{"id":5718,"date":"2023-10-10T11:00:45","date_gmt":"2023-10-10T11:00:45","guid":{"rendered":"https:\/\/www.ginefiv.com\/treatment\/seminograma\/"},"modified":"2024-09-22T10:03:36","modified_gmt":"2024-09-22T10:03:36","slug":"seminograma","status":"publish","type":"treatment","link":"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/seminograma\/","title":{"rendered":"Seminograma"},"content":{"rendered":"<section class=\"page-cover treatment-section has-thumbnail dark-theme\">     <div class=\"page-cover__container container treatment-page\">         <div class=\"row\">             <div class=\"col-12 col-lg-6 pt-4 pt-lg-0\">                 <div class=\"page-cover__heading\">                     <div class=\"page-cover__heading-wrapper treatment-heading\">                                                   <div class=\"page-cover__heading-subtitle heading-subtitle text-xxl\">                             <p>Reproducci\u00f3 assistida<\/p>                         <\/div>                          <div class=\"page-cover__heading-title heading-title title-display\">                             <h1 class=\"title-display\">El seminograma: prova i valoraci\u00f3<\/h1>                         <\/div>                                                      <div class=\"page-cover__heading-content text-lg\">                                 <p>El seminograma, tamb\u00e9 denominat espermograma, \u00e9s la prova diagn\u00f2stica que m\u00e9s es fa servir als centres de reproducci\u00f3 assistida per avaluar la fertilitat masculina.<\/p>                             <\/div>                                                                      <\/div>                 <\/div>             <\/div>              <div class=\"col-12 col-lg-6 pt-5 pt-lg-0 pl-lg-5\">                 <div class=\"treatment-links-container\">                                             <div class=\"treatment-links-container__links text-lg\">                             <ul> <li><a href=\"#como-obtener\" rel=\"noopener\">Com s\u2019ha d\u2019obtenir la mostra per a aquesta an\u00e0lisi?<\/a><\/li> <li><a href=\"#aspectos-evaluados\" rel=\"noopener\">Aspectes avaluats en un seminograma<\/a><\/li> <li><a href=\"#conclusiones\" rel=\"noopener\">Quines conclusions es poden treure d\u2019un espermograma?<\/a><\/li> <\/ul>                         <\/div>                                     <\/div>             <\/div>         <\/div>     <\/div>               <div class=\"parallax-trigger fullsize page-cover-thumbnail treatment-thumbnail\" data-magic=\"parallax\">             <picture class=\"page-cover__picture parallax-trigger__item\" data-item=\"parallax-item\">                 <img decoding=\"async\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/tecnica-2.webp\" alt=\"Seminograma\">             <\/picture>         <\/div>       <\/section>  <section  class=\"text-block background-light custom-block-spacing\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12\">         <div class=\"text-block__text-wrapper text-heading-block alignment-center\" data-magic=\"appear-in\">                     <p>La t\u00e8cnica consisteix a analitzar una mostra de semen tant qualitativa com quantitativament a nivell macrosc\u00f2pic i microsc\u00f2pic. Al mateix temps, s\u2019utilitza com a prova de screening despr\u00e9s que s\u2019hagi practicat una vasectomia, per tal d\u2019assegurar-ne l\u2019efic\u00e0cia.