جستجوی مقالات مرتبط با کلیدواژه « Sperm » در نشریات گروه « پزشکی »
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Background
Age, smoking, sleep duration, sleep quality, and obesity are risk factors that can affect the amount of sperm concentration, morphology, and motility. The aim of this study is to assess the lifestyle effects: of age, smoking, sleep duration, sleep quality, and obesity on the amount of concentration, morphology, and motility of sperm.
Materials and MethodsThe study utilized an analytical observational approach with a cross-sectional design. The study subjects comprised 70 male partners of infertile couples admitted to the Sekar Fertility Clinic at the Dr. Moewardi General Hospital between March and August 2022. The study assessed variables including age, body mass index (BMI), smoking status, sleep duration, sleep quality, sperm concentration, sperm morphology, and sperm motility. Furthermore, the data were analyzed using univariate, bivariate, and multivariate methods with SPSS 25 software.
ResultsThe research findings demonstrate that obesity is significantly associated with abnormal sperm concentration [odds ratio (OR)=40.07, confidence interval (CI)=3.90-411.67, P=0.002]. Furthermore, moderate or heavy smoking is significantly associated with abnormal sperm concentration (OR=17.45, CI=1.83-166.15, P=0.013) and sleep quality with severe disorders (OR=5.73, CI=1.12-29.21, P=0.036). Moreover, obesity is significantly associated with abnormal sperm motility (OR=12.97, CI=2.66-63.15, P=0.002), while moderate or heavy smoking (OR=5.89, CI=1.23- 28.20, P=0.026) and poor sleep duration (OR=6.21, CI=1.43-26.92, P=0.015) also exhibit significant associations with abnormal sperm motility. However, no significant findings were observed regarding sperm morphology.
ConclusionThe findings of this study indicate that obesity, moderate or heavy smoking, and sleep quality have statistically significant effects on sperm concentration, while obesity, moderate or heavy smoking, and sleep duration have statistically significant effects on sperm motility. However, no statistically significant influence was observed on sperm morphology. Further research with larger sample sizes and more diverse populations is needed to validate these findings and explore other potential factors that may impact male fertility.
Keywords: Morphology, Motility, Obesity, Smoking, Sperm} -
سابقه و هدف
اگرچه پیشرفت های اخیر در درمان سرطان باعث افزایش بقای بیماران و بهبود کیفیت زندگی شده است، قرار گرفتن در معرض داروهای شیمی درمانی منجر به مشکلات باروری قابل توجهی درکودکان سرطانی می شود. اتوپوزاید یک داروی شیمی درمانی است که به طور گسترده در درمان انواع سرطان استفاده می شود؛ اما با این حال سلول های سالم، به ویژه سلول های زایای مردانه را که درحال تکثیر سریع و مداوم هستند از بین می برد ومنجر به ناباروری می شود. مطالعه حاضر با هدف بررسی اثر آنتی اکسیدانتی پنتوکسی فیلین بر اختلال ناشی از اتوپوزاید بر پارامتر های اسپرمی موش های نر بالغ نژاد NMRI، انجام پذیرفت.
مواد و روش هادر این مطالعه تجربی، 24 سر موش نر بالغ نژاد (NMRI) Naval Medical Research Institute با میانگین وزنی 2±35 گرم (6n=) به طور تصادفی به چهار گروه کنترل، اتوپوزاید (mg/kg 1)، پنتوکسی فیلین (mg/kg 100) و اتوپوزاید+ پنتوکسی فیلین تقسیم بندی و روزانه به مدت 35 روز به صورت تزریق داخل صفاقی تیمار شدند. در پایان دوره تیمار، موش ها با محلول ترکیبی کتامین زایلازین، بی هوش و ناحیه دمی اپیدیدیم چپ به پلیت 3 سانتی متری حاوی محیط کشت (HamsF10) در انکوباتور 37 درجه سانتی گراد منتقل شد تاجهت بررسی پارامترهای اسپرمی شامل تعداد، تحرک، مورفولوژی، قابلیت حیات و طول دم اسپرم مورد استفاده قرار گیرد. دناتوره شدن DNA اسپرم با استفاده از رنگ آمیزی آکریدین اورنژ و همچنین میزان بلوغ هسته اسپرم به روش رنگ آمیزی آنیلین بلو سنجش شد. بیضه چپ خارج و جهت محاسبه تولید روزانه اسپرم (DSP)Daily sperm production استفاده شد. هم چنین بعد از خون گیری از قلب و آماده سازی سرم، میزان ظرفیت آنتی اکسیدانتی تام (TAC) Total antioxidant capacity و سطح مالون دی آلدئید (MDA)Malondialdehyde سنجیده شد. داده ها با نرم افزار SPSS، روش آنالیز واریانس یک طرفه One-Way ANOVA) و تست Tukey مورد تجزیه و تحلیل آماری قرار گرفت و تفاوت میانگین ها در سطح 0/05>P معنی دار در نظر گرفته شد.
یافته هاکاهش معنی داری در میانگین درصد اسپرم های پیش رونده و افزایش معنی داری در میانگین درصد اسپرم های درجا و ساکن در گروه اتوپوزاید نسبت به گروه کنترل مشاهده شد (0/001<p). هم چنین کاهش معنی داری در میانگین تعداد، قابلیت حیات، تولید روزانه، طول دم و مورفولوژی طبیعی اسپرم در گروه اتوپوزاید نسبت به گروه کنترل مشاهده شد (0/001>P). ظرفیت آنتی اکسیدانتی تام نیز در گروه اتوپوزاید درمقایسه با گروه کنترل کاهش معنی داری یافت (0/001>P)، در حالی که سطح مالون دی آلدئید سرم در گروه اتوپوزاید در مقایسه با گروه کنترل افزایش معنی داری نشان داد (0/001>P). تفاوت معنی داری در میانگین درصد آسیب DNA اسپرم و هم چنین بلوغ هسته اسپرم در گروه اتوپوزاید نسبت به گروه کنترل مشاهده نشد (0/05<P). تیمار همزمان پنتوکسی فیلین با اتوپوزاید پارامترهای فوق الذکر را در مقایسه با گروه اتوپوزاید به طور معنی داری بهبود بخشید.
