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Tilahun T, Oljira R, Getahun A. Pattern of semen analysis in male partners of infertile couples in Western Ethiopia: Retrospective cross-sectional study. SAGE Open Med 2022; 10:20503121221088100. [PMID: 35342630 PMCID: PMC8943528 DOI: 10.1177/20503121221088100] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Accepted: 02/24/2022] [Indexed: 11/16/2022] Open
Abstract
Objectives: This study assesses the pattern of semen analysis results in male partners of
infertile couples at Gimbie Adventist Hospital, Western Ethiopia, 2021. Methods: A retrospective cross-sectional study on 131 semen samples of male partners
of infertile couples was conducted at Gimbie Adventist Hospital from 5
September 2021 to 5 October 2021. All semen samples were processed and
analyzed according to methods and standards outlined by the World Health
Organization laboratory manual for the examination and processing of human
semen 2010. The data were coded and entered into EpiData version 3.1, and
then cleaned and exported to Statistical Package for Social Sciences (SPSS
for Windows version 25) for analysis. The results were presented in tables,
figures, and charts. Results: The age of study participants ranges from 20 to 65 years with a mean age of
30.2 ± 8.1 years. Sperm cell count, morphology, total motility, and vitality
below the World Health Organization reference level were found in 48.9%,
27.5%, 43.5%, and 67.2% of the analyzed samples, respectively. Low power of
hydrogen and high viscosity were observed in 31.3% and 16.8% of the semen
samples, respectively. The majority, 84%, had one or more abnormal semen
analysis parameters. Asthenozoospermia (43.5%), necrozoospermia (25.2%),
oligozoospermia (24%), azoospermia (24%), and oligoasthenoteratozoospermia
(25.2%) were the severe forms of abnormal semen analysis findings detected
in this study. The decline in sperm cell morphology and motility were
noticed after the age of 31–34 years. Conclusion: In this study, both sperm quantity and quality were more affected when
compared to similar studies. Only 16% of analyzed samples had normal semen
parameters. Given this finding, identifying risk factors and introducing
advanced diagnostic modalities for the workup of male infertility in the
study area are highly recommended.
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Affiliation(s)
- Temesgen Tilahun
- Department of Obstetrics and Gynecology, School of Medicine, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia
| | - Rut Oljira
- Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia
| | - Ayantu Getahun
- Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia
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Palani A, Sengupta P, Agarwal A, Henkel R. Geographical differences in semen characteristics: Comparing semen parameters of infertile men of the United States and Iraq. Andrologia 2020; 52:e13519. [DOI: 10.1111/and.13519] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Revised: 12/03/2019] [Accepted: 12/18/2019] [Indexed: 12/28/2022] Open
Affiliation(s)
- Ayad Palani
- Department of Chemistry College of Science University of Garmian Kalar Iraq
| | - Pallav Sengupta
- Department of Physiology Faculty of Medicine MAHSA University Jenjarom Malaysia
| | - Ashok Agarwal
- American Center for Reproductive Medicine Cleveland Clinic Cleveland OH USA
| | - Ralf Henkel
- American Center for Reproductive Medicine Cleveland Clinic Cleveland OH USA
- Department of Medical Bioscience University of the Western Cape Bellville South Africa
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Zhu DL, Zhang HG, Wang RX, Jiang YT, Liu RZ. Re-evaluation of the value of sperm morphology in classical in vitro fertilization in a Northeastern Chinese population. J Int Med Res 2019; 47:4134-4142. [PMID: 31280631 PMCID: PMC6753564 DOI: 10.1177/0300060519860324] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Objective This study aimed to re-evaluate the clinical value of a 4% cut-off threshold of sperm morphology in in vitro fertilization (IVF) in a cohort of a Northeastern Chinese population. Methods A total of 375 IVF cycles that met strict inclusion criteria were included. These cycles were conducted with semen analysis and oocyte fertilization. A total of 188 embryo-transferred cycles proceeded. According to sperm morphology, 375 cycles were divided into group 1 (329 cycles, <4% normal sperm morphology rate [NSMR]) and group 2 (46 cycles, ≥4% NSMR), and 188 transferred cycles into group A (151 cycles, < 4% NSMR) and group B (37 cycles, ≥4% NSMR). Results The fertilization and normal fertilization rates were significantly lower in group 1 than in group 2. The normal fertilization rate was significantly correlated with an NSMR < 4% or ≥4%, but the fertilization rate was not significantly correlated with the NSMR. No significant differences were found in pregnancy outcomes between groups A and B. Conclusions This study suggests that infertile patients with an NSMR < 4% are more likely to have a poor normal fertilization status in IVF.
