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Association between testicular microlithiasis and varicocele in infertile men: A comparative study 不育男性睾丸微石症与精索静脉曲张的关系:一项比较研究
Pub Date : 2018-06-01 DOI: 10.21608/HA.2018.4106.1030
M. Farid, A. Ragab, Ahmed Sayed Abdel Baset, S. G. Din
patients with varicocele.Patients and Methods: A total of 60 patients with infertility and clinical varicocele were assessed in comparison with 60 healthy fertile controls. The two groups were evaluated by history taking, clinical examination as well as semen analysis (WHO, 2010). Color Doppler ultrasonography was performed to assess the rate of TM in both groups. Finally, hormonal profile was studied for those with infertility and sperm concentration less than 10 million/ml.Results: Sonographic features of TM were revealed in 4/ 60 (6.7%) of cases with varicocele. However, this finding was of statistical insignificance (P=0.081). Of those cases, three had left varicocele associated with ipsilateral TM and one had bilateral varicocele and bilateral TM, whereas there was no sonographic evidence of TM in controls. Cases with TM were associated with primary infertility.  Conclusion: In brief, this study demonstrated that only four of the 60 patients revealed intratesticular calcifications, and this was statistically insignificant. Moreover, there were also 23 healthy controls with subclinical varicoceles that were detected by scrotal duplex. However, TM was not detected in them. Thus, association of TM with varicocele is controversial. Finally, we recommend further studies to replicate this finding and to perform studies that compare fertile men and infertile patients with varicoceles to replicate this finding.
精索静脉曲张患者。患者与方法:对60例不孕症合并临床精索静脉曲张患者与60例健康生育对照组进行比较。通过病史记录、临床检查和精液分析对两组进行评估(世卫组织,2010年)。采用彩色多普勒超声检查两组患者的TM率。最后,对精子浓度低于1000万/ml的不孕症患者的激素谱进行了研究。结果:60例精索静脉曲张患者中有4例(6.7%)有TM的声像图表现。然而,这一发现没有统计学意义(P=0.081)。在这些病例中,3例左侧精索静脉曲张合并同侧TM, 1例双侧精索静脉曲张合并双侧TM,而对照组中没有TM的超声证据。TM患者与原发性不孕症相关。结论:简而言之,本研究显示60例患者中只有4例显示睾丸内钙化,这在统计学上不显著。此外,还有23例健康人的亚临床精索静脉曲张被阴囊双工检测到。但未检出TM。因此,TM与精索静脉曲张的关联是有争议的。最后,我们建议进一步的研究来重复这一发现,并进行比较有生育能力的男性和患有精索静脉曲张的不育患者的研究来重复这一发现。
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引用次数: 0
Sexual dysfunction in women in the reproductive age with rheumatoid arthritis: A case-control study 类风湿性关节炎育龄期女性的性功能障碍:一项病例对照研究
Pub Date : 2018-06-01 DOI: 10.21608/HA.2018.3611.1024
H. Ghanem, A. Ragab, N. Nabil, Shimaa Hamdy, I. Fathy
Introduction: Rheumatoid arthritis (RA) is a widespread disease that has a profound effect on the patient’s quality of life.Aim:The aim was to evaluate the rate of sexual dysfunction (SD) in women with RA and to assess the possible association between SD and disease activity, severity of morning stiffness, functional disability and psychological status.Patients and Methods: A case-control study was conducted on 200 sexually active, women in the reproductive age. A total of 100 women with RA attending the rheumatology clinics of two reference hospitals in Upper Egypt and 100 arthritis-free age- and sex-matched healthy controls were compared regarding the scores of Arabic Female Sexual Function Index (ArFSFI) and Hospital anxiety and depression scale (HADS). Additionally, women with RA were evaluated via Health Assessment Questionnaire (HAQ) and Disease Activity Score (DAS-28).  Results: The mean ages of patients (35.96.4± years) and controls (34.45.4± years) were insignificantly different (P>0.05). Mean FSFI total and domain scores of patients were significantly lower than controls (P<0.001). Overall, 94% of patients and 30% of controls (P<0.001) reported SD. Among women with RA (n: 100), lower SF scores were reported among those with morning stiffness (n: 14, P<0.05). Women with RA who exhibited SD had higher levels of anxiety, depression, and disease activity (P<0.05) than those without SD. However, both subgroups were not different regarding HAQ.  Conclusion: The present study found an SD rate of 94% among sexually active women with RA. RA could have an extensively negative effect on all aspects of female sexuality, particularly on lubrication and orgasm dimensions. Moreover, SD in women with RA is significantly associated with disease activity, severity of morning stiffness, depression, and anxiety levels, but not with functional disability (HAQ).