استنتاجنتایج حاضر درگروه تیمار با اتوپوزاید نشان دهنده، کاهش معنی داری در پارامترهای اسپرم و ظرفیت آنتی اکسیدانتی تام و هم چنین افزایش معنی داری در سطح مالون دی آلدئید بود. به نظر می رسد که سمیت القاء شده توسط اتوپوزاید از طریق ایجاد آپوپتوز، القاء استرس اکسیداتیو و پراکسیداسیون لیپیدی، اصلی ترین عامل ایجادکننده آسیب های وارد شده باشد،که با توجه به نتایج حاصل، پنتوکسی فیلین احتمالا با پتانسیل آنتی اکسیدانتی و کاهش استرس اکسیداتیو، اثر سوء اتوپوزاید را بر پارامترهای اسپرمی و استرس اکسیدتیو کاهش داده است.
کلید واژگان: اتوپوزاید, پنتوکسی فیلین, اسپرم, استرس اکسیداتیو, موش}Background and purposeAlthough recent advances in cancer treatment have increased patient survival and improved quality of life, exposure to chemotherapy drugs leads to significant fertility problems in children with cancer. Etoposide is a chemotherapy drug that is widely used in the treatment of various types of cancer; However, it destroys healthy cells, especially male germ cells that are multiplying rapidly and continuously, and leads to infertility. In the present study, the antioxidant effect of pentoxifylline on the disorder caused by etoposide on the sperm parameters of adult male NMRI mice was investigated.
Materials and methods24 adult male NMRI mice with an average weight of 35±2gr (n=6) were randomly allocated to the following groups (n=6): control, etoposide (1mg/kg), pentoxifylline (100mg/kg) and etoposide + pentoxifylline and treated with daily intraperitoneal injection for 35 days. At the end of the treatment period, mice were anesthetized with ketamine-xylazine solution, and the left caudal region of epididymis was transferred to a 3cm plate containing culture medium (HamsF10) in a 37°C incubator to examine sperm parameters including the number, motility, morphology, viability and tail length of the sperm. The denaturation of sperm DNA using acridine orange staining and the maturation rate of sperm nucleus using aniline blue staining method was measured. The left testicle was removed and used to calculate daily sperm production. After taking blood from the heart and preparing serum, total antioxidant capacity, and malondialdehyde level were also measured. The data were statistically analyzed with SPSS software, one-way ANOVA, and Tukey's test, and the difference in means was considered significant at the P<0.05 level.
ResultsA significant decrease in the mean percentage of progressive sperms and a significant increase in the mean percentage of in situ and immotile sperms were observed in the etoposide group compared to the control group (P<0.001). Also, a significant decrease in the mean count, viability, daily sperm production, tail length, and normal morphology of sperm was observed in the etoposide group compared to the control group (P<0.001). The total antioxidant capacity also decreased significantly in the etoposide group compared to the control group (P<0.001). The level of serum malondialdehyde showed a significant increase in the etoposide group compared to the control group (P<0.001). There was no significant difference in the mean percentage of sperm DNA damage and sperm nucleus maturation in the etoposide group compared to the control group (P<0.05). Simultaneous treatment of pentoxifylline with etoposide significantly improved the aforementioned parameters compared to the etoposide group.
ConclusionThe results in the etoposide treatment group showed a significant decrease in sperm parameters and total antioxidant capacity, as well as a significant increase in malondialdehyde levels. The toxicity induced by etoposide through the induction of apoptosis, oxidative stress, and lipid peroxidation is considered the primary cause of the resulting damage, as evidenced by the study results. Pentoxifylline is believed to have mitigated the harmful effects of etoposide on sperm parameters and oxidative stress by leveraging its antioxidant properties to reduce oxidative stress.
Keywords: Etoposide, Pentoxifylline, Sperm, Oxidative Stress, Mice} -
مقدمه
فرآیند انجماد با مکانیسم های مختلفی مانند ایجاد استرس های اکسیداتیو، اسمزی و دمایی سبب کاهش کیفیت اسپرم پس از فرآیند انجماد-ذوب می شود. هدف از این مطالعه بررسی تاثیر افزودن همزمان کلروژنیک اسید و لیپوئیک اسید به عنوان مکمل آنتی اکسیدانی در محیط فریز اسپرم در بیماران مبتلا به الیگوآستنوزواسپرمیا است.
مواد و روش هانمونه های منی بیماران مبتلا به الیگوآستنوزواسپرمیا در 5 گروه نمونه تازه (مایع منی قبل از فریز)، کنترل (محیط فریز اسپرم بدون مکمل)، گروه CGA (محیط فریز اسپرم همراه با µM100 کلروژنیک اسید)، گروه ALA (محیط فریز اسپرم همراه با µM200 لیپوئیک اسید) و گروه CGA+ALA (محیط فریز اسپرم همراه با کلروژنیک اسید و لیپوئیک اسید) قرار گرفتند. قبل و بعد از فرآیند انجماد-ذوب، تحرک کلی اسپرم، میزان زنده مانی به کمک رنگ آمیزی ائوزین-نگروزین و میزان قطعه قطعه شدن DNA اسپرم به روش Halo بررسی شد.
نتایجدر گروه کنترل، کاهش تحرک کلی و زنده مانی اسپرم و همچنین افزایش میزان DFI مشاهده شد. انجماد اسپرم در گروه های CGA، ALA و CGA+ALA با افزایش معنی دار در میزان زنده مانی و تحرک کلی اسپرم پس از ذوب همراه بود. همچنین، نتایج آزمون Halo نشان داد که افزایش میزان DFI اسپرم ها ناشی از فرآیند انجماد-ذوب در هر 3 گروه آزمایش کمتر از گروه کنترل بود و این کاهش از لحاظ آماری معنادار (05/0>P) بود.
نتیجه گیریافزودن هم زمان کلروژنیک اسید و لیپوئیک اسیدبه محیط فریز اسپرم می تواند کیفیت نمونه های اسپرم را پس از فرآیند انجماد-ذوب از لحاظ تحرک، زنده مانی و قطعه قطعه شدن DNA افزایش دهد و در نتیجه بازدهی این تکنیک را در درمان ناباروری مردان بهبود بخشد.
کلید واژگان: اسپرم, آنتی اکسیدانت, کلروژنیک اسید, لیپوئیک اسید, انجماد}IntroductionCryopreservation by various mechanisms, such as the induction of oxidative, osmotic, and temperature stress, causes a reduction in sperm quality after the freeze-thaw process. This study aimed to investigate the effect of the simultaneous addition of chlorogenic acid and lipoic acid as an antioxidant supplement to sperm freezing medium in patients with oligoasthenospermia.
