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Relationship between Semen Parameters in Samples Obtained from Sub-fertilePatients 亚不育患者精液参数的关系
Pub Date : 2017-04-19 DOI: 10.4172/2167-0250.1000180
Seda Karabulut, I. Keskin, Yusuf sagıroglu
Objective: The aim of this study was to investigate the possible relationship between semen parameters collected from sub-fertile patients, and to define the parameters correlated. The relationship between these parameters, if any, would help us understand the mechanisms involved in subfertility or infertility. Material and Methods: A total of 1404, who have admitted our infertility clinics due to failure of conception between February 2012 and October 2016, were included in the study. Semen parameters analyzed included sperm concentration (millions/ml), total motility rate (%), progressive motility rate (%) and normal sperm morphology rate (%). Results: Mean sperm concentration (millions/ml), mean total motility rate, mean progressive forward motility rate and mean normal sperm morphology rate were found to be 78.67 ± 81.39, 66.1% ± 19.85, 11.45% ± 13.55 and 2.3% ± 2.46, respectively. A statistically significant correlation was observed between all parameters (p<0.0001). Conclusion: As a conclusion, a strong correlation was observed between the sperm parameters in the semen samples of sub-fertile patients. This finding may help us understand the mechanisms that control these parameters.
目的:探讨低生育能力患者精液参数之间可能存在的关系,并确定相关参数。这些参数之间的关系,如果有的话,将有助于我们理解低生育能力或不孕症的机制。材料与方法:2012年2月至2016年10月期间因不孕不育就诊的1404例患者纳入研究。精液参数分析包括精子浓度(百万/ml)、总运动率(%)、渐进运动率(%)和正常精子形态率(%)。结果:平均精子浓度(百万/ml)、平均总活动力率、平均渐进前向活动力率和平均正常精子形态率分别为78.67 ±81.39、66.1% ±19.85、11.45% ±13.55和2.3% ±2.46。各参数间的相关性有统计学意义(p<0.0001)。结论:亚生育患者精液样本中精子参数之间存在较强的相关性。这一发现可能有助于我们理解控制这些参数的机制。
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引用次数: 3
Is Total Testosterone a Convincing Indicator for the Need for TestosteroneSupplementation? A Study of other Parameters: Nocturnal Penile Tumescence,Rigidity Monitoring and Questionnaires 睾酮总水平是需要补充睾酮的一个令人信服的指标吗?其他参数的研究:夜间阴茎肿胀,刚性监测和问卷调查
Pub Date : 2017-04-08 DOI: 10.4172/2167-0250.1000179
M. Mathers, S. Roth, F. Sommer
Introduction and objective: Every Andrologist knows numerous cases in which men with normal testosterone values present with clinical signs of testosterone deficiency. We present cases in which eugonadal men show a measureable objective improvement in functioning and symptoms after testosterone supplementation. Case report: After testosterone supplementation two eugonadal men (total testosterone>8.00 ng/ml) improved on nocturnal penile tumescence and rigidity monitoring (RigiScan®) with a 48.5 minutes increase (greater than 60% rigidity) at the base and 43.2 minutes at the tip compared to before supplementation. The second case an increase (greater than 60% rigidity) of 39.2 minutes at the base and 44.4 minutes at the tip. Furthermore International Index of Erectile Function (IIEF) and Aging Male’s Symptom (AMS) scale improved after initiation of testosterone treatment. Discussion: There seems to be a discrepancy between laboratory findings in eugonadal men and symptoms of hypogonadism such as objective nocturnal penile tumescence and rigidity, free testosterone and scores of questionnaires which address these symptoms. This inconsistency is discussed according to the literature. Conclusion: Controlled studies are desirable to verify that eugonadal men with testosterone deficiency symptoms can objectively and subjectively benefit from testosterone supplementation.
