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无症状男性中性传播微生物与精液质量的关系。

The relationship between sexually transmitted microorganisms and seminal quality in asymptomatic men.

作者信息

Rivera Valentina Velásquez, Cardona Maya Walter D, Puerta-Suárez Jenniffer

机构信息

Department of Microbiology and Parasitology, Medical School, University of Antioquia, Antioquia, Colombia.

出版信息

Asian J Urol. 2022 Oct;9(4):473-479. doi: 10.1016/j.ajur.2021.09.004. Epub 2021 Sep 24.

Abstract

OBJECTIVE

To detect DNA of different microorganisms, in semen samples from apparently healthy men and correlate their presence with seminal quality.

METHODS

Semen samples from 81 healthy volunteers were collected, and semen parameters were analyzed. DNA extraction was performed using the phenol-chloroform technique, and the microorganisms were detected by the amplification of specific primers using polymerase chain reaction.

RESULTS

DNA from at least one of the microorganisms was detected in 78 samples. The most frequent microorganism found in semen were: spp. (70%), () (36%), (64%), (56%), (32%), () (28%), (27%). The seminal parameters of all semen samples were over the lower reference values for normal semen analysis. To compare with negative samples, seminal volume was higher for the positive samples and lower for positive samples. Semen samples positive for had worse sperm morphology. The frequency of progressive motility was higher in positive samples for and . Positive semen samples for had a higher concentration per milliliter.

CONCLUSION

It is common to find microorganisms in semen of asymptomatic men, including those responsible for sexually transmitted infections. Antimicrobial treatment is recommended only in those individuals with a sexually transmitted infection ( and ) and always promote condom use.

摘要

目的

检测表面健康男性精液样本中不同微生物的DNA,并将其存在情况与精液质量相关联。

方法

收集81名健康志愿者的精液样本,并分析精液参数。采用酚-氯仿技术进行DNA提取,使用聚合酶链反应通过扩增特异性引物检测微生物。

结果

在78个样本中检测到至少一种微生物的DNA。精液中最常见的微生物为: spp.(70%)、 ()(36%)、 (64%)、 (56%)、 (32%)、 ()(28%)、 (27%)。所有精液样本的精液参数均高于正常精液分析的下限参考值。与阴性样本相比, 阳性样本的精液量较高, 阳性样本的精液量较低。 阳性的精液样本精子形态较差。 和 阳性样本中进行性运动的频率较高。 阳性的精液样本每毫升浓度较高。

结论

在无症状男性的精液中发现微生物很常见,包括那些引起性传播感染的微生物。仅建议对患有性传播感染( 和 )的个体进行抗菌治疗,并始终提倡使用避孕套。

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