Abnormal semen parameters among males in infertile couples: a cross sectional study from a tertiary care centre

Abstract

Background: In India, the prevalence of primary infertility ranges from 3.9% to 16.8%. Male factor contributes 40-50% of this. Male factor infertility is indicated by decreased sperm concentration, reduced motility, vitality or abnormal sperm morphology. Semen analysis is the single most important investigation to detect male factor infertility. The aim of this study was to analyse the prevalence of abnormal semen parameters among males in infertile couples and their association with contributing factors.Methods: This cross-sectional hospital-based study was carried out in the Department of Pathology at Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital. A total of 400 cases were analyzed during a period of 6 months. Detailed history of the couple was taken. Semen analysis was done using automated semen analyzer (SQA-vision) after 3 days of abstinence according to the WHO 5th edition 2010 guidelines. The results were analysed using excel sheet and SPSS software.Results: In the present study, 122 cases (30.5%) out of 400 cases had abnormal semen parameters. Most common abnormality detected was asthenozoospermia (14.3%) followed by oligozoospermia (13.8%), azoospermia (10.5%) and teratozoospermia (10.5%). There was significant association of alcohol intake, obesity and trauma with abnormal semen parameters.Conclusions: Asthenozoospermia was the most common abnormality noted in this study. Lifestyle modifications along with timely medical attention in male partners of infertile couples can improve the semen quality.

Pattern of seminal fluid analysis in a male partner of infertile couple presented in infertility clinic of Patan hospital

“…14,15 Association of oligospermia with increased morphological abnormalities has been suggested by Butt et.al. 16 Poor motility (Asthenozoospermia) was the single factor common abnormality found in this study constituting 25.5% which was in concordance with the study was conducted by Garg J et al 17 , Bodal et al 18 , Ugbaoja et al 19 and that reported the prevalence of asthenozoospermia 14.3%,17%, and 16.5 %respectively. However, a low percentage of asthenozoospermia was found in a study conducted by Aulia et al (5.9%) 20 and Diallo et al (10%).…”