Studies on the male partners of couples presenting with infertility

Abstract

A prospective study of 1000 males attending the infertility clinics of three tertiary health institutions was carried out, examining their spermogram, seminal fructose concentration and body mass index (BMI). The two
groups (of 500 males partners each) examined were those of queried infertile by the clinicians and those of proven fertility (fertile men with time to pregnancy (TTP) . 12 months as reference group). Questionnaires and
oral interviews were administered to the patients and subjects to reveal their occupational and medical histories, health conditions, working conditions, smoking habits and lifestyles. An inverse relationship between body mass index and the total number of sperm cells per subjects was observed. There was no relationship between the seminal fructose concentration and seminal activity. The mean percentage motility of spermatozoa was found to be statistically higher in fertile subjects (87.15 } 4.66 %) than in queried infertile subjects (40.70 } 22.96 %) at P <0.05. The mean percentage sperm cell count was found to be statistically higher in fertile subjects (71.74 } 15.22x10 cells/ml) than in queried infertile subjects (23.68 } 21.07x10 cells/ml) at p < 0.05. To ensure maximum fertility potential patients presenting with infertility may be advised to reduce body weight. c 2012 International Formulae Group. All rights reserved.

Keywords: Body mass index, seminal fructose, motility, sperm cell count, morphology.