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对精子友好的润滑剂:事实还是虚构?

Sperm-friendly lubricant: Fact or fiction.

机构信息

Midstream Fertility Centre, Midstream Mediclinic, Centurion, South Africa.

Department of Pharmacology, University of Pretoria, Pretoria, South Africa.

出版信息

Int J Gynaecol Obstet. 2022 Oct;159(1):111-115. doi: 10.1002/ijgo.14136. Epub 2022 Mar 23.

DOI:10.1002/ijgo.14136
PMID:35318650
Abstract

OBJECTIVE

To assess the effects of "sperm-friendly" coital lubricants on sperm motility.

METHODS

This study compared the effects of five lubricants (Optilube®, Pre-Seed®, Yes Baby®, olive oil, and egg white) on sperm motility in 60 normozoospermic semen samples obtained from men attending a private fertility clinic. Samples were exposed to each of the lubricants, with untreated samples serving as controls, and were examined microscopically at four defined time-points from 2 to 72 h after liquefaction. Sperm motility was graded according to World Health Organization criteria.

RESULTS

With the exception of egg white, all lubricants caused significant (P < 0.001) reductions in sperm forward progression compared with untreated controls until 24 h after liquefaction. Furthermore, between-group comparisons of the commercially available lubricants revealed statistically significant differences in forward progression motility: Pre-Seed® was superior to Optilube® (P < 0.001), which in turn was superior to Yes Baby® (P < 0.001) at 2-4 h after exposure. Significance (P < 0.001) between Pre-Seed® and Yes Baby® was maintained until 24 h.

CONCLUSION

Although spermatozoa exposed to Pre-Seed® demonstrated greater motility than spermatozoa exposed to Yes Baby®, claims that these lubricants are sperm-friendly were refuted. Conversely, egg white was shown to be a sperm-friendly lubricant for couples who are trying to conceive.

摘要

目的

评估“精子友好型”性交润滑剂对精子活力的影响。

方法

本研究比较了 5 种润滑剂(Optilube ® 、Pre-Seed ® 、Yes Baby ® 、橄榄油和蛋清)对 60 份来自私人生育诊所男性的正常精子精液样本的精子活力的影响。将样本暴露于每种润滑剂中,未处理的样本作为对照,并在液化后 2 至 72 小时的四个时间点进行显微镜检查。精子活力根据世界卫生组织标准进行分级。

结果

除了蛋清外,所有润滑剂与未处理的对照组相比,在液化后 24 小时内均显著(P < 0.001)降低了精子前向运动。此外,对市售润滑剂的组间比较显示,前向运动活力有统计学显著差异:Pre-Seed ® 优于 Optilube ® (P < 0.001),而 Optilube ® 又优于 Yes Baby ® (P < 0.001),在暴露后 2-4 小时。Pre-Seed ® 和 Yes Baby ® 之间的显著性(P < 0.001)一直持续到 24 小时。

结论

尽管暴露于 Pre-Seed ® 的精子显示出比暴露于 Yes Baby ® 的精子更大的活力,但这些润滑剂是“精子友好型”的说法被否定。相反,蛋清被证明是一对试图怀孕的夫妇的“精子友好型”润滑剂。

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