Covid-19 sperm parametrelerini etkiler mi?

Abstract

OBJECTIVE: The effect of Covid-19 on the male urogenital system is still under investigation. As with many medical issues, male sexual and reproductive health is an important public health problem to be addressed in the Covid-19 pandemic. MATERIAL and METHODS: The patients who applied to our outpatient clinic with the diagnosis of primary infertility before the Covid-19 pandemic were investigated. Those who had a positive PCR result and had the disease symptomatically were included in the study. After infection, sperm analyzes were requested. Sperm analyzes were evaluated according to 2010 WHO data and compared with pre-disease results. RESULTS: The average ejaculate volume in the spermiograms of the patients before Covid infection was: 2.96±0.84 ml, the mean sperm count was: 48.92±34.9 million, the average sperm count in ml was: 16.52+5.71 million, the number of motile sperm was: 55.7% ±16.3% fast forward sperm count was: 38.0% ±18.3%, normal morphology sperm count was: 4.0% ±0.76%. The average time from the Covid PCR test positivity to the second spermiogram date was 2.6±0.9 (1– 4) months. The average ejaculate volume in the spermiograms of the patients after Covid infection was: 2.83±0.92 ml, the average sperm count was: 58.5±32.3 million, the average sperm count per ml was: 20.6±6.86 million, motile sperm count was 54.8% ±17.4%, fast forward sperm count was: 45.3% ±20.7%, sperm count in normal morphology was: 4.7% ±0.43%. CONCLUSION: In our study, no significant difference was found in sperm parameters. The lack of variation in sperm parameters was believed to be due to the completion of the inflammatory phase. Keywords: pandemics, infertility, Covid-19