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尼泊尔人群中不孕夫妇男性的菌精症。

Bacteriospermia in men among infertile couples in the Nepalese population.

机构信息

Central Department of Microbiology, Institute of Science and Technology, Tribhuvan University, Kathmandu, Nepal.

Department of Microbiology, Tri-Chandra Multiple Campus, Tribhuvan University, Kathmandu, Nepal.

出版信息

Syst Biol Reprod Med. 2024 Dec;70(1):240-248. doi: 10.1080/19396368.2024.2391052. Epub 2024 Aug 21.

Abstract

Infection of the male urogenital tract or male accessory glands is considered one of the important causes of male infertility, and results in the presence of bacteria in semen affecting the fertility potential of men. This study aims to understand the rate of seminal infection in infertile men, and its association with semen parameters related to fertility potential. The study was carried out from June 2021 to July 2022, in which 217 semen samples were collected from male partners of couples consulting for fertility complaints in a fertility center in Nepal. Analysis of semen parameters was done following the WHO guidelines for human semen analysis, 2021. Microbiological assessment of semen by culture-based approach showed bacteriospermia among 25.3% of samples. was the predominant isolate in semen. The volume of semen was reduced ( = 0.001 at 95% confidence interval) with bacteriospermia. The concentration, total motility, morphology, and vitality of spermatozoa in the samples tended to be negatively impacted due to bacteriospermia, however, the associations were insignificant at 95% CI. Our study indicates impairment of semen parameters is partially associated with bacterial infection, and hence bacteriospermia may be an important cause of male infertility. Our data represent a baseline for future in-depth studies on bacterial infection in the semen of infertile men in Nepal.

摘要

生殖道或附属腺体的感染被认为是男性不育的重要原因之一,细菌存在于精液中会影响男性的生育能力。本研究旨在了解不育男性精液感染的发生率及其与生育潜能相关的精液参数的关系。该研究于 2021 年 6 月至 2022 年 7 月在尼泊尔一家生育中心对因生育问题咨询的夫妇中的男性伴侣进行,共收集了 217 份精液样本。精液参数的分析按照世界卫生组织(WHO)2021 年人类精液分析指南进行。基于培养的方法对精液进行微生物评估显示,25.3%的样本存在细菌性精子症。是精液中的主要分离株。细菌性精子症使精液量减少( = 0.001,置信区间为 95%)。由于细菌性精子症,样本中精子的浓度、总活力、形态和活力均呈负向趋势,但在 95%CI 下无统计学意义。本研究表明,精液参数的损害部分与细菌感染有关,因此细菌性精子症可能是男性不育的一个重要原因。我们的数据为未来在尼泊尔不育男性精液细菌感染的深入研究提供了基线。

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