Pourquoi et comment réaliser un bilan d’hypospermie ?

Robin, Geoffroy; Marcelli, F.; Mitchell, Valérie; Marchetti, C.; Lemaître, L.; Dewailly, Didier; Leroy-Billiard, M.; Rigot, Jean-Marc

doi:10.1016/j.gyobfe.2008.04.021

Cited by 12 publications

(7 citation statements)

References 44 publications

(47 reference statements)

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“…(28) The mean of BMI was 32.5±2.5,this was agreeing with other study showed that most of the females were overweight (40.91%) and obese (22.73%) (28) .Most of females had normal hormonal assay with small part of them had increased FSH and Testosterone levels in bloodwith gross deficiency in vitamin D3 and DHEAwhichwas agreeingwith results of a study showed that themost of females had normal hormonal assay(3.31% had abnormal assay) (30) .Studies found that when the level of D3 in the blood ≥30 ng/ml, there weregood results inpregnancy, andthrough IVF,there were four times more likely to get pregnant than who had D3<30 ng/ml (31) .DHEA acts as a agonist to activate of the estrogen β receptors with a maximal response that greater than estradiol and even doubled. As such, it was proposed thatit may be a major endogenous estrogen in the body (32,33) .Less than half of females hadpolycystic ovariansyndrome which was associated with insulin resistance and obesity (34) also part of females had cautery and D&C whichmight lead toimpairment of cervical mucus and block the canal (7) .There was poorpost coital test that only small percentage was with normal amount and consistency (score3) and high percentage had abnormal spinbarkheit, and ferning(score 0,1)PHof the vagina was acidic which leading tonon-motile anddead spermswithdecreasing ofthe defense mechanism of vagina with statistical significance (35) .Same results were conducted in a study showed that there was a significant difference between the high and low pH with respect to and spermatozoa and sperm motility (36) .60% of husbands hadlow sperm countwhich is a common finding in infertility (37) .Most of females had dairy product, salt, acidic food, tea with sugar daily and more than half of them had gas drinking, fast and candidfood daily, while intake of fruit and vegetables was monthly. Lifestyle factors as intake a lot of fast foods, fried and processed food witha lot of salt, sugars, dairy product,tobacco, and caffeinecan throw off pH balance and affect reproduction.…”

Section: Figure1: Distribution Of Dietary Pattern Discussionmentioning

confidence: 91%

Assessment of Post Coital Test in Females With Unexplained Infertility in Baghdad City 2018- 2019

Hameed¹,

AbdulFatah²

2020

ATMPH

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About 200 to 300 million of sperms transverse from vagina to the cervix, only few hundreds of them can achieve the oocyte.The aim is theassessment ofpost coital test in females with unexplained infertility.In this study, 260 infertile women during 14-16-day of the cycle were considered. The women were subjected to the post-coital test at 2 hours after intercourse. The study was conducted in Baghdad during the period from January -April, 2018-2019.The study revealed that less than half of females were over 35 years and more than half were educated from urban areas and housewives while half of them had recurrent urinary tract infection, vaginitis, diabetes mellitus and less than that had positive family history, anxiety and hypertension. About interventions, 30% of females had cautery, D&C, IUI and less had IVF. 100% had taken clomiphene drug.The mean of BMI was 32.5±2.5. Ultrasound monitoring was done, there were normal findings with patent tubes except part of cases had picture of polycystic ovarian syndrome and ovarian failure. For post coital test, small percentage was with normal amount and consistency (score 3) and high percentage was with abnormal spinnbarkheit and ferning tests, (mostly score 0 & score1). 75% of cases had acidic vagina with dead non motile sperms while 25% with alkaline vagina with average of 40% progressive active sperms, 30%Moderate progressive Liner motility with highly significance (P value<0.05). For cellularity 70% was less than 6-8/HPF. For sperm activity only 30% were motile sperms. For sperm count (3 days' absence), 30% had mild oligospermia, 20% had moderate oligospermia and 10% had sever oligospermia. Most of females had normal hormonal assay but there was gross deficiency in the level of DHEA and D3 (average mean was 90±5µg/dl, 25±2 IU respectively) with small part of them had elevation in FSH and Testosterone hormones.For dietary pattern, most of females had dairy product, salt, tea with sugar daily, more than half of them had acidic food, fast food, dried food, gas drinking daily while part of them had intake of fruit weekly and vegetables monthly. Half of them were smoking cigarette weekly.High vaginal acidity, impairment of cervical mucous with deficiency of DHEA and D3 in the females and oligospermia in the males should be considered in case of unexplained infertility.