类风湿关节炎(RA)是一种广泛存在的疾病,对患者的生活质量有着深远的影响。目的:目的是评估女性RA患者的性功能障碍(SD)率,并评估SD与疾病活动性、晨僵严重程度、功能残疾和心理状态之间的可能关联。患者和方法:对200名性活跃的育龄妇女进行病例对照研究。研究人员对上埃及两家参考医院风湿病诊所的100名RA患者和100名无关节炎、年龄和性别匹配的健康对照者进行了阿拉伯女性性功能指数(ArFSFI)和医院焦虑抑郁量表(HADS)评分的比较。此外,通过健康评估问卷(HAQ)和疾病活动评分(DAS-28)对RA患者进行评估。结果:患者平均年龄(35.96.4±年)与对照组平均年龄(34.45.4±年)比较,差异无统计学意义(P < 0.05)。患者的平均FSFI总分和域评分均显著低于对照组(P<0.001)。总体而言,94%的患者和30%的对照组(P<0.001)报告了SD。在RA患者中(n: 100),晨僵患者SF评分较低(n: 14, P<0.05)。表现出SD的RA女性的焦虑、抑郁和疾病活动水平高于无SD的女性(P<0.05)。然而,两个亚组在HAQ方面没有差异。结论:本研究发现性活跃的RA患者SD率为94%。类风湿性关节炎可能对女性性行为的各个方面都有广泛的负面影响,特别是在润滑和性高潮方面。此外,女性RA患者的SD与疾病活动性、晨僵严重程度、抑郁和焦虑水平显著相关,但与功能残疾(HAQ)无关。
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引用次数: 0
The use of modified Field’s stain in diagnosis of Trichomonas vaginalis 改良菲尔德染色在阴道毛滴虫诊断中的应用
Pub Date : 2018-03-01 DOI: 10.21608/HA.2018.1368.1011
H. A. Hamed, Nashaat Nabil Esmail, Marwa Ahmed Aldardiry, Rashad M. Mostafa
Backgroud: Trichomoniasis is not a reportable infection and its control received relatively little emphasis from public health STD control programs although it is the most common curable sexually transmitted disease in young sexually active women. Purpose: To diagnose trichomoniasis among women attending family planning units and to identify the possible risk factors affecting the disease. Materials and Methods: The present work was carried on 100 married women attending family planning units in ELFayoum Governorate. Diagnosis of trichomoniasis was done by direct wet mount microscopy, Geimsa staining and modified Field Stain. Results: The women ages ranged from 19 to 49 years old. The mean women age was 29.7± 7.1 years old. The majority of women (62%) had residence in rural areas and housewives (82%). The educational level ranged from illiteracy to high collage. Illiterate women were (14%). Seventy four women (74%) had educational level within 8 years of schooling. About 12% of women had high level education. Only six women (6%) had diabetes mellitus. The symptoms reported by the examined women include: (60%) increased vaginal discharge and itching, (31%) genital malodor. While (29%) women were presented with dyspareunia, (33%) presented with dysuria and (9%) with lower abdominal pain. This study demonstrated that Modified Field Stain ( MF) stain, apart from being a rapid stain (20 s) in comparison to Giemsa stain (20 min.), confers sharper staining contrast, which differentiates the nucleus and the cytoplasm of the organism and demonstrated that Vacuoles are more clearly visible in parasites with MF than those stained with Giemsa. Conclusion: The results of the present study pointed to the benefits of use of modified Field stain in diagnosis of T. vaginalis infection.
