Semen Analysis Checklist 2025

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  1. Click ‘Get Form’ to open the Semen Analysis Checklist in the editor.
  2. Begin by entering your NAME and DATE OF BIRTH on the sterile cup provided for specimen collection.
  3. Collect the complete sample through masturbation, ensuring no lubricants are used. Record the TIME of collection on the container.
  4. Fill out the Collection Information section, including your abstinence days and your wife's name.
  5. Indicate whether the collection was done by masturbation by selecting 'YES' or 'NO'. If 'NO', provide an explanation.
  6. Complete any issues related to collection or transport in the designated area.
  7. Submit your completed physician order form along with billing information as specified.

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It is important that you abstain from sexual intercourse or . This must be for at least 48 hours but no longer than 7 days before to your appointment. This is to aid an accurate assessment of your quality. Having an abstinence period of longer than 7 days can have a detrimental effect on your .
Fruits and veggies A study of 250 men who had analyzed at a fertility clinic showed that men who ate higher amounts of fruits and veggies, particularly green leafy vegetables and beans (legumes), had higher concentrations and better motility compared to men who ate less of these foods.
Finally, you should shower and wash your hands carefully and refrain from using saliva, lubricant and products containing spermicidal agents before collecting the sample.
How to Prepare for a Analysis Abstain from ejaculation for 2 to 5 days prior to the test. Avoid alcohol, caffeine, and tobacco in the days leading up to the test. No hot tubs or saunas. Let your doctor know about any medications or supplements youre taking, as they can interfere with health.