<\/p>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>   <div class=\"wp-block-columns alignfull has-turquoise-teal-background-color has-background is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\"> <div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"> <section class=\"grid-icons-block content-wrapper\">        <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         35 anys d&#8217;experi\u00e8ncia      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Seguretat garantida      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Assist\u00e8ncia personalitzada      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         A l&#8217;avantguarda tecnol\u00f2gica      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Taxa d&#8217;\u00e8xit elevada      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Tarifes econ\u00f2miques      <\/div>     <\/div>     <\/section><\/div> <\/div>   <section id=\"como-obtener\" class=\"image-text-block custom-block-spacing align-left\" data-magic=\"float-zigzag\">   <div class=\"container\">           <div class=\"row\">         <div class=\"title-col col-12 col-md-6\"><h3 class=\"title-display\">Com s\u2019ha d\u2019obtenir la mostra per a aquesta an\u00e0lisi?<\/h3> <\/div>       <\/div>         <div class=\"row\">       <div class=\"img-col col-12 col-md-6\">                   <picture class=\"image-text-block__img-wrapper image-wrapper zigzag-element\">                         <img data-src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/test-receptividad-endometrial-content-540x380.jpg\" alt=\"\">           <\/picture>               <\/div>       <div class=\"text-col col-12 col-md-6\">         <div class=\"image-text-block__text-wrapper text-heading-block zigzag-element\">           <div class=\"image-text-block__text-wrapper__content\">             <div class=\"text-block-wrapper\">                                           <p>Per garantir la m\u00e0xima fiabilitat del diagn\u00f2stic del seminograma, la mostra de semen s\u2019ha d\u2019obtenir seguint aquestes indicacions:<\/p> <ul> <li>Cal guardar de 2 a 4 dies d\u2019abstin\u00e8ncia sexual. Els l\u00edmits estan entre no menys de 2 ni m\u00e9s de 4 dies d\u2019abstin\u00e8ncia.<\/li> <li>La mostra s\u2019ha de recollir en un pot est\u00e8ril. A Ginefiv en proporcionarem un; no obstant, aquests pots es venen a qualsevol farm\u00e0cia.<\/li> <li>La manera d\u2019obtenir la mostra \u00e9s mitjan\u00e7ant la masturbaci\u00f3; no s\u00f3n v\u00e0lids ni el coitus interruptus ni l\u2019\u00fas de preservatius comercials.<\/li> <li>Cal que la recollida de la mostra es faci en les m\u00e0ximes condicions higi\u00e8niques (rentat previ de mans).<\/li> <li>La mostra de semen ha de ser completa; si se\u2019n vessa una part, no ser\u00e0 v\u00e0lida. Si teniu cap dubte, els nostres bi\u00f2legs us indicaran si \u00e9s possible realitzar la prova o no.<\/li> <\/ul>             <\/div>                       <\/div>         <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <section  class=\"text-block background-light custom-block-spacing\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12\">         <div class=\"text-block__text-wrapper text-heading-block alignment-left\" data-magic=\"appear-in\">                     <p><strong>En cas d\u2019obtenir la mostra a casa:<\/strong><\/p> <ul> <li>Un cop obtinguda la mostra, assegura\u2019t que el pot estigui ben tancat i que la mostra no perdi temperatura (s\u2019ha de mantenir a temperatura corporal, entre 36\u00ba C i 37\u00ba C, i cal evitar canvis bruscos de temperatura; recomanem portar-la en una butxaca interior).<\/li> <li>El temps m\u00e0xim des de l\u2019obtenci\u00f3 fins a l\u2019entrega al laboratori ha de ser inferior a una hora i mitja.<\/li> <li>Si en els 14 dies previs a l\u2019obtenci\u00f3 de la mostra de semen tens febre o prens antibi\u00f2tic, contacta amb el laboratori per ajornar la cita.<\/li> <\/ul>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>   <section  class=\"banner-testimonies-block-container\">     <div class=\"banner-testimonies-bg\" style=\"background-image:url(https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/bg-testimonial-logo.svg)\"><\/div>     <div class=\"banner-testimonies-block\">         <div class=\"banner-testimonies-block__content\">             <!--h3 class=\"testimonies-block__title heading-md\"-->                 Somnis complerts            <!