [  ]