Semen parameters in male partners of sub-fertile couples.

Objective: To evaluate the frequency of semen parameters in male partners of in sub-fertile couples. Study Design: Cross-sectional study. Setting: Department of Gynaecology, Bakhtawar Ameen Hospital, Multan. Period: July 2019 to July 2020. Material & Methods: Infertile couples from at least 12 months were selected for study. A team of Gynaecologist, andrologist and endocrinologist assessed the couples. In male partner, general physical examination, endocrine factor, genetic assessment, accessory gland infection and testicular dysfunction were evaluated. Semen sample was sent to laboratory for semen analysis. Results: In a total of 169 sub-fertile couples, the mean age of male and female partner were 37.98±4.54 years and 32.51±3.78 years respectively. Mean duration since marriage was 5.17±4.51 years. Abnormal semen parameters such as azoospermia, oilgo-azoospermia, asthenozoospermia, teratozoospermia and aspermia were noted 21 (12.4%), 26 (15.4%), 48 (28.4%), 18 (10.7%) and 10 (5.9%) subjects respectively. There were 46 (27.2%) subjects with normal semen parameters. Conclusion: Most of the male sub-fertile subjects had asthenozoospermia. More than one fourth of the subjects had normal semen parameters.

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Selected Risk Factors and Pattern of Semen Abnormality in Male Partners of Infertile Couples in Eastern Nepal: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.4882 ◽

2020 ◽

Vol 58 (229) ◽

Author(s):

Sita Pokhrel ◽

Ashima Ghimire ◽

Manisha Chhetry ◽

Sabina Lamichane ◽

Rupesh Kumar Shreewastav

Keyword(s):

Risk Factors ◽

Semen Analysis ◽

Chemical Exposure ◽

Cross Sectional Study ◽

Semen Parameters ◽

Male Partners ◽

Sectional Study ◽

Infertile Male ◽

Cross Sectional ◽

Gulf Country

Introduction: Semen analysis is an initial basic step in evaluating and diagnosing male infertility. Multiple risks factors in combination or alone are responsible for abnormal semen parameters. The present study aimed to study certain risk factors and semen parameters of infertile male. Methods: It was a descriptive cross-sectional study. We consecutively enrolled 186 male partners of infertile couple who underwent certain risk factors evaluation and semen analysis according to WHO guideline. Results: Multiple risk factors were present like Gulf country migration, smoking, chemical exposure and heat exposure in infertile male partners. Forty six percent of our patients were gulf workers. Eleven percent patients had azoospermia, 27% had abnormal sperm morphology and 23% had <25% motile spermatozoa. Conclusions: Surprisingly 46% of our patients were Gulf country workers and abnormal semen analysis is very important factor for infertility. Large prospective studies need to be carried out involving Gulf migrant workers only.

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Fetomaternal outcome in pregnancies complicated by fibroid

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20212976 ◽

2021 ◽

Vol 10 (8) ◽

pp. 3174

Author(s):

Leimapokpam Roshan Singh ◽

Kaushik Mahajan ◽

Nandeibam Balchand Singh ◽

Wairokpam Prabinkumar Singh ◽

Kabita Athokpam ◽

...

Keyword(s):

