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Do chlamydia, mycoplasma and ureaplasma contaminations affect sperm quality?

Veznik, Z., Zajicova, A., Svecova, D., Kunetkova, M., Prinosilova, P.

Status neindexováno Jazyk angličtina Země Česko

Typ dokumentu abstrakty

Perzistentní odkaz   https://www.medvik.cz/link/bmc07518206

The role of Chlamydia, Mycoplasma and Ureaplasma species in male fertility has been studied for a long time. But, the information about their negative influence on semen quality and male fertility is still not very clear and the findings differ between authors. The aim of this study was to find if the presence of these microorganisms in male ejaculate can affect sperm quality. Material and methods: Sperm analysis was performed on 742 ejaculates from 627 men consisting of semen volume, sperm concentration, sperm motility, sperm velocity by Baker´s propulsitivity test, and morphology analysis using optical microscopy. The classification of normal spermatozoa was in accordance with the definition of the WHO laboratory manual (1999). Chlamydia in the ejaculates were detected by a direct immunofluorescent reaction using the Progen Biotechnik GmbH diagnostic set for detection of C. trachomatis, C. psittaci, and C. pneumoniae. The Mycoplasma and Ureaplasma detection were done by semen cultivation on PPLO Broth Base and PPLO Agar Base media (HiMedia Laboratories Pvt. Ltd., India). Results: In total 49.2% of samples were contaminated. Chlamydia species alone were found in 13.4%, Mycoplasma species alone in 4.8%, Ureaplasma species alone in 20.6%, and mixed contamination were detected in 10.4% of ejaculates. In the Chlamydia positive group the quality of ejaculates was lower in all evaluated parameters. In the Mycoplasma positive group the sperm concentration was 29.6% lower (p<0.01) but we did not find any statistically significant differences between Ureaplasma positive and the control group in any of the sperm characteristics. Conclusions: The results showed that both Chlamydial and Mycoplasmal contamination affect sperm quality, but we did not find any negative effect of Ureaplasmal contamination on sperm quality. The lower sperm concentration in Mycoplasma positive samples shows that there can be a possible negative influence of the microorganism on testis parenchyma.

3. český a mezinárodní andrologický kongres, Štiřín, 13.-15.6.2008

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$a The role of Chlamydia, Mycoplasma and Ureaplasma species in male fertility has been studied for a long time. But, the information about their negative influence on semen quality and male fertility is still not very clear and the findings differ between authors. The aim of this study was to find if the presence of these microorganisms in male ejaculate can affect sperm quality. Material and methods: Sperm analysis was performed on 742 ejaculates from 627 men consisting of semen volume, sperm concentration, sperm motility, sperm velocity by Baker´s propulsitivity test, and morphology analysis using optical microscopy. The classification of normal spermatozoa was in accordance with the definition of the WHO laboratory manual (1999). Chlamydia in the ejaculates were detected by a direct immunofluorescent reaction using the Progen Biotechnik GmbH diagnostic set for detection of C. trachomatis, C. psittaci, and C. pneumoniae. The Mycoplasma and Ureaplasma detection were done by semen cultivation on PPLO Broth Base and PPLO Agar Base media (HiMedia Laboratories Pvt. Ltd., India). Results: In total 49.2% of samples were contaminated. Chlamydia species alone were found in 13.4%, Mycoplasma species alone in 4.8%, Ureaplasma species alone in 20.6%, and mixed contamination were detected in 10.4% of ejaculates. In the Chlamydia positive group the quality of ejaculates was lower in all evaluated parameters. In the Mycoplasma positive group the sperm concentration was 29.6% lower (p<0.01) but we did not find any statistically significant differences between Ureaplasma positive and the control group in any of the sperm characteristics. Conclusions: The results showed that both Chlamydial and Mycoplasmal contamination affect sperm quality, but we did not find any negative effect of Ureaplasmal contamination on sperm quality. The lower sperm concentration in Mycoplasma positive samples shows that there can be a possible negative influence of the microorganism on testis parenchyma.
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