简介和目的:每一个男科医生都知道许多男性睾酮值正常的情况下出现睾酮缺乏的临床症状。我们提出的情况下,性腺功能良好的男性显示一个可测量的客观改善功能和症状后,睾酮补充。病例报告:补充睾酮后,两名性腺正常的男性(总睾酮浓度为8.00 ng/ml)夜间阴茎肿胀和刚性监测(RigiScan®)改善,与补充前相比,基部增加了48.5分钟(刚性大于60%),尖端增加了43.2分钟。第二种情况下,增加(大于60%的刚度)39.2分钟的基础和44.4分钟的尖端。睾酮治疗开始后,国际勃起功能指数(IIEF)和老年男性症状(AMS)量表均有改善。讨论:性腺功能正常的男性的实验室结果与性腺功能减退的症状(如客观的夜间阴茎肿胀和僵硬、游离睾酮和针对这些症状的问卷分数)之间似乎存在差异。根据文献对这种不一致进行了讨论。结论:需要进行对照研究,以验证具有睾酮缺乏症状的性腺功能良好的男性在客观上和主观上都能从补充睾酮中获益。
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引用次数: 0
Premature Ejaculation in Cotonou 科托努的早泄
Pub Date : 2017-03-29 DOI: 10.4172/2167-0250.1000176
Natchagande Gilles, Avakoudjo Dedjinin, Agounkpe Michel Michael, Amegayibor Obube, Yevi Magloire Ines Dodji, Hodonou Fred, K. Adamou, Hounnasso Prince Pascal
Objectives: Premature ejaculation is the most common sexual disorder whose definition is still very controversial. The purpose of this study is to assess its incidence, social impact and support in our population. Methodology: It was a descriptive and cross-cutting study which took place in CNHU HKM and Menontin district hospital over a period of one month from 15th May to 15th June 2016. Outcomes: 42.2% of the study population are faced with premature ejaculation. The average age of premature ejaculators was 39.0 years ± 13.5. The average intravaginal ejaculation latency time (IELT) among premature ejaculators was 7.8 min ± 8.4 against 11.95 min ± 8.9 for non-premature ejaculators. 74.9% of respondents’ partners were satisfied with the intravaginal ejaculation latency time of their spouse. Only 28.1% of premature ejaculators resorted to treatment at least once to improve their intravaginal ejaculation latency time. Conclusion: Premature ejaculation is a cross-cutting issue in the population but the absence of consensus on its parameters prevents a satisfactory research.
目的:早泄是最常见的性障碍,其定义仍有很大争议。本研究的目的是评估其在我国人口中的发病率、社会影响和支持程度。方法:这是一项描述性和交叉研究,于2016年5月15日至6月15日在CNHU HKM和Menontin区医院进行,为期一个月。结果:42.2%的研究人群面临早泄。早泄患者平均年龄39.0±13.5岁。早泄者的平均阴道内射精潜伏期(IELT)为7.8分钟±8.4分钟,而非早泄者为11.95分钟±8.9分钟。74.9%的受访伴侣对配偶阴道内射精潜伏期满意。只有28.1%的早泄患者至少接受过一次治疗以改善阴道内射精潜伏期。结论:早泄在人群中是一个交叉问题,但对其参数缺乏共识阻碍了令人满意的研究。
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引用次数: 0
Variability in Cognitive Behavioral Phenotypes in Klinefelter Syndrome (KS)and Other Sex Chromosomal Aneuploidies (SCAs) Klinefelter综合征(KS)和其他性染色体非整倍体(SCAs)认知行为表型的变异性
Pub Date : 2017-03-24 DOI: 10.4172/2167-0250.1000175
A. Verri, D’Angelo Carmen, Cremante Anna, Clerici Federica, Mauri Anna, C. Chiara
Sex Chromosomal Aneuploidies (SCAs) are the most frequently occurring chromosomal abnormalities with an incidence of 1 in 450 births. Males with SCAs are known to have variability in their developmental profile. Aim of this paper is to illustrate clinical variability in the different SCAs. The sample was composed by 53 subjects (mean age=21.16 years, range: 13-54) with karyotype 47, XXY (73%), 49, XXXXY (7%), 48, XXYY (9%), mosaicism 47, XXY/48, XXXY (2%), 47, XYY (5%), 48, XXXY (2%), 49, XXXYY (2%). Only 5 subjects have been diagnosed prenatally (4 KS and 1 XXYY). Primary caregivers completed a comprehensive questionnaire detailing birth, medical, developmental and psychological history. Cognitive and behavioral assessment was performed with clinical interviews with DSM IV criteria and psychometric questionnaires (WISC-R, WAIS-R, CPM, Token Test, VABS, SCL90, and SCQ). Twenty-one