Pregnant Women ◽

Placenta Previa ◽

Uterine Fibroids ◽

Clinical History ◽

Cross Sectional Study ◽

Cross Sectional ◽

General Physical Examination ◽

Obstetrics And Gynaecology ◽

Risk Pregnancy ◽

General Physical

Background: Fibromyoma (leiomyoma) is the most common benign tumour of the uterus. Approximately 10% to 30% of women with uterine fibroids developed complications during pregnancy. The aim of the study was planned to ascertain the fetomaternal outcome in pregnancies complicated by fibroid.Methods: A hospital based cross-sectional study was conducted among pregnant women with documented uterine fibroid who was admitted for any complication or delivered in the department of obstetrics and gynaecology, RIMS, Imphal from September 2017 to August, 2019 in the department of obstetrics and gynaecology in collaboration with department of paediatrics, Regional institute of Medical Sciences, Imphal. Detailed clinical history and socio-demographic profile were recorded in pre-designed proforma. General physical examination and systemic examination and obstetrical examination was carried out for the participants.Results: Major proportions was in the age group of 30-39 years (73.9%). Fibroids were more frequent in primigravida (76.1%) followed by P1 (15.2%) and ≥P2 (8.7%). Out of 46 patients 43 (93.5%) delivered by CS (69.76%), NVD (25.58%) and instrumental delivery (4.65%) while 3 patients (6.5%) undergo spontaneous abortions. Most common myoma found in this study was intramural (47.8%) followed by submucous (34.8%) and subserosal (17.4%). Out of 43 deliveries most common complications found was atonic PPH (6.97%) and placenta previa (6.97%) followed by degenerations (2.32%), abruptio placentae (2.32%), malpresentations (2.32%). Out of 43 deliveries 6.9% baby born with low birth weight, IUGR (6.9%), IUFD (4.6%), NICU admission (4.65%) and early neonatal death (2.32%).Conclusions: Pregnancies with fibroids are considered as high-risk pregnancy associated with complications during the antepartum, intrapartum, postpartum period. Pregnant women with myoma can be advised for regular ANC along with TAS for early diagnosis and management of complication.

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SEMEN PARAMETERS

The Professional Medical Journal ◽

10.29309/tpmj/2018.25.07.116 ◽

2018 ◽

Vol 25 (07) ◽

pp. 1024-1028

Author(s):

Jahangir Sultan ◽

Shafqat Husnain Khan ◽

Munir Ahmed

Keyword(s):

Semen Analysis ◽

National Level ◽

Cross Sectional Study ◽

Conclusive Evidence ◽

Semen Parameters ◽

Regional Study ◽

Cross Sectional ◽

Infertile Men ◽

Hormonal Levels

Objective: The objective of this study was to study the semen parameters and its relation to hormonal status in infertile men. Study Design: Cross sectional study. Period: March 2015 to April 2017. Setting: Jinnah Hospital Fertility Centre; Department of Obstetrics and Gynecology, Lahore. Method: A total of 70 infertile men were included in this study. Semen samples for semen analysis and serum for hormonal analysis were obtained and further tests were performed. Results: The results of our study show that 28.57% were Normospermic, 18.56% were azoospermic and 52.85% were Oligospermic. In Oligospermic and azoospermic patients significant low levels of testosterone and prolactin were noticed. The results indicate that along with semen parameters hormonal levels should also be assessed to diagnose the underlying cause of infertility. Conclusion: It is concluded from our study that both quality of semen and hormonal levels cause infertility in men. Therefore the patients should be properly investigated and should be treated accordingly to the underlying abnormality. This is a regional study and further studies should be conducted to have a conclusive evidence at national level.

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ASSOCIATION OF VARICOCELE WITH OLIGOSPERMIA AND AZOSPERMIA

Journal of Saidu Medical College, Swat ◽

10.52206/jsmc.2013.3.2.303-307 ◽

1969 ◽

Vol 3 (2) ◽

pp. 303-307

Author(s):

NAIK ZADA ◽

SHAFI ULLAH KHAN ◽

RIAZ AHMAD KHAN

Keyword(s):

Sperm Count ◽

Human Subjects ◽

Semen Analysis ◽

Cross Sectional Study ◽

Semen Parameters ◽

Male Factor ◽

Cross Sectional ◽

Seminal Parameters ◽

The Mean ◽

Age Range

OBJECTIVE: To determine the frequency of abnormal semen parameters among patients presenting withvaricocele1METHODS:It was a descriptive cross-sectional study conducted at the Department of Urology Institute ofkidney diseases Hayat Abad Medical Complex Peshawar and Cenna hospital Saidu Sharif Swat. The studywas carried out on 139 human subjects with clinical evidence of varicocele between age range of 15-45years.The diagnosis of varicocele was based on palpable and/or visible scrotal lump of testicular veins(pampiniform plexus) and was diagnosed on the basis of clinical examination. Semen analysis was carriedout in all these patients and information wascollected on pre designed proforma.RESULTS:The study included a total of 139 patients with varicocele. The mean age of patient was 30 years(15-45) among the patients having symptoms of varicocele. The Mean ±SD for duration of varicocelesymptoms was 9.32 ± 9.70 months. 6.5% (n=9) patients were having azoospermia and 20.1% (n=28)patients had oligozoospermia.CONCLUSION: Patients with varicocele have poor seminal parameters in terms of sperm count i.e.oligozoospermia and azoospermia responsible for male factor infertility in majority ofcases.KEYWORDS:varicocele;seminal parameters;sperm count, infertility

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SEMEN ANALYSIS; CORNER STONE IN EVALUATING INFERTILITY

Pakistan Armed Forces Medical Journal ◽

10.51253/pafmj.v71i6.6150 ◽

2022 ◽

Vol 71 (6) ◽

pp. 2224-27

Author(s):

Aysha Khan ◽

Zunera Shahbaz ◽

Shagufta Yousaf ◽

Abeera Ahmed ◽

Fatima Sana ◽

...

