精子参数随时间的变化在正常和异常基线精液分析的男性中
Nir Cohen1,2, Assaf Ben-Meir1,2, Tzuf Harlap3
1Infertility and IVF Unit, Department of Obstetrics and Gynecology, Hadassah Ein-Kerem Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Reproductive sciences (Thousand Oaks, Calif.)
|February 29, 2024
概括
在具有正常基线参数的男性中,精液质量随着时间的推移而下降,而在具有异常基线参数的男性中则有所改善. 精液分析之间较长的间隔增加了发展精子异常的风险.
科学领域:
- 生殖医学 生殖医学
- 安德罗学与人类学
- 人类生育能力研究 研究人类生育能力
背景情况:
- 关于精液参数随时间变化的个人内变化存在有限的数据.
- 父亲年龄对精子质量的影响已知,但个体变化不太了解.
研究的目的:
- 评估正常和异常基线精子男性的精液参数的时间趋势.
- 为了识别随着时间的推移导致精子质量恶化的风险因素.
主要方法:
- 在试管婴儿单位进行回顾性队列研究.
- 包括902名男性,每隔一年至少进行两次精液分析 (SA).
- 基于基线SA (BSA) 的精液参数的患者内变化和对发展异常SA的分析风险因素进行比较.
主要成果:
- 患有正常BSA的男性显示度,运动能力和总运动细胞数 (TMC) 的下降.
- 患有异常BSA的男性表现出体积,运动能力和TMC的改善,但不是度.
- 33.5%的正常BSA男性随着时间的推移发展出异常;测试之间的较长时间是一个独立的风险因素.
结论:
- 在具有正常基线参数的男性中,精液质量随着时间的推移而下降.
- 精液质量显示,大多数参数在异常基线参数的男性中略有改善.
- 精液分析之间的时间增加是发展精子异常的独立风险因素.
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