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感染对精液质量和精子形态的影响。

Effects of infection on semen quality and sperm morphology.

机构信息

Centre for Reproductive Medicine, Affiliated Maternity and Child Health Hospital of Anhui Medical University, Anhui Province Maternity and Child Health Hospital, Hefei, Anhui, China.

出版信息

Front Endocrinol (Lausanne). 2023 Mar 6;14:1113130. doi: 10.3389/fendo.2023.1113130. eCollection 2023.

Abstract

INTRODUCTION

() infection is primarily associated with damage to male fertility through its effects on male sperm parameters. However, its effects on sperm semiological variables remain unclear. Therefore, this study aimed to investigate whether infection was associated with semen quality and sperm morphology.

METHODS

From 2019 to 2021, this cross-sectional study analyzed infective pathogens and semen variables in 1064 males (22-30 years old) recruited from our reproductive center and the general public. Routine semen parameters and normal sperm morphology rate were analyzed using methods outlined by the World Health Organization. The associations between semen quality, sperm morphology, and infection were studied using general linear models.

RESULTS

The participants were categorized into three groups: (i) infection (n=328), (ii) non- infection (including males with urogenital tract infection symptoms but no detected in their semen samples, n=377), and (iii) normal volunteers (males without symptoms of urogenital tract infection and no pathogens detected in semen samples, n=359). in semen samples was observed to be associated with lower sperm concentrations (p<0.001) and a lower ratio of anterograde motile spermatozoa (p<0.001). Semen cultures positive for were associated with lower normal sperm morphology (p<0.001) compared to semen cultures negative for .

CONCLUSION

This study shows the importance of proper investigations for during routine clinical examinations and diagnoses of males with infertility.

摘要

引言

解脲支原体感染主要通过影响男性精子参数对男性生育力造成损害。然而,其对精子半定量变量的影响尚不清楚。因此,本研究旨在探讨解脲支原体感染是否与精液质量和精子形态有关。

方法

本横断面研究于 2019 年至 2021 年期间,分析了来自我们生殖中心和普通人群的 1064 名(22-30 岁)男性的感染性病原体和精液变量。采用世界卫生组织(World Health Organization)规定的方法分析常规精液参数和正常精子形态率。使用一般线性模型研究精液质量、精子形态与解脲支原体感染之间的关系。

结果

将参与者分为三组:(i)解脲支原体感染(n=328);(ii)非感染(包括有尿路感染症状但精液样本中未检测到解脲支原体的男性,n=377);(iii)正常志愿者(无尿路感染症状且精液样本中未检测到病原体的男性,n=359)。精液样本中解脲支原体感染与精子浓度较低(p<0.001)和前向运动精子比例较低(p<0.001)相关。与解脲支原体阴性的精液培养相比,解脲支原体阳性的精液培养与正常精子形态较低(p<0.001)相关。

结论

本研究表明,在对不育男性进行常规临床检查和诊断时,应对解脲支原体进行适当的调查。

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Effects of infection on semen quality and sperm morphology.感染对精液质量和精子形态的影响。
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