MethodsSperm samples from patients with oligoasthenozoospermia were divided into five groups as follows: fresh sample (pre-frozen semen), control (sperm freezing medium without supplements), CGA group (sperm freezing medium with 100 µM chlorogenic acid), ALA group (sperm freezing medium with 200 µM lipoic acid) and CGA+ALA group (sperm freezing medium with chlorogenic acid and lipoic acid). Total mobility, viability rate (eosin-nigrosin staining) and DNA fragmentation index (Halo test) were assessed before and after freeze-thawing.
ResultsIn the control group, there was a decrease in total sperm motility and viability and an increase in DFI. Freezing sperm in the CGA, ALA, and CGA+ALA groups was associated with a significant increase in viability and total sperm motility after thawing. The results of the Halo test also showed that the increase in sperm DFI caused by the freeze-thaw process was less in all three experimental groups than in the control group, and this decrease was statistically significant (P<0.05).
ConclusionThe simultaneous addition of chlorogenic acid and lipoic acid to the sperm freezing medium can improve the quality of sperm samples after the freeze-thaw process in terms of mobility, viability, and DNA fragmentation, thus increasing the efficiency of this technique in the treatment of male infertility.
Keywords: Sperm, Antioxidant, Chlorogenic Acid, Lipoic Acid, Cryopreservation} -
International Journal of Reproductive BioMedicine، سال بیست و دوم شماره 4 (پیاپی 171، Apr 2024)، صص 305 -316مقدمه
انجماد شیشه ای یک تکنیک کمک باروری است که اخیرا معرفی شده و در عین حال کاربرد گسترده ای دارد. در حال حاضر، اثرات مواد شیمیایی و وسایل انجماد بر تحرک اسپرم و یکپارچگی DNA هنوز نامشخص است.
هدفاین مطالعه با هدف بررسی کیفیت اسپرم به وسیله تجزیه و تحلیل مایع منی و یکپارچگی DNA اسپرم، در هنگام انجماد با یا بدون عوامل مجافظ انجماد (CPAs) با استفاده از مویرگ های شیشه ای کشیده انجام گرفت.
مواد و روش هابین فوریه و ژوئن 2020، 50 مرد نابارور مراجعه کننده به مرکز غدد و باروری و ناباروری Hue، دانشگاه پزشکی و داروسازی Hue، ویتنام، وارد مطالعه شدند. نمونه های اسپرم تهیه شده با استفاده از تکنیک شنا کردن به 2 گروه انجماد شیشه ای با CPA (گروه 1) و بدون CPA (گروه 2) تقسیم شدند. نمونه های اسپرم منجمد شده در مویرگ های شیشه ای 10 میکرولیتری نگهداری شدند. تحرک، یکپارچگی غشای اسپرم و شاخص تکه تکه شدن DNA مورد آزمایش قرار گرفتند.
نتایجتحرک اسپرم در محیط های منجمد شده با CPA (11% ± 4/54) از نظر آماری بیشتر از محیط های بدون CPA بود (05/0 > p، 6%/10 ± 14/51) بر یکپارچگی غشای اسپرم یا large halo ratio تاثیری نداشت (به ترتیب 47/8 ± 34/71 در مقابل 11/8 ± 38/70 و 92/18 ± 84/50 در مقابل 44/19 ± 98/51). گروه 2 شاخص قطعه قطعه شدن DNA کمتری نسبت به گروه 1 پس از انجماد شیشه ای نشان دادند (47/8 ± 2/14 در مقابل 03/9 ± 60/12، 021/0 = p).
نتیجه گیریدر هنگام استفاده از مویرگ شیشه ای کشیده برای انجماد اسپرم، وجود CPAs در محیط انجماد منجر به تحرک پیشرونده بالاتر و شاخص تکه تکه شدن DNA کمتری نسبت به محیط بدون CPA می شود.
کلید واژگان: انجماد, اسپرم, قطعه قطعه شدن DNA, عوامل سرمایشی, حجم کم}BackgroundVitrification is a recently introduced yet widely applied assisted reproduction technique. So far, the effects of the chemicals and devices in vitrification on sperm motility and DNA integrity are still unclear.
ObjectiveThis study aimed to examine sperm quality, as determined by semen analysis and sperm DNA integrity when vitrified with or without cryoprotectant agents (CPAs) using pulled-glass capillaries.
Materials and MethodsBetween February and June 2020, 50 infertile men from the Hue Center for Reproductive Endocrinology and Infertility, Hue University of Medicine and Pharmacy, Vietnam, were enrolled. Sperm samples, prepared using the swim-up technique, were divided into 2 groups: vitrification with CPAs (group 1) and without CPAs (group 2). Vitrified sperm samples were preserved in 10 µL pulled-glass capillaries. Motility, sperm membrane integrity, and the DNA fragmentation index were tested.
ResultsSperm motility in vitrified media with CPAs (54.4 ± 11%) was statistically higher than in media without CPAs (51.14 ± 10.6%, p < 0.05). CPAs did not affect sperm membrane integrity or large halo ratio (71.34 ± 8.47 vs. 70.38 ± 8.11 and 50.84 ± 18.92 vs. 51.98 ± 19.44, respectively). Group 2 exhibited a lower DNA fragmentation index than group 1 after vitrification (14.2 ± 8.47 vs. 12.60 ± 9.03, p = 0.021).
ConclusionUsing a pulled-glass capillary for sperm vitrification, the presence of CPAs in the vitrification medium resulted in higher progressive motility and lower DNA fragmentation index than the medium without CPAs.
Keywords: Vitrification, Sperm, DNA Fragmentation, Cryoprotectant Agents, Small Volume} -
Background
The potential impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection on male fertility is a complex and evolving area of research. Although there is some evidence to suggest that the virus might have negative effects on semen from mild to moderate symptoms or recovery of coronavirus disease 2019 (COVID-19) and might induce epididymal-orchitis, further research is needed to definitively determine the risks.
ObjectivesThis study aimed to investigate the presence of SARS-CoV-2 ribonucleic acid (RNA) in semen and to determine any possible implications of SARS-CoV-2 infection on semen parameters and genital tract complications.
MethodsThirty-two subjects with a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) cycle threshold (Ct) value of less than 20 were recruited, and semen samples were collected. Additionally, testicular discomfort and urogenital abnormality were assessed.
ResultsNo SARS-CoV-2 RNA was detected in the seminal sample of men; however, semen quality impairment was detected, especially in patients with Ct values less than 15 in the upper respiratory tract. Total sperm count, the number of motile spermatozoa, progressive motility, and the percentage of normal morphology were significantly reduced. Acute epididymo-orchitis and testicular tenderness were observed in 4 patients in the acute stage of the disease.
