ArticleJournal of human reproductive sciences
The Effect of Suboptimal Semen Parameters on Male Partner's Ability to Conceive. Is He Really Subfertile Because the Test Says So?
Article in Journal of human reproductive sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
contextIn many developing countries, subfertility treatment is not covered by government-funded institutions. It is observed that healthcare providers incriminate male factor for subfertility even when only a slight deviation from presumed normal criteria is observed.
aimThis study aims to provide scientific evidence that pregnancies are possible at semen parameters that are below the generally accepted lower limits of normal. SETTING AND
designThis was a retrospective cohort study conducted from January 2014 to December 2018. MATERIALS AND
methodsDuring the study period, couples who conceived without any treatment of male partner were included. The World Health Organization (WHO) reference values for semen analysis were utilized to assess the reports. The primary outcome measure was conception despite abnormal semen parameters. STATISTICAL ANALYSIS USED: Data were analyzed using the SPSS software program, version 15.0 (IBM, Armonk, USA).
resultsOf the 332 couples included, 233 (70.1%) couples conceived despite suboptimal semen parameters, The most common criterion not satisfied was rapid linear motility -200 (85.8%), 87 (37.3%) men were oligozoospermic, 94 (40.3%) were asthenozoospermic, and 21 (9%) were teratozoospermic. The abnormalities were more common in men having primary subfertility (71.7% vs. 28.3%,
conclusionsA consensus for defining poor semen criteria is the need of the hour so that these males can be counseled satisfactorily. WHO criteria are a standard commonly employed, but they do not necessarily predict the fertility potential.
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