Semen analysis parameters Stay calm they are just numbers

Ajay K. Nangia, M.B.B.S.

Volume 103, Issue 1, Pages 39-40


Reflections on “Analysis of semen parameters in male referrals: impact of reference limits, stratification by fertility categories, predictors of change, and comparison of normal semen parameters in subfertile couples,” by Baker et al.

  • As the author points out, one single normal SA likely leads many fertility practicioners to check the “normal male evaluation” box in routine practice- and this is likely not a sound approach. However, requiring the male partner to repeat the SA twice more after an initial normal analysis appears inefficient and excessive, especially if IUIs are planned anyway (allowing at least a partial periodical assessment of semen parameters). Does the author really advocate for 3 SAs on each couple presenting with infertility?

    • Ajay Nangia

      Please refer to the teference quoted about the 3 semen analysis issue. An excellent statistical study.

  • Ali Dabaja

    How would the author counsel infertile patients who would go from a status of infertile to fertile based on the introduction of the WHO 2010 SA criteria?

    • Ajay Nangia

      Good question. If it has been a year, as indicated, and infertile, then the initial question is did the male partner get evaluated…either way. Even if normal SA by 2010 or 2009.

      Ultimately it relies on the provider to decide if it is time to move on to IUI or IVF based on the overall picture of the spermiogram or TMC and male/female factors i.e. as you would anyway

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