抽取精子样本的禁欲和ART结果:一个没有证据的神话
1Professor of Urology & Reproductive Medicine, Weill Cornell Medicine, New York, New York, USA.
Current opinion in obstetrics & gynecology
|April 10, 2024
概括
较短的禁欲期,理想情况下少于4小时,可以优化精子质量用于精液分析. 目前的指导方针可能无法提高人工生殖程序的男性生育潜力.
科学领域:
- 生殖医学 生殖医学
- 安德罗学与人类学
- 精液分析 精液分析
背景情况:
- 精液分析是男性生殖健康评估的基石.
- 目前世界卫生组织 (WHO) 对精液检查的指导方针缺乏优化精子生殖能力的证据.
- 现有的数据表明,需要重新评估推的禁欲期.
研究的目的:
- 审查现有的关于短射精禁欲期对精液质量影响的数据.
- 为了确定用于生育评估的精液样本的最佳禁欲持续时间.
- 评估目前的精液分析建议是否提高了生育潜力.
主要方法:
- 对近期关于射精禁欲和精液质量研究的系统审查和元分析.
- 对研究的分析,将较短的戒断时间定义为1小时至1天,少于4小时.
- 对辅助生殖技术 (ART) 结果与禁欲持续时间的评估.
主要成果:
- 最近的研究表明,更短的禁欲期 (例如,<4小时) 可能会改善精液质量.
- 之前对男性患者的建议尚未针对生育潜力进行优化.
- 在体外受精 (IVF) 的最佳精子质量与少于1天的禁欲期有关,最好在4小时以下.
结论:
- 目前的精液分析指令可能不是为了最大限度地提高生育能力而设计的.
- 对于用于辅助生殖的精液样本,建议使用较短的禁欲期 (理想情况下<4小时).
- 修订禁欲指南可以改善男性生育能力评估和治疗的结果.
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