--\/h3-->             <div class=\"testimonies-block__cards-container\" data-slider=\"testimony\">                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                              <p>Fuimos a Ginefiv porque a varias amigas les hab\u00eda funcionado y ya eran mam\u00e1s. El pron\u00f3stico no era muy favorable, ya que yo ten\u00eda baja reserva ov\u00e1rica, pero el doctor nos dijo que los \u00f3vulos que tuviera pod\u00edan ser de buena calidad.<\/p> <p>Me hicieron la primera inseminaci\u00f3n que vivimos con mucha emoci\u00f3n sabiendo que pr\u00e1cticamente era imposible que funcionara a la primera, pero en la betaespera yo ya sospechaba que estaba embarazada. Y nos dieron la ansiada noticia: \u00a1est\u00e1bamos embarazadas! Y s\u00ed, a la primera, hab\u00eda funcionado.<\/p> <p>Nueve meses despu\u00e9s naci\u00f3 nuestra peque\u00f1a Olivia, de la que no podemos estar m\u00e1s enamoradas.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Mar\u00eda y Rodrigo                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p><span><\/span>Llegamos a Ginefiv por recomendaci\u00f3n de unos amigos y desde la primera visita ni nos planteamos buscar otras cl\u00ednicas.<\/p> <p>Ven\u00edamos de m\u00e1s de 7 a\u00f1os de tratamientos fallidos en la Seguridad Social.<br \/>En Ginefiv me qued\u00e9 embaraza en la segunda transferencia.<\/p> <p>Solo tenemos buenas palabras para Ginefiv y su forma de cuidarnos. Encontramos la mejor cl\u00ednica y a la mejor doctora del mundo.&nbsp;<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Roberto y Aurora                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p><span><\/span>Hicimos en Ginefiv un tratamiento de ovodonaci\u00f3n y dos tratamientos de adopci\u00f3n de embriones. Las doctoras siempre nos dec\u00edan que lo conseguir\u00edamos. Est\u00e1bamos en plena pandemia y nos cuidaron much\u00edsimo hasta que \u00a1por fin nos quedamos embarazados! Tenemos un precioso ni\u00f1o y estamos muy agradecidos por todo a Ginefiv porque nunca se rindieron con nosotros. M\u00e9dicos, enfermeras, atenci\u00f3n al paciente\u2026 siempre que llamaba con dudas estaban ah\u00ed.<\/p> <p>Es un camino duro pero tenemos muy buenos recuerdos. Muchas gracias.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Mayte y Enrique                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Agotada de otra cl\u00ednica llegu\u00e9 a ellos y menudo cambio para bien. Pasaban los meses sin conseguir quedarme embarazada y las pruebas indicaban que no exist\u00edan impedimentos para ello. <\/p> <p>Despu\u00e9s de un tiempo lo hemos logrado. Y todo a pesar del momento vivido de incertidumbre por la salud, pero pensando en mi peque se me cambia el \u00e1nimo. <\/p> <p>Agradecerles a todos el trabajo.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Carla Ruiz                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Nos aconsejaron una FIV con microinyecci\u00f3n en la que obtuvimos buenos embriones.<br \/>Me transfirieron tres de esos \u201cpeque\u00f1os\u201d y me qued\u00e9 embarazada de Cristina.<br \/>Todo fue tan bien y tan f\u00e1cil que a los 15 meses decidimos buscar un hermanito. No pudo ser a la primera pero al tercer intento con embriones descongelados dio fruto y vino nuestra segunda hija, Carolina. Imposible ser m\u00e1s felices.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Pilu                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Los mejores profesionales, la mejor atenci\u00f3n. Dimos con Ginefiv por una pareja conocida cuando est\u00e1bamos en plena pandemia. Aunque ten\u00edamos muchas dudas, afortunadamente no desistimos y ahora estamos esperando a nuestra hija.<\/p> <p>\u00a1Vaya aventura con pandemia y todo! Gracias a todo el equipo de atenci\u00f3n al paciente, a las psic\u00f3logas, al equipo m\u00e9dico, recepci\u00f3n\u2026 a todos.