General Hospital of the U.S.

100 State Street

Los Angeles CA 90035

Semen Analysis Report

Patient Information Laboratory Information

Last Name Chester Ordering Physician N.A.

First Name FRESH Test Performed by Administrator Administrator

Patient ID 52419635896325814786 Release Signature N.A.

Birth Date 8/9/1977 Release Date 3/30/2006 11:46:49 AM

Abstinence (# of days) 2 SQA-V SN # 27

Sample Processing

Date Sample Collected 2/6/2006 Time Sample Collected 10:44:00

Date Sample Received 2/6/2006 Time Sample Received 11:10:00

Date Test Performed 2/6/2006 Time Test Performed 11:52:00

Sample Collection and Initial Examination SQA-V Automated Tests Test Result Ref. Value

Sample/Accession # 35418969368523698763 Volume 3.3 ml >= 2

Sample Type FRESH Viscosity Normal

Liquefaction Normal PH 7 >= 7.2

Appearance Normal WBC Conc. <=1 M/ml

Test Results
SQA-V Automated Tests Test Result Ref. Value Manual Test Test Result Ref. Value

Sperm Conc. 17 M/ml >= 20 Agglutination -

Motility (a+b+c) 18.8 % Aggregation -

Rapid Prog. Motility (a) 10 % >= 25 Round cells N.A. M/ml

Slow Prog. Motility (b) 3.5 % RBC N.A. M/ml

Non-Prog. Motility (c) 5.3 % Viability N.A. %

Immotility (d) 81.2 % Manual Morphology

Morph: % Normal WHO % Normal Forms N.A. %

Forms* 3rd 19.2 % >= 30
Head Defects N.A. %

MSC 3.2 M/ml Neck/Midpiece N.A. %

PMSC (a) 1.7 M/ml Tail Defects N.A. %

PMSC (b) 0.6 M/ml Cytoplasmic Droplets N.A. %

FSC 0.9 M/ml Pinheads N.A. %

Velocity 9 mic/s >= 5 Biochemistry

SMI 26 >= 80 a-glucosidase N.A. mU

All Sperm 56.1 M/Ejac. >= 40 Fructose N.A. mmol/l

Motile Sperm (a+b+c) 10.6 M/Ejac. Zinc N.A. mmol/l

Prog. Motile Sperm (a+b) 7.6 M/Ejac. >= 20

Functional Sperm 3 M/Ejac.

*Morphology should be run manually when the automated "Morph: Normal Forms" is below the normal range.

This document was printed on 3/30/2006 11:46 from the V-Sperm system ver. 3.45 by MES Ltd.
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