During the period of a couple's fertility study, more and more often a man is asked to take certain tests. Only one test will be able to say whether the representative of the stronger sex has the ability to conceive. For the diagnosis of the female body requires more than any variety of activities. That is why doctors prefer to start with her partner. One of the frequently recommended studies is a spermogram with Kruger morphology. What it is will be described below. You will learn about the features of the analysis. You can also find out the main norms and deviations of indicators.
When should research be done?
Kruger sperm analysis is not performed in all medical institutions. Most laboratories do not have sufficient equipment for such diagnostics. That is why, if you are assigned such a procedure with such a thorough examinationejaculate, then you need to clarify the possibility of its implementation in the clinic of your choice.
In what situations should a man be tested? Diagnosis is always recommended before the IVF procedure. Such a study will allow the doctor to be prepared for some surprises. Also, manipulation is prescribed when a man wants to become a sperm donor. With prolonged infertility, each member of the stronger sex must undergo a diagnosis.
Kruger spermogram: how to prepare?
There is nothing special about preparing for this study. You don't have to perform any supernatural tricks. It is enough to follow the recommended rules. The preparation period is 5 days or more. It was at this time that a man is forbidden to visit saunas, stay under the scorching sun for a long time and drink alcohol. All these factors can negatively affect spermatozoa and provoke a false diagnosis. Doctors also advise to cancel all medications, with the exception of vital ones. If you are forced to take some kind of remedy, then you must definitely inform the doctors about this.
Spermogram according to Kruger suggests abstinence from sexual intercourse for 3-5 days. If this period is shortened, an insufficient amount of sperm may be obtained, while a longer abstinence leads to the death of many sperm.
How is the study done?
Kruger spermogram, like a regular ejaculate study,involves obtaining material through masturbation. The process is carried out strictly within the walls of the laboratory. Before this, it is worth making hygiene procedures and washing your hands thoroughly. The ejaculate is collected in a sterile container. For this type of diagnosis, it is very important not to lose part of the sperm. If this happens, then for the accuracy of the analysis it is worth repeating the manipulation after 5 days.
Transcript of study data
How is the Kruger spermogram interpreted correctly? The decoding of the received data is carried out exclusively in the doctor's office. You will not be able to understand anything from the numbers presented on your own. That is why you should not surf the Internet and read abstruse books. Contact a specialist who will help you decrypt the data correctly. The same doctor, if necessary, can give you some recommendations for treatment, if any.
Deciphering the analysis can be done within a few hours after the diagnosis. The ejaculate is examined immediately; it is not possible to postpone this analysis. Therefore, you can get your result within one hour. Consider the main parameters that the Kruger spermogram contains.
The volume and color of the material
Specialists say that the normal amount of ejaculate is in the range of 3 to 5 milliliters. If the liquid is less than 2 ml, then we can talk about the insufficiency of the male sex glands. This pathology is called microspermia. With an ejaculate volume of more than 6 ml, there issuspicion of an inflammatory process in the male reproductive system.
The color of the test material can be from white to some shades of gray. The presence of pinkish or red blotches indicates an inflammatory process or recent injury. The yellow hue of the ejaculate indicates a deviation in the liver. However, this characteristic can also occur during the course of taking vitamins.
Thinning time and material acidity
If you are assigned a fertility diagnosis and the Kruger method is proposed, the spermogram should always contain data on the acidity and time of liquefaction of the ejaculate. Normally, a viscous material acquires a liquid consistency in about 40 minutes. In some clinics, this process is allowed to be carried out within an hour. If there is an increase in the specified period of time, then this is a sign of a long and sluggish inflammatory process (prostatitis, vesiculitis, etc.).
The acidity of male sperm should be at the level of 7, 2-2, 8 pH. If there is a deviation from these positions, then an infection is suspected. In such an environment, male gametes simply cannot perform their function correctly.
Density and total number of male gametes
When a spermogram is taken, the Kruger test always takes into account the total number of spermatozoa. It is calculated by detecting cell density. To do this, under a microscope, the laboratory assistant calculates how many gametes are in 1 milliliter of material. This number should be 20–120 million. DecreaseThis level is called oligozoospermia. If we are talking about excess, then this is polyzoospermia. Both diagnoses require additional studies of men's he alth and subsequent treatment.
The total number of sperm should be between 40 and 600 million. The range spread is quite large. Deviation in one direction or another occurs for the reasons described above.
Cell motility
The study necessarily takes into account the viability of sperm. To do this, the laboratory assistant marks the way they are moved. Gametes can move in a straight line or along a different trajectory. They are active or inactive. Active spermatozoa with rectilinear movement should be at least 50 percent of the total mass. Deviation from this range is called asthenozoospermia.
It is worth noting that a spermogram with strict Kruger morphology provides for the diagnosis of only active cells with rectilinear or oscillatory movement.
Morphology
This point of the study examines the number of normal sperm that are capable of fertilization. In Russia, the norms of this characteristic are from 40 to 60 percent. If there are less than 20% of normal sperm, then we are talking about teratozoospermia. It should be noted that often the pathology is temporary. That is why it is so important to take a second analysis a few weeks after the first study to confirm the diagnosis.
IfKruger morphology determined that a man has more than 40 percent of spermatozoa that can fertilize an egg, then he is considered he althy. Pregnancy from such a partner can occur naturally without additional manipulations. When a decrease in this level is found out, the couple may need the help of reproductive specialists.
Additional data
In 1987, Professor Kruger suggested that those spermatozoa that are able to penetrate the cervical canal within 8 hours after ejaculation are considered normal. To study this item, a sperm cell is taken and examined under a microscope. In addition to the ability to move correctly, the cell must have an ideal structure. Such spermatozoa have oval heads, which contain a nucleus that carries genetic information. Next comes the body of the gamete. It is thin and always compared with the size of the rounded part. Normally, the body of the spermatozoon is approximately 1.5 parts from its head. The tail is a very important detail. It is with the help of it that the movement of the male gamete occurs. The tail of the spermatozoon is even throughout its length, it does not twist in a spiral. Doctors allow a slight narrowing of this part in the very middle.
Kruger says that if the number of normal gametes in a man is higher than 4 percent, then there is a high probability of natural fertilization. However, modern data have slightly different figures. If there is a deviation from the norm and he althy cells make up only 1%, the couple can turn to modern methods for help.reproductive science. In this case, a selection is performed, which is called ICSI. During the manipulation, laboratory assistants remove good spermatozoa and fertilize them. The probability of successful IVF in this case increases several times.
Instead of a conclusion
You learned a lot about the male examination and were able to find out what the norm is in this regard. Kruger spermogram is the only diagnostic that can accurately determine the state of he alth of a man. The rest of the studies are considered additional. The average cost of the described procedure is from 5 to 10 thousand rubles.
If you need to know about the state of your reproductive system, then ask for a Kruger study. Only after deciphering the data received, the doctor can speak with great accuracy about the norm or deviation. All the points that are taken into account in such a study are presented to your attention in the article. He alth to you and good results!