sex and age matched subjects karyotypically normal were also evaluated from the behavioural point of view. Mean IQ in typical KS was 87.45 ± 2 ds (sd=20.12) range 45-123, VIQ 91.74 (sd=19.55) range 50-130 and PIQ 86.87 (sd=20.87) range 50-126. Mean IQ in other SCAs was 68.71 (sd=20.81) range 45-106, VIQ 69.36 (sd=21.97) range 47-113 and PIQ 74.72 (sd=21.70) range 45-112. In CPM KS subjects scored 27.75 (range 13-36) and 31.50 in the Token Test (range 21-35) while in CPM the other SCAs subjects scored 22.27 (range 10-35) and 22.50 (range 9-31) in the Token Test (p<0.05). VABS scores documented more marked impairment on adaptive behavior in atypical SCAs subjects. SCL90 documented an elevation of paranoid scale in the 70% of KS subjects and 50% of other SCAs. Autistic traits were present in 67% of the other SCAs subjects and in the 18% of KS at the SCQ. A precise identification of the cognitive and behavioral phenotype in different SCAs may enhance the clinical treatment, anticipatory guidance, and care throughout the lifespan.
性染色体非整倍体(SCAs)是最常见的染色体异常,发生率为1/450。众所周知,患有SCAs的雄性在发育方面存在差异。本文的目的是说明不同SCAs的临床变异性。样本由53名受试者组成(平均年龄=21.16岁,范围:13-54),核型为47,XXY(73%),49,XXXXY(7%),48,XXYY(9%),嵌合体47,XXY/48,XXXY(2%),47,XYY(5%),48。只有5名受试者在产前被诊断(4 KS和1 XXYY)。主要照顾者完成了一份全面的问卷,详细介绍了出生、医疗、发育和心理史。认知和行为评估采用DSM IV标准和心理测量问卷(WISC-R、WAIS-R、CPM、令牌测试、VABS、SCL90和SCQ)进行临床访谈。21名性别和年龄匹配的受试者的核型正常,也从行为的角度进行了评估。典型KS的平均IQ在45-123范围内为87.45±2ds(sd=20.12),VIQ在50-130范围内为91.74(sd=19.55),PIQ在50-126范围内为86.87(sd=20.87)。其他SCAs的平均IQ为68.71(sd=20.81),范围45-106,VIQ为69.36(sd=21.97),范围47-113,PIQ为74.72(sd=21.20),范围45-112。CPM KS受试者在令牌测试中得分27.75(范围13-36)和31.50(范围21-35),而CPM中其他SCAs受试者的令牌测试得分22.27(范围10-35)和22.50(范围9-31)(p<0.05)。SCL90记录了70%的KS受试者和50%的其他SCAs的偏执量表升高。在SCQ中,67%的其他SCAs受试者和18%的KS受试者存在自闭症特征。准确识别不同SCA的认知和行为表型可以增强临床治疗、预期指导和整个生命周期的护理。
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引用次数: 2
Coping with Premature Ejaculation: An Online Survey in a RepresentativeSample of the German Male Population Aged 18 to 64 Years 应对早泄:一项针对18至64岁德国男性代表性样本的在线调查
Pub Date : 2017-03-24 DOI: 10.4172/2167-0250.1000177
M. Mathers, M. Schoene, F. Sommer
Background: This study estimated combined prevalence of Lifelong and Acquired PE in German adult men and assessed potential risk factors and coping methods for PE. Methods: In October 2012 this online survey of a representative sample of the German male population aged 18-64 years (n=2,459) used an active pre-existing and independent online panal. Results: Prevalence of PE as a ‘sexual dysfunction’ according to the modified ISSM definition of was 3.3% (n=81), whereas the prevalence of PE as a ‘sexual complaint’ (i.e., men who estimated their time to ejaculation was occasionally very short, suffered to some extent from PE and had a lack of ejaculation control) was 14.5% (n=356). Men attributed PE predominantly to particularly high sexual arousal (75%) or a long time since the last sexual intercourse (53%), but less than one third of all men with PE (30%) considered PE a ‘disease’. Potential selfreported risk factors showed significant differences (P<0.05) for overweight (21% vs 30%), depression (9% vs 14%) and erectile dysfunction (3% vs 15%) between men without and with PE. Conclusions: All men perceived PE as a ‘sexual difficulty’ and suffered from a very short time to ejaculation and/or the inability to control that time.
