Prospective study to evaluate the risk factors associated with male infertility at tertiary care centre

Abstract

Background: Infertility is a condition with psychological, economic, medical implications resulting in mental trauma, stress particularly in social set up like ours, with strong emphasis on child bearing. According to the International Committee for Monitoring Assisted Reproductive Technology, World Health Organization (WHO), Infertility is disease of reproductive system defined by failure to achieve the clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.Methods: This study was conducted in Department of Surgery in Jawaharlal Nehru Medical College, Aligarh from January 2017 to December 2017 on 120 patients to study the clinical profile, causes of male infertility and to evaluate the risk factors associated with it.Results: There were 54 (45%) patients with azoospermia and 66 (55%) had oligospermia. Out of them 52 (43.3%) had sperm counts of 1-8 millions/ml and 14 (11.6%) had sperm count between >9-15 millions/ml. 46 (38.3%) patients had low testosterone level. 86 of cases had motility <50% after one hour, remaining 34 had motility >50%. Out of 120 cases of male infertility, 12 (10%) had Obesity and rest 108 (90%) had normal BMI. Out of 120 cases of male infertility, 8 (6.6%) were known Diabetics rest 112 (93.3%) had normal blood sugar levels. Out of 120 cases of male infertility, 36 (30%) had Erectile dysfunction and rest 84 (70%) were normal.Conclusions: The study concluded that Erectile dysfunction was the most common cause of male infertility. Varicoceles and small sized testes were the most common clinical abnormalities seen in infertile males. Smoking, Alcohol and Tobacco use were frequently associated with most infertile males.