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Section: Figure1: Distribution Of Dietary Pattern Discussionmentioning

confidence: 91%

Assessment of Post Coital Test in Females With Unexplained Infertility in Baghdad City 2018- 2019

Hameed¹,

AbdulFatah²

2020

ATMPH

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“…As for hypospermia, it can be due either to a loss of part of the ejaculate 17 or to incomplete ejaculation due to a dysfunction of the ejaculatory reflex 18 . Or else to insufficient secretions of one or the other of the annex glands (a situation that may correspond to prostatitis or vesiculitis), or exclusion of seminal vesicles (congenital or acquired) where there will be azoospermia and the volume will generally be less than 1mL 19 .…”

Section: Discussionmentioning

confidence: 99%

Sperm Profile of Infertile Men in the Western Region of Algeria: About 320 Cases

Fizazi¹,

Bendahmane²,

Sahraoui³

2020

J. Drug Delivery Ther.

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Objective : The aim of this study is to describe the sperm profile and eventually determine the main spermatic disturbances at the origin of male infertility in western Algeria. Methods: We conducted a cross-sectional study in 320 infertile male patients consulting at the Medically Assisted Procreation Unit (MAP) of Oran, in Western Algeria, in the end of exploring the results of their semen analyses and semen culture. Results: The results of semen analysis revealed that the main spermatic disruption in our study was asthenospermia because at the first hour after emission, 93% of our patients had less mobility than normal. Oligospermia was present in 37% of cases and azoospermia in 14% of cases. That is, a concentration of sperm below normal in 51% of cases. Results of the analysis of the sperm’s morphological characteristics revealed that only 16% of our patients had teratospermia. The semen culture revealed that the main pathogen found in our patients is Staphylococci in nearly 70% of cases. Conclusion: Our study revealed alterations in both quantitative and qualitative semen of patients. This was mainly asthenospermia in 93% of cases followed by oligospermia. Keywords: Male infertility, Semen analysis, Semen culture, Western Algeria.

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“…The retrograde semen trajectory will result in reduced expelled semen volume. When the semen volume is less than 2mL on at least 2 separate occasions, the diagnosis of RE and hypospermia should be considered (28). RE can occur partially (decreased ejaculate volume following orgasm) or completely (total absence of ejaculate i.e., aspermia).…”

Section: Pathophysiology Of Retrograde Ejaculationmentioning

confidence: 99%

Retrograde Ejaculation Following Lumbopelvic Sympathetic Neurolysis – A Case Series

Yang

2017

PMCR

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Background: Sympathetic neurolysis, or sympathectomy, is an established modality for the treatment of chronic pain. In cases of chronic pelvic pain (CPP), the ganglion of impar (GI) and the superior hypogastric plexus (SHP) are widely accepted targets for such therapy. Objective: While diagnostic injections typically predate any neurolysis for the purpose of ascertaining any potential effi cacy for interrupting a particular pathway, careful attention is equally paid to evaluate for possible adverse events - in the case of lumbopelvic neurolysis, retrograde ejaculation (RE) is one such possibility. Study Design: A case series. Setting: An outpatient pain management clinic. Methods: We present 3 male patients with CPP treated who underwent neurolytic procedures targeting the GI and SHP. Results: The fi rst patient developed RE after undergoing a simultaneous neurolysis of both the SHP and GI, in the same sitting. The second and third patients both experienced temporary RE immediately after diagnostic blockades of the SHP, following GI neurolysis that was performed several weeks prior. Limitations: Cause-effect conclusions cannot be drawn from the results of a case series. Conclusions: RE is a potential consequence of combined or serial SHP and GI neurolysis. While neurolysis of either the GI or SHP individually have not been known to cause RE in men, this case series demonstrates the potential risk in causing it when both structures are simultaneously incapacitated in some form; as such, the authors recommend against both structures being ablated or disabled concurrently without careful evaluation with temporary blockades fi rst. In an effort to avoid such a complication or evaluate for the possibility in a particular individual, we recommend that an individual with CPP, who has already been treated with a neurolysis, undergoes diagnostic blocks fi rst on whichever of the 2 structures has not yet been ablated to carefully evaluate if RE will occur. Key words: Retrograde ejaculation, superior hypogastric plexus, ganglion impar; neurolysis, chronic pelvic pain, male infertility, diagnostic block

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Pourquoi et comment réaliser un bilan d’hypospermie ?

Cited by 12 publications

References 44 publications

Assessment of Post Coital Test in Females With Unexplained Infertility in Baghdad City 2018- 2019

Assessment of Post Coital Test in Females With Unexplained Infertility in Baghdad City 2018- 2019

Sperm Profile of Infertile Men in the Western Region of Algeria: About 320 Cases

Retrograde Ejaculation Following Lumbopelvic Sympathetic Neurolysis – A Case Series

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