Male Fertility Hormones and Testicular Doppler in Categorization of Azoospermia
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 2
Abstract
Azoospermia represents about 1% - 1.5% of male fertility factor of infertile couples. A male factor is solely represents about 20% - 30% of infertile couples. Objective: To determine the role of Color Doppler Ultra-Sonography and measurement of testicular artery Resistive Index (RI) values in two groups, normospermic and azoospermic with male fertility hormonal results and correlates the RI values as predictive tool in categorization of azoospermia. Materials and Methods: The study comprises (80) total subjects, (40) with normal sperm count (Normospermic) and (40) with (zero) pathological (azoospermic) subjects with their fertility hormonal (FSH, LH, Prolactine and Testosterone) results. Doppler performed by Chison QBit9 with high multi-frequency flat linear transducer D7L40L, testicular echogenicity, texture, volume, colour perfusion & testicular artery RI values from two groups (normospermic and azoospermic/with hormones) were studied and data was analyzed statistically by SPSS software. Results: Recent normospermic studies showed mean normospermic RI of 0.5 by Jeeet al., mean normospermic Resistive Index of ≥0.5 by Atilla et al & Biagiottiet al. and present studies showed mean normospermic Resistive Index of 0.54 and our study in (40) normospermic subjects testicular artery sampling showed waveform with a high flow in diastole, low downstream vessel impedance with mean (low) Resistive Index both testes (0.57±0.085) however, (40) azoospermic subjects with hormonal results showed waveforms with a little diastole flow, or reversed flow with mean Resistive Index both testes (0.61±0.14). Azoospermic subjects with normal FSH and LH showed mean Resistive Index both testes (0.58±0.125) and subjects with high FSH and LH values showed mean (high) Resistive Index value both testes (0.64±0.110). Conclusion: Azoospermic subjects with normal FSH and LH hormonal results have RI value (0.58±0.125) closer or equal to mean normospermic RI (0.57±0.085) and this can be applied to obstructive azoospermia, however subjects with high FSH and LH values have RI values (0.64±0.123) closer or equal to mean azoospermic RI (0.62±0.146) and this can be applied to non-obstructive azoospermia. Further studies on large data sample were recommended. .
Authors and Affiliations
Mohammed K. Magzoub, Abdulla Gabir, Suzan Omer, Abdelraheem Adam, Ibrahim Ali Elmahi
Keywords
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- EP ID EP435903
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