PATTERN OF SEMINAL FLUID ANALYSIS IN A POPULATION OF SUB FERTILE MEN – A Sri Lankan Study
Journal Title: Advance Research Journal of Multidisciplinary Discoveries - Year 2017, Vol 14, Issue 6
Abstract
Subfertility is a very common presentation in urological practice. A retrospective observational study was conducted by the Department of Surgery, Faculty of Medicine, University of Peradeniya, Sri Lanka to evaluate seminal fluid analysis findings in a group of subfertile men attending to urology and andrology clinics, Teaching Hospital, Peradeniya. In all the patients socio demographic characteristics and seminal fluid analyses findings were recorded. Seminal fluid analysis findings were reviewed with attention to volume, concentration, motility and morphology Seminal fluid analysis findings were compared with WHO standard lower reference values. According to the results the study population consisted of 113 study subjects between 24 to 48 years. Mean age was 34.51±5.28 years. Of the study population, 86.6% (n=98) had abnormal seminal fluid analysis findings and 13.3% (n=15) had normal parameters. Of the study population, 25.7% (n=29) had low volume ejaculate while 74.3% (n=84) had normal volume ejaculate. Minimum volume was 0.5ml and maximum was 5ml with a mean of 2.26±1.14ml. Mean total sperm concentration was 15.61±33.18 ×106/ml, mean progressive motility was 15.94±22.68% and mean value for normal forms was 39.65±44.52%. Abnormal sperm characteristics included single factor abnormalities 64.5% (n=73) of the single factor abnormalities commonest was azoospermia 44.2% (n=50) others included oligozoospermia 10.6% (n=12) and asthenozoospermia 9.7 %( n=11). Of the study population 19.5% (n=22) Showed combined abnormalities. Combined abnormalities included oligoasthenozoospermia 11.5 %( n=13) and oligoasthenoteratozoospermia 8 %( n=9). As a conclusion seminal fluid analysis plays an important role in assessment of male subfertility. This study shows a higher rate and variety of seminal fluid abnormalities in sub fertile patients.
Authors and Affiliations
Anurudda Udaya Bandara Pethiyagoda, Kalyani Pethiyagoda
Keywords
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