背景:滴虫病不是一种可报告的感染,尽管它是年轻性活跃女性中最常见的可治愈的性传播疾病,但它的控制在公共卫生性病控制项目中得到的重视相对较少。目的:在计划生育单位就诊的妇女中诊断滴虫病,并确定可能影响该疾病的危险因素。材料与方法:本研究在ELFayoum省计划生育单位就诊的100名已婚妇女中进行。采用直接湿片显微镜、Geimsa染色和改良Field染色对滴虫病进行诊断。结果:患者年龄19 ~ 49岁。女性平均年龄29.7±7.1岁。大多数妇女(62%)居住在农村地区,家庭主妇(82%)。教育水平从文盲到高等院校不等。不识字的妇女占14%。74名妇女(74%)的受教育程度在8年以内。大约12%的女性受过高等教育。只有6名女性(6%)患有糖尿病。接受检查的妇女报告的症状包括:(60%)阴道分泌物增多和瘙痒,(31%)生殖器异味。29%的女性表现为性交困难,33%的女性表现为排尿困难,9%的女性表现为下腹痛。本研究表明,与吉姆萨染色(20分钟)相比,MF染色快速(20秒),具有更清晰的染色对比,可以区分生物体的细胞核和细胞质,并且在MF染色的寄生虫中,液泡比吉姆萨染色的寄生虫更清晰可见。结论:改良Field染色法在阴道t型绦虫感染诊断中的应用价值显著。
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引用次数: 0
Chlorpromazine induced priapism : An up to date mini-review 氯丙嗪诱发阴茎勃起:最新综述
Pub Date : 2018-03-01 DOI: 10.21608/HA.2018.2385.1019
A. Salam, Mohamed Ahmed
Ischemic priapism is considered as the most common type of priapism (accounting for >95% of cases) that is due to obstruction of venous outflows from leading to impaired perfusion of cavernous tissue with subsequent hypoxia, hypercapnia and acidosis, ending in fibrosis and erectile dysfunction. Several causes have been attributed to cause ischemic priapism including hemoglobinopathies (including sickle cell anemia and thalassemias), hypercoagulable status, neoplastic syndromes, compressive pelvi-abdominal masses, and spinal cord injuries. In addition, the use of some drugs may lead to iatrogenic veno-occlusive priapism including use of some recreational drugs (cocaine, heroin, opiates, and cannabis) and medications (intracavernosal injections of papaverine, phentolamine, and prostaglandin E1, anticoagulants, α-blockers, antidepressants, and antipsychotics). However, ischemic priapism has been identified as idiopathic in most cases as no specific cause could be identified. Urgent management of ischemic priapism with aspiration/ irrigation along with the use of sympathomimetic agents gives better outcome. However, if left untreated, resolution may take days and erectile dysfunction invariably results that may require penile prosthesis implantation [2].