ConclusionsThis study showed no evidence of SARS-CoV-2 RNA in semen, suggesting that sexual transmission of the virus is unlikely. However, semen quality impairment was observed in patients with SARS-CoV-2 infection, particularly those with higher viral loads. Further research is needed to elucidate the mechanisms by which SARS-CoV-2 affects male fertility and develop effective interventions to protect men's reproductive health during the pandemic.
Keywords: SARS-CoV-2, COVID-19, Semen, Sperm, Reproductive Health} -
مجله پزشکی دانشگاه علوم پزشکی تبریز، سال چهل و پنجم شماره 6 (پیاپی 168، بهمن و اسفند 1402)، صص 516 -527زمینه
تحرک اسپرم یکی از فاکتورهای اساسی برای نفوذ اسپرم به داخل تخمک و وقوع لقاح می باشد. آستنوزواسپرمی که به تحرک کمتر از 42 درصد اسپرم ها معروف است، یکی از شایع ترین علل ناباروری در مردان است. هدف از این مطالعه کوهورت گذشته نگر، بررسی آسیب DNA اسپرم با دو روش TUNEL و SCSA و ارتباط آن با پارامترهای اسپرمی، سن و شاخص توده بدنی (BMI) در افراد آستنوزواسپرمی شدید و نرموزواسپرمی می باشد.
روش کارپارامترهای مطالعه بین 111 فرد مبتلا به آستنوزواسپرمی شدید و 113 فرد نرموزواسپرمی مورد بررسی قرار گرفت. برای ارزیابی پارامترهای اسپرمی از دستورالعمل سازمان بهداشت جهانی 2010 و برای ارزیابی آسیب DNA اسپرم از روش های TUNEL و SCSA استفاده شد. آنالیز آماری با استفاده از آزمون t دو نمونه مستقل انجام و از ضریب همبستگی پیرسون برای بررسی ارتباط بین میزان آسیب DNA اسپرم با پارامترهای اسپرمی، سن و BMI افراد استفاده شد. تفاوت میانگین ها در سطح 0/05>P معنادار در نظر گرفته شد.
یافته هامیانگین حجم مایع منی، غلظت و تعداد کل اسپرم، درصد حرکت کلی و حرکت پیش رونده اسپرم به طور معنی داری در افراد آستنوزواسپرمی شدید در مقایسه با افراد نرموزواسپرمی کمتر بود (0/001>P)، علاوه بر این، میانگین درصد آسیب DNA اسپرم در افراد آستنوزواسپرمی شدید به طور معنی داری در مقایسه با افراد نرموزواسپرمی بیشتر بود (0/001>P). بین میزان آسیب DNA اسپرم و سن مردان آستنوزواسپرمیک شدید نیز یک رابطه مثبت و معنی دار بدست آمد.
نتیجه گیریتحرک اسپرم، آسیب DNA اسپرم و سن پدر در لقاح موفق، تکوین و سلامت جنین نقش مهمی دارند. بنابراین، ارزیابی آسیب DNA اسپرم در بررسی باروری مردان و انتخاب رویکرد درمانی مناسب برای مردان مبتلا به آستنوزواسپرمی شدید توصیه می شود.
پیامدهای عملی:
با توجه به اینکه ژنوم اسپرم 50 درصد ماده ژنتیکی نسل آینده را تشکیل می دهد، بنابراین ارزیابی سلامت DNA اسپرم جهت تشخیص رویکرد درمانی مناسب در مردان نابارور، می تواند در موفقیت تکنیک های کمک باروری و حفظ سلامت نسل آینده موثر باشد.
کلید واژگان: ناباروری مردان, آسیب DNA اسپرم, آستنوزواسپرمی, TUNEL, اسپرم}BackgroundSperm motility is a fundamental factor for sperm penetration into the oocyte and fertilization. According to the World Health Organization (WHO) 2021, less than 42 percent of motility is called asthenozoospermia, which is one of the most common causes of male infertility. This retrospective cohort study aims to investigate sperm DNA damage with TUNEL and SCSA methods and its relationship with sperm parameters, age, and body mass index (BMI) in severe asthenospermia (<2% sperm motility) and normozoospermia.
MethodsThe study parameters between 111 subjects with severe asthenozoospermia and 113 subjects with normozoospermia were investigated. The 2010 World Health Organization guidelines were used to evaluate sperm parameters, and TUNEL and SCSA methods were used to assess sperm DNA damage. The statistical analysis was done using the t-test of two independent samples. Pearson's correlation coefficient was used to investigate the relationship between sperm DNA damage and sperm parameters, age, and BMI P<0.05 was considered significant.
ResultsThe mean seminal volume, sperm concentration and count, and the percentage of sperm total motility and progressive motility were significantly lower in severe asthenospermic subjects compared to normozoospermic subjects (P<0.001). In addition, the mean percentage of sperm DNA damage in severe asthenozoospermic individuals was significantly higher than in normozoospermic individuals (P<0.001). There was also a positive and significant relationship between sperm DNA damage and the age of severely asthenozoospermic men.
ConclusionSperm motility, sperm DNA damage, and the father's age are essential in the successful conception, development, and health of the embryo. Therefore, the evaluation of sperm DNA damage is recommended in examining male fertility and selecting the appropriate treatment approach for men with severe asthenozoospermia.
Practical Implications:
Considering that the sperm genome constitutes 50 percent of the genetic material of the next generation, evaluating sperm DNA health to determine the appropriate treatment approach in infertile men can be influential in the success of assisted reproductive techniques and in maintaining the next generation’s health.
Keywords: Male Infertility, Sperm DNA Damage, Asthenozoospermia, TUNEL, Sperm} -
Infertility has a significant impact on the quality of lives of infertile couples, necessitating the exploration of approaches to reduce its prevalence and improve fertility chances. This review focuses on the role of tree nuts in male fertility, considering their potential effects on seminal fluid quality and sperm parameters. Nuts are rich in antioxidants such as vitamins C, D, and E, as well as minerals like zinc and selenium, which are known to have a positive influence on fertility. While numerous reviews have summarized the effects of various nutrients on male fertility, there is currently no published review specifically categorizing the effects of tree nuts on male fertility. This review aimed to fill that gap by summarizing the relevant literature on nuts and male infertility. The findings of reviewed studies suggest the beneficial effects of nut consumption on reproductive health and overall health. The improvement in lipid stability, oxidative stress, inflammation indicators, and endothelial function can potentially contribute to better reproductive health, particularly in relation to agedependent decreases in sperm quality and fertility.
