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Volume 12 Issue 3 ( July-September ) 2023

Original Articles

Exploring the Complexities of Male Infertility: Insights from Oligoasthenozoospermia, Asthenoteratozoospermia, and Oligoasthenoteratozoospermia
Dr. Rohit Garagdahalli Rangaiah

Background: Male infertility accounts for about 50% of infertility cases and can result from a range of factors including anatomical anomalies, hormonal imbalances, lifestyle habits like tobacco and alcohol use, stress, and environmental exposure. Common contributors to male infertility include low sperm concentration, reduced motility, and abnormal sperm morphology.The aim of this study was to provide insight into three distinct categories of sperm abnormalities; oligoasthenozoospermia, asthenoteratozoospermia, and oligoasthenoteratozoospermia. Methods: A retrospective investigation examined medical records of men visiting an infertility clinic. Various parameters from semen analysis, encompassing factors such as semen volume, pH, viscosity, sperm concentration, motility, morphology, and white blood cell counts were analysed.The reference thresholds established by the World Health Organization were used for the analysis. Results: The study included medical records of 54 patients with a mean age of 33.1years (n=52). Majority of the patients (65.4%) were aged>30 years. Mean duration of infertility was 4.2 years. Primary infertility was observed in 94.4%. Varicocele was observed in 11 patients. Abnormalities in sperm count, motility, and morphology were prevalent.Among the patients, 81.5% exhibited an atypical sperm count whilethe mean abnormal total motility was observed in 87% of the patients.Abnormal progressive motility was observed among all of the patients (100%) while abnormal non-progressive motility was observed among 98.1% of the patients.Abnormal total motile sperm count was observed among 92.6% patients whereas abnormal sperm morphology was observed among 55.5% of patients. Conclusion: Among infertile males oligoasthenozoospermia is a majorly contributing condition followed by asthenoteratozoospermia.

 
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