Relationship between inflammatory markers, hormonal profiles, and sperm parameters.

Northern clinics of Istanbul Pub Date : 2024-07-22 eCollection Date: 2024-01-01 DOI:10.14744/nci.2023.41882
Muserref Banu Yilmaz, Reyyan Gokcen Iscan, Zeynep Celik
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Abstract

Objective: The aim of this study is to evaluate the relationship between semen parameters, complete blood count, and hormone levels on the day of spermiogram.

Methods: Semen parameters of 230 patients who were examined for full blood count test and hormone levels on the day of spermiogram were included in the study. Patients were grouped according to the total motile sperm count (TMSC), semen parameters, hemogram, and hormone levels were compared between groups.

Results: No statistically significant difference was found between groups in neutrophil ratios, neutrophil, lymphocyte, platelet counts, neutrophile-to-lymphocyte ratio (N/L), and platelet-to-lymphocyte ratio (P/L). However, white blood cell (WBC) and lymphocyte counts were weakly positively correlated with sperm concentration (p=0.021, p=0.026), and a weakly significant positive correlation was found with WBC and neutrophil count for motility (p=0.038, p=0.004). FSH level was found to be lower in cases with TMSC >20 m than those with TMSC <5 m and 5-10 m (p=0.004, p=0.022). LH was found to be lower in cases with TMSC >20 m than those with TMSC <5 m (p=0.048). A negative correlation was found for both FSH and LH levels with sperm concentration, motility, and TMSC (p<0.001, p=0.014).

Conclusion: In this study, a significant negative correlation was demonstrated between FSH, LH levels and sperm concentration, motility, TMSC. N/L and P/L cannot be used as predictive markers of sperm quality. The results of a significant positive correlation between WBC, neutrophil counts, and sperm parameters encourage researchers to conduct prospective randomized controlled trials with larger sample sizes and different inflammatory and hormonal markers.

炎症标志物、荷尔蒙特征和精子参数之间的关系。
目的:本研究旨在评估精液检查当天精液参数、全血细胞计数和激素水平之间的关系:本研究旨在评估精液检查当天精液参数、全血细胞计数和激素水平之间的关系:研究纳入了 230 名接受全血细胞计数检查和精子造影当天激素水平检查的患者的精液参数。根据总活动精子数(TMSC)对患者进行分组,比较各组之间的精液参数、血图和激素水平:结果:在中性粒细胞比率、中性粒细胞、淋巴细胞、血小板计数、中性粒细胞与淋巴细胞比率(N/L)和血小板与淋巴细胞比率(P/L)方面,各组间差异无统计学意义。然而,白细胞(WBC)和淋巴细胞计数与精子浓度呈弱正相关(P=0.021,P=0.026),白细胞和中性粒细胞计数与精子活力呈弱显著正相关(P=0.038,P=0.004)。研究发现,TMSC >20 m 的病例的 FSH 水平低于 TMSC 20 m 的病例:本研究表明,FSH、LH 水平与精子浓度、活力、TMSC 之间存在明显的负相关。N/L和P/L不能作为精子质量的预测指标。白细胞、中性粒细胞计数与精子参数之间存在明显的正相关性,这一结果鼓励研究人员利用更大的样本量和不同的炎症及激素标记物开展前瞻性随机对照试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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