在患有状细胞病的男性中,生殖功能和生育能力的维护
Clarisse Leblanc1, Nathalie Sermondade1,2, Diane Rivet-Danon1
1Service de Biologie de La Reproduction-CECOS, Hôpital Tenon, APHP, Sorbonne Université, Paris, France.
Andrology
|March 28, 2025
概括
患有状细胞疾病 (SCD) 的男性的精液质量显著降低. 对于患有SCD的男性来说,由于治疗对生殖健康的影响,生育能力的保护至关重要.
科学领域:
- 生殖医学 生殖医学
- 血液学 血液学 血液学
- 安德罗学与人类学
背景情况:
- 状细胞疾病 (SCD) 是一种常见的遗传性血液疾病,与严重的健康并发症有关.
- 患有SCD的男性的生育能力可能会受到不利影响,需要进行生殖健康评估.
研究的目的:
- 评估患有状细胞病 (SCD) 的男性的精液参数.
- 评估SCD男性的生育保护策略的有效性.
主要方法:
- 对121名患有SCD的男性进行了回顾性分析,与107名健康的精子捐赠者进行了比较.
- 根据世界卫生组织指导方针,分析了精液参数.
- 患者按氧尿素 (HU) 暴露分组:没有HU,正在进行的HU和以前的HU.
主要成果:
- 与捐赠者相比,SCD患者,特别是那些不接受HU的患者,表现出精液体积,度,运动力,活力和形态的显著减少.
- 在SCD患者中,阿佐精子和橄精子更为普遍.
- 在大多数情况下,生育保存产生了冷保存的精子,在使用保存精子后报告的成功分娩.
结论:
- 患有SCD的男性经历了精液参数的重大损害.
- 对于患有SCD的男性来说,保护生育能力是必不可少的,因为与治疗相关的生殖功能风险.
- 需要进一步的研究来优化SCD男性的生育保存技术.
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