Comprehensive Semen Analysis: A Single-Centre Audit of 299 Samples
Keywords:
Infertility, semen analysis, motility, pus cellsAbstract
Introduction
Infertility affects 13% to 15% of the couples worldwide. The problem of infertility can have varying effects,
depending on the physical and mental health of the couple, ultimately influencing the environment and the overall
growth of society. Analysis of a semen sample may lead to various defects in the semen quality and quantity like
azoospermia, which means the absence of spermatozoa in the semen ejaculate. Conversely, in oligospermia, the
sperm count in the semen ejaculate is low. Micro-organisms, pus cells etc indicate infection in semen and hence
can point towards existing infection causing oligospermia. Hence, this study was done to highlight the importance
of semen analysis in hospitals and to present a detailed audit of the semen analysed at the tertiary care centre.
Materials and methods
This is a cross – sectional study where data of 3 years from 2020-to 2023 was collected and tabulated under the
reported headings - volume, appearance, motility, pus cells, and any other relevant findings at School of Medical
Science and Research, Sharda University. A total of 299 semen samples were analysed.
Results
Total number of cases recorded were 299. Out of the total samples, 36.5% of the samples showed reduced
motility. 1.7% samples had immotile sperms while reduced motility was seen in 8.4% cases. 24.7% cases showed
some degree of abnormal forms (categorised by WHO criteria). 35% cases had pus cells above 5/hpf.
Conclusion
This study has demonstrated that abnormal semen analysis, especially, in terms of sperm quantity, quality, and
bacterial infection is a major factor in infertile male having abnormal semen parameters.
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