Effects of a short abstinence period on sperm quality in oligozoospermic men

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY Clinical and Experimental Reproductive Medicine-CERM Pub Date : 2023-11-09 DOI:10.5653/cerm.2023.06100
Nattaporn Poopaibool, Amornrat Tangprasittipap, Sukanya Chumchuen, Chonthicha Satirapod, Artitaya Singwongsa
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Abstract

Objective: The aim of this study was to compare semen parameters and sperm DNA fragmentation (SDF) and explore the relationship between semen parameters and SDF between 2 and 7 days of abstinence and a short abstinence period (within 4 hours) in oligozoospermic infertile patients.Methods: Two semen samples were collected from infertile oligozoospermic men (n=34) after an abstinence period of 2 to 7 days and within 4 hours, respectively. Sperm parameters were compared between the two abstinence duration groups, including semen volume, sperm concentration, total sperm count, sperm motility, total motile sperm count (TMSC), morphology, and SDF.Results: The semen volume, concentration, and total sperm count were significantly decreased after 4 hours of abstinence than after 2 to 7 days of abstinence, with median differences of 1.2 mL (p<0.001), 2×106/mL (p=0.011), and 9.6×106/ejaculation (p<0.001), respectively. TMSC was significantly lower after a short abstinence, with a median difference of 4.24×106/ejaculate (p<0.001). However, there were no significance differences in the percentage of motility, the SDF, and the percentage of sperm with normal morphology. Interestingly, volume, concentration, total sperm count, sperm motility, and SDF, but not TMSC, exhibited significant linear correlations between the two abstinence groups in univariate regression analysis, except for TMSC.Conclusion: In oligozoospermic men, the volume, concentration, and total sperm count were significantly lower after a short abstinence period, but without adverse effects on sperm motility and SDF.
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短时间禁欲对少精子男性精子质量的影响
目的:比较少精子不育患者禁欲2 ~ 7天及短时间(4小时以内)期间精液参数与精子DNA片段化(SDF)的关系。方法:选取禁欲2 ~ 7天、禁欲4小时内的少精子不育男性(n=34) 2份精液标本。比较两组的精子参数,包括精液量、精子浓度、总精子数、精子活动力、总活动精子数(TMSC)、形态和SDF。结果:与禁欲2 ~ 7 d相比,禁欲4 h后精液体积、浓度和总精子数显著降低,中位数差异分别为1.2 mL (<i>p</i><0.001)、2×10<sup>6</sup>/mL (<i>p</i>=0.011)和9.6×10<sup>6</sup>/射精(<i>p</i><0.001)。短暂禁欲后TMSC显著降低,中位差值为4.24×10<sup>6</sup>/射精(<i>p</i><0.001)。然而,在活力百分比、SDF和正常形态精子百分比方面没有显著差异。有趣的是,在单变量回归分析中,体积、浓度、精子总数、精子活力和SDF,而不是TMSC,在两个禁欲组之间表现出显著的线性相关性,除了TMSC。结论:少精子男性在短时间禁欲后,精子体积、浓度和总精子数明显降低,但对精子活力和SDF无不良影响。
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