Competency information

Details

Identify markers of normal sperm morphology and Live/Dead cells using representative prepared specimens from a range of ejaculates.

Considerations

  • The microscopic difference between normal sperm and those with abnormal morphology and the clinical interpretation of these findings.
  • Epidemiology of common pathologies (including but not limited to: pin and tapered heads, globozoospermia).
  • Principles of good fixation and processing.
  • Rationale of the different histological techniques required to demonstrate the different cell types involved in a tissue section.
  • How to score sperm morphology according to the Teratozoospermia Index (TZI) system.
  • Limitations and uncertainty associated with scoring using the Teratozoospermia Index (TZI) system.
  • Assays of whether cells are live/dead including viability / vitality including: different methods for this assessment, differences between methods, associated weaknesses and when a certain assay type may be applicable.

Relevant learning outcomes

# Outcome
# 1 Outcome Recognise and interpret the macroscopic and microscopic appearance of semen, and relate to any pathological process determining the potential implications for conception or child-health.
# 3 Outcome Recognise and diagnose the success or failure of male contraceptive interventions in microscopic specimens, including but not necessarily  limited to post-vasectomy semen analysis.
# 4 Outcome Recognise and interpret the effects of medical intervention upon semen properties (including but not limited to clearance of pathological organisms; success of vasectomy reversal; recovery from chemo- or radiotherapeutic intervention)