Keywords: Nuts, Nutrition, Male infertility, Sperm, Seminal fluid} -
سابقه و هدف
با توجه به تغییر سبک زندگی و افزایش اضطراب، مصرف داروهای خواب آور در بین جوانان افزایش یافته است. زولپیدم دومین داروی خواب آوری است که در جهان مورد استفاده قرار می گیرد. با توجه به اینکه اثرات مضر این دارو بر دستگاه تولیدمثل به اثبات رسیده، مطالعه حاضر به منظور ارزیابی اثرات محافظتی ویتامین E در برابر آسیب های ناشی از زولپیدم بر دستگاه تناسلی نر انجام شده است.
روش بررسیدر این مطالعه تجربی، 48سر موش نر بالغ نژاد NMRI به صورت تصادفی به یک گروه شاهد و هفت گروه تجربی تقسیم شدند. گروه های تجربی اول، دوم و سوم به ترتیب زولپیدم را به میزان mg/kg.BW 5 ،10 و20 دریافت کردند. گروه تجربی چهارم، ویتامین E را به میزانIU/kg.BW 100 و سایر گروه های تجربی پنجم، ششم و هفتم چهار ساعت بعد از دریافت زولپیدم به میزان mg/kg.BW 5 ،10و20 ، ویتامین E دریافت نمودند. روش تجویز در تمامی گروه ها به صورت خوراکی و به مدت 35 روز بود. 24 ساعت پس از آخرین تیمار، نمونه های خونی و پارامترهای اسپرم ارزیابی شده و سطح سرمی ,MDA TAC و تستوسترون نیز مورد بررسی قرار گرفتند.
یافته هاکاهش معنی دار در تعداد، تحرک، تعداد اسپرم های زنده، و اسپرم های بالغ در دوزهای بالا مشاهده گردید. همچنین آسیب به DNA افزایش یافته که ویتامین E توانست آسیب به DNA را بهبود بخشد. ظرفیت آنتی اکسیدانی تام و سطح تستوسترون کاهش یافته و میزان مالون دی آلدئید در سرم افزایش یافت. تجویز ویتامین E سبب بهبود وضعیت MDA, TAC و سطح تستوسترون خون گردید.
نتیجه گیریزولپیدم، به واسطه افزایش تولید رادیکال های آزاد و نیز تضعیف دستگاه دفاع آنتی اکسیدانی بدن، موجبات اختلالات مربوط به پارامترهای اسپرم را در دوزهای بالا فراهم می کند به همین سبب قادر است تا عملکرد فیزیولوژیک سیستم تولیدمثل نر را دچار اختلال نماید. از طرفی ویتامین E که یک آنتی اکسیدان محلول در چربی است توانست آسیب های به وجود آمده را بهبود بخشد و اختلالات تولید مثلی را از بین ببرد.
کلید واژگان: ویتامین E, زولپیدم, اسپرم, مالون دی آلدئید, تستوسترون}Evaluation of the protective effect of vitamin E on sperm parameters in the mice exposed to zolpidemMedical Science Journal of Islamic Azad Univesity Tehran Medical Branch, Volume:34 Issue: 1, 2024, PP 12 -24BackgroundDue to lifestyle changes and increased anxiety consumption of zolpidem has increased among young people. Zolpidem is the second sleeping medication used in the world. the harmful effects of this drug on the reproductive system have been proven. The present study was conducted to evaluate the protective effects of vitamin E against zolpidem injuries on male reproductive system.
Materials and methodsIn this experimental study forty eight adult male mice NMRI strain at a mean weight of 25±5 grams were divided into one control and seven experimental groups. Zolpidem was prepared in distilled water. The control group received distilled water (as solvent of zolpidem) The groups 1, 2 and 3 received zolpidem at the doses 5, 10 and 20 (mg/kg of body weight). The group of 4 received (100 IU/kg of body weight) vitamin E and the groups of 5,6 and 7 received Zolpidem+ vitamin E for 35 days. One day after the last gavage, the treatment groups were sacrificed, the hearts were dissected and blood samples were obtained. Then the sperm parameters MDA, TAC and testosterone were evaluated.
ResultsSignificant reduction in the count, motility, number of live and mature sperms at high doses were observed. DNA damage was increased, which vitamin E could result in improvement. The total antioxidant capacity and testosterone levels decreased while the amount of malondialdehyde level in the serum increased. Administration of Vitamin E improved MDA, TAC and testosterone level.
ConclusionZolpidem can increase the free radicals and weakens the body's antioxidant defense system, zolpidem causes disorders related to sperm parameters in high doses and therefore is able to impair the physiological function of male reproductive system. On the other hand, vitamin E, which is a fat-soluble antioxidant, can improve the damage and eliminate reproductive disorders.
Keywords: Vitamin E, Zolpidem, Sperm, MDA, Testosterone} -
International Journal of Women’s Health and Reproduction Sciences, Volume:12 Issue: 1, Jan 2024, PP 16 -20Objectives
The perception of Cannabis toxicity and safety in society, politics, and even scientific circles has changed dramatically in recent years. Consequently, a few questions have been raised regarding the effects of marijuana (Cannabis sativa) on the human body and psychic abilities in the short and long term. This study is undertaken in order to compare sperm cells quality before and after incubation with Cannabis (marijuana) extracts (THC- THC-COOH and CBD).
Materials and MethodsSemen samples were obtained from men (n=10) with age range between 20 to 35, regardless of their fertility status. Analyses of semen parameters (volume, sperm count, motility), were analyzed within 1 hour after collection, according to WHO criteria 2020. For accurate results, Computer Assisted Sperm Analysis (CASA) system was used to determine sperm parameters. Each sample was exposed to 1 mL; 10 µg/mL of THC, THC-COOH, and CBD dissolved in methanol. All samples were also exposed to 1 mL pure methanol as a control group to eliminate the potential effects of methanol on sperm cells. Several smears (10 µL) of each sample were taken in order to assess the functionality of sperm’s chromatin integrity by employing a chromomycin (CMA3 ) and DNA fragmentation (Acridine Orange) assays.
ResultsAfter treatment sperm cells with 10µL THC, THC-COOH and CBD. Total sperm’s motility was significantly reduced significantly when it was exposed to THC and CBD (P ≤ 0.001 and P ≤ 0.003 respectively). Progressive motility were decreased significantly (P ≤0.001) and the mean number of immotile sperm were significantly increased (P ≤ 0.003) after incubation with THC and CBD and respectively. However, slightly inhibition of total sperm’s motility was observed after incubation with THC-COOH.
