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Test-point sæðispróf

Test-point sæðispróf

Ófrjósemi hrjáir u.þ.b. 10-15% para á barneignaraldri og áætlað er að um 40% vandamálanna megi rekja til sæðisfruma. Þetta sæðispróf er hentugt til nákvæmrar heimaprófunar á frjósemi karla. Á nokkrum mínútum mælir það magn hreyfanlegs sæðis.

 

Hvers vegna þarf ég þetta próf?

Til að getnaður geti átt sér stað þarf karlmaður að framleiða nægan fjölda hreyfanlegra sæðisfruma og samkvæmt Alþjóðaheilbrigðisstofnuninni (WHO) eru eðlileg mörk um 20 milljón sæðisfrumur í ml. Babystart™ heimaprófið sýnir hvort sæðið inniheldur meira eða minna en 20 milljón sæðisfrumur í ml. Þótt gott sé að fá jákvæða niðurstöðu er það ekki trygging fyrir því að maðurinn sé frjór. Margar ástæður eru fyrir ófrjósemi karla og ein þeirra er lítið af sæðisfrumum í sæði. Læknisfræðilegir og líkamlegir þættir eins og streita eða hár hiti tveimur mánuðum áður en prófið er framkvæmt, mikil líkamleg áreynsla, ferðalög eða breytingar á mataræði geta haft áhrif á niðurstöðuna. Leitið nánar upplýsinga hjá lækni ef þörf krefur.

Neikvæð niðurstaða er ekki endilega slæm því hún getur sparað tíma í barneignarferli. Mælt er með því að leita sér aðstoðar og ráðgjafar hjá lækni.

 

Hvernig virkar prófið?

 Test-Point heimaprófið mælir magn sæðisfruma í sæði. Það gefur til kynna hvort magnið er yfir eða undir 20 milljónum  í millilítra en það er viðmið Alþjóðaheilbrigðisstofnunarinnar. Tvær niðurstöður sem sýna magn undir 20 milljónum í ml bendir til ófrjósemi.

Prófið virkar þannig að sæðisfrumurnar í sæðisprufunni litast bláar. Liturinn er svo borinn saman við samanburðarprófið til að fá jákvæða eða neikvæða niðurstöðu.

 

Hversu nákvæmt er prófið?

Heildarnákvæmi prófsins er 97%. Það þýðir að í 97% tilfella fá þeir sem nota heimaprófið nákvæma (jákvæða eða neikvæða) niðurstöðu. Með því að framkvæma prófið tvisvar og fá sömu niðurstöðu í bæði skiptin fæst nákvæmari niðurstaða. Test-Point heimaprófið gefur því mjög nákvæmar og áreiðanlegar niðurstöður.

 

Ein pakkning inniheldur tvö próf sem framkvæma á með 3-7 daga millibili til að fá áreiðanlega niðurstöðu. Leiðbeiningar á ensku fylgja með.

 

Instructions for use

STEP 1
The dye in the reagent bottle should be dark blue, similar to the colour marked “Control” on the colour chart. If the dye is clear or pink it is defective and the kit should be returned. If the colour is normal continue with step 2.


male ferility test

STEP 2
Unwrap one test tube and one funnel. Remove the blue cap from the test tube and screw the funnel on in its place. Do not dispose of the blue cap because you will need it later in the test. Ejaculate by masturbation into the funnel. Place the test tube with the attached funnel in the holder opening of the box.

male ferility test

STEP 3
Wait 30 minutes for the sperm sample to turn liquid and to drain through the funnel into the test tube. Unscrew the funnel and discard it in the rubbish bin.

male ferility test

STEP 4
Lift the test tube from the holder and note which number on the test tube is closest to the top of the sperm sample. If the top is half way or more between two numbers note the higher one. This is the number of drops of the dye that you will be adding to the sperm sample (IF THE TOP OF THE SPERM SAMPLE IS BELOW THE NUMBER 1 - WHICH IS ETCHED ON THE CONICAL PART OF THE TEST TUBE - THE SAMPLE IS TOO SMALL TO PRODUCE AN ACCURATE TEST). Invert the reagent bottle over the top of the test tube and gently squeeze out the correct number of drops of the dye onto the sperm sample. Screw the blue cap back on the test tube and shake sufficiently to mix the test liquid and the sperm sample. The sample should now appear blue or purple. Place the test tube temporarily in the test tube holder of the box.

