在男性不孕症中的精子DNA碎片化:从长椅到床边
Ala'a Farkouh1, Ramadan Saleh1,2,3, Rupin Shah1,4
1Global Andrology Forum, Ohio, USA.
Arab journal of urology
|January 5, 2024
概括
精子DNA碎片化 (SDF) 测试有助于评估男性不孕症和辅助生殖技术 (ART) 失败. 管理策略,包括改变生活方式和抗氧化剂,可以改善SDF升高的男性的生殖结果.
科学领域:
- 生殖医学 生殖医学
- 分子生物学分子生物学
- 安德罗学与人类学
背景情况:
- 精子DNA碎片化 (SDF) 是精子染色质完整性的关键指标.
- 较高的SDF与男性不孕,重复的妊娠损失和ART失败相关.
- 2021年世卫组织手册包括SDF测试,但缺乏明确的指示和值.
研究的目的:
- 审查SDF测试的临床应用.
- 概述适当的患者群体,测试方法和SDF的管理策略.
主要方法:
- 关于SDF的当前知识的文献综述.
- 对SDF的病因因素和病理生理机制的分析.
- 现有的SDF测定及其利用的总结.
主要成果:
- 确定了生活习惯,环境暴露和腹瘤是SDF的原因.
- 描述了世卫组织手册中的四个SDF测定.
- 概述了管理策略,包括解决原因,抗氧化剂补充剂和精子来源优化.
结论:
- 对于不育的男性和ART失败的夫妇来说,SDF测试是有价值的.
- 管理策略可以提高生殖成功.
- 需要进一步的研究才能充分阐明SDF的临床效用.
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