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Published on: August 6, 2014
The frequencies of Y chromosome microdeletions in infertile males
Emre Can Akınsal1, Numan Baydilli1, Munis Dündar2
1Department of Urology, Erciyes University, Kayseri, Turkey.
Objective:
To determine the frequencies and the characteristics of Y chromosome microdeletions in infertile males.
Material And Methods:
The records of 1616 infertile males were included in the study. The cases were divided into groups according to the infertility etiology and semen analysis. The frequencies and the characteristics of Y chromosome microdeletions were investigated in groups.
Results:
Y chromosome microdeletion was detected in 54 (3.3%) of 1616 cases. Microdeletions in the azoospermia factor (AZF) region were the most common (48.1%). When the cases were grouped according to causes of infertility that could be detected, no Y chromosome microdeletions were detected in some groups (cases with Klinefelter Syndrome, hypogonadotropic hypogonadism, congenital absence of vas deferens, and 47, XYY karyotype).
Conclusion:
Y chromosome microdeletions were detected quite frequently in certain infertility subgroups. Therefore, detailed evaluation of an infertile man by physical examination, semen analysis, hormonal evaluations and when required, karyotype analysis may predict the patients for whom Y chromosome microdeletion analysis is necessary and also prevent cost increases.
Insights
Y chromosome microdeletions are common in infertile males, particularly in the azoospermia factor (AZF) region. Identifying specific infertility subgroups can help target genetic testing for Y chromosome microdeletions.
Area of Science:
- Human Genetics
- Reproductive Medicine
- Molecular Biology
Background:
- Y chromosome microdeletions are a significant genetic cause of male infertility.
- Understanding their prevalence and characteristics is crucial for diagnosis and genetic counseling.
Purpose of the Study:
- To determine the frequencies and characteristics of Y chromosome microdeletions in a cohort of infertile males.
- To investigate the association between Y chromosome microdeletions and specific infertility etiologies.
Main Methods:
- Retrospective analysis of medical records from 1616 infertile males.
- Categorization of cases based on infertility etiology and semen analysis.
- Investigation of Y chromosome microdeletion frequencies and characteristics within these groups.
Main Results:
- Y chromosome microdeletions were identified in 3.3% (54/1616) of infertile males.
- Azoospermia factor (AZF) region microdeletions were the most frequent type (48.1%).
- No Y chromosome microdeletions were found in specific groups, including Klinefelter Syndrome and congenital absence of vas deferens.
Conclusions:
- Y chromosome microdeletions occur with notable frequency in particular male infertility subgroups.
- Comprehensive clinical and genetic evaluation can guide the necessity of Y chromosome microdeletion analysis, potentially reducing costs.
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