PurposeTo investigate the effect of age on sperm velocities and morphology in a sample of Egyptian males.
Patients and methodsIn a prospective study, 634 healthy Egyptian volunteers were divided according to their age into four groups: group I, aged 20-29 years (n = 205); group II, aged 30-39 years (n = 213); group III, aged 40-49 years (n = 124); and group IV, aged 50-59 years (n = 92). Semen samples were collected and analyzed according to the WHO 2010 criteria. For each age group, the sperm volume, the concentration, the progressive and total motility, the sperm morphology, the teratozoospermia index, the curvilinear velocity (VCL), the straight-line velocity (VSL), the average path velocity (VAP), and the linearity were determined. Serum levels of reproductive hormones were also determined.
ResultsThe study revealed a significant decrease in the sperm motility (Po0.001), the progressive motility (Po0.001), the morphology (P = 0.003), sperm velocities (VCL, VSL, VAP) (Po0.001), and linearity (Po0.001) in older age groups compared with younger age groups. There was a significant negative correlation between the age and the semen volume (Po0.001), the progressive motility (P = 0.001), the percent of morphologically normal sperms (P = 0.023), VCL (Po0.001), VSL (P = 0.003), and VAP (P = 0.002). We also detected a significant correlation between the age and the presence of coiled tails (Po0.001) and tails with smooth hairpin bends (P = 0.023) and a sharply bent neck (P = 0.015). Age was not found to negatively influence sperm head abnormalities. Conclusion It is possible that advancing age negatively influences the semen volume and the sperm morphology, motility, and velocities, which may be reflected in the reproductive potential of aging men.