缺血性阴茎勃起障碍被认为是最常见的阴茎勃起障碍类型(占95%以上),其原因是静脉流出物阻塞,导致海绵状组织灌注受损,随后出现缺氧、高碳酸血症和酸中毒,最终导致纤维化和勃起功能障碍。引起缺血性阴茎勃起障碍的原因包括血红蛋白病(包括镰状细胞性贫血和地中海贫血)、高凝状态、肿瘤综合征、压迫性骨盆-腹部肿块和脊髓损伤。此外,一些药物的使用可能导致医源性静脉闭塞性阴茎勃起障碍,包括使用一些娱乐性药物(可卡因、海洛因、阿片类药物和大麻)和药物(海绵体内注射罂粟碱、酚妥拉明和前列腺素E1、抗凝血剂、α-受体阻滞剂、抗抑郁药和抗精神病药)。然而,缺血性勃起功能障碍在大多数情况下被认为是特发性的,因为没有特定的原因可以确定。紧急管理缺血性阴茎勃起与抽吸/冲洗和使用拟交感神经药物提供了更好的结果。然而,如果不及时治疗,可能需要数天的时间才能解决,并且总是导致勃起功能障碍,可能需要阴茎假体植入[2]。
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引用次数: 1
Solo sex: Masturbation in a sample of Egyptian women 单性行为:在一个埃及妇女的样本手淫
Pub Date : 2018-03-01 DOI: 10.21608/HA.2018.1894.1017
I. Younis, S. Abdel-Rahman, Fatma M. El-Esawi, Mona A. Al-Awady
Backgroud: Masturbation has been stigmatized over the years. Research work in many countries indicates that men significantly more likely than women to report having ever masturbated and associations between masturbation and various sociodemographic factors were identified.Objective: This study was carried out intending to provide information about the frequency of masturbation in a sample of Egyptian women and the views of women about it.Patients and Methods: This cross-sectional observational study included 286 women who filled a self-report questionnaire covering four domains: epidemiology, sexual activity, assessment of masturbation practice, and probing of the religious attitudes of the participants towards masturbation.Results: Among our participants, 53.5% admitted practicing masturbation. The most common frequency of masturbation was once per week (44.2%). Masturbation was considered a substitute for absence of husband or his unwillingness to have sex by 44.2% of participants. Masturbation was considered ‘haram’ (prohibited) by 39.2% of participants and 77.5% said it caused them to feel guilty. The commonest age group practicing masturbation was 20–29 years and the most common educational level for masturbators was women with a university degree (24.5%). Married women admitted to having masturbated more than virgins (32.9 vs. 10.1%).Conclusion: Masturbation is a relatively common practice among this sample of Egyptian women. Most women considered masturbation ‘haram’ and felt guilty about it. The most common age for practicing masturbation was between 20 and 29 years and the most common educational level for masturbators was a university degree and married women were the most common group to admit masturbation.
背景:多年来,手淫一直被污名化。许多国家的研究工作表明,男性比女性更有可能报告曾经自慰,并且确定了自慰与各种社会人口因素之间的联系。目的:本研究旨在提供埃及女性自慰频率的信息,以及女性对此的看法。患者和方法:这项横断面观察性研究包括286名女性,她们填写了一份自我报告问卷,内容涵盖四个领域:流行病学、性活动、手淫行为评估以及参与者对手淫的宗教态度。结果:在我们的参与者中,53.5%的人承认有自慰行为。最常见的自慰频率为每周一次(44.2%)。44.2%的参与者认为手淫是丈夫不在身边或不愿意发生性行为的替代品。39.2%的参与者认为手淫是“haram”(禁止的),77.5%的人说这让他们感到内疚。自慰最常见的年龄组是20-29岁,自慰者最常见的教育水平是拥有大学学位的女性(24.5%)。已婚女性承认比处女自慰的次数更多(32.9比10.1%)。结论:在这个埃及女性样本中,手淫是一种相对普遍的做法。大多数女性认为自慰是“非法的”,并为此感到内疚。最常见的自慰年龄在20到29岁之间,最常见的自慰者的教育程度是大学学历,已婚女性是最常见的承认自慰的群体。
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引用次数: 4
Seroprevalence of HCV, HBV, HIV and syphilis among blood donors at Beni-Seuf University Hospital blood bank Beni-Seuf大学医院血库献血者中HCV、HBV、HIV和梅毒的血清患病率
Pub Date : 2018-03-01 DOI: 10.21608/HA.2017.1241.1009
N. Ismail, Rashad M. Mostafa, Maha A. Fouad
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引用次数: 1
