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Profile of infertility status of male in Dhaka city
L Khondker1, S I Khan, R S Ahamed
1Department of Dermatology & Venereology, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka, Bangladesh.
Insights
This study identifies key male infertility causes in Dhaka, revealing high rates of sexually transmitted diseases, varicocele, low testosterone, and abnormal semen parameters in affected men.
Area of Science:
- Reproductive Endocrinology
- Andrology
- Public Health
Background:
- Male infertility is a significant global health concern.
- Understanding etiological profiles is crucial for targeted interventions.
- Previous studies in Dhaka city have not comprehensively addressed male infertility factors.
Purpose of the Study:
- To determine the etiological profile of male infertility in Dhaka city.
- To identify prevalent risk factors and clinical conditions associated with male infertility.
- To provide data for public health strategies aimed at male reproductive health.
Main Methods:
- A cross-sectional study was conducted on 87 male infertility patients in Dhaka city.
- Data collected included patient demographics, medical history, lifestyle factors, hormonal levels, and semen analysis.
- Etiological factors were identified through clinical examination and laboratory investigations.
Main Results:
- The majority of patients were aged 21-30 years with 6-10 years of marriage duration.
- Common etiological factors included sexually transmitted diseases (40.9%), varicocele (37.3%), low free testosterone (70.1%), and elevated prolactin (58.6%).
- Semen analysis showed high prevalence of abnormal sperm morphology (55.2%), low motility (29.9%), non-motile sperm (31%), oligospermia (41.4%), and azoospermia (6.9%).
Conclusions:
- Sexually transmitted diseases, varicocele, hormonal imbalances, and poor semen quality are major contributors to male infertility in Dhaka.
- Lifestyle factors such as tobacco use, obesity, and malnutrition may play a role.
- Effective management and prevention strategies are needed to address the burden of male infertility in the region.
Abstract:
A cross sectional study was done to determine the important etiological profile of infertility status of male in Dhaka city. A total of eighty seven patients of male infertility were selected purposively. Among them, highest percentage of patients, 44(50.6%) were in between the 21-30 years old, 36(41.4%) had 6-10 years of post- marriage duration, 56(64.4%) patients stated that they stayed with their wife interruptedly, 54(62.1%) had primary infertility and 33(37.9%) had secondary infertility. It was found that among the patients 6(5.50%) had anti-sperm antibody, 45(40.9%) had sexually transmitted disease (STD), 41(37.3%) had varicocele, 2(1.80%) had loss of libido, 4(3.6%) had premature ejaculation and 12(10.9%) had hydrocele. It was observed that 14(12.7%) were tobacco user, 26(23.6%) were obese, 12(10.9%) had malnutrition, 7(6.4%) had exposure to heat etc and it was found that 61(70.1%) had free testosterone below the normal level and 51(58.6%) had prolactin level above the normal level. The semen analysis revealed that 48(55.2 %) had abnormal morphology of sperm, 26(29.9%) had feebly motile sperm and 27(31%) had non-motile sperm, 36(41.4%) had oligospermia, 6(6.9%) had azoospermia and 17(19.5%) had oligoasthenozoospermia.
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