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Rare WBC's in SA
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sjq1998 posted:
My husband just got his SA report yesterday. No sperm were seen in the concentrate. Also, there was a comment on the SA that said "rare WBC's". We haven't been able to speak with his doctor yet. I have done some research online and have 2 questions:

1. Concerning the way the SA is conducted. The way the report reads "no sperm seen in concentrate" does that mean that this was via the initial view of the sperm on a slide under the microscope? If a more extensive test were done, such as using a centrifuge to more concentrate the sperm, that would be noted on the analysis, right?

2. '"Rare WBC's". From researching, it seems that an infection or inflammation would be indicated by a very high WBC count. However, no numbers are listed at all concerning the WBC's, it just says rare. What does this mean? Would the number have been reported if the count was high or was a count just not done? Could this be indicative of round cells or immature sperm, but the lab just couldn't distinguish?

Any thoughts are greatly appreciated.
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An_252350 responded:
Azoospermia is defined as the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present ("causes"):

There is a problem with sperm production.
There is a blockage such that sperm production, although normal, cannot reach the ejaculatehttp://theturekclinic.com/services/male-fertility-infertility-doctor-treatments-issues-zero-sperm-count/azoospermia-sample-causes-no-sperm-count-success-stories/
http://www.fertilaid.com/semen-analysis.html
Azoospermia is defined as the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present ("causes"):
  • There is a problem with sperm production.
  • There is a blockage such that sperm production, although normal, cannot reach the ejaculate
- See more at: http://theturekclinic.com/services/male-fertility-infertility-doctor-treatments-issues-zero-sperm-count/azoospermia-sample-causes-no-sperm-count-success-stories/#sthash.KvlhkKIa.dpufAzoospermia is defined as the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present ("causes"):
  • There is a problem with sperm production.
  • There is a blockage such that sperm production, although normal, cannot reach the ejaculate
- See more at: http://theturekclinic.com/services/male-fertility-infertility-doctor-treatments-issues-zero-sperm-count/azoospermia-sample-causes-no-sperm-count-success-stories/#sthash.KvlhkKIa.dpuf
 
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sjq1998 replied to An_252350's response:
Thanks
 
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amyaalc responded:
1. Yes you are reading the report correctly and when a no sperm is seen on direct examination the sample is centrifuged for a cell pellet examination to check if any sperm is observed.

2. Inflammation of the epididymis or prostate can elevate WBC but only seeing a rare is not concerning because seeing over 1 million WBC puts you into the abnormal parameter but anything under is normal.

Keep us posted on that upcoming appointment. Is it with your local urologist?

Amy Perkins, MS, TS(ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal
 
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sjq1998 replied to amyaalc's response:
Hi Amy,

Thank you for your reply. We are going to a fertility specialist in the middle of next month. They indicated they may refer us to a male infertility urologist after the initial appointment. I have a few follow up questions to your reply.

1. Is a centrifuge automatically done if a no sperm is seen on the initial analysis or does that require a second SA & doctor's order? I'm just trying to understand if the centrifuge was done on our report or not.

2. What does rare WBCs mean? Is that just to indicate that some WBCs were observed or could it be an observation of round cells present?

Thanks again for your response.


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