Semen Analysis · Pathology

A semen sample with a pH consistently below 7.0 along with low volume and azoospermia is highly suggestive of:

  1. Acute prostatitis
  2. Obstruction of the ejaculatory ducts
  3. Varicocele
  4. Excessive abstinence period
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Correct answer: Obstruction of the ejaculatory ducts

Seminal fluid is normally slightly alkaline (pH 7.2-8.0) due to seminal vesicle secretions. If these alkaline secretions are blocked (ejaculatory duct obstruction), the acidic prostatic fluid dominates, resulting in a low pH and low volume.

Difficulty: Medium Question 9 of 20

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