Keyword(s):

Sperm Count ◽

Semen Analysis ◽

Cross Sectional Study ◽

World Health ◽

Semen Parameters ◽

Military Hospital ◽

Normal Male ◽

Cross Sectional ◽

Normal Sperm ◽

Health Organization

Objective: To study the patterns and distribution of various abnormal semen parameters in infertile males. Study Design: Cross sectional study. Place and Duration of Study: Department of Pathology, Combined Military Hospital, Karachi, from Nov 2019 to Oct 2020. Methodology: The study included 364 patients who presented with primary and secondary infertility. Consecutive convenient sampling was done. Semen analysis was performed using World Health Organization latest guidelines. Samples were categorized as normospermia, azoospermia, oligospermia, asthenozoospermia and necrospermia. Results: The study comprised of 364 samples of infertile males. Normal sperm count was observed in 317 (87%) males, azoospermia in 28 (7.6%) and oligospermia in 19 (5.2%) males. Low ejaculated volume and higher non-motile sperms were noted in oligospermia samples in comparison with normospermia samples. Asthenozoospermia was observed in 102 (28%) and oligoasthenospermia was noted in 15 (4.1%) samples. Conclusion: Good quality semen analysis is a corner stone to diagnose the cause of male infertility.Sperm concentration and motility are the important markers of normal male reproductive system and are related to each other.

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Factors affecting male partners’ involvement in maternity waiting home utilization in North Achefer district, Northwest Ethiopia: a cross-sectional study

10.21203/rs.2.21046/v1 ◽

2020 ◽

Author(s):

Getachew Asmare ◽

Dabere Nigatu ◽

Yamrot Debela

Keyword(s):

Decision Making ◽

Maternal Health ◽

Male Partner ◽

Cross Sectional Study ◽

Male Partners ◽

Sectional Study ◽

Cross Sectional ◽

Factors Affecting ◽

Targeted Interventions ◽

Maternity Waiting Home

Abstract Background: Maternity waiting home is a direct strategy to improving newborn and maternal survival. The utilization of maternity waiting home, however, remains very low in Ethiopia. The involvement of men in maternal health programs is a key strategy to increase utilization of various maternal health services including maternity waiting home. Thus, this study is aimed to determine the proportion of and factors affecting male partners’ involvement in maternity home utilization.Methods: A community-based cross-sectional study was conducted from November 01 – December 30, 2018. A total of 403 male partners were involved in the study. Data were analyzed by statistical package for social science (SPSS) version 23. Independent predictors were identified by multivariable logistic regression model. Adjusted odds ratio (AOR) with 95% confidence intervals (CI) was reported.Results: The proportion of male partner’s involvement in maternity waiting home utilization was 55.6% (50.71, 60.45). Age (AOR=0.88, 95% CI=0.82-0.94), knowledge (AOR=4.75, 95% CI=2.65-8.49), decision making power (AOR=4.00, 95% CI=1.38-11.57), and male partners’ who got counseling about maternity waiting home during spousal antenatal care visit (AOR=9.15, 95% CI=3.34-25.03) had statistically significant association with male partner’s involvement in maternity waiting home utilization.Conclusions: Nearly, a half of male partners were involved in maternity waiting home utilization. Men’s age, knowledge, decision making power, and receiving counseling were factors for male partner involvement in maternity waiting home utilization. Targeted interventions on increasing men’s knowledge about maternity waiting home and changing patriarchal thinking in the society can improve men’s involvement in maternity waiting home utilization.

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Ease of understanding and performing HIV self-tests by pregnant women and their male partners in Uganda: a cross-sectional study

International Journal of STD & AIDS ◽

10.1177/0956462420983935 ◽

2021 ◽

pp. 095646242098393

Author(s):

Kisa Rose ◽

Joseph KB Matovu ◽

Caroline J Vrana-Diaz ◽

Esther Buregyeya ◽

Joseph Kagaayi ◽

...

