İnfertil Çiftlerin Değerlendirilmesinde Semen Parametrelerinin Analizi

Sperm analizi çocuk sahibi olamama şikayeti ile başvuran hastalarda ilk olarak yapılması gereken tetkiklerinden biridir. Sperm konsantrasyonu, total progresif motil sperm sayısı, total motil sperm yüzdesi, total progresif motil sperm yüzdesi ve sperm morfolojisi sperm kalitesini belirlemede en önemli belirteçlerdir. Bu çalışmada infertilite tanısı alan 114 çiftin spermiyogram sonuçları değerlenmiştir.2-7 günlük cinsel perhizin ardından laboratuvar şartlarında alınan sperm örnekleri 2010 Dünya Sağlık Örgütü kriterlerine göre değerlendirilmiştir. 4 (%3,5) hasta azoospermik bulunurken 80 (%70,17) hastanın sperm konsantrasyonu 15 milyon/ml'nin üzerinde bulunmuştur. Total progresif motil sperm sayısı 1 milyonun altında olan hasta sayısı 3 (%2,63) iken 82 (%71,92) hastada bu sayı 10 milyonun üzerinde bulunmuştur. Motilitesi %20'nin altında olan 5 (%4,38) hasta bulunurken 72 (%63,15) hastada motilite oranı %40'ın üzerinde bulunmuştur. Kruger'e göre normal morfolojide sperm oranı 45 (%39,47) hastada %2'nin altında iken %4'ün üzerinde hasta sayısı 14 (%12,28) olarak bulunmuştur.

Analysis of Infertile Male's Sperm Parameters

Sperm analysis must be the first investigation for the couples who desire for fertility. Sperm concentration, total progressive motile sperm count, total motile sperm persentage, total progressive motil sperm persentage and sperm morphology are the best markers to determine sperm quality. Spermiogram results of 114 couples that diagnosed with infertility are evaluated in this study. After 27 days sexual abstinence the sperm samples were collected in the laboratory and evaluated according to World Health Organisation criterias. 4 (3.5%) of 114 patients were azoospermic, but 80 (70.17%) of 114 patients have more than 15 x 106 /ml sperm concentration. 3 (2.63%) of 114 patients have less than 1 x 106 progressive motile sperm count but 82 (71,92%) patients have more than 10 x 106 . Total motility persentage was less than 20% for 5 (4.38%) patients and 72 (63.15%) patients' motility rate were more than 40%. 45 (39.47%) patients' normal sperm morphology are less than 2% and 14 (12.28%) patients have equal or more than 4% normal mofphologic sperm.

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