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[Bacteriospermia: Effects on semen parameters].

H Hannachi1, H Elloumi2, M Hamdoun1

  • 1Laboratoire de microbiologie et de biochimie, hôpital Aziza Othmana de Tunis, place de la Kasbah, 1008 Tunis Bab Menara, Tunisie.

Gynecologie, Obstetrique, Fertilite & Senologie
|May 23, 2018
PubMed
Summary
This summary is machine-generated.

Bacteriospermia, or bacteria in semen, negatively impacts sperm concentration and motility, potentially affecting male fertility. Treating this condition may improve sperm quality and reproductive potential.

Keywords:
BacteriaBactérieCultureHypofertilityHypofertilitéSpermSpermeSpermogramSpermogramme

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Area of Science:

  • Reproductive Medicine
  • Andrology
  • Microbiology

Background:

  • Bacteriospermia is linked to male infertility and genital tract inflammation in 60% of patients undergoing assisted reproductive techniques.
  • The direct impact of bacteriospermia on semen parameters remains a subject of ongoing research and debate.

Purpose of the Study:

  • To investigate the specific effects of bacteriospermia on various sperm parameters in men experiencing subfertility.
  • To compare semen quality between men with and without bacteriospermia.

Main Methods:

  • A retrospective comparative study involving 140 patients, divided into two groups: 70 with bacteriospermia and 70 without.
  • Standard semen parameters including volume, viscosity, sperm count, motility (initial and secondary), vitality, and morphology were analyzed.
  • Statistical analysis was performed using Chi-squared and Fisher's exact tests.

Main Results:

  • Bacteriospermia was associated with significantly reduced sperm concentration (P=0.001) and motility (P=0.049).
  • Secondary asthenospermia (impaired sperm movement) was more prevalent in patients with bacteriospermia (P=0.006).
  • Ureaplasma urealyticum was the most common bacterium found, associated with decreased sperm motility and hypospermia (low ejaculate volume). Streptococcus and Corynebacterium also negatively impacted sperm motility, with Streptococcus linked to increased teratozoospermia.

Conclusions:

  • Bacteriospermia can adversely affect key sperm parameters, including concentration and motility.
  • Treatment for bacteriospermia may enhance sperm fertilizing capacity and prevent contamination in assisted reproduction settings.