Study of semen analysis in male partners of infertile couples at a tertiary care hospital

2021 ◽  
Vol 19 (2) ◽  
pp. 30-33
Author(s):  
Gowthami Shruthi M R ◽  
Author(s):  
Parija Juneja ◽  
Pranay K. Phukan ◽  
Debojit Changmai

Background: The importance of male factor contribution to infertility is well recognised. Semen analysis is an indispensable diagnostic tool in the evaluation of the male partners of infertile couples.  Aim and objective of the study was conducted to determine the abnormalities in semen among male partners in infertile couples.Methods: Detailed history, examination and semen analysis was done. Semen samples were analysed for volume, viscosity, sperm concentration, motility, and morphology, according to WHO guidelines.Results: This study, done at a tertiary care center in north eastern India has demonstrated that abnormal semen quality is a major factor contributing to infertility in couples. Total number of participants were 94. Most of the male partners i.e. 65.96%, who came for infertility evaluation were between 30-39 years of age with 56.38% participants having abnormal semen parameters. The most common abnormality found was asthenozoospermia seen in 35.11% of cases followed by oligozoospermia seen in 25.53% of cases. Teratozoospermia and azoospermia were seen in 7.45% and 4.26% of cases respectively.Conclusions: Males contribute towards infertility in couples significantly. Abnormal semen pattern is a common cause. More research is needed to render more valuable and significant results regarding male infertility.


Author(s):  
Monica Soni ◽  
Santosh Kumari

Background: Infertility is defined as the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. Worldwide, its prevalence is approximately 8-12%. There are numerous factors such as anatomical, physiological, genetic, environmental and acquired factors that cause infertility. The aim of the present study was to determine the causes and clinical pattern of infertility in infertile couples in North West India.Methods: It was a hospital based observational study carried out on 211 infertile couples in reproductive age group attending infertility clinic of Sardar Patel Medical College and associated PBM Hospital, Bikaner, Rajasthan between September 2016-February 2017. Collection of data was performed by means of a specifically designed questionnaire, which apart from the demographic data also included questions concerning the causes of infertility. Cases of infertility diagnosed after detailed history, clinical examinations and laboratory tests were included.Results: Out of 211 infertile couples, female factor was predominant in 60.18%, male factor in 15.16%, unexplained in 15.16% while a combination of both factors was seen in 9.47% cases in our study. 33.17% women had ovulatory dysfunction diagnosed by menstrual history and ultrasonography. Tubal block was observed in 9.47% infertile women. 6.63% women had hypothyroidism and 1.89% infertile women were diagnosed to have endometriosis. Husband semen analysis was also done to assess male factor. Nearly 5.21% of their male partners suffered from oligospermia, 4.73% had azoospermia and oligoasthenospermia was observed in 3.79% male partners.Conclusions: Predominant cause of infertility can be reported in male or female partner or both so, either partner should be counselled and investigated properly. Our study reports a predominance of female factors as a cause of female infertility but male factors also accounted for a significant number of cases.


2016 ◽  
Vol 8 (2) ◽  
pp. 113-122
Author(s):  
KM Umashankar ◽  
Ramya Cristy ◽  
Joyeeta Mukherjee ◽  
SN Banerjee ◽  
BN Seal ◽  
...  

ABSTRACT Introduction Worldwide 580 million males experience infertility at some point of time in their life; of these, 372 million reside in low- and middle-income countries. Male subfertility is one of the most rapidly growing fields in medicine, with dramatic advances and treatment. If a male infertility factor is present, it is almost always defined by the finding of an abnormal semen analysis, although other male factors may play a role even when the semen analysis is normal. Aims To classify the causes of male infertility at pre-testicular, testicular, and post-testicular levels. Materials and methods This study was conducted at the Department of Obstetrics and Gynecology in collaboration with the Department of Radio Diagnosis, Institute of Postgraduate Medical Education and Research, Kolkata. Results Pre-testicular cause was seen in 7% of patients. Erectile dysfunction is the commonest. In testicular causes, varicocele is the most common (29.6%), followed by idiopathic (25.9%) and trauma in 14.8%, and other causes, such as torsion, infective orchitis, and cryptorchism show a common incidence of 7.4%. In post-testicular, varity in 51.8% is due to ejaculatory duct obstruction and accessory gland dysfunction, and acquired hernia surgeries have a common incidence of 14.81%. The least common cause is epididymal asthenozoospermia. Conclusion In male infertility evaluation history and clinical examination, semen analysis is the common tool for all groups of patients. Pre-testicular male infertile is mainly due to consequences of primary or secondary dysfunction of endocrine or exocrine glands influencing the male reproductive axis. Testicular group of male infertility are due to varity of genetic, congenital, and acquired insults to the proper testicular function; post-testicular cause of infertility is due to pathology in the pathway of sperm passage; this is influenced by congenital and acquired defects and diseases respectively. The idiopathic group of patients needs further evaluation by use of advanced seminal tests like immunological tests, semen culture, special staining of the spermatozoa, sperm DNA integrity tests, appropriate genetic evaluation and. Evaluation of ultrastructural abnormalities of spermatozoa, for detection of defects in outer dense fibers, microtubules, mitochondria, connecting piece, and acrosome. How to cite this article Umashankar KM, Mukherjee J, Banerjee SN, Cristy R, Seal BN, Drakshyani CL. Study of Evaluation of Causes of Male Infertility at a Tertiary Care Hospital. J South Asian Feder Obst Gynae 2016;8(2):113-122.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

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