ADVANCED REPRODUCTIVE CARE UNIT

ARCU SEMEN ANALYSIS

PATIENT’S NAME (Last, First Middle Name) DATE/TIME OF EXAM

BONIFACIO, Remigio III Sarenas Mar-16-2024 11:00 AM
PIN BIRTHDATE AGE/GENDER ROOM/BED REQUESTING PHYSICIAN
2403134081 Sep-28-1985 38Y/M OPD LIMJOCO, DIOSDADO DELA CRUZ M.D. (618)

SEMEN ANALYSIS REPORT

Name of Spouse JENNIFER Age of Spouse 38

Abstinence 6 days Collection Time 09:21 AM

Produced at ARCU Submission Time 09:22 AM

Method of Collection Masturbation Examination Time 09:36 AM

MACROSCOPIC ANALYSIS RESULT REFERENCE VALUE

Completeness of Sample Complete

Liquefaction (minutes) Complete within 30 minutes

pH (reaction) 7.5 >/= 7.2

Appearance Homogenous, yellowish- homogenous, gray-opalescent

opalescent
Viscosity Normal

Debris +3

Volume (mL) 3 >/= 1.5 mL

MICROSCOPIC ANALYSIS RESULT UNIT REFERENCE VALUE

Sperm Concentration 48.3 x 106 /mL >/= 15 x 106 /mL

Total Sperm Coun 144.9 x 106 /ejaculate >/= 39 x 106 /ejaculate

Total Motility (PR + NP) 77 % >/= 40%

Total Motile Count 111.6 x 106

Progressive Motility (PR) 58 % >/= 32%

Non-Progressive (NP) 19 %

Immotile 23 %

Sperm Vitality 83 % >/= 58 %

MICAELA PAULINE C. PARAGUYA MA. CONCEPCION M. ILAO-ORETA, M.D.

PRC#0111515 PRC#54868
ANDROLOGIST Head - ARCU

This report has been electronically validated. No signature is required.

OR/CI # 0134202403000181 PRINT DATE/TIME: 03 16 2024 11:35 AM

DOCUMENT # 01340324982237 Page 1 of 2
279 E. Rodriguez Sr. Blvd., Quezon City * Tel. No.: (632) 723-0101 / 723-0301
 ADVANCED REPRODUCTIVE CARE UNIT
ARCU SEMEN ANALYSIS

PATIENT’S NAME (Last, First Middle Name) DATE/TIME OF EXAM

BONIFACIO, Remigio III Sarenas Mar-16-2024 11:00 AM
PIN BIRTHDATE AGE/GENDER ROOM/BED REQUESTING PHYSICIAN
2403134081 Sep-28-1985 38Y/M OPD LIMJOCO, DIOSDADO DELA CRUZ M.D. (618)

Agglutination None /HPF none

White Blood Cells <1 x 106 /mL < /= 1.0 x 106 /mL

Normal Forms 1 % >/= 4%

Abnormal Forms Amorphous heads, bent neck, small heads, coiled tails, pyriform and
round heads

COMMENT

TERATOZOOSPERMIA

MICAELA PAULINE C. PARAGUYA MA. CONCEPCION M. ILAO-ORETA, M.D.

PRC#0111515 PRC#54868
ANDROLOGIST Head - ARCU

This report has been electronically validated. No signature is required.

OR/CI # 0134202403000181 PRINT DATE/TIME: 03 16 2024 11:35 AM

DOCUMENT # 01340324982237 Page 2 of 2
279 E. Rodriguez Sr. Blvd., Quezon City * Tel. No.: (632) 723-0101 / 723-0301