SEMEN ANALYSIS; CORNER STONE IN EVALUATING INFERTILITY

PAFMJ Pub Date : 2022-01-01 DOI:10.51253/pafmj.v71i6.6150
Aysha Khan, Zunera Shahbaz, S. Yousaf, Abeera Ahmed, F. Sana, F. Sana
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Abstract

Objective: To study the patterns and distribution of various abnormal semen parameters in infertile males. Study Design: Cross sectional study. Place and Duration of Study: Department of Pathology, Combined Military Hospital, Karachi, from Nov 2019 to Oct 2020. Methodology: The study included 364 patients who presented with primary and secondary infertility. Consecutive convenient sampling was done. Semen analysis was performed using World Health Organization latest guidelines. Samples were categorized as normospermia, azoospermia, oligospermia, asthenozoospermia and necrospermia. Results: The study comprised of 364 samples of infertile males. Normal sperm count was observed in 317 (87%) males, azoospermia in 28 (7.6%) and oligospermia in 19 (5.2%) males. Low ejaculated volume and higher non-motile sperms were noted in oligospermia samples in comparison with normospermia samples. Asthenozoospermia was observed in 102 (28%) and oligoasthenospermia was noted in 15 (4.1%) samples. Conclusion: Good quality semen analysis is a corner stone to diagnose the cause of male infertility.Sperm concentration and motility are the important markers of normal male reproductive system and are related to each other.
精液分析;评估不孕症的基石
目的:探讨不育男性精液各项异常参数的形态及分布。研究设计:横断面研究。学习地点和时间:2019年11月至2020年10月,卡拉奇联合军队医院病理科。方法:该研究包括364例原发性和继发性不孕症患者。连续方便取样。精液分析采用世界卫生组织最新指南。样本分为正常精子症、无精子症、少精子症、弱精子症和无精子症。结果:该研究包括364个不育男性样本。正常精子317例(87%),无精子28例(7.6%),少精子19例(5.2%)。与正常精子症相比,少精子症样本的射精量低,无运动精子较多。102例(28%)出现弱精子症,15例(4.1%)出现少弱精子症。结论:高质量的精液分析是诊断男性不育症病因的基石。精子浓度和活力是男性生殖系统正常的重要标志,两者之间存在一定的相关性。
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