---
type: lab-results
category: medical
person: Yanxin Lu
date: 2026-01-17
provider: Advanced Reproductive Technologies, LLC / ART LLC
source: lu_scrc_iui_sample.jpg
---

# Intrauterine Insemination Report — Fresh Sample

**Medical Director:** Hal C. Danzer, M.D.
450 North Roxbury Drive
Beverly Hills, Suite 500
CA 90210
310.277.2393
CLIA ID#: 05D0546234

---

## Patient & Partner Information

| Field | Value |
|---|---|
| Patient Name | XUEWEI (ERICA) JIANG |
| Patient ID | 105151 |
| Patient Birth Date | 03/13/1993 |
| Partner Name | YANXIN LU |
| Partner ID | 105150 |
| Partner Birth Date | 10/17/1989 |
| Accession # | 480706 |
| Ordering Physician | ART LLC |
| ID Checked By | ART LLC |
| Count Tech | DOG |

---

## Procedure Details

| Field | Value |
|---|---|
| Date of Procedure | 01/17/2026 |
| Abstinence Period | Day(s) |
| Collection Date/Time | 01/17/2026 07:40 AM |
| Collection Container | Sterile Cup |
| Collection Method | Ejaculate |
| Date/Time Recd in Lab | 01/17/2026 08:30 AM |
| Reported By | |
| Directed Donor Name | Desta Gebagay |

---

## Sample Analysis

### Pre-Wash Values

| Parameter | Value | Reference Values |
|---|---|---|
| Concentration | 3.0 ml | >= 1.5 mL |
| Motility | 48 Million/mL | >= 15 million/mL |
| Agglutination | 50% Progressive | >= 40% |
| Round Cells | None | None-Minimal |
| Progression | 0 Million/mL | < 1.0 Million/mL |
| Total Motile Count | 72 M | 2+ to 3+ |
| Media | 2+/3 | |
| ALL (Grad Gradient) | | |

### Post Wash Values

| Parameter | Value |
|---|---|
| Volume | 0.5 mL |
| Concentration | 40 Million/mL |
| Motility | 83% Progressive |
| Total Motile Count | 16.6 M |

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**Comments:** Concentration and Motility values confirmed in duplicate

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## Signatures

**Physician Signature:** Dr. Candice Tilles

**FDA Status:**

**Reviewed and Electronically Signed By:**
Lab Director: Desta Gebagay, C.L.S, ASCP

**Sample Verification:**

**Patient Signature:** *(signed)*

**Witness Signature:**

**Inseminated By:** *(signature present)*

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**Test Performed At:** BH - ANDROLOGY
Intrauterine Insemination Report — Fresh Sample - 1

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Printed: 1/17/2026