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Screening for subclinical inflammation in ejaculates

W Eggert-Kruse1, S Probst, G Rohr

  • 1Department of Gynaecological Endocrinology and Reproductive Medicine, Women's University Hospital, University of Heidelberg, Germany.

Fertility and Sterility
|November 1, 1995
PubMed
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Albumin testing in semen is a simple office method to detect subclinical genital tract inflammation in infertile men. This screening tool aids in infertility investigations by identifying inflammation not apparent through standard tests.

Area of Science:

  • Reproductive Medicine
  • Urology
  • Clinical Chemistry

Background:

  • Subclinical infection-inflammation in the male genital tract can impact fertility.
  • Standard semen analysis may not detect these subclinical conditions.

Purpose of the Study:

  • To evaluate the clinical significance of albumin determination in ejaculates.
  • To assess albumin testing as an office-based screening method for subclinical genital tract inflammation in infertile males.

Main Methods:

  • 159 infertile males underwent semen analysis, including albumin detection using a ready-to-use kit.
  • Leukocyte rates, granulocyte elastase concentration, sperm quality, antisperm antibodies, and sperm-cervical mucus penetration tests were assessed.
  • Semen cultures were performed to evaluate microbial colonization.

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Main Results:

  • Albumin screening in semen was easy, quick, and suitable for routine use.
  • Elevated albumin correlated significantly with higher leukocyte rates and granulocyte elastase levels.
  • Albumin-positive samples were less frequent with very good sperm-cervical mucus penetration test outcomes.

Conclusions:

  • Albumin determination in semen samples using test kits is a valuable additional marker for subclinical male genital tract infection-inflammation.
  • This method is suitable for screening during infertility investigations.