Huang Hua, Huang Jing, Wan Ling, Chen Ling, Wang Hong, Zhang Yi, Yang Ji-Gao
Human Sperm Bank, Chongqing Research Institute for Population and Family Planning Science and Technology, Chongqing 400020, China.
Zhonghua Nan Ke Xue. 2020 Jul;26(7):616-619.
To analyze the efficiency of sperm donation by qualified donors and provide some experience for improving the success rate of sperm donation in human sperm banks.
This study included 440 qualified sperm donors in Chongqing Human Sperm Bank from April 2015 to June 2019. We analyzed the general information about the donors, the causes of failed sperm donation and the results of semen bacterial culture.
Among the 440 qualified donors, 11 (2.50%) did not donate sperm, 28 (6.36%) were excluded because of frequent failures to donate, 397 (90.2%) completed all the procedures of sperm donation, and 4 (0.91%) failed to undergo HIV test six months after the last donation. The 397 donors that fulfilled the procedures donated sperm for 2 965 person-times, of which 2 159 (72.8%) were qualified and 806 (27.2%) unqualified for substandard semen quality (n = 684 [23.1%]), semen volume <2 ml (n = 33 [1.11%]), abnormal seminal liquefaction (n = 14 [0.47%]), or positive semen bacterial culture (n = 75 [2.53%]).
Substandard semen quality is the main factor affecting the efficiency of sperm donation. The staff of the human sperm bank should pay adequate attention to the first reception of and communication with the donors, dispel their worries, enhance health care guidance, prevent pollution and improve the success rate of sperm donation.
分析合格供精者的供精效率,为提高人类精子库供精成功率提供经验。
本研究纳入2015年4月至2019年6月在重庆人类精子库的440名合格供精者。分析供精者的一般资料、供精失败原因及精液细菌培养结果。
440名合格供精者中,11名(2.50%)未进行供精,28名(6.36%)因频繁供精失败被淘汰,397名(90.2%)完成了全部供精流程,4名(0.91%)在最后一次供精6个月后HIV检测未通过。完成流程的397名供精者共供精2965人次,其中合格2159人次(72.8%),不合格806人次(27.2%),不合格原因包括精液质量不合格(n = 684 [23.1%])、精液量<2 ml(n = 33 [1.11%])、精液液化异常(n = 14 [0.47%])或精液细菌培养阳性(n = 75 [2.53%])。
精液质量不合格是影响供精效率的主要因素。人类精子库工作人员应充分重视对供精者的首次接待与沟通,消除其顾虑,加强保健指导,防止污染,提高供精成功率。