Semen samples of 90 asthenospermic patients were examined, then they were divided into three main equal groups. In the first group, Oxytocin (OT) addition in three concentrations (2, 4, and 6 IU/ml) with sperm preparation medium (SPM) to the semen samples was investigated. Changes in sperm function tests and seminal biochemistry was used as indicator of effect. Results indicated that a significant increase in sperm grade activity in 2 IU/ml OT with a tendency for a decrease in this motility parameter in higher OT concentration. Concentration 2 IU/ml of OT was applied with SPM and without in the second and third groups, respectively. In presence of SPM, a significant increase in the sperm motility characteristics (the percentage of sperm motility and sperm grade activity) was observed. While when SPM was absent, non-significant change in these parameters was seen. These findings indicate that OT at the concentration of 2 IU/ml has got a stimulatory effect on sperm motility characteristics. Using of SPM potentiated this effect of OT.Total protein (TP), cholesterol, calcium, creatine kinase (CK), and fructose were measured in the seminal plasma and in the supernatant of sperm suspension of OT-treated and control samples. According to the results, a high significant increase in cholesterol was found in the external medium, this may be attributed to loss of cholesterol from the plasma membrane of the sperm. Also, OT may modify cellular calcium transport across the plasma membrane, resulting in high intracellular calcium concentration and a high significant decrease in level of calcium in the external medium. In addition to a high significant decrease in fructose level of the external medium.
A comparative study was performed to determine the effect of clomiphene citrate (CC) on cervical mucus (CM) sampled in the preovulatory period in ovulatory cycle patients (control) and CC treated patients, moreover the correlation between CM score and body mass index (BMI) was studied in these two groups. One hundred-three infertile women were evaluated in outpatient clinic attending Institute for Embryo Research and Infertility/University of Al-Nahrain/Baghdad from February to August 2005, these patients were divided into two groups, the first group (number= 45) was ovulatory (control) group, this group took no treatment and the second group(number= 58)was CC-treated group, they were given dose of CC 100 mg/day orally for 5 days starting from cycle day 2 .Follicular growth was monitored in both groups starting from cycle day 10 using transvaginal ultrasound when the dominant follicle size was 1620 mm, the CC score was done to all patient. Body mass index (kg/m2) was measured for the all patients and its effect on CM score was evaluated. There was highly significant reduction in volume, consistency, spinnbarkeit, cellularity, and total CM score in treated CC cycles compared to control cycle, whereas there was no statistically significant difference in regard to ferning test between two groups. The PH of CM of patients in the CC treated cycle increased but not to a significant level as compared to control cycle. This study also demonstrate a negative linear correlation with CM and BMI in controls cycle, whereas there is no correlation in CC treated cycle .It was concluded from these results that, CC cause a marked reduction in the quality and quantity of cervical mucus.
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