剖腹产分娩和成年期的精液质量:一项基于丹麦人口的队列研究
Kun Huang1,2,3,4,5, Anne Gaml-Sørensen6, Nis Brix6,7
1Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No 81 Meishan Road, Hefei, 230032, China. wuweihk8028@163.com.
Reproductive health
|March 8, 2024
概括
剖腹产没有显著影响成年儿子的精液质量. 这项大型队列研究发现,与阴道分娩相比,通过CS出生的男性对精子特征,包括运动性,度或形态学没有不良影响.
科学领域:
- 生殖健康 生殖健康
- 围产儿医学 围产儿医学
- 流行病学 流行病学
背景情况:
- 全球剖腹产率的上升促使人们对后代的长期健康状况进行调查.
- CS可能会影响后代的肠道微生物群,可能会影响性激素平衡和生殖健康.
- CS对成年男性精液质量的影响仍然在很大程度上是未知的.
研究的目的:
- 调查剖腹产与成年男孩的精液质量之间的关联.
- 为了确定CS分娩是否与后代的精子参数降低有关.
主要方法:
- 使用胎儿精液质量编程 (FEPOS) 队列,嵌入丹麦国家出生队列 (DNBC).
- 包括1044名成年儿子,分析精液样本的体积,度,运动性和形态.
- 出生方式 (阴道,选择性CS,紧急CS) 来自丹麦医疗出生登记处.
主要成果:
- 与阴道出生的儿子相比,通过阴道出生的儿子的非进展性精子运动率略低 (更高的进展性运动率) (RD: -7.5%).
- 在精子体积,度或形态学方面没有发现显著差异.
- 分类CS类型 (可选,紧急,未指定) 的灵敏度分析显示,对非渐进性运动性没有显著影响.
结论:
- 这项以人口为基础的队列研究发现,剖腹产对成年儿子的精液质量没有显著的不良影响.
- 研究结果表明,CS分娩与后代男性生殖参数的有害变化无关.
相关概念视频
Infertility in Males
262
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
262
Spermatogenesis
102.4K
Spermatogenesis is the process by which haploid sperm cells are produced in the male testes. It starts with stem cells located close to the outer rim of seminiferous tubules. These spermatogonial stem cells divide asymmetrically to give rise to additional stem cells (meaning that these structures “self-renew”), as well as sperm progenitors, called spermatocytes. Importantly, this method of asymmetric mitotic division maintains a population of spermatogonial stem cells in the male...
102.4K
Sperm Structure and Semen Composition
2.1K
During ejaculation, males release around 2-5 milliliters of semen, which is a complex mixture of mature sperm and various fluids produced by accessory glands. The mature sperm cells measure approximately 60 micrometers in length and consist of a head, neck, midpiece, and tail. The head is flattened and tapered, measuring about 4 to 5 micrometers in length. It contains a nucleus with condensed chromosomes and an acrosome, a cap-like structure filled with enzymes essential for penetrating the...
2.1K


