Evaluation of a large cohort of men presenting for a screening semen analysis

被引:39
作者
Acacio, BD [1 ]
Gottfried, T [1 ]
Israel, R [1 ]
Sokol, RZ [1 ]
机构
[1] Univ So Calif, Los Angeles Cty Sch Med, Womens & Childrens Hosp, Los Angeles, CA 90033 USA
关键词
semen analysis; male factor infertility; sperm concentration; fertility work-up;
D O I
10.1016/S0015-0282(99)00591-9
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
Objective: To determine: [1] what percentage of men in an infertile relationship will have a semen abnormality, [2] the average value for each semen parameter in this group of men, [3] the distribution of abnormal semen parameters in this group, and [4] if our data support the hypothesis that sperm concentration is declining. Design: Retrospective cohort study. Setting: County hospital university-based infertility clinic. Patient(s): Male partners of women presenting for an infertility evaluation. Intervention(s): Semen specimens were collected after 2-5 days of abstinence. Main Outcome Measure(s): Sperm concentration, motility, and morphology. Result(s): Fifty-two percent of samples had at least one sperm abnormality based on World Health Organization criteria. Fifty-one percent had an abnormality in sperm motility, 18% in sperm concentration, and 14% in sperm morphology. Four percent of the patients were azoospermic. Conclusion(s): No decline in sperm density was revealed in semen collected by men presenting for an initial screening semen analysis. (C) 2000 by American Society for Reproductive Medicine.
引用
收藏
页码:595 / 597
页数:3
相关论文
共 24 条
[1]
DECLINE IN SEMEN QUALITY AMONG FERTILE MEN IN PARIS DURING THE PAST 20 YEARS [J].
AUGER, J ;
KUNSTMANN, JM ;
CZYGLIK, F ;
JOUANNET, P .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 332 (05) :281-285
[2]
BENDVOLD E, 1989, INT J FERTIL, V34, P401
[3]
BOSTOFTE E, 1983, INT J FERTIL, V28, P91
[4]
DECLINE IN SPERM COUNTS - AN ARTIFACT OF CHANGED REFERENCE RANGE OF NORMAL [J].
BROMWICH, P ;
COHEN, J ;
STEWART, I ;
WALKER, A .
BRITISH MEDICAL JOURNAL, 1994, 309 (6946) :19-22
[5]
EVIDENCE FOR DECREASING QUALITY OF SEMEN DURING PAST 50 YEARS [J].
CARLSEN, E ;
GIWERCMAN, A ;
KEIDING, N ;
SKAKKEBAEK, NE .
BRITISH MEDICAL JOURNAL, 1992, 305 (6854) :609-613
[6]
DAVID G, 1979, FERTIL STERIL, V31, P453
[7]
MALE-INFERTILITY - IS ITS RISING INCIDENCE DUE TO BETTER METHODS OF DETECTION OR AN INCREASING FREQUENCY [J].
FORTI, G ;
SERIO, M .
HUMAN REPRODUCTION, 1993, 8 (08) :1153-1154
[8]
LETO S, 1981, FERTIL STERIL, V36, P766
[9]
MACLEOD J, 1979, FERTIL STERIL, V31, P103
[10]
MACLEOD J, 1951, FERTIL STERIL, V2, P115