背景:本研究估计了德国成年男性终身和获得性PE的综合患病率,并评估了PE的潜在风险因素和应对方法。结果:根据修改后的ISSM定义,PE作为“性功能障碍”的患病率为3.3%(n=81),而PE作为“性侵”(即男性估计自己的射精时间偶尔很短,在一定程度上患有PE,并且缺乏射精控制)的患病率则为14.5%(n=356)。男性将PE主要归因于特别高的性唤起(75%)或自上次性交以来的很长时间(53%),但不到三分之一的PE男性(30%)认为PE是一种“疾病”。潜在的自我报告风险因素显示,在没有PE和有PE的男性之间,超重(21%对30%)、抑郁(9%对14%)和勃起功能障碍(3%对15%)存在显著差异(P<0.05)。结论:所有男性都认为PE是一种“性困难”,射精时间很短和/或无法控制射精时间。
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引用次数: 0
Ultrasound Characterization of Patients with MAGI (Male Accessory Gland Infection): Importance of the Topic MAGI(男性附件腺感染)患者的超声特征:主题的重要性
Pub Date : 2017-02-20 DOI: 10.4172/2472-1212.1000174
Rozina La
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引用次数: 1
Alternations in miRNA Expression in Chronic Stress-Induced Ageing of Leydig Cells 慢性应激诱导的间质细胞衰老过程中miRNA表达的变化
Pub Date : 2017-01-01 DOI: 10.4172/2167-0250.1000187
Lixia Zhou, Qiuju Chen, Xiaowei Wen, S. Xue, Q. Lyu, Y. Kuang, W. Chai
Purpose: Chronic stress represents a critical influence on ageing of Leydig cells in testis. We aimed to investigate expression changes of microRNA (miRNA) associated with stress-induced ageing in Leydig cells.Methods: Brown Norway rats were separated into three groups, young control group, stress group and age group. Physiological changes, including serum corticosterone and testosterone levels, 11β-HSD (11β- hydroxysteroiddehydrogenase) activity, GSH/GSSG (glutathione/glutathione disulfide) ratio and DNA damage after chronic stress treatment were tested by radioimmunoassay and Immunohistochemistry. Differentially expressed miRNAs in Leydig cells between young control group and stress group were identified by miRNA microarray analysis, followed by target prediction of miRNAs. Functional annotation of predicted targets of miRNA was carried out using GeneSpring software and miRNA-target gene interaction network was built by String software.Results: Under chronic stress, increased serum corticosterone levels and reduced testosterone levels were observed. Meanwhile, decline of 11β-HSD activity and GSH/GSSG ratio, increase of DNA damage were also shown in stress group. After performed miRNA microarray analysis, three differentially expressed miRNAs were screened out, including rno-miR-31a-5p, rno-miR-192-5p and rno-miR-191a-3p. Targets of them were mainly involved in apoptosis, cell cycle and transport. In miRNA-target gene interaction network, targets of miR-31a-5p (Tp53, Ywhae and Ndel1), and targets of miR-192-5p (Cdk2, Rac2, Stk3) were with higher degree.Conclusion: These data suggest a central role of miRNA-regulated gene expression in response to chronic stress, especially dys-regulation of rno-miR-31a-5p and rno-miR-192-5p play a vital role in ageing of Leydig cells in testis.
