The association between the risk factors for male infertility including smoking, obesity, male age, and leukocyte count with sperm analysis, still shows mixed results. This study aims to determine the association between smoking, obesity, male age, and leukocytes count with sperm quality (sperm concentration, sperm motility, and sperm morphology) of infertility patients in Purwokerto. This study is an observational study with a cross-sectional design conducted in the medical records section of the Bunda Arif Hospital Purwokerto. The sample was taken by total sampling. The bivariate test of smoking and obesity behaviour variables with the results of sperm quality using the Chi-Square test and Fisher's exact test. Male age variables used the Kruskal-Wallis test and the Spearman correlation test. Variable leukocytes count using the Spearman test. The results showed no association between male age, obesity and smoking behaviour with sperm quality, sperm concentration, sperm motility, and sperm morphology (p>0.05). There is a significant association (p<0,05) between leukocyte semen count and spermatozoa concentration, sperm motility, and morphology of spermatozoa. It is concluded that there was a significant association between leukocyte count and sperm quality in infertility patients in Purwokerto. Research needs to be continued by examining the relationship between leukocytopenia and sperm DNA damage by looking at sperm DNA fragmentation.
Pasangan infertil semakin banyak ditemukan di Indonesia, 40% penyebab infertilitas terkait dengan faktor suami. Analisis sperma merupakan metode untuk mengetahui penyebab infertilitas. Metode masturbasi lebih direkomendasikan dibandingkan coitus interruptus. Kekurangan pada metode masturbasi adalah adanya beban psikologis dan latar belakang agama. Tujuan penelitian adalah membandingkan hasil analisis sperma dari hasil coitus interruptus dan masturbasi pada kasus infertilitas. Jenis penelitian adalah observasional analitik. Sampel penelitian berjumlah 97 laki-laki infertil yang melakukan pemeriksaan di RSIA Bunda Arif pada bulan Januari 2017 – Juni 2018. Teknik sampling menggunakan total sampling. Analisis sperma menggunakan klasifikasi dari WHO tahun 2010. Analisis statistik yang digunakan adalah uji t tidak berpasangan. Hasil penelitian menunjukkan perbedaan bermakna konsentrasi sperma (p=0,043) pada kelompok masturbasi 46,5 ± 7,2 dan kelompok coitus interruptus 18,7 ± 5,3. Hasil yang tidak bermakna pada motilitas (p=0,632) dan morfologi (p=0,722). Kesimpulan penelitian adalah analisis sperma dengan proses masturbasi lebih baik konsentrasinya dibandingkan dengan proses coitus interruptus pada kasus infertilitas. Infertile couples are increasingly found in Indonesia and the 40% of many causes are related to husband factors consequently sperm analysis is needed to predict infertility. A method of masturbation is more recommended than coitus interruptus. The deficiency of masturbation method lies on psychological and religious burden. This research aims at comparing the sperm analysis resulted from coitus interuptus and masturbation in infertility cases. It belongs to observational analityc reserach. The subjects of the research were 97 infertile male patients who underwent examination in RSIA Bunda Arif in January 2017-June 2018 and total sampling method was applied. The sperm analysis utilized WHO classification in 2010 and independent t-test was used in statistics analysis. The results of this study showed the sperm comparison and research results (p = 0.043) in masturbation groups is 46.5 ± 7.2 and the coitus interruptus group is 18.7 ± 5.3 and the result is not suitable for motility (p = 0.632) and morphology (p = 0.722) in spite of the fact that it showed better in the masturbation group. The study concludes that the sperm concentration in sperm analysis in the masturbation process is better and more recommended than that of coitus interruptus.
Pandemic has had implications for all aspects of life in the world, including Indonesia. Under normal conditions, maternal and neonatal mortality is still a big challenge, especially during the current pandemic. Maternal and child health services are one of the services that are affected in terms of access and quality. The existence of restrictions on most routine services, including maternal and child health services, is feared to increase maternal and newborn morbidity and mortality, reduce maternal and child health, and interfere with child development. The team from FK UNSOED wants to take a role in the community to prevent an increase in infant and neonatal mortality in the midst of this pandemic situation. Through this activity, the community (especially pregnant women and mothers of toddlers) is expected to be able to strive for pregnancy, childbirth, postpartum, and child development so that they remain optimal. Activities are held through the lay webinar method and mentoring of posyandu cadres. The target audience for the public webinar is the general public and partners. The enthusiasm of the participants can be seen from the number of participants, who come from various circles and regions. The Zoom meeting was attended by 235 participants from various regions in Java and outside Java (Bali, Pontianak, etc.). Participants came from various backgrounds: 45.3% midwives, 15.4% housewives, 11.3% lecturers/teachers, 4.5% doctors, 2.4% posyandu cadres, private employees, students, etc. Meetings and direct mentoring activities in Karangnanas village were carried out with limited participants, namely representatives of posyandu cadres and village midwives. More intensive efforts are needed to empower cadres in the midst of this pandemic.
Latar Belakang : Hidrosalfing adalah suatu kondisi medis dengan peran prognostik penting dalam reproduksi. Insiden hidrosalfing pada wanita infertil adalah 30%. Hidrosalfing dikaitkan dengan tingkat kehamilan dan kelahiran hidup yang rendah. Selain itu dapat meningkatkan risiko keguguran biokimia dan tiga kali lipat risiko kehamilan ektopik. Penelitian ini bertujuan mengetahui gambaran dan distribusi pasien hidrosalfing di RSUD Prof. dr Margono Soekarjo Purwokerto periode Januari – Desember 2022. Metode : Rancangan deskriptif observasional dengan sampel penelitian adalah semua data rekam medis pasien hidrosalfing di RSUD Prof. dr Margono Soekarjo Purwokerto periode.Januari – Desember 2022. Sampel dipilih dengan cara purposive sampling yang memenuhi kriteria inklusi dan data disajikan dalam bentuk tabel. Hasil : Dari hasil penelitian didapatkan pasien hidrosalfing selama periode Januari – Desember 2022 sebanyak 53 dengan keluhan infertilitas sebanyak 49 orang (92,4%), nyeri panggul 18 orang (33,9%) dan keputihan berulang sebanyak 12 orang (22,6%). Yang mengalami keluhan infertilitas dan nyeri panggul sebanyak 13 orang (24,5%), infertilitas dan keputihan berulang sebanyak 11 orang (20,7%). Sedang yang mengeluh infertilitas, nyeri panggul dan keputihan berulang sebanyak 1 orang (1,8%). Kelompok terbanyak hidrosalfing terjadi pada usia < 35 tahun (66%). Hidrosalfing unilateral sebanyak 23 orang (43,4%) dan bilateral sebanyak 30 orang (56,6%). Terdapat 4 orang (7,5%) penderita hidrosalfing dengan riwayat keguguran berulang. Simpulan : Sebagian besar pasien penderita hidrosalfing mempunyai keluhan utama infertilitas serta dapat diikuti dengan nyeri panggul dan atau keputihan berulang.
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