Trends in the quality parameters of human ejaculates over the last 36 years
Authors:
Z. Věžník; D. Švecová; A. Zajícová; M. Kunetková; P. Přinosilová; R. Rybář; J. Rubeš
Authors place of work:
Výzkumný ústav veterinárního lékařství Brno
Published in the journal:
Prakt Gyn 2008; 12(2): 75-81
Summary
A total of 5,095 human ejaculates were evaluated in 36 years (1970–2006). Sperm analyses showed that the mean values for the different semen variables corresponded to normal values except for the criterion of sperm motility. Comparison with the WHO criteria of normality showed that volume, concentration/ ml and motility were lower in 22.0 %, 21.2 % and 46.6 % of ejaculates, respectively. The percentage of sperm with normal morphology during the last three years was only 21.4 %. 68.9 % of ejaculates failed to meet the standard conventional prerequisite of 60 % of morphologically intact sperm. The required 25 % of normal form sperms was detected in 86.3 %. Only 54.9 % of ejaculates met the criterion for functional resistance as detected by the survival test. The results have shown deterioration in the quality of human ejaculates, documented above all by the decreasing proportion of sperm with normal morphology and sperm concentration. The dramatic decrease in sperm concentration in the ejaculates from smoking probands by 53.7 % as compared with non-smokers provides signifi cant evidence of the adverse effect of smoking on the germinative epithelium function. The comparison of fi nal analyses performed in the basic A cohort with the control group showed a generally lower level of ejaculates. The group of Brno University students showed statistically better results. Contamination of ejaculates with Chlamydia, mycoplasmas and ureaplasmas in a total of 49 % samples underscores the relevance of the above investigation.
Key words:
man – ejaculate – sperm analysis – changes in 36 years
Zdroje
1. Zvěřina J, Urbánek V, Cirýn J. Spermiologické parametry českých mužů v letech 1950-1984. Sborník lékařský 2002; 103(1): 35–47.
2. Lewis SME. Is sperm evaluation useful in predicting human fertility? Reproduction 2007; 134(1): 31–40.
3. Carlsen E, Giwercman AJ, Keiding N et al. Decline in semen quality from 1930 to 1991. Ugeskr Laeger 1992; 155(33): 2530–2535.
4. Auger J, Kunstmann JM, Czyglik F et al. Decline in semen quality among fertile men in Paris during the past 20 years. N Engl J Med 1995; 332(5): 281–285.
5. Adamopoulos DA, Pappa A, Nicopoulou S et al. Seminal volume and total sperm number trends in men attending aubfertility vlinics in the greater Athens area during the period 1977–1993. Human Reprod 1996; 11(9): 1936–1941.
6. Irvine S, Cawood, E, Richardson D et al. Evidence of deteriorating semen quality in the United Kinhdom: birth cohort study in 557 men in Scotland over 11 years. Brit Med J 1996; 312(7029): 467–471.
7. Bostofte E, Serup J, Rebbe H. Has the fertility of Danish men declined through the years in terms of semen quality? Int J Fertility 1983; 28(2): 91–95.
8. Osser S, Liedholm P, Ranstam J. Depressed semen quality: a study over two decades. Arch Androl 1984; 12(1): 113–116.
9. MacLeod J, Wang Y. Male fertility potential in terms of semen quality. Fertil Steril 1979; 31(2): 103–116.
10. Bromwich P, Cohen J, Stewart I et al. Decline in sperm counts: an artefact of changed reference range of „normal“? Brit Med J 1994; 309(6946): 19–22.
11. Paulsen CA, Berman NG, Wang C. Data from men in greater Scattle area reveals no downward trend in semen quality: further evidence that deterioration quality is not geographically uniform. Fertil Steril 1996; 656(5): 1015–1020.
12. Hynie J, Trapl J, Čech J. Lidská plodnost a její poruchy. Praha: SZN 1964.
13. Věžník Z, Matoušková O, Švecová D et al. The use of the computer technique for evaluation of the strict morphological sperm analysis. Vet Med-Czech 2001; 46(2): 35–40.
14. Sirivaidyapong S, Cheng FP, Marks A et al. Effect of sperm diluents on the acrosome reaction in canine sperm. Theriogenology 2000; 53(3), 789–802.
15. MacLeod J. Human semen. Fertil Steril 1956; 7(4): 368–386.
16. MacLeod J, Gold R. The male factor in fertility and infertility. II. Spermatozoon counts in 1000 men of known fertility and in 1000 cases of infertile marriage. J Urol 1951; 66(3): 436–449.
17. WHO. Laboratory manual for the examination of human semen and sperm-cervical mucus interaction. Cambridge: Cambridge University Press 1999.
18. Evanson DP, Larson KL, Jost LK. Sperm chromatin structure assay: Its clinical use for detecting sperm DNA fragmentation in male infertility and comparisons with other techniques. J Androl 2002; 23(1): 25–43.
19. Rybář R, Faldíková L, Faldyna M et al. Bull and boar sperm DNA integrity evaluated by sperm chromatin structure assay in the Czech Republic. Vet Med-Czech 2004; 49: 1–8.
20. Taylor-Robinson D. Genital mycoplasma infections. Clin Lab Med 1989; 9(3): 501–523.
21. Chia EE, Tay SK, Lim ST. What constitutes a normal seminal analysis? Semen parameters of 243 fertile men. Human Reproduction 1998; 13(12): 3394–3398.
22. Nallella KP, Sharma RK, Aziz N et al. Significance of sperm characteristics in the evaluation of male infertility. Fertil Steril 2006; 85(3): 629–634.
23. Graham EF, Schmehl MKL, Nelson DS. Problems with laboratory assay (Bull semen). In: Proc 8th Tech Conf AI Reprod 1982; 91–97.
24. Věžník Z, Švecová D, Zajícová A, Přinosilová P. Functional evaluation of dog ejaculates with a priority aspect of acrosome integrity. Vet Med-Czech 2003; 48: 221–228.
25. Mattison DR. The effects of smoking on fertility from gametogenesis to implantation. Environ Res 1982; 28(2): 410–433.
26 Görnig VM, Schirren C. Effect of exogenous toxins on fertility. Fortschr Med 1996; 114(14): 169–171.
27. Dhawan K, Sharma A. Prevention of chronic alcohol and nicotine-induced azospermia, sterility and decreased libido, by a novel tri-substituted benzoflavone moiety from Passiflora incarnata Linneaus in healthy male rats. Life Sci 2002; 71(26): 3059–3069.
28. Bollmann R, Engel S, Petzold R. Chlamydia trachomatis in andrologic patients – direct and indirect detection. Infection 2001; 29(3): 113–118.
29. Penna Videaú S, Cermeňo Vivas J, Salazar N. IgA Antibodies to Chlamydia trachomatis and seminal parameters in asymptomatic infertile males. Arch Androl 2001, 46(3): 189–195.
30. Gdoura R, Daoudi F, Bouzid F et al. Detection of Chlamydia trachomatis in semen and urethral specimen from male members of infertile couples in Tunisia. Eur J Contracept Reprod Health Care 2001; 6(1): 14–20.
Štítky
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineČlánok vyšiel v časopise
Practical Gynecology
2008 Číslo 2
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