毒素阳性不孕男性血清-雌激素比率:一个前性,单中心研究
Ahmed Ragab1, Doaa Ahmed Hamdy2, Shimaa Sayed Ibrahim2
1Department of Andrology, Sexology and STIs, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.
Journal of reproduction & infertility
|August 19, 2024
概括
毒素淋病感染与不孕男性的丸激素:雌激醇 (T:E2) 比率的改变有关. 对抗T. gondiiIgG抗体的测试对于具有异常T:E2比率的男性至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 生殖医学 生殖医学
背景情况:
- 毒淋巴菌 (T. gondii) 是一种常见的寄生虫,具有潜在的生殖影响.
- 荷尔蒙失衡,如改变的:雌激素 (T:E2) 比率,在一些不孕不育的男性中观察到.
- 在男性不孕症中,T. gondii血清阳性和T:E2比率障碍之间的关系需要进一步研究.
研究的目的:
- 为了比较:雌激素 (T:E2) 的比率在不育的男性与T. gondii血清阳性对抗血清阳性和血清阴性normzoospermic对照.
- 调查T. gondii感染状态 (IgM/IgG) 与不育男性T:E2比率之间的关联.
主要方法:
- 一项涉及200名男性正常化,100名患有异常不孕症和100名诺莫动物精子对照的研究.
- 评估包括病史,体检,精液分析,T. gondii IgM/IgG抗体测试和血清T:E2比率估计.
- 统计分析采用t测试和Chi平方测试,显著程度为p<0.05.
主要成果:
- 不孕不育的男性表现出精子,精子或精子.
- 在T. gondii的IgG阳性不育男性中,很大一部分 (38.2%) 和对照 (41.7%) 的T:E2比率受到干扰.
- 与血清阳性组 (p<0.001) 相比,血清阴性个体的T:E2比率受损的患病率明显较低 (2.5%).
- 阳性IgM病例比血清阴性对照更频繁地显示T:E2比率的变化 (p<0.001).
- 与血清阴性对照相比,IgM阳性患者的T:E2比率明显较低,IgG阳性患者的T:E2比率较高 (p<0.001).
结论:
- 显著的百分比的不育男性有毒素菌存在与破坏的T:E2比率.
- 对于呈现异常T:E2比率的个体,建议进行抗T. gondiiIgG测试.
- 毒素菌可能在荷尔蒙失调中起作用,导致男性不孕.
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