NRF2 gene expression and DNA fragmentation markers as possible predictors of chronic smoking induced spermatozoa dysfunction in infertility with normal seminogram NRF2基因表达和DNA片段化标记作为慢性吸烟诱导的不育患者精子功能障碍的可能预测因素
Pub Date : 2017-12-01 DOI: 10.21608/HA.2017.1628.1014
A. Elsamanoudy, D. Shaalan, S. A. El-khair, M. Gaballah, A. State, A. Helaly
Introduction: Male factor is responsible for about half of infertility problems. However, the reasons for the decrease in male fertility are still broadly unclear. The mechanisms of how smoking may impact male fertility have not been established. However, with its influence on different semen parameters, it is regarded as a risk factor for infertility.Aim: To investigate the effect of chronic smoking on spermatozoa NRF2 expression and DNA fragmentation in infertile men with apparently normal seminogram and to determine if NRF2 expression and DNA fragmentation markers could be possible predictors of the impact of chronic cigarette smoking on male fertility.Methods: Semen samples were collected from 170 subjects; 65 nonsmokers (40 fertile and 25 infertile) and 105 smokers (25 fertile and 80 infertile). NRF2 gene expression, 8-OHdG and DNA fragmentation were assayed.Results: There were significant increases in 8-OHdG and %DNA fragmentation with a significant decrease in NRF2 gene expression in infertile smokers. ROC curve analysis of spermatozoa NRF2 gene expression showed 95% sensitivity 93.3% specificity at cutoff value ≤0. 931 (p 19.33 pg/ml predicting the detrimental effect of smoking on spermatozoa DNA.Conclusion: Chronic cigarette smoking may be a hidden causative mechanism of delayed fertility. Spermatozoa NRF2 gene expression and seminal 8-OHdG levels may serve as sensitive diagnostic indicators predicting smoking induced infertility. So, the presence of normal seminal parameters could not be an exclusion of potential effect of chronic smoking on male fertility.
简介:男性因素是负责大约一半的不育问题。然而,男性生育能力下降的原因仍然很不清楚。吸烟如何影响男性生育能力的机制尚未确定。然而,由于其对不同精液参数的影响,它被认为是不育的危险因素。目的:探讨慢性吸烟对精图正常的不育男性精子NRF2表达和DNA片段化的影响,并探讨NRF2表达和DNA片段化标志物是否可能作为慢性吸烟对男性生育能力影响的预测指标。方法:采集170例受试者精液样本;65名不吸烟者(40名可生育,25名不育)和105名吸烟者(25名可生育,80名不育)。检测NRF2基因表达、8-OHdG及DNA片段化。结果:不育吸烟者8-OHdG和%DNA片段率显著升高,NRF2基因表达显著降低。精子NRF2基因表达的ROC曲线分析在截断值≤0时灵敏度为95%,特异度为93.3%。931 (p . 19.33 pg/ml)预测吸烟对精子DNA的有害影响。结论:慢性吸烟可能是延迟生育的潜在致病机制。精子NRF2基因表达和精液8-OHdG水平可作为预测吸烟不孕的敏感诊断指标。因此,正常精液参数的存在不能排除长期吸烟对男性生育能力的潜在影响。
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引用次数: 5
Time and dose-dependent adverse effects of four medicinal plants on male reproductive system 四种药用植物对男性生殖系统不良反应的时间和剂量依赖性
Pub Date : 2017-12-01 DOI: 10.21608/HA.2017.1189.1006
E. Sakhaee, L. Emadi, Heydar Khalili Bagaloy, N. Abbasi
Introduction: the point of the present survey was to evaluate time and dose-dependent adverse effects of four restorative herbs on male reproductive system.Methods: the study involved of seventeen distinctive gatherings of ten mice as takes after: group C1 to C4 (Cuminum cyminum), which received 0.1 ml Cuminum cyminum essential oil at dosage of 0.1, 1, 10 and 100 mg/kg/day, respectively. Group R1 to R4 (Rosa damascene), which received 0.1 ml Rosa damascene essential oil at dosage of 0.1, 