General Hospital of the U.S.

100 State Street

Los Angeles CA 90035

Semen Analysis Report

Patient Information

Laboratory Information

Last Name

Chester

Ordering Physician

N.A.

First Name

FRESH

Test Performed by

Administrator Administrator

Patient ID

52419635896325814786

Release Signature

N.A.

Birth Date

8/9/1977

Release Date

3/30/2006 11:46:49 AM

Abstinence (# of days)

SQA-V SN #

27

Date Sample Collected

2/6/2006

Time Sample Collected

10:44:00

Date Sample Received

2/6/2006

Time Sample Received

11:10:00

Date Test Performed

2/6/2006

Time Test Performed

11:52:00

Sample Processing

Sample Collection and Initial Examination

SQA-V Automated Tests

Sample/Accession #

35418969368523698763

Volume

3.3

Sample Type

FRESH

Viscosity

Normal

Liquefaction

Normal

PH

Appearance

Normal

WBC Conc.

Test Result
ml

Ref. Value
>= 2

>= 7.2

<=1

M/ml

Test Results
SQA-V Automated Tests

Test Result

Ref. Value

Manual Test

Test Result

>= 20

Agglutination

Aggregation

Round cells

N.A.

M/ml

17

M/ml

18.8

Rapid Prog. Motility (a)

10

Slow Prog. Motility (b)

3.5

RBC

N.A.

M/ml

Non-Prog. Motility (c)

5.3

Viability

N.A.

Immotility (d)

81.2

19.2

MSC

3.2

PMSC (a)

Sperm Conc.
Motility (a+b+c)

>= 25

Manual Morphology
% Normal Forms

N.A.

Head Defects

N.A.

M/ml

Neck/Midpiece

N.A.

1.7

M/ml

Tail Defects

N.A.

PMSC (b)

0.6

M/ml

Cytoplasmic Droplets

N.A.

FSC

0.9

M/ml

Pinheads

N.A.

Velocity

mic/s

SMI

26

Morph: % Normal
Forms*

WHO
3rd

All Sperm

56.1

M/Ejac.

Motile Sperm (a+b+c)

10.6

M/Ejac.

Prog. Motile Sperm (a+b)

7.6

M/Ejac.

M/Ejac.

Functional Sperm

>= 30

>= 5

Biochemistry

>= 80

a-glucosidase

N.A.

mU

>= 40

Fructose

N.A.

mmol/l

Zinc

N.A.

mmol/l

>= 20

*Morphology should be run manually when the automated "Morph: Normal Forms" is below the normal range.
This document was printed on 3/30/2006 11:46 from the V-Sperm system ver. 3.45 by MES Ltd.
Semen Analysis Report: 1 of 2

Ref. Value