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Affiliation(s)
- Dong-Liang Zhu
- Center for Reproductive Medicine and Center for Prenatal Diagnosis, First Hospital of Jilin University, Changchun, China
| | - Hong-Guo Zhang
- Center for Reproductive Medicine and Center for Prenatal Diagnosis, First Hospital of Jilin University, Changchun, China
| | - Rui-Xue Wang
- Center for Reproductive Medicine and Center for Prenatal Diagnosis, First Hospital of Jilin University, Changchun, China
| | - Yu-Ting Jiang
- Center for Reproductive Medicine and Center for Prenatal Diagnosis, First Hospital of Jilin University, Changchun, China
| | - Rui-Zhi Liu
- Center for Reproductive Medicine and Center for Prenatal Diagnosis, First Hospital of Jilin University, Changchun, China
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Beg MA, Nieschlag E, Abdel‐Meguid TA, Alam Q, Abdelsalam A, Haque A, Mosli HA, Bajouh OS, Abuzenadah AM, Al‐Qahtani M. Genetic investigations on causes of male infertility in Western Saudi Arabia. Andrologia 2019; 51:e13272. [DOI: 10.1111/and.13272] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2018] [Revised: 02/18/2019] [Accepted: 02/26/2019] [Indexed: 12/24/2022] Open
Affiliation(s)
- Mohd A. Beg
- King Fahd Medical Research Center King Abdulaziz University Jeddah Saudi Arabia
- Center of Innovation in Personalized Medicine King Abdulaziz University Jeddah Saudi Arabia
- Center of Excellence in Genomic Medicine Research King Abdulaziz University Jeddah Saudi Arabia
| | - Eberhard Nieschlag
- Center of Excellence in Genomic Medicine Research King Abdulaziz University Jeddah Saudi Arabia
- Centre of Reproductive Medicine and Andrology University Hospital Münster Münster Germany
| | - Taha A. Abdel‐Meguid
- Department of Urology, Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia
- Minia University El‐Minia Egypt
| | - Qamre Alam
- King Fahd Medical Research Center King Abdulaziz University Jeddah Saudi Arabia
| | - Ahmed Abdelsalam
- Department of Urology, Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia
- Department of Urology Theodor Bilharz Research Institute Giza Egypt
| | - Absarul Haque
- King Fahd Medical Research Center King Abdulaziz University Jeddah Saudi Arabia
| | - Hisham A. Mosli
- Department of Urology, Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia
| | - Osama S. Bajouh
- Department of Obstetrics and Gynecology, Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia
| | - Adel M. Abuzenadah
- King Fahd Medical Research Center King Abdulaziz University Jeddah Saudi Arabia
- Center of Innovation in Personalized Medicine King Abdulaziz University Jeddah Saudi Arabia
- Center of Excellence in Genomic Medicine Research King Abdulaziz University Jeddah Saudi Arabia
| | - Mohammed Al‐Qahtani
- Center of Excellence in Genomic Medicine Research King Abdulaziz University Jeddah Saudi Arabia
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5
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Bundhun PK, Janoo G, Bhurtu A, Teeluck AR, Soogund MZS, Pursun M, Huang F. Tobacco smoking and semen quality in infertile males: a systematic review and meta-analysis. BMC Public Health 2019; 19:36. [PMID: 30621647 PMCID: PMC6325781 DOI: 10.1186/s12889-018-6319-3] [Citation(s) in RCA: 67] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2018] [Accepted: 12/12/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Nowadays, the total number of couples visiting an infertility clinic is on the rise. Tobacco smoking is considered one of the major factors leading to male infertility. In this study, we aimed to systematically investigate the impact of tobacco smoking on semen quality in infertile male participants. METHODS Online databases (Cochrane Central database of Randomized Controlled Trials and the databases of MEDLINE and EMBASE respectively) were searched for relevant English publications that satisfied the inclusion and exclusion criteria of this analysis. The clinical endpoints which were assessed included semen parameters (oligozoospermia, asthenozoospermia, teratozoospermia, and azoospermia), morphological defects of spermatozoa and the hormones involved in reproduction. RevMan 5.3 software was used to analyze the data whereby mean difference (MD) and risk ratios (RR) with 95% confidence intervals (CI) were generated to represent the results. RESULTS Sixteen studies with a total number of 10,823 infertile male participants (5257 smokers and 5566 non-smokers) were included. Results of this analysis showed oligozoospermia to be significantly higher in smokers (RR: 1.29, 95% CI: 1.05-1.59; P = 0.02). Morphological defect of spermatozoa (MD: 2.44, 95% CI: 0.99-3.89; P = 0.001) was also significantly higher in smokers whereby significant head (MD: 1.76, 95% CI: 0.32-3.20; P = 0.02), neck (MD: 1.97, 95% CI: 0.75-3.18; P = 0.002) and tail (MD: 1.29, 95% CI: 0.35-2.22; P = 0.007) defects were observed. However, smoking did not affected the pH (MD: 0.04, 95% CI: [- 0.03-0.11]; P = 0.30) and motility (RR: 1.42, 95% CI: 0.97-2.09; P = 0.07) of spermatozoa. Additionally, tobacco smoking did not cause any dis-balance in hormones which were involved in reproduction. CONCLUSIONS In conclusion, with reference to the clinical endpoints which were studied in this analysis, tobacco smoking was associated with a lower sperm count and an increase in the number of morphological defects of spermatozoa. However, the pH and motility of spermatozoa as well as the production of hormones which were involved in reproduction were not affected in this population of infertile males.