1, 10 and 100 mg/kg/day, respectively. Group Z1 to Z4 (Zataria multiflora), which received 0.1 ml Zataria multiflora ethanolic extract at dosage of 100, 200, 400 and 800 mg/kg/day, respectively. Group O1 to O4 (Origanum vulgare), which received 0.1 ml Origanum vulgare ethanolic extract at dose of 100, 200, 400 and 800 mg/kg/day, respectively and finally group Normal which got similar amount of normal saline.Results: the results demonstrated that sperm density, mobility and viability in groups R4, O4, Z2, Z3, Z4, C2, C3 and C4 after 4 weeks were altogether diminished in comparison with normal group.Discussion: according to the results, mentioned medicinal plants should not be used frequently for prolonged duration
前言:本研究的目的是评价四种恢复性中药对男性生殖系统的不良反应的时间和剂量依赖性。方法:选取17只不同组的10只小鼠,C1组至C4组(茴香),分别给予0.1 ml茴香精油,剂量分别为0.1、1、10、100 mg/kg/d。R1 ~ R4组(大马士革玫瑰),给予0.1 ml大马士革玫瑰精油,剂量分别为0.1、1、10、100 mg/kg/d。Z1 ~ Z4组(何首乌),分别给予何首乌乙醇提取物0.1 ml,剂量为100、200、400、800 mg/kg/d。O1 ~ O4组,分别以100、200、400、800 mg/kg/d的剂量给药0.1 ml,最后是正常组,等量生理盐水。结果:与正常组相比,R4、O4、Z2、Z3、Z4、C2、C3、C4组4周后精子密度、活力和活力均降低。讨论:根据研究结果,上述药用植物不宜长期频繁使用
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引用次数: 0
The Global Online Sexuality Survey (GOSS) 2015: Erectile Dysfunction Among English-Speaking Internet Users in the United States 2015年全球在线性调查(GOSS):美国英语互联网用户的勃起功能障碍
Pub Date : 2017-12-01 DOI: 10.21608/HA.2017.1788.1015
O. Shaeer, K. Shaeer, M. Fode, E. Şerefoğlu
Introduction: The Global Online Sexuality Survey (GOSS) is an ongoing online epidemiologic study of male and female sexuality launched across the globe. The first launch was in the Middle East in 2010 followed by USA in 2011. This is the report on trends in male sexuality and prevalence and risk factors for erectile dysfunction (ED) in USA; 2015.Patients and Methods: English-speaking web surfers in the USA were recruited for GOOS 2015 by an international online survey service provider, with age and ethnicity distribution matching that of the general US population. A total of 100 questions were offered to the participants, including the abbreviated international index of erectile function, risk factors for ED, ejaculatory function, therapeutic trends, sexual preferences and sexual orientation.Results: A total of 610 men with a median age of 44 years (range 18-82). Of the participants, 90.2% described themselves as exclusively or predominantly heterosexual and 52.3% were married whereas 20.1% had multiple partners simultaneously, 54% had experienced one-night stands, with 33% never or rarely using condom on those occasions. ED was encountered in 55.4% of the participants. Some risk factors had a statistically significant influence on ED prevalence including diabetes, smoking, low desire, dissatisfaction with penile size and multiplicity of partners.Conclusion: ED seems to affect 55.4 % of males in USA; in 2015, with an association to diabetes mellitus, obesity, hypothyroidism, subjective impression of having premature ejaculation, low desire, difficult urination, smoking, dissatisfaction with penile size and multiplicity of partners, with emphasis on online cohorts being heavily weighted towards younger and better educated individuals (only 2.1% in the age of 60 and up).
