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A 36-year-old man and his 32-year-old wife are undergoing an evaluation for infertility.

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A 36-year-old man and his 32-year-old wife are undergoing an evaluation for infertility. A seminal fluid specimen is collected at home and brought to the laboratory for routine testing.

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Semen analysis:

Physical Examination

Color:           Gray

Volume:       4.5 ml

Liquefaction:       50 minutes

Viscosity:       0 (watery)

Microscopic Examination

Motility:       70%

Concentration:       15 x 106 sperm/ml

Morphology:        70% normal

Vitality:       60%

Leukocytes:       0.8 x 106 cells/ml

1) Identify any abnormal or discrepant urinalysis findings.

2) Do any of the results obtained suggest improper specimen collection or laboratory error

3) Are any of the results obtained associated with male fertility

4) Based on these results, what chemical test should be performed to evaluate the functional integrity of the seminal vesicles and ejaculatory ducts?

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