Ali Mohammed Ali Saad, Altib Lamia Hassan Sluman, Ali Eithar M, Almahdi Saja Salah Mohamed, Abdelseid Hadeel
Obstetrics and Gynecology, Faculty of Medicine, Red Sea University, Port Sudan, SDN.
Faculty of Medicine, University of Khartoum, Khartoum, SDN.
Cureus. 2025 Apr 15;17(4):e82290. doi: 10.7759/cureus.82290. eCollection 2025 Apr.
Male factor infertility is a condition with psychological, economic, social, family, and medical implications.
To determine the pattern of male infertility at the Port Sudan Maternity Hospital.
This was an observational descriptive cross-sectional hospital-based study. The study was conducted in the Department of Obstetrics and Gynecology at the Port Sudan Maternity Hospital during the period August 2021 to March 2022 and included all male partners of infertile couples referred for infertility evaluation. Male factor infertility was identified based on standard semen analysis results. The study sample was 114 males who fulfilled the inclusion criteria of the study. Data was collected using a questionnaire that was filled out by patients after taking informed consent from them.
The rate of male infertility was 2.9%. The type of infertility was primary in 60 (52.6%) of the patients and secondary in 54 (47.4%). The patterns of male infertility were abnormal motility and sperm count in 28 (24.6%), abnormal sperm count in 26 (22.8%), abnormal sperm morphology in 20 (17.5%), abnormal sperm motility and morphology in 21 (18.4%), and abnormal sperm motility in 19 (16.7%). The common causes and risk factors of male infertility in this study were sexual problems such as impotence (17, 14.9%), diabetes mellitus (22, 19.3%), positive past history of infections including urinary tract infection (14, 12.3%) and syphilis (2, 1.7%), diabetes medications (20, 17.5%), and exposure to chemicals or physical agents (28, 24.6%). Lifestyle risk factors were smoking (31, 27.2%), alcohol use (10, 8.8%), and substance abuse (2, 1.8%).
The study concluded that the male infertility rate in the study area was within the rate reported by previous regional and international studies. The common patterns of male infertility were abnormal count (oligospermia) and abnormal motility (asthenozoospermia).
男性因素导致的不育是一种具有心理、经济、社会、家庭和医学影响的病症。
确定苏丹港妇产医院男性不育的模式。
这是一项基于医院的观察性描述性横断面研究。该研究于2021年8月至2022年3月期间在苏丹港妇产医院妇产科进行，纳入了所有因不育评估而转诊的不育夫妇的男性伴侣。根据标准精液分析结果确定男性因素不育。研究样本为114名符合研究纳入标准的男性。数据通过在获得患者知情同意后由患者填写的问卷收集。
男性不育率为2.9%。不育类型中，60例（52.6%）为原发性，54例（47.4%）为继发性。男性不育的模式为：28例（24.6%）精子活力和计数异常，26例（22.8%）精子计数异常，20例（17.5%）精子形态异常，21例（18.4%）精子活力和形态异常，19例（16.7%）精子活力异常。本研究中男性不育的常见原因和风险因素包括性功能问题，如阳痿（17例，14.9%）、糖尿病（22例，19.3%）、既往感染史阳性，包括尿路感染（14例，12.3%）和梅毒（2例，1.7%）、糖尿病药物治疗（20例，17.5%）以及接触化学物质或物理因素（28例，24.6%）。生活方式风险因素包括吸烟（31例，27.2%）、饮酒（10例，8.8%）和药物滥用（2例，1.8%）。
该研究得出结论，研究区域内的男性不育率在先前区域和国际研究报告的范围内。男性不育的常见模式是计数异常（少精子症）和活力异常（弱精子症）。