目的:慢性应激对睾丸间质细胞衰老有重要影响。我们的目的是研究与应激诱导的间质细胞衰老相关的microRNA (miRNA)的表达变化。方法:将褐威大鼠分为年轻对照组、应激组和年龄组。采用放射免疫法和免疫组化方法检测慢性应激后血清皮质酮和睾酮水平、11β-羟甾体脱氢酶(11β- hsd)活性、谷胱甘肽/谷胱甘肽二硫醚比值及DNA损伤等生理变化。通过miRNA芯片分析确定年轻对照组和应激组间质细胞中miRNA的差异表达,并进行miRNA靶标预测。利用genesspring软件对miRNA预测靶点进行功能标注,利用String软件构建miRNA-靶基因互作网络。结果:慢性应激下,血清皮质酮水平升高,睾酮水平降低。应激组11β-HSD活性下降,GSH/GSSG比值下降,DNA损伤增加。通过miRNA芯片分析,筛选出三个差异表达的miRNA,分别是rno-miR-31a-5p、rno-miR-192-5p和rno-miR-191a-3p。它们的作用靶点主要涉及细胞凋亡、细胞周期和转运。在mirna -靶基因相互作用网络中,miR-31a-5p的靶点(Tp53、Ywhae、Ndel1)和miR-192-5p的靶点(Cdk2、Rac2、Stk3)程度较高。结论:这些数据表明,mirna调控的基因表达在慢性应激反应中发挥核心作用,特别是rno-miR-31a-5p和rno-miR-192-5p的调控异常在睾丸间质细胞衰老中起着至关重要的作用。
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引用次数: 1
Assessing Male Reproductive Toxicity during Drug Development 评估药物开发过程中的男性生殖毒性
Pub Date : 2017-01-01 DOI: 10.4172/2167-0250.1000185
M. Sousa, C. Ferreira, Ana Rabaça, R. Sá
Pharmaceutical development is a crucial research field that attends to the population healthcare needs, comprising several preclinical and clinical steps before the approval of a new compound. Interestingly, the lack of efficacy and toxicity are known major failure causes during pharmaceutical drug development. Toxicity screening is therefore a mandatory procedure during pharmaceutical development. Renal and hepatic toxicity are the most common toxicity matters encountered during the development of new compounds. Nonetheless, the male reproductive system may also be a target for drug toxicity. However, developmental and reproductive toxicology testing is rarely performed both in pre-clinical and clinical trial phases. As a result, there are several risks for human fertility brought on by putative toxic chemical compounds. As there is a low incidence of reproductive and testicular toxicity (TT) found at the early stages of pharmaceutical development, several companies devote the majority of research investments to more frequent areas of occurrence. Such prioritization has resulted in scarce rigorous efforts aimed at improving detection methods to understand the causes of TT. Pharmaceutical companies should include comprehensive studies and more precise methods for TT evaluation when developing new pharmacological drugs, and should focus on the effects of the new chemical compound on male’s reproductive functions.
