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患有子宫内膜异位症相关不孕症的女性伴侣的精液分析

Semen profiles of male partners in females presenting with endometriosis-associated subfertility.

作者信息

Botha Danie J, Kruger Thinus F, Van Der Merwe Jakobus P, Nosarka Saleema

机构信息

Department of Obstetrics and Gynecology, Stellenbosch University and Tygerberg Academic Hospital, Tygerberg, South Africa.

出版信息

Fertil Steril. 2009 Jun;91(6):2477-80. doi: 10.1016/j.fertnstert.2007.11.096. Epub 2008 Jun 12.

Abstract

OBJECTIVE

To establish fertile and subfertile groups of males in couples presenting with endometriosis-related infertility in the female.

DESIGN

Retrospective study of semen profiles on partners of women undergoing surgery for endometriosis-related infertility.

SETTING

University-affiliated assisted reproduction center.

PATIENT(S): One hundred seventeen partners of females undergoing surgery for endometriosis related infertility.

MAIN OUTCOME MEASURE(S): Fertility potential according to Tygerberg strict criteria for sperm evaluation.

RESULT(S): A total of 65.8% of the semen analysis were reported normal according to the Tygerberg strict criteria and 34.2% were reported subfertile. Of the total, 11.96% of the patients studied had a severe defect (azoospermia, double, and triple defects).

CONCLUSION(S): Labeling of the male in couples presenting with infertility as fertile, subfertile, or infertile plays an important role in decision making regarding management of the female presenting with endometriosis-related infertility. It is important that in future studies on the effect of surgery on improving pregnancy outcome in patients with endometriosis the semen profile be reported and thresholds used should be mentioned. This will contribute significantly to the future comparison of data on the impact of the male factors in couples presenting with endometriosis-related infertility.

摘要

目的

在患有子宫内膜异位症相关不孕症的女性伴侣中,建立男性生育力正常和生育力低下的分组。

设计

对因子宫内膜异位症相关不孕症接受手术的女性伴侣的精液状况进行回顾性研究。

地点

大学附属辅助生殖中心。

患者

117名因子宫内膜异位症相关不孕症接受手术的女性的伴侣。

主要观察指标

根据泰格堡精子评估严格标准评估生育潜力。

结果

根据泰格堡严格标准,共有65.8%的精液分析报告为正常,34.2%报告为生育力低下。在所有研究患者中,11.96%有严重缺陷(无精子症、双重和三重缺陷)。

结论

将不孕症夫妇中的男性标记为生育力正常、生育力低下或不育,在对患有子宫内膜异位症相关不孕症的女性进行管理决策中起着重要作用。重要的是,在未来关于手术对改善子宫内膜异位症患者妊娠结局影响的研究中,应报告精液状况并提及所使用的阈值。这将极大地有助于未来比较男性因素对患有子宫内膜异位症相关不孕症夫妇影响的数据。

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