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Influence of Lifestyle and Environmental Factors on Semen Quality in Ghanaian Men

机译:生活方式与环境因素对加纳男性精液质量的影响

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Introduction. Male infertility is known to contribute about half of all infertility cases. In Ghana, the prevalence of male infertility is higher (15.8%) than in females (11.8%). Sperm quality is associated with the likelihood of pregnancy and known to be the cause of male fertility problems 90% of the time. Exposure to certain environmental factors reduces semen quality in men. The study examined the effects of environmental and lifestyle factors on semen quality in Ghanaian men. Materials and Methods. This was a cross-sectional study involving 80 apparent healthy adult males in their reproductive age. Participants were males referred to the laboratory (Immunology Unit of the Korle-Bu Teaching Hospital) for semen analysis test and/or culture and sensitivity. Participants were made to fill out a questionnaire which entailed selected environmental factors (accidents or trauma, exposure to chemicals, radiation, and heat) and lifestyle habits (including alcohol consumption, smoking, and whether participants sat more or less than 4 hours per day). Semen samples were then collected by masturbation into sterile containers and analysed in accordance with WHO guidance for semen analysis within 60 minutes after ejaculation and collection. Results. About 69% of participants had semen pH within the normal range compared to 15% whose pH were lower than 7.2. There was a significantly high number of immotile sperm cells (p value = 0.017) in participants who sat for more than 4 hours as compared to those that sat for less than 4 hours in a day. Active sperm motility and viability showed significant increase (p value = 0.002 and 0.009, respectively) in participants who kept their cell phones in their side pockets. Smoking produced a twofold decrease in sperm count as smokers had a significantly lower sperm count (12.28±10.95×106/ml) compared to the smoke-free (23.85±22.14×106/ml). For exposure to STDs, no significant differences were recorded among study groups concerning semen quality. Conclusion. Sperm quality in Ghanaian men is associated with lifestyle habits. Smoking and sitting for long hours influenced sperm motility and count, respectively. Knowledge of the factors that influence sperm quality in this geographical region can contribute to informed decisions on effective management of infertility in Ghanaian men.
机译:介绍。已知男性不孕症是有助于大约一半的不孕症病例。在加纳,男性不孕症的患病率较高(15.8%),而不是女性(11.8%)。精子质量与怀孕的可能性有关,并且已知是90%的时间生育问题的原因。暴露于某些环境因素可降低男性的精液质量。该研究检测了环境和生活方式因素对加纳男性精液质量的影响。材料和方法。这是涉及80例表观健康成年男性的横断面研究。参与者是雄性提到的实验室(Korle-Bu教学医院的免疫学单位),用于精液分析测试和/或培养和敏感性。参与者被填写了一个需要选择的环境因素(事故或创伤,化学品,辐射和热)和生活习惯(包括酒精消费,吸烟,以及参与者是否每天休息)的调查问卷。然后通过手淫收集精液样品到无菌容器中,并根据射精和收集后60分钟内的Semen分析的指导分析。结果。大约69%的参与者在正常范围内的液体pH值与15%的pH低于7.2。与在每天距离少于4小时的人相比,参与者中存在大量大量的Impotile精子细胞(P值= 0.017)。活跃的精子运动和活力在将其手机置于侧袋中的参与者中,显着增加(P值= 0.002和0.009)。当吸烟者的精子计数下,吸烟的减少在无烟(23.85±22.14×106 / ml)相比,弹性算子的精子计数较低的精子计数(12.28±10.95×106 / ml)。对于暴露于STD,研究组在有关精液质量的研究组中没有显着差异。结论。加纳男性的精子质量与生活习惯有关。吸烟和坐着长时间,影响精子运动和数量。了解这种地理区域影响精子质量的因素可以有助于了解加纳男性不孕症的知识决策。

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