The clean catch is the preferred method for collection of urine for urinalysis or culture.
Two days prior to and including the test period, a red meat free, high residue diet should be followed.
Do not collect specimen during a menstrual period or when suffering from bleeding hemorrhoids or open cuts on hands.
Protect card from heat and light.
Your doctor has requested that the following test be completed. In order to ensure the most accurate results and avoid repeat collection, please follow closely these steps for collection and transport.
Semen analysis for both Fertility and Post-Vasectomy are offered Monday through Friday, 7am - 11am by appointment only. This testing is not done on weekends, holidays or hours other than those specified. Please call (603) 663-3555 to schedule the test.
A clean, dry, wide-mouth glass or hard plastic container such as a sterile urine container may be used. A sheath, which is intended to be used specifically for the collection of the seminal fluid, may be used as an alternative collection container.
Period of Abstinence:
Ideally, the patient should abstain from any sexual activity for 48-72 hours before collection. This includes abstaining from masturbation. Periods of less then 48 hours can result in decreased sperm concentration with a decrease in motile and viable forms.
The specimen should be obtained by masturbation. Tightly seal the lid of the glass or hard plastic container after the entire sample has been delivered. If a Milex seminal pouch is used, use in the same manner as a conventional condom.
Funnel design permits ready adjustment to the erect penis. Place supplied elastic over the glans penis: elastic will not constrict the penis and performs the double function of preventing the pouch from slipping off and collecting all of the ejaculate in the lower end. The specimen should be obtained by masturbation with the Milex seminal pouch in place.
After removal, concentrate semen in the tip of the pouch. Tightly wrap the elastic around the end of the pouch as you would when tying off a balloon.
Ordinary condoms must not be used as they contain a spermicidal and make the semen unacceptable for analysis.
Lubricants of any kind should be avoided since most have spermicidal properties.
Care must be taken to include the entire specimen. Loss of the first portion may result in a decreased sperm count because this fraction normally contains the highest concentration of spermatozoa.
Specimens should be obtained by masturbation and not by coitus interruptus (withdrawal).
Label the container immediately with last name, first name, date of birth, date and time of collection, physician name and transport to the laboratory along with the doctor's order. You will need to register with admissions for proper billing.
Patient name: ___________________
Date of Birth: ____________________
Wife/Partner Name: _______________
Days of abstinence: _______________
Date and time of specimen collection: _________________________
Method of collection: Masturbation yes: _____ Other: ______________
Was any specimen lost in collection? Yes: __________ No: ________
If yes, which portion was lost? Beginning: ___________ End: _______