Keyword(s):

Pregnant Women ◽

Mode Of Delivery ◽

Male Partner ◽

Cross Sectional Study ◽

Education Level ◽

University Education ◽

Male Partners ◽

Cross Sectional ◽

Cluster Randomized ◽

Promotional Messages

Introduction: Understanding and following HIV self-testing (HIVST) instructions is a critical step in the use of HIVST kits. We analyzed data on pregnant women and their partners’ self-assessment on the usability of kits delivered by their pregnant women. Methods: Quantitative data were collected on 399 pregnant women and 238 male partners enrolled in the intervention arm of a large cluster-randomized HIVST trial. Each pregnant woman received HIVST demonstrations, detailed pictorial instructions on how to use OraQuick HIVST kits, and two kits; for herself and her male partner. Follow-up was at one month (baseline for male partners) and 3 months. Descriptive statistics were conducted to compare understanding and following of HIVST instructions by age and education level. Results: The proportion of those who understood HIVST instructions was almost the same (98%) for women and their partners, although partners (26.5%) were nearly twice as likely than women (16.0%) to report needing pretest counseling (Odds ratio [OR] = 1.9, 95% CI: 1.27–2.79). Partners’ understanding of the HIVST instructions did not vary by education level, but 4.4% of women with primary education reported difficulty in understanding HIVST instructions compared with 0.5% and 0% of those with secondary and university education, respectively ( p = 0.05). However, 5.6% of women aged 30–68 years and 3.3% of partners aged 20–24 years found it more difficult to understand the HIVST instructions. Conclusion: Both pregnant women and their male partners were correctly able to perform an HIVST without or (with minimal) support suggesting that this mode of delivery will help the national program reach more men. Because more male partners than women required HIVST pretest counseling support, male-targeted HIVST promotional messages may be needed to increase men's self-efficacy to perform HIVST unsupported.

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Clinical Spectrum of Infertile Couple: a Retrospective Study at Teaching Hospital

Nepalese Medical Journal ◽

10.3126/nmj.v3i2.35117 ◽

2020 ◽

Vol 3 (2) ◽

pp. 375-378

Author(s):

Hima Rijal ◽

Suvana Maskey

Keyword(s):

Semen Analysis ◽

Male Partner ◽

Cross Sectional Study ◽

Clinical Spectrum ◽

Infertile Couple ◽

Male Factor ◽

Cross Sectional ◽

Chewing Tobacco ◽

One Year ◽

Unilateral Block

Introduction: Infertility has been rising steeply as the prime health issue among women around the world these days. This study aims to investigate the causes, hormonal profi le, and clinical spectrum of infertility.Materials and Methods: This is a descriptive cross-sectional study conducted throughout a one year duration in an infertility clinic. The couples meeting the inclusion criteria were included and a pre-formed proforma was used to collect the data regarding history, examination, and investigations.Results: A total of 118 infertile couples were analyzed. The mean age of the females was 28.3±4.5 years. There were 72.1 %cases of primary infertility and 27.9 %of secondary infertility. Regarding obesity status,35.5% were overweight and 15.2 % were obese. Thirty-one (26.2%) males were smokers, 41 (34.7%) used to consume alcohol, and 14 (11.8%) had a habit of chewing tobacco. Among the different fi ndings of semen analysis, 21.1% asthenozoospermia, 9.3% oligoasthenozospermia,7.6% oligospermia, 1.6% azoospermia. Female factor accounted for 45.3%, the malefactor for 28% and in 19.3% the defi nite factor was not determined. The ovulatory disorder was diagnosed in 38.6% of females and hysterosalpingography (HSG) revealed that around 10% had a unilateral block and 1.7% had a bilateral block.Conclusions: Infertility is becoming a global issue affecting a signifi cant number of young couples. About forty-six percent were female aging more than thirty years. The female factor for infertility was more common than the male factor among which ovulatory disorder was the commonest one. Asthenozoospermiawas the commonest abnormal fi nding on semen analysis in a male partner.

