Title: Abnormalities in Semen Analysis among Male Partners of Infertile Couple
Author: Dr Lekshmi Ammal .P
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.169
Abstract
Background: Male infertility is an important cause of infertility with a strong impact on psychology and physiology of the couple. Male factor as a cause of infertility is present in 20 – 50 % of cases, hence the importance of an integral evaluation of the male factor infertility.
Objective: Our study aims to asses the seminal parameters of male partners of infertile couple.
Materials & Methods: This retrospective study was conducted on male partners of 200 infertile couples who attended the clinic. Data regarding history, physical examination and seminal parameters were taken from the case records. Semen was collected by masturbation in all cases in to a clean, dry container. After liquefaction, basic analysis was done which included volume, density, Ph, sperm concentration, motility and morphology.
Results: The incidence of male infertility in our series was found to be 39 %. Out of the 75 cases with abnormal semen parameters, 55 % had oligospermia.
Conclusion: Male factor infertility is an important cause of infertility in our population. 41/75 cases belonged to 21 to 30 year age group. Azoospermia contributed to 55% of cases.
Keywords: Semen analysis, Azoospermia, sperm motility.
References
1. Zegers – Hochschild F , Adamson GD , de Mouzon J , Ishihara O , Mansour R , Nygren K et al. International Committee for Monitoring Assisted Reproductive Technology ( ICMART ) and the World Health Organisation revised glossary of ART terminology , 2009. FertilSteril .2009 ;92:1520-4.
2. Sigman M, LipshultzLI , Howard SS . Evaluation of the sub fertile male .In :Lipshultz LI , Howard SS eds . Infertility in the male . 4 thed, St. Louis, Missouri: Mosby year Book ; 1997 :173.
3. ZargarAH ,Wani AI , Masoodi SR , Laway BA , Salahuddin M . Epidemiologic and etiologic aspects of primary infertility in the Kashmir region of India .FertilSteril. 1997 ;68 :637-43.
4. Plachot M , Belaisch-Allart J, Mayenga JM, Chouraqui A , Tesquier L , Serkine AM . Outcome of conventional IVF and ICSI on sibling oocytes in mild male factor infertility . Hum Reprod .2002 ;17 :362 -9.
5. Harris ID ,Frenczak C , Roth L , Meacham RB . Fertility and the ageing male . Rev Urol. 2011 ; 13 : 184-190.
6. Sabra SM , Al – Harbi MS. An influential relationship of seminal fluid microbial infections and infertility, Taif region, KSA . World J Med Sci. 2014 ;10 : 32-7.
7. Wamoto TI, NozavaS ,Yoshiike M. Semen quality of Asian men . Reprod Med Biol. 2007 ; 6 : 185 -93.
8. Butt F ,Akram N. Semen analysis param-eters: Experiences and insights into male infertility at a tertiary care hospital in Punjab. J Pak Med Assoc. 2013;63:558 -62.
9. Roland M. Management of the infertile couple, Springfield : Charles C Thomas ; 1968:234.
10. RaymontA ,Arronet GH , Arrata WSM. Review of 500 cases of infertility. Fertility Family. 1970 ; 25(2):158-61.
11. UgboajaJO ,Monago EN , Obiechina NJ. Pattern of semen fluid abnormalities in male partners of infertile couples in Southeastern Nigeria , Niger. J Med. 2010; 19(3):286-8.
12. Salgado JacoboMI, Tovar RJM, Hernandez MI, Ayala Ruiz AR. Frequency of altered male factor in an infertility clinic .GynecolObstet Mex. 2003 ;71 : 233-7.
13. Warner MF . Results of twenty five years study of 1553 infertile couples.Obstet Gynecol Survey .1963 ; 18 ( 3):447-49.
14. Cates W, Farley TMM, Rowe PJ. Worldwide patterns of infertility – Is Africa different ? Lancet. 1985;2 :596-98.
15. JorgensenN, Andersen AG, Eustache F , Irvine DS,Suomien J, Petersen JH et al. Regional differences in semen quality in Europe. Hum Reprod .2001 ; 16 : 1012-9.
16. Swan SH . Semen quality in fertile US men in relation to geographical area and particle exposure .Int J Androl. 2006 ; 29 : 62-8.
17. Delber G, Levacher C, HabertR . Estrogen effects on fetal and neonatal testicular development . Reproduction .2006;132: 527-38.
Dr Lekshmi Ammal .P
Associate Professor, SR Medical College & Research Centre, Trivandrum