DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20172357

To analyse the semen for various parameters with special reference to lifestyle factors

Abhinav Aswal, Sangeeta Sharma, Rani Bansal, Anjali Khare

Abstract


Background: Male factor is responsible for infertility in 23% cases. Semen analysis is the cornerstone of infertility evaluation as it provides information on the functional status of seminiferous tubules, epididymis and accessory sex glands. Reports in recent years has shown that incidence of male infertility has increased as a result of various factors such as lifestyle, environmental pollution and stress.

Methods: This prospective study was conducted on patients reporting for semen analysis in Department of Pathology, Subharti Medical College. The duration of the study was from October 2014 to September 2016 with a study sample of 196 cases. Semen analysis was done by manual method according to WHO 2010 criteria.

Results: According to fertility scoring, out of 196 cases, 51 (26%) were infertile cases. With respect to infertile cases 82.4% were alcoholic, 80.4% tobacco smokers, 25.5% were tobacco chewers. These results were statistically significant. Out of 45 cases of oligozoospermia 37 (82.2%) were alcoholic, 36 (80%) were tobacco smoker and 10 (22.2%) were tobacco chewers. Out of 54 cases of asthenozoosperma 38 (70.4%) were alcoholic, 37 (68.5%) were tobacco smoker and 11 (20.4%) were tobacco chewers.

Conclusions: Alcohol consumption, tobacco smoking and tobacco chewing have a significant negative effect on the process of spermatogenesis, ultimately affecting sperm concentration, viability and motility. Hence clinician and fertility counselors need to be more focused to control infertility by modifying the life style factors.

 


Keywords


Infertility, Lifestyle, Semen Analysis

Full Text:

PDF

References


Cooper et al. World Health Organization reference values for human semen characteristics. Human Reprod Update. 2010;16(3):231-45.

Guzick DS, Overstreet JW, Factor-Litvak P, Brazil CK, Nakajima ST, Coutifaris C, et al. Sperm morphology, motility, and concentration in fertile and infertile men. N Engl J Med. 2001;345(19):1388-93.

Van der Colf AP, Kruger TF, Menkveld R, Seier JV, Finch Am JE, Swart Y, et al. Effect of ethanol on semen characteristics of vervet monkeys. Archives of andrology. 1991;26(1):25-9.

Gordon GG, Altman K, Southren AL, Rubin E, Lieber CS. The effect of alcohol administration on sex hormone metabolism in normal men. N Engl J Med. 1976;295(15):793-7.

Koskinen LO, Collin O, Bergh A. Cigarette smoke and hypoxia induce acute changes in the testicular and cerebral, microcirculation. Ups J Med Sci. 2000;105:215-26.

Agarwal A, Deepinder F, Sharma RK, Ranga G, Li J. Effect of cell phone usage on semen analysis in men attending infertility clinic an observational study. Fertil Steril. 2008;89(1):124-8.

LaVignera S, Condorelli RA, Vicari E, D'Agata R, Calogero AE. Effects of the exposure to mobile phones on male reproduction a review of the literature. J Androl. 2012;33(3):350-6.

Kesari KK, Kumar S and Behari J. Mobile phone usage and male infertility in wistar rats. Indian J Exp Biol. 2010;47:987-92.

World Health Organization. WHO laboratory manual for the examination of human semen and sperm-cervical mucus interaction. 5th ed. Geneva. 2010.

Kumar S, Murarka S, Mishra VV, Gautam AK. Environmental and lifestyle factors in deterioration of male reproductive health Indian J Med Res. 2014;140:S29-35.

Gaur DS, Talekar MS, Pathak VP. Alcohol intake and cigarette smoking: impact of two major lifestyle factors on male fertility. Indian J Pathol Microbiol. 2010;53(1):35–40.

Ramlau-Hansen CH, Thulstrup AM, Aggerholm AS, Jensen MS, Toft G, Bonde JP. Is smoking a risk factor for decreased semen quality? A cross-sectional analysis. Hum Reprod. 2007;22(1):188–96.

Said TM, Kattal N, Sharma RK, Sikka SC, Thomas AJ, Mascha E, et al. Enhanced chemiluminescence assay vs colorimetric assay for measurement of the total antioxidant capacity of human seminal plasma. J Androl. 2003;24(5):676-80.

Vaghela K, Oza H, Mishra V, Gautam A, Kumar S. Effect of lifestyle factors on semen quality. Int J Life Sci Scienti Res. 2016;2(5):627-31.