ConclusionsSpermatozoa exposure to THC, CBD and THC-COOH deteriorate significantly sperm motility and should be avoided by men in reproductive age and those who undergoing ART.
Keywords: Cannabis, Sperm, In-Vitro, THC, THC-COOH, CBD} -
Background
The use of probiotics in the treatment of infertility is a new area of research. In this study, our objective was to examine the efficacy of probiotic supplementation on semen parameters following varicocelectomy.
Materials and MethodsWe included infertile men in our study who were the candidates for subinguinal microscopic varicocelectomy. After the surgical procedure, the patients were randomly assigned into two groups: 38 individuals received probiotic upplementation (FamiLact®), while 40 individuals received a placebo for 3 months. We compared the preoperative semen parameters with the postoperative parameters to evaluate the effects of probiotic supplementation.
ResultsA total of 78 patients were included in the study. The two groups weresimilar in terms of age, body mass index, infertility period, and semen parameters at baseline (P > 0.05). A statistically significant difference was found in sperm concentration (33.7 ± 22.5 vs. 21.1 ± 16.1 × 106/mL, P = 0.046), and the percentage of sperms with normal morphology (15.0 ± 8.9 vs. 12.0 ± 11.5, P = 0.016) at 3 months favoring the probiotic group. Although the probiotic groupexhibited higher values for semen volume and sperm motility at 3 months, the differences were not statistically significant (P = 0.897 and P = 0.177, respectively).
ConclusionOur study demonstrates that the short?term use of probiotics after varicocelectomy can provide additional benefits in improving semen parameters. Probiotic supplements are cost?effective and well tolerated, making them a suitable option for enhancing the outcomes of varicocelectomy.
Keywords: Fertility agents, infertility, probiotic, semen analysis, sperm, varicocelectomy} -
Background
The prevalence of human papillomavirus (HPV) infection in infertile men is significantly higher than that in the general population. Nevertheless, it is unclear whether the presence of HPV in semen samples is related to reduced semen quality.
ObjectivesThe present article aims to elucidate the possible association between HPV infection and semen parameters in Iranian infertile men.
MethodsThis cross-sectional study included semen samples from 140 infertile Iranian male partners of couples seeking fertility assessment. Standard semen analysis was performed. Sperm DNA fragmentation index (DFI), sperm chromatin maturation, anti-sperm antibodies, leukocyte count, fructose concentration, and zinc concentration were also assessed. Nested polymerase chain reaction (PCR) and INNO-LiPA were used to identify HPV DNA sequences in semen samples and to determine HPV genotype, respectively. Independent samples t-tests were used to compare sperm parameters between HPV-positive and HPV-negative groups.
ResultsHuman papillomavirus DNA was detected in 18 (12.85%) out of 140 semen samples (10% high-risk genotypes, 2.14% low-risk genotypes, and one sample was excluded). Our findings revealed that HPV18 was the most prevalent type (8.57%). According to our results, the presence of HPV DNA in semen samples was associated with higher semen anti-sperm antibodies (P = 0.001), higher white blood cell (WBC) counts (P = 0.02), and increased DFI values (P = 0.03).
ConclusionsHuman papillomavirus -positive patients had higher semen anti-sperm antibodies, semen WBC counts, and sperm DFI values. These results highlight the importance of careful screening for the presence of HPV in semen samples from infertile men. It should also be noted that more studies are required.
Keywords: Human Papillomavirus, Male Infertility, Semen Quality, Sperm} -
Background
There are considerable opium addicts, particularly among workers in Iran's industrial sectors. This study aimed to investigate the effects of simultaneous exposure to excessive noise and opium addiction on adult rat sperm parameters.
Materials and MethodsIn this experimental study 42 adult Wistar male rats in 6 groups were studied as follows: group 1 control, group 2 exposed to noise (100 dB) 8 h/day, group 3 received daily 50 mg/case opium solution, group 4 received daily 100 mg/case opium solution, group 5 received daily 50 mg/case opium solution and exposed to noise 8h/day, and group 6 received daily 100 mg/case opium solution and exposed to noise 8h/day. After 50 days, cauda epididymis was removed for sperm parameters examination (WHO guidelines).
ResultsIn the groups receiving opium (50 and 100 mg/case), sperm count, sperm viability, and normal sperm morphology (%) significantly decreased compared to the control group. Exposure to noise and consumption of opium solution simultaneously significantly reduced the count, viability, and percentage of sperm with normal morphology in both selected doses, as well as a significant difference between groups 5 and 6 in count, viability, and normal sperm morphology(%) parameters(P<0.05).
ConclusionsAccording to the results, noise exposure and taking opium would actively reduce the count, viability, and normal sperm morphology. It is therefore suggested that the mechanism of such effects should be investigated in animal and human studies.
Keywords: Sperm, Noise, Opium, Addiction} -
International Journal of Reproductive BioMedicine، سال بیست و یکم شماره 10 (پیاپی 165، Oct 2023)، صص 835 -844مقدمه
ناباروری یک موضوع نگران کننده در بین زوجین در سراسر جهان است و به طور کلی عوامل مردانه مسیول تقریبا نیمی از موارد هستند.
هدفاین مطالعه با هدف بررسی ارتباط بین DII و سطوح CRP در پلاسما و مایع منی با کیفیت مایع منی در مردان نابارور انجام شد.
مواد و روش هادر این مطالعه مقطعی 88 مرد نابارور مراجعه کننده به بیمارستان بعثت تهران از دی ماه 1400 تا آذر 1401 شرکت کردند. یک پرسشنامه دقیق برای اطلاعات درخواستی و یک پرسشنامه 168 آیتمی نیمه کمی بسامد خوراکی توسط شرکت کنندگان تکمیل شد. برای محاسبه DII از پرسشنامه بسامد خوراکی استفاده شد. علاوه بر این، نمونه های منی و خون از هر شرکت کننده برای آنالیز مایع منی و ارزیابی سطح CRP جمع آوری شد. تجزیه و تحلیل های آماری برای بررسی ارتباط بین سطوح DII و CRP با کیفیت اسپرم، که به عنوان نتیجه اولیه مطالعه بودند، انجام شد. ارتباط بین DII و CRP سرم/منی علاوه بر ارزیابی مواد مغذی در هر چارک DII، نیز مورد بررسی قرار گرفت.