全球在线性行为调查(GOSS)是一项正在全球范围内开展的关于男性和女性性行为的在线流行病学研究。第一次发射是2010年在中东,随后是2011年在美国。这是一份关于美国男性性行为趋势、勃起功能障碍(ED)患病率和危险因素的报告;2015.患者和方法:GOOS 2015由一家国际在线调查服务提供商招募了美国讲英语的网络冲浪者,年龄和种族分布与美国一般人口相符。总共向参与者提供了100个问题,包括勃起功能障碍的简略国际指数、ED的危险因素、射精功能、治疗趋势、性偏好和性取向。结果:共有610名男性,中位年龄44岁(范围18-82)。在参与者中,90.2%的人自称完全或主要是异性恋,52.3%的人已婚,20.1%的人同时有多个伴侣,54%的人经历过一夜情,33%的人在这些情况下从未或很少使用安全套。55.4%的参与者出现ED。糖尿病、吸烟、性欲低下、对阴茎尺寸不满意、性伴侣数量多等危险因素对ED患病率有显著影响。结论:ED似乎影响了美国55.4%的男性;2015年,与糖尿病、肥胖、甲状腺功能减退、早泄的主观印象、性欲低下、排尿困难、吸烟、对阴茎尺寸不满和性伴侣众多有关,重点是在线队列中较年轻和受教育程度较高的个体(60岁及以上仅占2.1%)。
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引用次数: 4
Omentin-1 in serum and seminal plasma correlate with semen quality 血清和精浆中Omentin-1与精液质量相关
Pub Date : 2017-12-01 DOI: 10.21608/HA.2017.1554.1012
S. Ismail, A. Mahran, E. Mosaad, Suzan Elsayed
Introduction: Adipokines are differently regulated in the male reproductive tract and they were reported to affect sperm functionality. Serum omentin-1 was reported to have a range of effects on various cell types.Aim: To explore the presence of omentin-1in human semen, to investigate its relation with semen parameters in both fertile and infertile men and to compare its serum and seminal plasma levels in particular conditions such as; smoking, varicocele and leukocytospermia.Methods: Thirty nine infertile and 26 fertile men were enrolled in this case control study. They were subjected to history taking, clinical/physical examination, semen analysis, and measurement of omentin-1 in serum and seminal plasma, DNA fragmentation index (DFI) and seminal reactive oxygen species (ROS).Results: Omentin-1 was detected in all analyzed semen and serum samples (n=65). The concentration of omentin-1 was significantly higher in seminal plasma than in serum. Serum and seminal omentin-1 were positively correlated with sperm concentration and percentage of progressive motility and were negatively correlated with percentage of abnormal forms, DFI and ROS. The mean seminal plasma level of omentin-1 was significantly decreased in smokers and in patients with leukocytospermia. The mean serum level of omentin-1 was significantly decreased in patients with varicocele. Both serum and seminal omentin-1 levels were significantly lower in infertile patients than fertile men.Conclusions: Semen and serum Omentin-1 correlate with semen quality. In cases of leukocytospermia and smoking, seminal omentin-1 concentrations were decreased, suggesting that it may play a regulatory role in inflammation of the male reproductive system.
简介:脂肪因子在男性生殖道中受到不同的调节,据报道它们会影响精子的功能。据报道,血清网膜蛋白-1对各种细胞类型有一系列影响。目的:探讨人类精液中网膜蛋白-1的存在,探讨其与可育男性和不育男性精液参数的关系,并比较其在特定情况下的血清和精浆水平,如:吸烟、精索静脉曲张和白血球精症。方法:39名不育男性和26名有生育能力男性纳入病例对照研究。对他们进行病史记录、临床/体格检查、精液分析、血清和精浆中网膜蛋白-1、DNA片段化指数(DFI)和精液活性氧(ROS)的测定。结果:65份精液和血清中均检出Omentin-1。精浆中网膜蛋白-1浓度显著高于血清。血清和精液网膜蛋白-1与精子浓度和进行性运动百分率呈正相关,与异常形态百分率、DFI和ROS呈负相关。吸烟者和白细胞精症患者精浆中网膜蛋白-1的平均水平显著降低。精索静脉曲张患者血清网膜蛋白-1的平均水平明显降低。不孕症患者血清和精液大网膜-1水平均明显低于有生育能力的男性。结论:精液及血清Omentin-1与精液质量相关。在白细胞精症和吸烟的情况下,精液网膜蛋白-1浓度降低,表明它可能在男性生殖系统炎症中起调节作用。
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引用次数: 3
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Human Andrology
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