THE RELATION OF COMPUTER-BASED MEASURES OF SPERM MORPHOLOGY AND MOTILITY TO MALE-INFERTILITY

被引:40
作者
BOYLE, CA
KHOURY, MJ
KATZ, DF
ANNEST, JL
KRESNOW, M
DESTEFANO, F
SCHRADER, SM
机构
[1] Centers for Disease Control, Atlanta, GA
[2] Department of Obstetrics and Gynecology, School of Medicine, University of California, Davis, CA
[3] National Institute for Occupational Safety and Health, Cincinnati, OH
关键词
MALE INFERTILITY; SPERM MORPHOLOGY; SPERM MOTILITY; BIOMARKER; EPIDEMIOLOGIC METHODS;
D O I
10.1097/00001648-199205000-00009
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We investigated the relation between various sperm characteristics, including morphometric parameters, and impaired fertility among 596 men who participated in a national study. Semen was collected and processed by using a standardized protocol, and sperm measurements were made using a computer-aided sperm analysis instrument. We defined infertility in two ways: (1) the inability to father a child after trying for a year or longer, and (2) the number of children fathered. We found that all measures of sperm motion were decreased among men with impaired fertility. After adjustment for the other motion parameters and various potential confounders, however, only the percentage of progressive cells was associated with infertility, One morphometric parameter, the mean length/width ratio, was consistently associated with both measures of infertility, even after adjustment for potential covariates. This measure was also strongly associated with infertility among various subgroups defined by poor sperm concentration, motility, and morphology. The sperm length/width ratio appears to be an important correlate of infertility in males.
引用
收藏
页码:239 / 246
页数:8
相关论文
共 27 条
  • [1] Overstreet J.W., Katz D.F., Semen analysis, Urol Clin North Am, 14, pp. 441-449, (1987)
  • [2] Boyers S.P., Davis R.O., Katz D.F., Automated semen analysis, Curr Probl Obstet Gynecol Fertil, 12, pp. 167-200, (1989)
  • [3] Vantman D., Koukoulis G., Dennison S.M., Et al., A novel analysis of linear velocity and linearity more clearly distinguishes a subpopulation of infertile men with a motility disorder (Abstract P-059), Presented at the 44th Annual American Fertility Society Meeting, (1988)
  • [4] Davis R.O., Overstreet J.W., A provisional standard for normal sperm progression in semen assessed by CASA (Computer-aided sperm analysis) (abstract P-088), Presented at the 46th Annual American Fertility Society Meeting, (1990)
  • [5] Flealth status of Vietnam veterans. II. Physical health, JAMA, 259, pp. 2708-2714, (1988)
  • [6] Health Status of Vietnam Veterans, Medical Examination, (1989)
  • [7] Eskenazi B., Wyrobek A.J., Fenster L., Katz D.F., Sadler M., Lee J., Hudes M., Rempel D.M., A study of the effect of perchloroethylene exposure on semen quality in dry cleaning workers, Am J Ind Med, 20, pp. 575-592, (1991)
  • [8] Eskenazi B., Fenster L., Hudes M., Wyrobek A.J., Katz D.F., Gerson J., Rempel D.M., A study of the effect of perchloroethylene exposure on the reproductive outcome of wives of dry cleaning workers, Am J Ind Med, 20, pp. 593-600, (1991)
  • [9] Ratcliffe J.M., Schrader S.M., Clapp D.E., Halperin W.E., Turner T.W., Homung R.W., Semen quality in workers exposed to 2-ethoxyethanol, Br J Ind Med, 46, pp. 399-406, (1989)
  • [10] Schrader S.M., Turner T.W., Ratcliff J.M., The effects of ethylene dibromide on semen quality: A comparison of short-term and chronic exposure, Reprod Toxicol, 2, pp. 191-198, (1988)