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Published on: November 18, 2017
Semen Quality and Ferritin and Transferrin Seminal Levels
Gilmar Pereira Silva1, Vítor Pereira Xavier Grangeiro2, Fabiana Pirani Carneiro1
1Department of Medicine, University of Brasilia, Brazil.
Insights
Seminal quality in chronic hemodialysis patients is linked to seminal transferrin levels, not seminal ferritin. This finding aids in evaluating potential subfertility in these patients.
Area of Science:
- Nephrology
- Reproductive Medicine
- Clinical Biochemistry
Background:
- Chronic hemodialysis (CH) patients may experience altered seminal quality.
- Investigating the relationship between seminal parameters and specific proteins like ferritin and transferrin is crucial.
Purpose of the Study:
- To explore the association between seminal quality and seminal levels of ferritin and transferrin in men undergoing chronic hemodialysis.
- To determine if seminal ferritin or transferrin levels are indicative of subfertility in CH patients.
Main Methods:
- A cross-sectional study comparing 60 men on CH with 30 healthy controls (age 18-60).
- Semen analysis (spermogram) and measurement of seminal ferritin and transferrin levels were performed.
- Participants were screened for infection/inflammation and eugonadism.
Main Results:
- Men undergoing CH showed significantly lower seminal parameters and seminal transferrin levels compared to controls.
- Seminal ferritin levels were similar between CH patients and controls.
- Seminal transferrin levels, but not seminal ferritin, were significantly associated with seminal parameters (p<0.001).
Conclusions:
- Seminal quality in chronic hemodialysis patients is associated with seminal transferrin levels.
- Seminal ferritin levels do not appear to be related to seminal quality in this cohort.
- Measuring seminal transferrin may be useful for initial evaluation of subfertility in CH patients.
Background:
We proposed to investigate the possible relationship between seminal quality and ferritin and transferrin seminal levels in chronic hemodialysis (CH) patients.
Materials And Methods:
This is a cross-sectional study in a group of 60 men (case) undergoing CH for more than 6 months, and a group of 30 healthy men (control), aged 18-60 years, without clinical or laboratory signs of infection/inflammation and eugonadic. A spermogram was performed by manual method and measured the ferritn and transferrin seminal levels.
Results:
The case and control groups were age-matched (49.47±5.56 versus 47.90±6.22, p = 0.229). Comparison between case and control group, the exception of seminal ferritin levels that were similar (p = 0.136), were significantly lower in the case group (p<0.001) for all constituents of the seminal parameter and seminal transferrin levels. Seminal ferritin does not appear to be associated with seminal parameters and seminal transferrin (p>0.05); but there was an association between seminal transferrin and seminal parameters (p<0.001).
Conclusions:
Our results suggest that seminal quality is related to seminal transferrin level and not with seminal ferritin level being useful in the initial evaluation of chronic hemodialysis patients with clinical suspicion of sub / infertility.
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