Patterns of semen parameters in male partners of infertile couples attending rural medical college

Abstract

Background: Infertility is a condition with psychological, economic, medical implications resulting in trauma, stress, particularly in a social set-up, with a strong emphasis on child-bearing. The prevalence of infertility in the general population is 8-12% worldwide. Of this, the male factor is responsible for 40-50%.Semen analysis is an indispensable diagnostic tool in the evaluation of the male partners of infertile couples. Materials and Method: Seminal fluid from the male partners was analysed in the clinical laboratory, JIIU'S IIMSR Medical College, Warudi, Jalna during June 2018 to June 2019 using the World Health Organization (WHO) 2010 criteria for human semen characteristics. Parameters like semen volume, liquefaction time, sperm concentration, motility, vitality, morphology were evaluated. Results: Total 122 males were evaluated in the study. Mean age of presentation was 28.95 yrs. 76 cases [62.30%] found to have abnormal semen analysis and 46 [37.70%] with normal pattern. Abnormalities in sperm no. were seen as most common abnormality 40 patients [32.79%], followed by abnormality in motility 20 patients [16.39%]. Normozoospermia [48.36%], Asthenozoospermia [14.75%], Teratozoospermia [2.46%], Asthenozoospermia with teratozoospermia [1.64%], Oligozoospermia [9.02%], Oligoasthenozoospermia [6.56%], Oligozoospermia with teratozoospermia[3.28%], Oligoastheno-teratozoospermia [2.46%], Azoospermia [11.47%] Conclusion: Though semen analysis has limited role in evaluation of male factor infertility but still it is indispensable and cost effective tool in evaluation of male factor infertility, particularly in rural population.

Oligoasthenozoospermic and Normozoospermic Indian Males Yielded Similar Fertilization Capability by Intracytoplasmic Sperm Injection

“…Such variability might be due to the dissimilar composition of the studied populations, mostly to the severity of the male factor.The observed sperm motility in the present study is comparable with those reported in other studies of infertile men with oligozoospermia (26%) (Shah et al, 2020) or Ghanaian sub-fertile men (23%) (Blay et al, 2020). In another study, about 25% of men from infertile couples had motility of about 32% (Shekha et al, 2019). Although there is no known critical age limit for gamete production in men, evidence suggests that there are declines in semen quality (e.g., volume, motility, and morphology) and male fertility associated with increasing male age (Andolz et al, 1999;Girsh et al, 2008;Dain et al, 2011;Zhu et al, 2011).…”

“…However, the sperm fertilizing capacity of both groups during ICSI was similar in terms of fertilization rates. Similar variations in ejaculated semen volume, sperm concentration, and sperm motility have been reported earlier in OAZ (Micic et al, 2019) and NZ (Shekha et al, 2019) males who underwent infertility treatment. In the present study, semen volume in sub-fertile Indian patients with oligoasthenozoospermic and normozoospermic semen quality constituted 2.64±0.23 and 2.14±0.16 ml, respectively.…”