Abstract
The objective of this study was to investigate and find the relationships between human semen osmolality and oxidative stress with semen quality. Semen analysis was determined to evaluate semen quality and fertility. The concentration of semen malondialdehyde (MDA) was measured to assess oxidative stress. For this purpose, one hundred seventy healthy adult males were used in this study. The study was conducted from September 2018 to November 2019 in the Infertility care and in vitro fertilization center (IVF) and the Biology department of the College of Science at Salahaddin University in Erbil city. A significant positive correlation was observed between the total sperm motility, grade activity, and sperm motility index with semen osmolality less than 300 mOsm kg-1 (r= 0.62, r = 0.64, and r= 0.75 p≤0.01 respectively) and osmolality 300-350 (r= 0.53, p≤0.05 r= 0.52 p≤0.05, and r= 0.56 p≤0.01 respectively). Total sperm motility, grade activity, and sperm motility index are negatively correlated with osmolality 351-400 mOsm kg-1 (r= -0.65 p≤0.05, r= -0.56 p≤0.05, and r= -0.67 p≤0.01) and more than 400 mOsm kg-1 (r= -0.86, r = -0.74 and r= -0.88 p≤0.01). Regarding the relation between oxidative stress and sperm motility kinetics, total sperm motility, grade activity, and sperm motility index is negatively correlated with MDA more than 2 µmol/L (r= -0.56 p≤0.05, r= -0.52 p≤0.05, and r= -0.67 p≤0.01 respectively). No significant correlation was found between semen osmolality and MDA concentration with sperm concentration, total sperm count, sperm viability, and normal sperm morphology.
Highlights
Infertility has become a global health problem in recent years and is affecting 25-30% of reproductive-age couples worldwide to varying degrees [1]
No correlation was found between semen osmolality with sperm concentration, total sperm count, sperm viability, and normal sperm morphology
A significant positive correlation was observed between the total sperm motility, grade activity, and sperm motility index with semen osmolality less than 300 mOsm kg-1 (r= 0.62, r= 0.64, and r= 0.75 p≤0.01 respectively) and osmolality 300-350 (r= 0.53, p≤0.05 r= 0.52 p≤0.05, and r= 0.56 p≤0.01 respectively)
Summary
Infertility has become a global health problem in recent years and is affecting 25-30% of reproductive-age couples worldwide to varying degrees [1]. Comparison with females, males responsible for infertility and subfertility in about 40% to 50% of cases [4, 5]. A meta-analysis of recent studies carried out between 1973 and 2011, that was reported a decrease in sperm counts by more than 50%. The same goes for several other studies that have recorded a continuous decline in semen quality [6, 7]. Low quality of semen is well known as a large disorder causing male fertility [8, 9]. The study of semen quality is the most important and most commonly used clinical laboratory test to evaluate the capacity of male fertility. In 2010, the World Health Organization (WHO) guidelines lowered the sperm concentration reference interval from 20
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