---
type: lab_report
category: semen_analysis
person: Yanxin Lu
date: 2023-03-14
provider: UChicago Medicine - Center for Reproductive Medicine and Fertility
source: lu_semen_analysis_2023.pdf
---

# Semen Analysis (Count, Motility & Morphology)

**UChicago Medicine**
1101 S Canal St Ste 201
Chicago IL 60607-4944

---

## Patient Information

| Field | Value |
|---|---|
| Patient | Lu, Yanxin |
| MRN | 5287241 |
| DOB | 10/17/1989 |
| Sex | M |
| Acct # | 2012076592 |
| Visit Date | 3/14/2023 |
| Visit Type | Lab Only in South Loop REI |

---

## Order Information

| Field | Value |
|---|---|
| Test | SEMEN ANALYSIS (COUNT, MOTILITY & MORPHOLOGY) [298450550] |
| Status | Final result (Abnormal) |
| Electronically signed by | Renalda Tomic, A.P.N. on 03/09/23 0856 |
| Ordering user | Renalda Tomic, A.P.N. 03/09/23 0856 |
| Ordering provider | Renalda Tomic, A.P.N. |
| Authorized by | Renalda Tomic, A.P.N. |
| Ordering mode | Standard |
| Frequency | ELECTIVE (Patient to call for appt) 03/09/23 |
| Class | Print Requisition |
| Quantity | 1 |
| Lab status | Final result |
| Instance released by | Madeline Gammons 3/14/2023 10:16 AM |
| Resulted by | TOMIC, RENALDA |
| Filed by | Gladell P Paner, M.D. 03/17/23 1419 |
| Collected by | Patient 03/14/23 0912 |
| Resulting lab | UCMC SEMEN ANALYSIS LABORATORY |
| Lab Technician | MG |
| Resulted | 03/14/23 1425 |

### Diagnoses

Scrotal varices [I86.1]

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## Specimen Data and Appearance

| Field | Value |
|---|---|
| Partner's Name | N/A |
| Physician | TOMIC, RENALDA |
| Technician | MG |
| Accession Number | 4965 |
| Time Received | 9:12 AM |
| Time Analyzed | 9:55 AM |
| Method of Analysis | Manual |
| Place of Collection | Clinic-1101 |
| Complete Sample | Yes |
| Collection Method | Masturbation |
| Type of Container | Sterile Specimen |
| Days of Abstinence | 2 |

---

## Results

Reference Standard: **REI REFERENCE - WHO 5th Standard (Strict Criteria)**

| Component | Value | Reference Range | Flag | Lab |
|---|---|---|---|---|
| Liquefaction (Complete-1, Incomplete-2) | 1 | 1 - 1.999 | — | UC SAL |
| Color (Pearl White-1, Yellow-2, Reddish-3) | 1 | 1 - 2 | — | UC SAL |
| Viscosity (Normal-1, Slight-2, Marked-3) | 1 | 1 - 2 | — | UC SAL |
| pH | 7.2 | 7.2 - 8.0 | — | UC SAL |
| Volume | 4.1 | 1.5 - 6 mL | — | UC SAL |
| Sperm Concentration | 5.4 | 15 x10^6/ml | **A** (Abnormal) | UC SAL |
| Motility | 64 | 40 % | — | UC SAL |
| **Grade of Motility** | | | | |
| A = Rapid Forward Progressive | 0 | % A+B >= 50% | — | UC SAL |
| B = Slow Forward Progressive | 28 | % | — | UC SAL |
| C = Non-Progressive Motility | 28 | % | — | UC SAL |
| D = Immotile | 44 | % | — | UC SAL |
| Round Cells | <1 | 0.9999 x10^6/ml | — | UC SAL |
| Normal Morphology | 4 | 4 % Strict Criteria | — | UC SAL |
| Total Sperm | 21.9 | 22 mill/ejac | **A** (Abnormal) | UC SAL |
| Total Motile Sperm | 13.9 | 9 mill/ejac | — | UC SAL |

---

## CC List

| Recipient | Modifier | Fax | Address | Added |
|---|---|---|---|---|
| Renalda Tomic, A.P.N. | — | — | — | — |

## Recipients

**Renalda Tomic, A.P.N.**

| Added By? | Delivery Method | Outcome | Message ID | Address Source |
|---|---|---|---|---|
| EpicCare CC List | In Basket | Result sent | 182142444 | Primary |

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## Testing Performed By

| Lab - Abbreviation | Name | Director | Address | Valid Date Range |
|---|---|---|---|---|
| 37 - UC SAL | UCMC SEMEN ANALYSIS LABORATORY | Unknown | 1101 S. Canal Street, Suite 202, Chicago IL 60607 | 01/10/22 1513 - Present |

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## Scheduling Instructions

1101 S. Canal Street, Suite 202A
Chicago, IL 60607
Phone: (773) 702-6642
Fax: (773) 702-5848
www.chicagofertility.org

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*Printed by S10409739K at 5/17/23 10:02 AM (4 pages)*