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External quality control program for semen analysis: Spanish experience

  • Andrology
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Purpose: Results from an external quality control programme for semen analysis carried out in Spain are analysed.

Methods: Quality control materials were distributed and the following seminal parameters were determined: concentration, total motility, progressive motility, rapid progressive motility, morphology and sperm vitality. The between-laboratories coefficients of variation were assessed on different types of quality control material.

Results: The majority of participating laboratories utilised manual versus computer-assisted semen analysis methods. Some between-laboratories coefficients of variation ranges were: 20.8–33.8% for concentration (semen pool suspension); 13.9–19.2% for total motility (videotapes); 54.2–70.2% for sperm morphology (strict criteria using stained smears); and 9.8–41.1% for sperm vitality (stained smears). There was an inverse relation between mean percentage of sperm and coefficients of variation between laboratories for sperm motility, morphology and vitality.

Conclusions: These data highlight the urgent need for improvement in the overall quality of andrology testing.

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References

  1. Neuwinger J, Behre HM, Nieschlag E: External quality control in the andrology laboratory: An experimental multicenter trial. Fertil Steril 1990;54:308–314

    PubMed  CAS  Google Scholar 

  2. Matson PL: External quality assessment for semen analysis and sperm antibody detection: Results of a pilot study. Hum Reprod 1995;10:620–625

    Article  PubMed  CAS  Google Scholar 

  3. Clavert A, Bourguignat A, Férard G: Quality control in spermiology: The French experience. Symposium Abstracts, IFCC-Worldlab'99, Firenze, 6–11 June. Clin Chem Lab Med 1999;37:S1–S101

    Google Scholar 

  4. Cooper TG, Atkinson AD, Nieschlag E: Experience with external quality control in spermatology. Hum Reprod 1999;14:765–769

    Article  PubMed  CAS  Google Scholar 

  5. Gandini L, Menditto A, Chiodo F, Lenzi A: Italian pilot study for an external quality control scheme in semen analysis and antisperm antibodies detection. Int J Androl 2000;23:1–3

    Article  PubMed  CAS  Google Scholar 

  6. Keel BA, Quinn P, Schmidt Jr CF, Serafy Jr NT, Serafy NT, Schalue TK: Results of the American Association of Bioanalysts national proficiency testing programme in andrology. Hum Reprod 2000;15:680–686

    Article  PubMed  CAS  Google Scholar 

  7. Auger J, Eustache F, Ducot B, Blandin T, Daudin M, Diaz I, El Matribi S, Gony B, Keskes L, Kolbezen M et al.: Intra- and inter-individuality variability in human sperm concentration, motility and vitality assessment during a workshop involving ten laboratories. Hum Reprod 2000;15:2360–2368

    Google Scholar 

  8. Cooper TG, Björndahl L, Vreeburg J, Nieschlag E: Semen analysis and external quality control schemes for semen analysis need global standardization. Int J Androl 2002;25:306–311

    Article  PubMed  CAS  Google Scholar 

  9. WHO: WHO Laboratory Manual for the Examination of Human Semen and Semen-Cervical Mucus Interaction, 4th ed. Cambridge, UK, Cambridge University Press, 1999

    Google Scholar 

  10. WHO: WHO Laboratory Manual for the Examination of Human Semen and Semen-Cervical Mucus Interaction, 3rd ed. Cambridge, UK, Cambridge University Press, 1992

    Google Scholar 

  11. Jequier AM, Ukombe EB: Errors inherent in the performance of a routine semen analysis. Br J Urol 1983;55:434–436

    PubMed  CAS  Google Scholar 

  12. Walker RH: Pilot surveys for proficiency testing of semen analysis. Arch Pathol Lab Med 1992;116:422–424

    Google Scholar 

  13. Carrell DT, Cornwell CE, Thorp C, Cartmill DC, Urry RL: Evaluation of a five year intra and interlaboratory semen analysis quality control program. Division of Urology, University of Utah School of Medicine, Salt Lake, 1987

    Google Scholar 

  14. Coetzee K, Kruger TF, Lombaard CJ, Shaughnessy D, Oehninger S, Ozgur K, Pomeroy KO, Muller CH, Muller C: Assessment of interlaboratory and intralaboratory sperm morphology readings with the use of a Hamilton Thorne Research integrated visual optical system semen analyzer. Fertil Steril 1999;71:80–84

    PubMed  CAS  Google Scholar 

  15. Baker DJ, Paterson MA, Klaassen JM: Semen evaluations in the clinical laboratory. How well are they being performed? Lab Med 1994;25:509–514

    Google Scholar 

  16. Clements S, Cooke ID, Barrat CLR: Implementing comprehensive quality control in the andrology laboratory. Hum Reprod 1995;10:2096–2106

    PubMed  CAS  Google Scholar 

  17. Johnson JE, Blackhurst DW, Boone WR: Can Westgard quality control rules determine the suitability of frozen sperm pellets as a control material for computer assisted semen analyzers? J Assist Reprod Genet 2003;20:38–45

    Google Scholar 

  18. Kvist U, Björndahl L: ESHRE monographs: manual on basic semen analysis. Oxford, UK, Oxford University Press, 2002

    Google Scholar 

  19. Davis RO, Gravance CG: Standardization of specimen preparation, staining, and sampling methods improves automated sperm-head morphometry analysis. Fertil Steril 1993;59:412–417

    PubMed  CAS  Google Scholar 

  20. Ombelet W, Bosmans E, Janssen M, Cox A, Maes M, Punjabi U, Blaton V, Gunst J, Haidl G, Wouters E et al.: Multicenter study on reproducibility of sperm morphology assessment. Arch Androl 1998;4:103–114

    Google Scholar 

  21. Álvarez C, Castilla JA, Molina R, Ramírez JP, Vergara F, Yoldi A, Gaforio JJ: Biological variation in seminal parameters in healthy subjects. Hum Reprod 2003;18:2082–2088

    PubMed  Google Scholar 

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Correspondence to C. Álvarez.

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Álvarez, C., Castilla, J.A., Ramírez, J.P. et al. External quality control program for semen analysis: Spanish experience. J Assist Reprod Genet 22, 379–387 (2005). https://doi.org/10.1007/s10815-005-7461-2

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  • DOI: https://doi.org/10.1007/s10815-005-7461-2

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