male ferility test

STEP 5
Run hot tap water until it is just too hot to touch. Quickly fill the plastic cup approximately to the “175” mark with the hot (NOT BOILING) water. If the water is at the correct temperature the word TEST will appear clearly on the thermometer strip in the cup. An arrow pointing up will appear if the water is too hot. Wait a few minutes until the word TEST appears. An arrow pointing down will appear if the water is not hot enough. Discard some of the water and add hot water. When the strip says TEST, snap the plastic cap on the cup and insert the test tube through the cap and into the water. The bottom of the test tube should touch the bottom of the cup. Write down the time and place the cup in its holder. (Note that the word TEST will be visible for only a short time after the test tube is inserted and it will be replaced by the arrow pointing down. There is no need to add hot water to maintain the temperature). Keep the cup away from open windows or air conditioners. It is helpful to practice this step even before collecting a sperm sample.

male ferility test

STEP 6
Exactly sixty (60) minutes later remove the test tube from the cup, dry the outside with a towel or tissue and shake the test tube vigorously 4 or 5 times. This should evenly distribute the colour throughout the sperm sample.

male ferility test

STEP 7 
Using the white portion of the colour chart as a background compare the colour of the sperm sample with the colour chart. Hold the test tube and the colour chart 7 to 10 cm (3 to 4 inches) from an incandescent (NOT FLUORESCENT) light. Move the test tube along the row of colours until you come to the best match even though it may not be perfect. Note whether the best match is in the Positive (+) group (normal fertility potential) or Negative (-) group (less than normal fertility potential). IT IS VERY IMPORTANT NOT TO HAVE ANY FLUORESCENT LIGHTS ON DURING THE READING OF THE TEST RESULTS.

Interpretation
Because the expected colour change of the test is from dark blue to red and pink, a person with colour blindness for the colour red should not perform the interpretation of the results. 
If the colour match is in the Positive group there is an 86% chance that sperm activity is normal (20 million or more active sperm per millilitre of fluid) and fertility potential is good. This does not guarantee that a pregnancy will occur because many factors, both male and female, affect fertility. If a pregnancy does not occur in 4 months a physician should be consulted. 
If the colour match is in the Negative group there is an 86% chance that the sperm activity is below normal (less than 20 million active sperm per millilitre of fluid). Pregnancy is less likely but certainly not impossible. A doctor should be consulted. 
A NEGATIVE RESULT DOES NOT MEAN THAT A PREGNANCY CANNOT OCCUR AND IT SHOULD NOT BE USED AS A REASON FOR AVOIDING USE OF CONTRACEPTION.

Questions and answers

Q Why does the kit contain material for two tests?
A Sperm quality can vary from one sperm sample to the next in the same individual, depending on activity, diet, environment and unknown factors. Thus the result of the first test should be compared to that of a second test performed after an interval of at least one week. In most instances the two tests will be the same. If they differ it is best to obtain an evaluation of the semen in a medical laboratory.

Q How long should I abstain prior to the test?
A Avoid ejaculation for at least three days but not more than ten days before the day of the test.

Q Thirty minutes after ejaculation the majority of the specimen is still on the funnel and it has not entered the test tube. Should I wait longer?
A Yes. Wait another 10 minutes. If, at that time, the sperm sample is still on the funnel the test should be cancelled. Consult your physician. On the other hand it is normal to have a small amount of specimen remaining on the funnel. This does not interfere with the test.

Q The top of my specimen was closest to the number 2. By mistake I added 4 drops of test liquid instead of 2 drops. Should I continue the test?
A No. The result may not be valid. Discard this test and three days later do another one, using the second set of test material.

Q What can cause a low sperm count or poor sperm movement?
A. Excessive heat, for example from use of hot tubs or from fevers, can depress sperm quantity and quality. High fevers may have a negative influence on the test results for up to 3 months after the illness. Illicit drugs, heavy alcohol use and cigarette smoking can all depress sperm counts or sperm movement. Sperm also can be affected adversely by a number of medications. There are many conditions that can cause low sperm quality and commonly these can be cured. If the condition can not be cured, techniques of artificial reproduction can still be successfully applied in the majority of cases.

Q Can I collect the sperm sample in a condom?
A No. The usual condoms contain a chemical that kills sperm. There are non-medicated sheaths that can be used. Ask your physician where they can be obtained. Do not collect the sperm sample by withdrawal at intercourse because the first part of the ejaculate that contains the best sperm may be lost.

Q My sperm sample did not reach the 1 mark on the test tube. What can I do?
A Try once more with a longer period (10 days) of abstinence. This may allow for building up the volume of the sperm sample. If after the second try, the sperm sample still does not reach to 1 mark, consult a physician for further investigation.

 

 


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