Rochdi Chaymae, Ouadrhiri Meriem, Bellajdel Ibtissam, Taheri Hafsa, Saadi Hanane, Mimouni Ahmed, Choukri Mohammed
Maternal-Child and Mental Helath Research Laboratory, Faculty of Medicine and Pharmacy Oujda, Mohammed First University Oujda, Oujda, Morocco.
Medically assisted procreation Unit, Central Laboratory, Mohammed VI University Hospital Center, Oujda, Morocco.
Obstet Gynecol Sci. 2025 May;68(3):198-209. doi: 10.5468/ogs.24297. Epub 2025 Mar 17.
The objective of our study was to characterize the sperm parameters of men consulting for infertility in our fertility center.
The study included 3,025 patients investigated from September 2021 to July 2023. Demographic data, infertility risk factors, and the primary or secondary nature of infertility were recorded for each patient. The sperm parameters were analyzed according to World Health Organization (WHO) criteria (2021).
The average age of the patients was 40 years. The average duration of infertility was 5.5 years. Primary infertility was noted in 2,736 patients (88.97%). The most common risk factors for infertility were occupational exposure, followed by varicocele. Lifestyle factors associated with male infertility included smoking (24.29%), alcohol consumption (12.49%), and high temperature exposure (30.08%). Spermogram abnormalities were observed in 78.71% of cases. Spermocytogram abnormalities were found in 63.1% of cases. Sperm count, morphology, total motility, and vitality below WHO (2021) reference values were found in 25.60%, 34.13%, 32.29%, and 62.46% of the analyzed samples, respectively. Seminal fluid analysis revealed oligozoospermia in 29.07% of cases, asthenozoospermia in 24.68%, and azoospermia in 17.56%. Oligo-astheno-necrospermia was the most frequently observed combined abnormality (10.0%).
This study showed a high rate of abnormal semen quality in male partners of infertile couples. Male infertility is often multifactorial and results in quantitative and/or qualitative sperm abnormalities.
我们研究的目的是描述在我们生育中心因不育前来咨询的男性的精子参数特征。
该研究纳入了2021年9月至2023年7月期间接受调查的3025名患者。记录了每位患者的人口统计学数据、不育风险因素以及不育的原发性或继发性性质。根据世界卫生组织（WHO）标准（2021年）分析精子参数。
患者的平均年龄为40岁。平均不育持续时间为5.5年。2736名患者（88.97%）为原发性不育。不育最常见的风险因素是职业暴露，其次是精索静脉曲张。与男性不育相关的生活方式因素包括吸烟（24.29%）、饮酒（12.49%）和高温暴露（30.08%）。78.71%的病例观察到精子图异常。63.1%的病例发现精子细胞图异常。在所分析的样本中，分别有25.60%、34.13%、32.29%和62.46%的精子计数、形态、总活力和活力低于WHO（2021年）参考值。精液分析显示，29.07%的病例为少精子症，24.68%为弱精子症，17.56%为无精子症。少弱畸精子症是最常观察到的合并异常（10.0%）。
本研究显示不育夫妇男性伴侣精液质量异常率较高。男性不育往往是多因素的，会导致精子数量和/或质量异常。
