High percentage of abnormal semen parameters in a prevasectomy population.

Abstract:

OBJECTIVE:To evaluate semen characteristics, testicular volume, and hormonal levels of normal fertile men requiring vasectomy for sterilization. DESIGN:Retrospective study. SETTING(S):Academic medical centers. PATIENT(S):A total of 889 patients underwent a vasectomy for sterilization. INTERVENTION(S):None. MAIN OUTCOME MEASURE(S):Semen volume, sperm concentration, motility, and morphology according to the World Health Organization (WHO); complex motion parameters evaluated by computer-assisted semen analyzer; FSH, LH, and T levels; and both testicular volumes. RESULT(S):When compared with the WHO values, 87.2% of the patients presented normal sperm morphology below the normal level. The other semen parameters (semen volume, pH, sperm concentration, and sperm motility) differed from the WHO parameters in 6%-32.2% of patients. Semen volume and sperm concentration presented a progressive increase according to the duration of sexual abstinence. However, patients with 5 days or more of abstinence had a decrease in sperm motility. Mean testicular size had the strongest correlation with serum FSH levels, total sperm count, and sperm concentration. CONCLUSION(S):Low sperm motility and morphology were found in men who request a vasectomy for sterilization. Semen volume and sperm concentration present a progressive increase and sperm motility a decrease according to the duration of sexual abstinence. Sperm concentration had stronger correlations with testicular size than did sperm quality. Therefore, the WHO normal values need to be reconsidered.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Pasqualotto FF,Sobreiro BP,Hallak J,Athayde KS,Pasqualotto EB,Lucon AM

doi

10.1016/j.fertnstert.2005.09.032

keywords:

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

954-60

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(05)04103-8

journal_volume

85

pub_type

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