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To Determine the Frequency of Common Site of Lodgment of Foreign Body in Respiratory Tract of Children

10.53350/pjmhs211581823 ◽

2021 ◽

Vol 15 (8) ◽

pp. 1823-1824

Author(s):

Maimoona Saeed ◽

Syed Sajid Munir ◽

Sami Ul Haq

Keyword(s):

Foreign Body ◽

Oral Cavity ◽

Respiratory Tract ◽

Nasal Cavity ◽

Cross Sectional Study ◽

Common Site ◽

Cross Sectional ◽

General Physical Examination ◽

Left Bronchus ◽

General Physical

Aim: To determine the frequency of common site of lodgment of foreign body in respiratory tract of children. Setting: Pediatric and ENT Departments, Khyber Teaching Hospital, Peshawar. Study Design: Descriptive cross-sectional study. Duration of Study: six months i.e. 30/6/2018 to 30/12/2018 Methodology: 300 cases were included. Demographic characteristics like, name, age, gender and address was recorded. H/O inhaling a specific foreign body and time elapsed was noted. General physical examination for signs of respiratory distress was noted. Chest X ray was performed. Examination of oral cavity and nostrils was performed for a suspected foreign body. If nothing found, the patient was immediately shifted to ENT department for emergency bronchoscopy to remove the suspected foreign body. The type of foreign body recovered and the site of respiratory tree from where it is removed were noted. Results: Mean age was 12 years with SD ± 2.16. 51% children were male while 49% children were female. Site of lodgment of foreign body among 300 patients was analyzed i.e. 1% patients had oral cavity, 7% had nasal cavity, 1% patients had oro-pharynx, 3% patients had larynx, 13% patients had main trachea, 30% had right bronchus, 15% patients had left bronchus, 1% patients had right bronchiole, 1% patients had left bronchiole in respiratory tract of children. Conclusion: Frequency of site of lodgment of foreign body was i.e. oral cavity 1%, nasal cavity 7%, oro-pharynx 1%, larynx 3%, main trachea 13%, right bronchus 30%, left bronchus 15%, right bronchiole 1% and left bronchiole 1%. Keywords: Lodgment, foreign body, respiratory tract, children.

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A Cross-Sectional Study of Clinical Profiles and Complications Associated with Fever with Thrombocytopenia

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/87 ◽

2021 ◽

Vol 8 (8) ◽

pp. 445-449

Author(s):

Melvin Dominic ◽

Hari Hara C. Sudhan ◽

Karthik Narayan ◽

Ram Kirubakar Thangaraj ◽

Abdussamad M ◽

...

Keyword(s):

Platelet Count ◽

Clinical Manifestations ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Spontaneous Bleeding ◽

Cross Sectional ◽

General Physical Examination ◽

The Mean ◽

General Physical

BACKGROUND Fever is the commonest cause of thrombocytopenia that narrows the differential diagnosis and management of fever. The complexity of thrombocytopenia and its control can also be determined through fever. Lack of proper surveillance system and limited laboratory services pose a definite challenge for a perfect diagnosis leading to case management primarily based on clinical manifestations. METHODS A cross-sectional study was conducted on 90 patients attending outpatient department of Vinayaka Missions Kirupananda Variyar Medical College & Hospitals, during the period of April 2017 to September 2017 (6 months). In patients with fever with thrombocytopenia, a careful history was recorded, general physical examination, laboratory and technical investigation reports were noted down from regular investigations. Culture sensitivity and serology were considered as primary outcome variables. The continuous data was expressed as mean ± standard deviation (SD) and for independent sample “t” test was used to compare the data. A probability value (“P” value) of ≤ 0.05 at 95 % confidence interval was considered as statistically significant using Statistical Package for the Social Sciences (SPSS). RESULTS The mean age was 44.73 ± 21.18 years in the study population. 39 (43.33 %) were males and 51 (56.67 %) were females. The average period of stay in the hospital was 8.84 ± 5.73 days; the most common chief complaint was chills & rigors seen in 65 (72.22 %) patients. The most commonly observed comorbidity in the patients was diabetes mellitus. The mean and SD of platelet count was 91522.22 ± 32265.13 per µL. 21 (23.33 %) people had dengue. The mean platelet count at discharge was 192215.19 ± 49481.85 per µL. CONCLUSIONS The commonest cause is infection, for fever with decreased platelet count. A significant number of cases of febrile thrombocytopenia were diagnosed as sepsis in the present study. KEYWORDS Infection, Dengue, Septicaemia, Petechiae / Purpura, Spontaneous Bleeding, Fever

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