نتایجبا در نظر گرفتن آزمون ANOVA بین چارک های مختلف DII از نظر تحرک اسپرم (006/0 = p) و مورفولوژی (014/0 = p) تفاوت معنی داری وجود داشت. آزمون Post-hoc نشان داد که بین چارک اول و دوم و چارک اول و چهارم DII از نظر تحرک اسپرم تفاوت معنی داری وجود دارد (به ترتیب 011/0 = p و 017/0) و تفاوت معنی داری بین چارک اول و دوم DII با توجه به مورفولوژی اسپرم وجود دارد (009/0 p =). تفاوت معنی داری معکوسی بین DII و تحرک اسپرم مشاهده شد (017/0 = p). کربوهیدرات ها و β-کاروتن ها بین چهار چارک DII تفاوت معنی داری داشتند (به ترتیب 043/0 = p و 026/0 = p). در نهایت، بین سطوح DII و CRP در خون و مایع منی همبستگی معنی داری مشاهده نشد (05/0 p >).
نتیجه گیرییافته ها ارتباط قابل توجهی را بین DII و کیفیت مایع منی نشان داد. با این حال، ارتباط معنی داری بین سطح DII و CRP در خون و مایع منی وجود نداشت.
کلید واژگان: ناباروری, پروتئین واکنشی C, CRP, التهاب, اسپرم}BackgroundInfertility affects couples worldwide, with male factors being responsible for half of all cases.
ObjectiveThis study aimed to investigate the relationship between dietary inflammatory index (DII) and levels of C-reactive protein (CRP) in plasma and semen with the quality of semen in infertile males.
Materials and MethodsIn this cross-sectional study, 88 infertile men referring to Besat hospital, Tehran, Iran from December 2021-November 2022 were enrolled. A detailed questionnaire requesting information, and a 168-item semiquantitative food frequency questionnaire, were completed by participants. A food frequency questionnaire was used to calculate the DII. Additionally, semen and blood samples were collected from each participant for semen analysis and CRP-level assessment. Statistical analyses were performed to explore the association between DII and CRP levels with sperm quality. The correlation between DII and serum/semen CRP, besides assessing nutrients in each DII quartile group, was also explored.
ResultsA significant difference was observed between different DII quartiles considering sperm motility (p = 0.006) and morphology (p = 0.014). Post hoc study revealed a significant difference between the 1st and 2nd quartiles and the 1st and 4th quartiles of DII regarding sperm motility (p = 0.011, and 0.017 respectively) and a significant difference between the 1st and 2nd quartiles of DII considering sperm morphology (p = 0.009). A statistically significant inverse correlation was also observed between DII and sperm motility (p = 0.017). Carbohydrates and β-carotenes were significantly different between the 4 DII quartiles (p = 0.043 and p = 0.026, respectively). Finally, no significant correlation was observed between DII and CRP levels in blood and semen (p > 0.05).
ConclusionThe findings suggested a notable correlation between DII and semen quality; however, no significant association were observed between DII and CRP levels in blood and semen.
Keywords: Infertility, C-reactive protein, CRP, Inflammation, Sperm} -
Journal of Research in Applied and Basic Medical Sciences, Volume:9 Issue: 4, Autumn 2023, PP 215 -222Background & Aims
Saccharin is approximately 300 times sweeter than sucrose, and since its discovery, there has been several controversies regarding its potential toxicity as chronic saccharin consumption negatively influences biochemical parameters. Subsequently, Solanum aethiopicum is a good source of bioactive compounds that can be used to treat a variety of ailments including nervous, respiratory, visual, renal, circulatory and fertility issues. The aim of this study was to investigate the effects of ethanolic fruit extract of Solanum Aethiopicum (L.) on saccharin induced hyperlipidemia and sperm abnormalities in male Wistar rats.
Materials & MethodsIn this experimental study, 16 Wistar rats were divided into four groups (Groups 1 to 4) comprising of four Wistar Rats per group. Group 1 (control) was given distilled water and feed only, group 2 was administered saccharin (10 mg), group 3 were administered saccharin (10 mg) and 50 mg of extract, while group 4 was administered saccharin (10 mg) and 100 mg of extract. The extract was administered for 21 days, then the rats were sacrificed and blood sample was collected through cardiac puncture for Lipid profile test. Also, semen analysis was conducted to assess sperm count, motility, viability, and morphology. The results were expressed as mean ± SEM. The differences between the four groups were determined using one-way analysis of variance, and results were considered to be significant at p ≤ 0.05.
ResultsThe results showed that saccharin adversely affected lipid profile and sperm parameters in Wistar Rats. Also, ethanolic fruit extract of Solanum aethiopicum caused a significant dose-dependent increase of lipid profile and sperm parameters in Wistar Rats administered saccharin.
ConclusionSolanum aethiopicum is beneficial for treatment of sperm abnormalities and hyperlipidemia. It is recommended that the fruit be utilized as a less expensive alternative in clinical therapies for treating sperm abnormalities and hyperlipidemia.
Keywords: Artificial Sweeteners, Cholesterol, Hyperlipidemia, Saccharin, Solanum Aethiopicum, Sperm} -
Background
Sperm cryopreservation can reduce the quality of sperm. Antioxidants can improve sperm parameters by decreasing oxidative stress.
ObjectivesThis study was performed to determine the effect of supplementing sperm freezing media with cysteamine on the quality of sperm after freezing.
MethodsThis descriptive-analytical research was conducted at Omolbanin Center for Infertility Treatment in Dezful, Iran, in 2022. The samples included 60 men with normosperm based on the World Health Organization standards. Each sample was divided into three parts: 1. fresh semen group, 2. semen frozen with 10 mmol cysteamine supplementation, and 3. semen frozen without cysteamine supplementation. Viability, motility, morphology, total antioxidant capacity (TAC), and malondialdehyde (MDA) levels were evaluated. The results were described using SPSS version 22, and the significance level was considered P 0.05.
ResultsThe mean of progressive motility was significantly higher in the fresh semen group (48.3 ± 4.74) compared to the two other groups. The mean progressive motility was significantly lower in the group without cysteamine supplementation (24.4 ± 3.38) than in the group with cysteamine supplementation (35.3 ± 4.9). Moreover, TAC was significantly higher in the group with cysteamine supplementation (816.6 ± 4.36) than in the other groups.We found that theMDAlevel was significantly higher in the group without cysteamine supplementation than in the other groups (36.5 ± 2.51).
ConclusionsAccording to the results of the present study, appropriate conditions for preserving the sperm parameters after cryopreservation could be created by adding cysteamine to the sperm cryopreservation media as an antioxidant effective on sperm parameters.
