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Test Code SW SPERM WASH

Important Note

  1. Notify the Laboratory if the patient has an allergy to gentamicin.
  2. Testing is available by appointment only. The Physician's Office should make the appointment at minimum 1 day prior. Appointments are accepted between 12 noon and 2 p.m. daily. Services will not be provided without an appointment.

    Contact the Logan Health Medical Center Laboratory at 406-752-1737 to schedule an appointment

  3. The instruction sheet for specimen collection is below. The Physician’s office must provide and review the instruction sheet with each patient. 
  4. The patient must bring the completed instruction form when they arrive for their appointment at the Laboratory.
  5. All patients are required to have a laboratory order for the Sperm Wash testing and must be in the female patient name.

Semen Collection Patient/Practice Instructions

Methodology

Light Microscopy

 

Separation of motile sperm utilizing a density gradient. The motile sperm are washed 2 times and concentrated for insemination.

Specimen Requirements

Call Logan Health Medical Center Laboratory at 406-752-1737 to schedule appointment.

Specimen must arrive within 30 minutes of collection.

 

Container/Tube: Sterile Container(s), #2600491  or Seminal Fluid Collection Kit

Specimen Volume: Total ejaculate
Collection Instructions:

  • Collect specimen following a 2 to 7 day period of sexual abstinence.
  • Do not refrigerate.
  • Keep specimen as close to 37° C (body temperature) as possible during transport.
  • Deliver directly to laboratory.

Semen Collection Patient/Practice Instructions

Specimen Rejection

  1. Specimen Collected in inappropriate container for transport
  2. Contaminated specimen
  3. Specimen at unacceptable temperature

Specimen Retention Time

4 hours

Day(s) Test Set Up

By appointment only

Maximum Laboratory Time

2 hours

Specimen Stability

37° C

Reference Values

Not applicable

Volume, sperm motility, and sperm count are reported for pre-wash and post-wash.

Performing Laboratory

Logan Health Medical Center Laboratory

Test Classification and CPT Coding

58323