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Sandra Trigo                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Cl\u00ednica muy profesional, personal atento y resolutivo durante todo el tratamiento. Asistencia personalizada en franc\u00e9s (correo, tel\u00e9fono o in situ) para franc\u00f3fonos. Para elegir sin dudarlo para un tratamiento de reproducci\u00f3n asistida en el extranjero.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Caroline Mercier                        <\/p>                     <\/div>                             <\/div>         <\/div>     <\/div> <\/section>  <section id=\"aspectos-evaluados\" class=\"image-text-block custom-block-spacing align-right\" data-magic=\"float-zigzag\">   <div class=\"container\">           <div class=\"row\">         <div class=\"title-col col-12 col-md-6\"><h3 class=\"title-display\">Aspectes avaluats en un seminograma<\/h3> <\/div>       <\/div>         <div class=\"row\">       <div class=\"img-col col-12 col-md-6\">                   <picture class=\"image-text-block__img-wrapper image-wrapper zigzag-element\">                         <img data-src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/biopsia-testicular-540x380.webp\" alt=\"\">           <\/picture>               <\/div>       <div class=\"text-col col-12 col-md-6\">         <div class=\"image-text-block__text-wrapper text-heading-block zigzag-element\">           <div class=\"image-text-block__text-wrapper__content\">             <div class=\"text-block-wrapper\">                                           <p>L\u2019OMS estableix una s\u00e8rie de par\u00e0metres essencials a l\u2019hora de realitzar una anal\u00edtica seminal, en els quals es poden diferenciar par\u00e0metres macrosc\u00f2pics i microsc\u00f2pics.<\/p> <p>Els par\u00e0metres macrosc\u00f2pics a estudiar serien:<\/p> <ul> <li><strong>Aspecte<\/strong>: l\u2019aspecte del semen es valora en funci\u00f3 del color, l\u2019opacitat o transpar\u00e8ncia i la pres\u00e8ncia d\u2019elements gelatinosos. Normalment, el semen d\u2019un home \u00e9s un l\u00edquid homogeni, opalescent i de color blanquin\u00f3s-groguenc. Les alteracions en l\u2019aspecte poden determinar la pres\u00e8ncia de components anormals en l\u2019ejaculat (hematosp\u00e8rmia: quan a la mostra hi ha pres\u00e8ncia d\u2019hematies, en qu\u00e8 el color vira cap a un to rosaci), aix\u00ed com la variaci\u00f3 en la concentraci\u00f3 de determinats components de l\u2019ejaculat.<\/li> <\/ul>             <\/div>                       <\/div>         <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <section  class=\"text-block background-light\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12\">         <div class=\"text-block__text-wrapper text-heading-block alignment-left\" data-magic=\"appear-in\">                     <ul> <li><strong>Liq\u00fcefacci\u00f3:<\/strong>\u00a0es produeix en deixar reposar la mostra 20 minuts a temperatura ambient; el semen es torna menys compacte i llavors es pot realitzar correctament l\u2019examen de la mostra. Si aquest temps \u00e9s superior als 60 minuts, es considera anormal i cal reflectir-ho a l\u2019informe.<\/li> <li><strong>pH:<\/strong>\u00a0\u00a0el valor del pH mesura l\u2019acidesa o alcalinitat d\u2019una mostra seminal, i el seu valor normal \u00e9s igual o superior a 7.2. Donat que les secrecions de les ves\u00edcules seminals s\u00f3n alcalines, una variaci\u00f3 en el pH de la mostra ens pot indicar determinades patologies<\/li> <li><strong>Volum:<\/strong>\u00a0\u00a0es mesura en mil\u00b7lilitres. El volum normal de semen d\u2019un ejaculat en humans \u00e9s superior a 1,5 ml i inferior a 6 ml. Aquest volum \u00e9s el resultat de les secrecions de la pr\u00f2stata, ves\u00edcules seminals, epid\u00eddim i testicle (tan sols el 10% de la composici\u00f3 total de l\u2019ejaculat). El volum de l\u2019ejaculat pot variar en funci\u00f3 de l\u2019abstin\u00e8ncia sexual pr\u00e8via, aix\u00ed com de l\u2019excitaci\u00f3 sexual. En determinades patologies el volum de la mostra seminal pot estar alterat, tant per sota com per sobre del valor considerat com a normal. Un volum inferior a 1,5 ml es denomina hiposp\u00e8rmia, i si \u00e9s superior a 6 ml, hiperesp\u00e8rmia.