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Affiliation(s)
- Pravesh Kumar Bundhun
- Department of Internal Medicine, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, People's Republic of China
| | - Girish Janoo
- Guangxi Medical University, Nanning, Guangxi, 530027, People's Republic of China
| | - Akash Bhurtu
- Guangxi Medical University, Nanning, Guangxi, 530027, People's Republic of China
| | | | | | - Manish Pursun
- Guangxi Medical University, Nanning, Guangxi, 530027, People's Republic of China
| | - Feng Huang
- Institute of Cardiovascular Diseases and Guangxi Key Laboratory Base of Precision Medicine in Cardio-cerebrovascular Disease Control and Prevention and Guangxi Clinical Research Center for Cardio-cerebrovascular Diseases, the First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
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Mukhtar HB, Shaman A, Mirghani HO, Almasalmah AA. The Outcome of Assisted Reproductive Techniques among Couples with Male Factors at Prince Khalid Bin Sultan Fertility Centre, Kingdom of Saudi Arabia. Open Access Maced J Med Sci 2017; 5:603-607. [PMID: 28932299 PMCID: PMC5591588 DOI: 10.3889/oamjms.2017.102] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2017] [Revised: 06/18/2017] [Accepted: 06/20/2017] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND: Thirty-three percent of infertility due to paternal factors, there are an increasing proportion of couples who decide to conceive by assisted reproductive techniques (ART). The outcome prediction is pivotal for decision making. AIM: We aimed to study the pregnancy outcomes of different ART with male factors infertility. METHODS: This is retrospective cross-sectional study conducted at Tabuk, Kingdom of Saudi Arabia. One hundred fifteen patients’ records reviewed using a structured checklist to collect demographic data, sperm (concentration, motility, and morphology). Female with significant infertility factor were excluded. Chi-square was used for the outcome of various ART. RESULTS: Out of 115 couples with male factors; treated by Intracytoplasmic Sperm Injection (ICSI), In Vitro Fertilization (IVF) and Intrauterine Insemination (IUI); the mean age was 35.2 ± 6.3 years for men and 29.7 ± 5.1 for females. IVF had the highest success rate overall and had a high pregnancy rate with oligospermia and asthenospermia. ICSI has a good outcome for those with azoospermia, severe oligospermia, and teratozoospermia. IUI must be tried as a first line treatment when semen concentration is more than 10 million sperm/ml. all are not significant (P > 0.05). CONCLUSION: No significant differences were reported in the pregnancy outcome between various assisted reproductive techniques, smoking, type of infertility and medication.
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Affiliation(s)
| | - Amani Shaman
- Obstetrics and Gynecology, Faculty of Medicine, University of Tabuk, Tabuk, KSA
| | - Hyder Osman Mirghani
- Internal Medicine and Endocrinology, Faculty of Medicine, University of Tabuk, Tabuk, KSA
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Beal MA, Yauk CL, Marchetti F. From sperm to offspring: Assessing the heritable genetic consequences of paternal smoking and potential public health impacts. MUTATION RESEARCH. REVIEWS IN MUTATION RESEARCH 2017; 773:26-50. [PMID: 28927533 DOI: 10.1016/j.mrrev.2017.04.001] [Citation(s) in RCA: 76] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2017] [Revised: 04/05/2017] [Accepted: 04/07/2017] [Indexed: 12/16/2022]
Abstract
Individuals who smoke generally do so with the knowledge of potential consequences to their own health. What is rarely considered are the effects of smoking on their future children. The objective of this work was to review the scientific literature on the effects of paternal smoking on sperm and assess the consequences to offspring. A literature search identified over 200 studies with relevant data in humans and animal models. The available data were reviewed to assess the weight of evidence that tobacco smoke is a human germ cell mutagen and estimate effect sizes. These results were used to model the potential increase in genetic disease burden in offspring caused by paternal smoking, with specific focus on aneuploid syndromes and intellectual disability, and the socioeconomic impacts of such an effect. The review revealed strong evidence that tobacco smoking is associated with impaired male fertility, and increases in DNA damage, aneuploidies, and mutations in sperm. Studies support that these effects are heritable and adversely impact the offspring. Our model estimates that, with even a modest 25% increase in sperm mutation frequency caused by smoke-exposure, for each generation across the global population there will be millions of smoking-induced de novo mutations transmitted from fathers to offspring. Furthermore, paternal smoking is estimated to contribute to 1.3 million extra cases of aneuploid pregnancies per generation. Thus, the available evidence makes a compelling case that tobacco smoke is a human germ cell mutagen with serious public health and socio-economic implications. Increased public education should be encouraged to promote abstinence from smoking, well in advance of reproduction, to minimize the transmission of harmful mutations to the next-generation.
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Affiliation(s)
- Marc A Beal
- Carleton University, Ottawa, Ontario K1S 5B6, Canada; Environmental Health Science and Research Bureau, Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ontario K1A 0K9, Canada
| | - Carole L Yauk
- Environmental Health Science and Research Bureau, Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ontario K1A 0K9, Canada
| | - Francesco Marchetti
- Environmental Health Science and Research Bureau, Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ontario K1A 0K9, Canada.
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