Nurwati Ida, Murti Bhisma, Budihastuti Uki Retno, Prakosa Teguh, Laqif Abdurahman, Melinawati Eriana, Prasetya Hanung, Susanto Lunardhi, Sukmawati Metanolia
Medical Faculty of Universitas Sebelas Maret, Surakarta, Central Java, Indonesia.
Doctoral Program in Medical Science, Medical Faculty of Universitas Sebelas Maret, Jawa Tengah, Indonesia.
Med Acupunct. 2022 Dec 1;34(6):405-409. doi: 10.1089/acu.2021.0063. Epub 2022 Dec 12.
Male infertility accounts for ∼50% of all infertility cases. The reasons for male infertility may vary, and one of them is related to an idiopathic factor that may impair spermatogenesis. Acupuncture is one of the most well-known and widely accepted alternative treatments and is becoming known as an effective complementary therapy for infertility.
The case in this article demonstrated the effectiveness of electroacupuncture (EA) for improving male fertility by referring to the total motile sperm count (TMSC), sperm morphology and motility, DNA Fragmentation Index (DFI) of the sperm before and after EA, and pregnancy success in a couple with male infertility. Couples are given therapy with EA twice per week for up to 12 sessions and planned intercourse during the fertile period (ovulation). After planned intercourse, the wife became pregnant; an intrauterine gestational sac (GS) was seen on transvaginal ultrasound and her human chorionic gonadotropin urine test was positive.
The TMSC parameter, sperm morphology and sperm motility, post-EA DFI was improved, compared to pre-EA. The couple was became pregnant after undergoing EA 12 times to treat male infertility.
This case illustrated that EA therapy for idiopathic male infertility has an effect toward improvement of the spermiogram test result, DFI, and success in achieving a pregnancy. However, further research is needed because there are many patients with different causes for their infertility.
男性不育约占所有不育病例的50%。男性不育的原因可能各不相同,其中之一与可能损害精子发生的特发性因素有关。针灸是最著名且被广泛接受的替代疗法之一,正逐渐成为一种治疗不育症的有效辅助疗法。
本文中的病例通过参考电针(EA)治疗前后精子的总活动精子数(TMSC)、精子形态和活力、DNA碎片化指数(DFI)以及一对男性不育夫妇的妊娠成功率,证明了电针改善男性生育能力的有效性。夫妇每周接受两次电针治疗,最多12次,并在排卵期进行计划性交。计划性交后,妻子怀孕;经阴道超声检查可见宫内妊娠囊(GS),其尿人绒毛膜促性腺激素检测呈阳性。
与电针治疗前相比,电针治疗后TMSC参数、精子形态和精子活力、DFI均有所改善。这对夫妇在接受12次电针治疗男性不育后怀孕。
该病例表明,电针治疗特发性男性不育对改善精液检查结果、DFI以及成功受孕有效果。然而,由于有许多不育患者病因不同,因此需要进一步研究。