Keywords: Cysteamine, Semen, Sperm, Antioxidant} -
Objective
Epigenetic modifications such as DNA methylation play a key role in male infertility etiology. This study aimed to explore the global DNA methylation status in testicular spermatogenic cells of varicocele-induced rats and consider their semen quality, with a focus on key epigenetic marks, namely 5-methylcytosine (5-mC) and 5-hydroxymethylcytosine (5-hmC), as well as the mRNA and proteins of ten-eleven translocation (TET) methylcytosine dioxygenases 1-3.
Materials and MethodsIn this experimental study, 24 mature male Wistar rats (8 in each group) were assigned amongst the control, sham, and varicocele groups. Sperm quality was assessed, and DNA methylation patterns of testicular spermatogenic cells were investigated using reverse transcription-polymerase chain reaction (RT-PCR), western blot, and immunofluorescence techniques.
ResultsSperm parameters, chromatin and DNA integrity were significantly lower, and sperm lipid peroxidation significantly increased in varicocele-induced rats in comparison with control rats. During spermatogenesis in rat testis, 5-mC and 5-hmC epigenetic marks, and TET1-3 mRNA and proteins were expressed. In contrast to the 5-mC fluorescent signal which was presented in all testicular cells, the 5-hmC fluorescent signal was presented exclusively in spermatogonia and a few spermatids. In varicocele-induced rats, the 5-mC signal decreased in all cells within the tubules, whereas a strong signal of 5-hmC was detected in seminiferous tubules compared to the control group. As well, the levels of TET2 mRNA and protein expression were significantly upregulated in varicocele-induced rats in comparison with the control group. Also, our results showed that the varicocele-induced animals exhibited strong fluorescent signals of TET1-3 in testicular cells, whereas weak fluorescent signals were identified in the seminiferous tubules of the control animals.
ConclusionConsequently, we showed TET2 upregulation and the 5-hmC gain at testicular levels are associated with varicocele and sperm quality decline, and therefore they can be exploited as potential biomarkers of spermatogenesis.
Keywords: DNA Methylation, Male Infertility, Sperm, Varicocele, 5-Methylcytosine} -
Background
The root of Waltheria indica is used in Nigeria to enhance libido. This study evaluated the aphrodisiac potential and toxicological profile of ethanol root extract (EEWI) in male Wistar rats.
MethodsThe aphrodisiac potential was evaluated on the 7th and 14th days of oral administration of graded doses (100, 200, and 400 mg/kg/day) of EEWI. Anxiolytic properties were evaluated on the 7th day, while memory retention properties were evaluated on the 14th, 21st, and 28th days. Sperm parameters, toxicological profile, and antioxidant potential were evaluated on the 28th day. The in vitro antioxidant property was also evaluated.
ResultsIn a dose-dependent manner, the extract increased mounting frequency and intromission frequency but significantly decreased mount and intromission latencies (p<0.001) on the 7th and 14th day of treatment. It prolonged ejaculatory latency. Anxiolytic and memory studies showed that the extract compared agreed with standards. Toxicologically, it was observed that all the doses used neither caused death nor any gross toxicological symptom. A significant increase (p<0.05) was observed in the concentrations of catalase (CAT), superoxide dismutase (SOD), and glutathione peroxidase (GPX), as well as hematological parameters such as red blood cells and hemoglobin. A significant reduction in total sperm and motile sperm cell counts was observed in rats given the highest dose.
ConclusionThe extract possesses aphrodisiac action and is relatively safe. The antioxidant property may accentuate the aphrodisiac and anti-anemic use in ethnomedicine.
Keywords: Erectile dysfunction, Sexual behaviors, Antioxidant, Sperm, Toxicity} -
Background
Sperm chromatin abnormalities are defects in nuclear maturation and DNA integrity. These defectsoriginated from defective spermatogenesis due to a lack of DNA repair during chromatin remodeling. Changes insemen elements can cause damage to chromatin. There is little information about the relationship between changesin trace metal elements and total antioxidant capacity (TAC) with sperm chromatin damage. The present study wasconducted to determine the relationship between Selenium (Se), Iron (Fe), Zinc (Zn), Copper (Cu) and the TAC ofsemen with the status of human sperm chromatin.
Materials and MethodsIn this experimental study, semen samples (n=30) were collected from healthy men referredto Kermanshah Motazadi Hospital and stored in liquid nitrogen; after thawing and centrifugation, sperm were separated.The atomic absorption method was used to measure the concentration of metal elements. The TAC was evaluatedusing the ferric-reducing antioxidant capacity of the plasma method. Furthermore, the integrity of sperm chromatinwas measured using the sperm DNA fragmentation (SDF) method.
ResultsThe status of sperm chromatin had a non-significant correlation with body mass index (BMI, P=0.25, r=0.21)and a non-significant negative correlation with sperm count (P=0.71, r=-0.71) and motility (P=0.75, r=0.61). In addition,there was no significant relationship between sperm chromatin and the TAC of semen (P=0.92, r=0.01). Additionally,there was no significant correlation between Se, Zn, or Cu concentration (P>0.05) and Fe concentration,which had a partially positive relationship with the chromatin state of sperm (P=0.24, r=0.20).
ConclusionThe trace metal elements in the seminal fluid did not play a significant role in the status of sperm chromatin.
Keywords: antioxidant capacity, DNA fragmentation, infertility, Semen, Sperm} -
Background
In Brazil, donor anonymity is mandatory; however, the tendency of Brazilians towards the practice is unknown. In this study, an attempt was made to investigate whether couples undergoing assisted reproductive technology (ART) have a different perception of anonymous versus identity-release gamete donation than a target population in Brazil.
MethodsThis cross-sectional study was performed from September 1, 2020 to December 15, 2020. For that purpose, surveys through online platforms were conducted, including either patients undergoing ART (ART-group, n=400) or subjects interested in the theme (interested-group, n=100) randomized by age at a 1:4 ratio. The survey collected information on the participants’ attitudes towards anonymity of gamete donors, and answers were compared between the groups.
ResultsMost participants stated that the relationship between children and their parents would be affected by the child's knowledge of the origin of its conception. Most participants in the ART-group believed that the gamete donor’s identity should not be revealed to the child, while only half of the interested-group stated the same. Most of the participants stated that "the donor's identity should be revealed if the child questions its biological origin". "From birth" was the second most common response, while "when the child turns 18 years old" and "sometime during teenage years" were less common answers.
ConclusionThe attitudes of ART patients about anonymity are conservative, with most participants believing that family relationships may be affected if the child is aware of the origin of his/her conception. These patients also believe that the identity of the gamete donor should not be revealed to the child.
Keywords: Donor conception, Donor, Oocyte donation, Sperm, Survey}
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