Diagnostic utility of semen analysis in infertile couples: a prospective study

Authors

  • Roopali Jandial Department of Pathology, Government Medical College, Jammu, J&K, India
  • Mehnaz Choudhary Department of Pathology, Government Medical College, Jammu, J&K, India
  • Kuldeep Singh Department of Pathology, Government Medical College, Jammu, J&K, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20193785

Keywords:

nfertility, Motility, Morphology, Semen, Sperm count

Abstract

Background: Infertility is defined as a failure to conceive after at least 12 months of unprotected intercourse. It is broadly established that 40% cases of infertility has male factor. Semen analyses is an imperative diagnostic tool in the valuation of the male partners of infertile couples.

Methods: We carried out a prospective study wherein semen analyses of the male partners of infertile couples presented to Department of Pathology, Government Medical College and Associate Hospital, Jammu was done. A total of 300 cases were studied and comparison of each abnormality and combined defects were subjected to incidence distribution.

Results: We analysed 300 samples in this study. Mean age of the men was 32.5 years. Duration of infertility in (200; 66.6%) was seen in men married for less than 5 years, (84; 28%) between 5-10 years of married life and there were (16; 5.3%) with more than 10 years of infertility period after marriage. Addiction to alcohol made the majority in our study (187; 62.3%), followed by tobacco chewing and addiction to both tobacco chewing and alcohol consumption (89; 29.6%) and (24; 8%), respectively, men were amongst those with abnormal seminograms.

Conclusions: Male infertility is an alarming global health issue. Males contribute towards infertility in couples significantly and further study and assessment is required to accurately predict the importance of this.

References

Jain A, Ambrish PI, Hoogar MB, Dhar R, Wani A, Agrwal S. Role of semen analysis in the diagnosis of infertility at a tertiary care centre in Western India: a prospective study. Int J Reprod Contracept Obstet Gynecol. 2016;5:2389-91.

Rowe PJ, Comhaire FH, Hargreave TB, Mahmoud AM. WHO Manual for the Standardized Investigation, Diagnosis and Management of the Infertile Male. 1st ed. New York: Cambridge University Press; 2000:91.

Jajoo S, Kalyani KR. Prevalence of abnormal semen analysis in patients of infertility at a rural setup in Central India. Int J Reprod Contracept Obstet Gynecol. 2013;2:161-4.

Joshi P, Gopal N, Bhat V. Study of semen analysis patterns in infertile males. Int J Pharm Bio Sci. 2011;1(1):44-9.

Onyeka CA, Ashiru OA, Duru FI, Olorunfemi OJ, Fabunmi OO, Oluwatuyi TS. Semen analysis of 263 sample men from infertility clinic in western Nigeria. West Afr J Assist Reprod. 2012;2(1):1-16.

Bhaduri (Bhattacharyya) N, Sarkar AP, Dewasi N, Ghosh TK. Abnormalities in semen analysis among male partners of infertile couples: a study in a tertiary care level hospital of West Bengal, IndiaInt J Reprod Contracept Obstet Gynecol. 2015;4(1):100-2.

Samal S, Dhadwe K, Gupta U, Gupta NK. Epidemiological study of male infertility, Indian Medical Gazette. 2012:174-80.

Muthusami KR, Chinnaswamy P. Effect of chronic alcoholism on male fertility hormones and semen quality. Fertil Steril. 2005;84:919-24.

Goverde HJ, Dekker HS, Janssen HJ. Semen quality and frequency of smoking and alcohol consumption-an explorative study. Int J Fertil Menopausal Stud. 1995;40:135-8.

Carlsen E, Giwercman A, Keiding N, Skakkebaek NE. Evidence for decreasing quality of semen during past 50 years. BMJ. 1992;305:609-13.

Kidd SA, Eskenazi B, Wyrobek AJ. Effects of male age on semen quality and fertility: a review of the literature. Fertil Steril. 2001;75(2):237-48.

Kumar N, Singh AK. Trends of male factor infertility, an important cause of infertility: A review of literature. J Hum Reprod Sci. 2015;8:191-6.

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Published

2019-08-26

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Original Research Articles