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2013, Number 4

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Rev Mex Med Repro 2013; 5.6 (4)

Assessment of Seminal Parameters in Infertile Couples

Godoy MHS, Mamani CAD, Ponce BP, Lozano SJM, González JLC, García LLC, Mera MR

Language: Spanish
References: 22
Page: 178-185
PDF size: 957.18 Kb.


ABSTRACT

Background: Spermatobioscopy is the study of choice in infertile men with seminal alterations; 50% of infertility is due to male factor, of these, 10% will have defects in sperm production and around 1% of men in childbearing age will have serious disorders.
Objective: To calculate frequency of seminal parameters altered according to the 2010 WHO criteria in infertil couples and the relationship of the seminal alterations with the different characteristics of the sample.
Patients and method: A retrospective, descriptive, observational cohort study of 600 spermatobioscopies was carried out between 2008 and 2012. We used descriptive statistics, calculations of measures of dispersion and Student’s t test.
Results: 51% of the samples showed at least one altered parameter. We found that 15.7% of the sample had hypospermia, 6% oligozoospermia, 12.7% asthenozoospermia, 2.2% teratospermia, 8.8% necrozoospermia, 0.7% asthenozoospermia, 2.2% oligoasthenoteratozoospermia and 9.3% azoospermia. With the aging significantly increases hypospermia (p=0.007), oligozoospermia (p=0.018), asthenozoospermia (p=0.0001), necrozoospermia (p=0.026) and azoospermia (p=0.001). Volume decreases significantly with oligozoospermia (p=0.002) and asthenozoospermia (p=0.002). Mobility shows a significative reduction with hypospermia (p=0.0001), oligozoospermia (p=0.0001), teratozoospermia (p=0.0001) and necrozoospermia (p=0.0001). Vitality shows significant damage with hypospermia (p=0.001), oligozoospermia (p=0.0001), asthenozoospermia (p=0.0001) and teratozospermia (p=0.0001). Concentration is reduced significantly with asthenozoospermia (p=0.0001), teratozoospermia (p=0.0001) and necrozoospermia (p=0.0001).
Conclusions: Frequency of alteration of the male factor and seminal parameters does not vary regarding the reported in the world literature, and they are of great importance in the evaluation of the infertile couple. Older male show more alterations of almost all of seminal parameters.


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