药物开发是关注人口保健需求的关键研究领域,包括新化合物批准前的几个临床前和临床步骤。有趣的是,在药物开发过程中,缺乏疗效和毒性是已知的主要失败原因。因此,毒性筛选是药物开发过程中的一项强制性程序。肾毒性和肝毒性是新化合物开发过程中最常见的毒性问题。尽管如此,男性生殖系统也可能是药物毒性的目标。然而,在临床前和临床试验阶段很少进行发育和生殖毒理学测试。因此,假定的有毒化合物给人类生育能力带来了一些风险。由于在药物开发的早期阶段发现生殖和睾丸毒性(TT)的发生率较低,一些公司将大部分研究投资投入到更频繁发生的领域。这种优先次序导致缺乏旨在改进检测方法以了解TT病因的严格努力。制药公司在开发新药物时应纳入全面的研究和更精确的TT评价方法,并应关注新化合物对男性生殖功能的影响。
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引用次数: 9
Value Analysis of Sperm Spontaneous Acrosome Reaction in Male Fertility Evaluation 精子自发顶体反应在男性生育能力评价中的价值分析
Pub Date : 2017-01-01 DOI: 10.4172/2167-0250.1000195
T. Li, W. Liu, N. Xie, Yang Sj, C. Zhang, Fu Hl, X. Gao
Objective: Using correlation analysis between the sperm spontaneous acrosome reaction rate (SARR) and routine semen parameters in male infertility patients, we explored the value of the sperm spontaneous acrosome reaction in the evaluation of sperm functions. Methods: The participants comprised of 219 male infertility patients who had visited the Center for Reproductive Medicine, Shandong University from October 2016 to March 2017. According to the sperm SARR, we classified the patients with infertility into the control group and the case group. According to the WHO human semen examination and processing laboratory manual, fifth edition, recommendations and standards. We obtained routine semen parameters including semen volume, sperm concentration, total motility, and progressive sperm rate, and we measured sperm motility rate and the proportion of sperm with normal morphology. Results: With regard to the total motility, progressive sperm rate, sperm survival rate and the proportion of sperm with normal morphology, there were statistically significant differences between the two groups (p 0.05). Conclusion: Sperm SARR in patients with infertility is closely related to routine semen parameters and plays a supplementary reference in male fertility evaluation.
目的:通过分析男性不育症患者精子自发顶体反应率(SARR)与精液常规参数的相关性,探讨精子自发顶体反应在评价精子功能中的价值。方法:选取2016年10月至2017年3月在山东大学生殖医学中心就诊的219例男性不育症患者。根据精子SARR将不孕症患者分为对照组和病例组。根据世界卫生组织人类精液检查和处理实验室手册第五版的建议和标准。获得常规精液参数,包括精液量、精子浓度、总活动力、精子进行性,并测量精子活动力和形态正常的精子比例。结果:两组患者总活力、精子进行性、精子存活率及形态正常精子比例比较,差异均有统计学意义(p < 0.05)。结论:不育症患者精子SARR与精液常规参数密切相关,可作为男性生育能力评价的补充参考。
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引用次数: 4
The Efficacy of In Vitro Sperm Tests in Predicting Pregnancy Success after Artificial Insemination in the Bitch 体外精子试验预测母狗人工授精后妊娠成功的效果
Pub Date : 2017-01-01 DOI: 10.4172/2167-0250.1000190
da Cunha Icn, A. deAscencaoRocha, Quirino Cr, Gimenes All
In many species, including the dog (Canis familiaris), semen analysis protocols has improved in recent years. In vitro assessment of semen quality provides important information; however, the ultimate parameter for determining semen quality is pregnancy outcome. The objective of the present study was to investigate the efficiency of in vitro sperm tests in predicting seminal quality in dogs by correlating those results with pregnancy success after artificial insemination (AI). Forty-eight semen samples refrigerated for 24, 48 or 72 hours were examined for sperm motility and progressive motility, membrane integrity, and zona pellucida-binding capacity before being used to artificially inseminate bitches. Results indicated positive correlations between pregnancy success and sperm motility (0.77), vigor (0.72), membrane integrity (0.72) and zona pellucida-binding (0.81). Both pregnancy success and the sperm characteristics declined with increased semen storage time. In conclusion, the semen characteristics evaluated in this study can be used to predict the conception potential of semen samples in the dog.
在许多物种中,包括狗(Canis familiaris),精液分析方案近年来有所改进。体外精液质量评估提供了重要信息;然而,决定精液质量的最终参数是妊娠结局。本研究的目的是通过将体外精子测试结果与人工授精(AI)后的妊娠成功率联系起来,研究体外精子测试在预测犬精液质量方面的效率。48份冷冻24、48或72小时的精液样本在用于人工授精母狗之前,检查了精子活力和渐进式活力、膜完整性和透明带结合能力。结果表明,妊娠成功率与精子活力(0.77)、活力(0.72)、膜完整性(0.72)和透明带结合(0.81)呈正相关。随着精液储存时间的延长,妊娠成功率和精子特征都有所下降。总之,本研究评估的精液特征可用于预测犬精液样本的受孕潜力。
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引用次数: 3
期刊
Journal of andrology
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