Semen Cryopreservation Report

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Referred Dr :		Date :
Clinician :		Embryologist :
Cryopreservation :	Yes No	Number of frozen samples :

Physical Parameter :

Parameter	Value	Reference
Volume	ml	2-6 ml
PH		7.2-7.6
Liquefaction
Viscosity		Average

Microscopic Examination :

Parameter	Value	Reference
Sperm Count (mill/ml)	mill/ml	20mill/ml
Total Motility (%)	%	>60 %
Grade A (%)	%	>25 %
Grade B (%)	%	>25 %
Grade A+B (%)	%	>50 %
Grade C (%)	%
Grade D (%)	%
Morphology (Nor. %)	%	>15 %
Agglutination		<10 %
Pus Cells (HPF)_		2-3
Spermatogenic Cells (HPF)		1-2