Babakhanzadeh Emad, Nazari Majid, Ghasemifar Sina, Khodadadian Ali
Department of Medical Genetics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Research and Clinical Center for Infertility, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Int J Gen Med. 2020 Feb 5;13:29-41. doi: 10.2147/IJGM.S241099. eCollection 2020.
Infertility is defined as the inability of couples to have a baby after one year of regular unprotected intercourse, affecting 10 to 15% of couples. According to the latest WHO statistics, approximately 50-80 million people worldwide sufer from infertility, and male factors are responsible for approximately 20-30% of all infertility cases. The diagnosis of infertility in men is mainly based on semen analysis. The main parameters of semen include: concentration, appearance and motility of sperm. Causes of infertility in men include a variety of things including hormonal disorders, physical problems, lifestyle problems, psychological issues, sex problems, chromosomal abnormalities and single-gene defects. Despite numerous efforts by researchers to identify the underlying causes of male infertility, about 70% of cases remain unknown. These statistics show a lack of understanding of the mechanisms involved in male infertility. This article focuses on the histology of testicular tissue samples, the male reproductive structure, factors affecting male infertility, strategies available to find genes involved in infertility, existing therapeutic methods for male infertility, and sperm recovery in infertile men.
不孕症被定义为夫妻在规律无保护性交一年后仍无法受孕,这影响了10%至15%的夫妻。根据世界卫生组织的最新统计数据,全球约有5000万至8000万人患有不孕症,其中男性因素约占所有不孕症病例的20%至30%。男性不孕症的诊断主要基于精液分析。精液的主要参数包括:精子浓度、外观和活力。男性不孕症的原因包括多种因素,如激素紊乱、身体问题、生活方式问题、心理问题、性问题、染色体异常和单基因缺陷。尽管研究人员为确定男性不孕症的潜在原因付出了诸多努力,但约70%的病例仍原因不明。这些统计数据表明对男性不孕症所涉及的机制缺乏了解。本文重点关注睾丸组织样本的组织学、男性生殖结构、影响男性不孕症的因素、寻找与不孕症相关基因的可用策略、现有的男性不孕症治疗方法以及不育男性的精子恢复情况。