<\/li> <li><strong>Color:<\/strong>\u00a0El semen ha de tenir un color nacrat. Si \u00e9s lleugerament transparent podria denotar la pres\u00e8ncia de leuc\u00f2cits en l\u2019ejaculat.<\/li> <\/ul>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <div class=\"wp-bootstrap-blocks-container container mb-2\"> \t <section  class=\"text-block background-light mt-5\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12\">         <div class=\"text-block__text-wrapper text-heading-block alignment-left\" data-magic=\"appear-in\">                     <h3 class=\"title-display\">Dins dels par\u00e0metres microsc\u00f2pics caldria destacar:<\/h3>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <div class=\"wp-bootstrap-blocks-row row\"> \t  <div class=\"col-12 col-md-6\"> \t\t\t <section  class=\"text-block background-light\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12\">         <div class=\"text-block__text-wrapper text-heading-block alignment-left\" data-magic=\"appear-in\">                     <p><strong>Concentraci\u00f3 esperm\u00e0tica:<\/strong><\/p> <p>\u00c9s la quantitat d\u2019espermatozoides per mil\u00b7lilitre de semen, generalment mesurada en milions per mil\u00b7lilitre. A l\u2019informe de l\u2019espermograma hi ha d\u2019apar\u00e8ixer la concentraci\u00f3 per mil\u00b7lilitre i la concentraci\u00f3 total en l\u2019ejaculat. Una mostra es considera normal quan la concentraci\u00f3 d\u2019espermatozoides per mil\u00b7lilitre \u00e9s superior a 15 milions i la concentraci\u00f3 en tot l\u2019ejaculat \u00e9s superior a 39 milions.Uns valors per sota d\u2019aquests par\u00e0metres indiquen el que es coneix com a oligozoosp\u00e8rmia.<\/p> <p><strong>Motilitat esperm\u00e0tica:<\/strong><\/p> <p>S\u2019analitza la capacitat de moviment dels espermatozoides, i hi ha diversos patrons de motilitat:<\/p> <ul> <li><strong>PR o despla\u00e7ament progressiu.<\/strong><\/li> <li><strong>NP o motilitat no progressiva (moviment in situ, sense despla\u00e7ament).<\/strong><\/li> <li><strong>IMV: espermatozoides que no presenten motilitat.<\/strong><\/li> <\/ul> <p>Es considera que una mostra presenta un par\u00e0metre de motilitat normal quan el valor de PR \u00e9s superior al 32% i la suma de PR+NP \u00e9s del 40% (cal que es compleixin tots dos requisits). Quan no es compleixen aquests requisits, es dona una astenozoosp\u00e8rmia.<\/p> <p><strong>Vitalitat:<\/strong><\/p> <p>La vitalitat esperm\u00e0tica reflecteix el percentatge d\u2019espermatozoides que estan vius. Aquest par\u00e0metre no sempre ha de coincidir amb el percentatge d\u2019espermatozoides imm\u00f2bils. El valor de normalitat \u00e9s quan el percentatge d\u2019espermatozoides vius \u00e9s superior al 58%. Un percentatge inferior a aquest valor s\u2019anomena necrozoosp\u00e8rmia.<\/p>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section> \t<\/div>    <div class=\"col-12 col-md-6\"> \t\t\t <section  class=\"text-block background-light\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12\">         <div class=\"text-block__text-wrapper text-heading-block alignment-left\" data-magic=\"appear-in\">                     <p><strong>Morfologia:<\/strong><\/p> <p>Aquest par\u00e0metre fa refer\u00e8ncia a la forma de l\u2019espermatozoide. L\u2019espermatozoide es compon de tres parts: cap, coll o segment intermedi i cua. Existeixen diversos criteris per a la valoraci\u00f3 de la morfologia de l\u2019espermatozoide i cada un d\u2019ells estableix un punt de tall per a la determinaci\u00f3 de la