Salgado Jacobo Magda Icel, Tovar Rodríguez Jose María, Hernández Marín Imelda, Ayala Ruiz Aquiles R
Departamento de Medicina de la Reproducción Humana. Dirección de Investigación y Enseñanza, Hospital Juárez de México, SSA, México D.F.
Ginecol Obstet Mex. 2003 May;71:233-7.
Infertility is the incapacity of a couple to conceive after a year of regular sexual life without using a method for family planning. The infertility state is dependent on the female factor as well as masculine factor; an altered masculine factor is designated when any cause or causes of infertility reside in the male. The masculine factor as a cause of infertility is present in 40 to 50% of cases hence the importance of an integral evaluation of male alterations and its fertility. The World Health Organization (WHO) has proposed to classify the masculine infertility based on semen features.
To determine the frequency of the masculine factor altered in association to diagnosed abnormalities, according to the number of affected seminal indexes based on seminograms performed in infertile patients seen at the department of Human Reproductive Medicine, Hospital Juárez de México.
An observational, descriptive, transverse, retrospective study was performed.
the seminograms practiced were reviewed from 571 clinical files of couples that the consultation for infertility from January 1993 to February 2001. Collection and analysis of semen samples was based on standards settled by WHO.
Of 571 seminogram informs, 371 (65%) showed alterations in the seminal indexes, the stocking of age of this group was of 31.89 years +/- SD 6.3 years. Our findings were: azoospermia in 89 (23.98%), astenonecrozoospermia in 44 (11.85%), hypospermia in 43 (11.59%), astenozoospermia in 33 (8.89%), oligoastenozoospermia in 31 (8.35%) hyponecrozoospermia in 30 (8.08%), oligozoospermia in 25 (6.73%), others in 21 (5.7%), necrozoospermia in 19 (5.12%), hypoastenozoospermia in 18 (4.85%), cryptozoospermia in 11 (2.97%), and hypooligoastenozoospermia in 7 (1.88%). In 62.6% of seminograms practiced there was an isolated alteration, in 34.4% two alterations and in the remaining 3% more than two alterations.
We found masculine factor altered in 65% of couples who were requiring consultation for infertility. The three main alterations of seminal indexes were azoospermia, astenonecrozoospermia and hypospermia.
不孕症是指一对夫妇在未采用计划生育方法的情况下，经过一年规律性生活仍无法受孕。不孕状态取决于女性因素和男性因素；当任何不孕原因存在于男性体内时，即被认定为男性因素异常。男性因素作为不孕原因在40%至50%的病例中存在，因此全面评估男性异常及其生育能力至关重要。世界卫生组织（WHO）已提议根据精液特征对男性不育进行分类。
根据墨西哥胡亚雷斯医院人类生殖医学科不育患者精液分析中受影响精液指标的数量，确定与诊断异常相关的男性因素异常频率。
进行了一项观察性、描述性、横断面、回顾性研究。
回顾了1993年1月至2001年2月期间因不孕前来咨询的571对夫妇的临床档案中的精液分析结果。精液样本的采集和分析依据WHO制定的标准。
在571份精液分析报告中，371份（65%）显示精液指标异常，该组患者的平均年龄为31.89岁±标准差6.3岁。我们的研究结果如下：无精子症89例（23.98%），弱死精子症44例（11.85%），少精子症43例（11.59%），弱精子症33例（8.89%），少弱精子症31例（8.35%），低死精子症30例（8.08%），少精子症25例（6.73%），其他21例（5.7%），死精子症19例（5.12%），低弱精子症18例（4.85%），隐匿精子症11例（2.97%），少少弱精子症7例（1.88%）。在62.6%的精液分析中存在单一异常，34.4%存在两种异常，其余3%存在两种以上异常。
我们发现65%因不孕前来咨询的夫妇存在男性因素异常。精液指标的三大主要异常为无精子症、弱死精子症和少精子症。
