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Related Experiment Videos

Morphological sperm alternations in different types of prostatitis.

R Menkveld1, P Huwe, M Ludwig

  • 1Department of Obstetrics and Gynaecology, Reproductive Biology Unit, Tygerberg Hospital, University of Stellenbosch, Tygerberg, South Africa.

Andrologia
|October 11, 2003
PubMed
Summary

Chronic pelvic pain syndrome (CPPS) negatively impacts sperm morphology, particularly in NIH III A prostatitis cases. This study found significant alterations in sperm morphology and acrosome index in men with CPPS compared to controls.

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Area of Science:

  • Urology
  • Andrology
  • Reproductive Medicine

Background:

  • Chronic pelvic pain syndrome (CPPS) effects on semen parameters, especially sperm morphology, remain debated.
  • Prostatitis, a common cause of CPPS, may influence male fertility.
  • Understanding these effects is crucial for managing male reproductive health.

Purpose of the Study:

  • To investigate the impact of different prostatitis types on sperm morphology.
  • To compare findings with existing literature.
  • To clarify the relationship between CPPS and sperm quality.

Main Methods:

  • Semen analyses were conducted on 34 males with CPPS (NIH III A), 18 with CPPS (NIH III B), and 17 controls.
  • Sperm morphology was assessed using WHO criteria and strict criteria.

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  • Specific parameters evaluated included normal morphology, acrosome index, and elongated spermatozoa.

    • Main Results:

    • Standard WHO criteria showed no significant differences in normal sperm morphology among groups.
    • Strict criteria revealed a tendency for lower normal sperm morphology and acrosome index in the NIH III A group versus controls.
    • The NIH III A group exhibited a significantly higher percentage of elongated spermatozoa compared to controls (P=0.0186).

    Conclusions:

    • CPPS, specifically NIH III A prostatitis, significantly impairs sperm morphology when evaluated by strict criteria.
    • CPPS NIH III B also shows a negative effect on sperm morphology, though less pronounced than NIH III A.
    • These findings highlight the detrimental effect of certain prostatitis types on sperm quality.