normalitat. L\u2019OMS recomana (2010) la utilitzaci\u00f3 del criteri estricte de TYGERBERG, que considera normal que com a m\u00ednim un 4 % dels espermatozoides presentin una morfologia amb els criteris esmentats. Un percentatge inferior a aquest es denomina teratozoosp\u00e8<\/p> <p><strong>Pres\u00e8ncia d\u2019aglutinaci\u00f3:<\/strong><\/p> <p>L\u2019aglutinaci\u00f3 d\u2019espermatozoides m\u00f2bils \u00e9s la uni\u00f3 d\u2019uns quants entre si. Aquestes unions poden ser pel cap, per la cua o b\u00e9 entre cap i cua. La pres\u00e8ncia d\u2019aglutinacions pot suggerir una infertilitat d\u2019origen immunitari. Si s\u2019observen aglutinacions en un espermiograma b\u00e0sic, \u00e9s necessari realitzar altres tests m\u00e9s espec\u00edfics per descartar aquest possible trastorn immunol\u00f2gic.<\/p> <p><strong>Pres\u00e8ncia d\u2019altres components cel\u00b7lulars i detritus:\u00a0<\/strong><\/p> <p>Al semen hi trobarem normalment altres c\u00e8l\u00b7lules a part dels espermatozoides, com poden ser c\u00e8l\u00b7lules epitelials, c\u00e8l\u00b7lules espermatog\u00e8niques i leuc\u00f2cits. La pres\u00e8ncia d\u2019alguns tipus cel\u00b7lulars en exc\u00e9s ens pot indicar algunes alteracions o patologies. En el cas dels leuc\u00f2cits, es considera normal la pres\u00e8ncia de menys d\u2019un mili\u00f3 per ml. Si n\u2019hi ha una concentraci\u00f3 m\u00e9s gran, es denomina leucosp\u00e8rmia.<\/p>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section> \t<\/div>  <\/div>  <\/div>   <section id=\"conclusiones\" class=\"text-block background-light custom-block-spacing\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12\">         <div class=\"text-block__text-wrapper text-heading-block alignment-left\" data-magic=\"appear-in\">                     <h3 class=\"title-display\">Quines conclusions es poden treure d\u2019un espermograma?<\/h3> <p>A partir de l\u2019estudi dels par\u00e0metres b\u00e0sics esmentats es pot determinar en certa mesura la funcionalitat de les gl\u00e0ndules sexuals masculines, i aix\u00f2 ens pot orientar a l\u2019hora d\u2019establir determinades patologies o a predir la fertilitat de l\u2019home. En determinades situacions ser\u00e0 necessari fer un estudi en profunditat de par\u00e0metres que no es tenen en consideraci\u00f3 en una anal\u00edtica seminal b\u00e0sica o espermograma.<\/p> <h5 class=\"title-display\">Altres termes d\u2019inter\u00e8s<\/h5> <p><strong>Asp\u00e8rmia:<\/strong>\u00a0abs\u00e8ncia total d\u2019ejaculaci\u00f3. En algunes ocasions aix\u00f2 es deu a ejaculacions retr\u00f2grades (en qu\u00e8 el semen, despr\u00e9s de l\u2019acte sexual, passa a la bufeta urin\u00e0ria).<\/p> <p><strong>Azoosp\u00e8rmia:<\/strong>\u00a0\u00e9s l\u2019abs\u00e8ncia total d\u2019espermatozoides en l\u2019ejaculat. El diagn\u00f2stic d\u2019azoospermia en l\u2019ejaculat, no significa que no es produeixin espermatozoides al testicle, sin\u00f3 que no n\u2019hi ha en l\u2019ejaculat. Existeixen diferents tipus d\u2019azoosp\u00e8rmies, que poden respondre a diverses causes; per aix\u00f2, quan hi ha un diagn\u00f2stic d\u2019azoosp\u00e8rmia en un espermiograma cal fer un estudi m\u00e9s en profunditat del pacient.<\/p> <p><strong>Criptozoosp\u00e8rmia:<\/strong>\u00a0\u00e9s la pres\u00e8ncia d\u2019una concentraci\u00f3 molt baixa d\u2019espermatozoides en l\u2019ejaculat.<\/p>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>   <div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\"> <div class=\"wp-block-column wp-column-is-centred is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:610px\"> <h2 class=\"wp-block-heading has-text-align-center\">Demana cita o consulta amb un especialista<\/h2>    <p class=\"has-text-align-center\">Tens l&#8217;opci\u00f3 de fer la teva primera consulta in situ a la cl\u00ednica o per videoconfer\u00e8ncia. 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