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Evaluation of sperm quality in young men in North Macedonia

Journal
Архиви на јавно здравје = Archives of public health
Date Issued
2023
Author(s)
Tasheva, Ljubica
Stojkovska, Natasha
DOI
https://www.id-press.eu/aph/article/view/6082/5607
Abstract
Research data show that in the last 50 years (1938-1991) there has been a trend of decreasing sperm
concentration in the male population in Europe by 2.3% and in the USA by 0.8%. The reasons for
such negative trend are not known, but it is assumed that lifestyle and environmental factors
have an influence on genetic factors. Aim of this study was to evaluate sperm quality in young,
healthy men in our country, and to compare sperm quality in our population with others in the
world. Material and methods: Ejaculates from 203 healthy male subjects, aged 18-32, were stored
in a thermostat at 360
C and analyzed manually on a native slide and hematoxylin-eosin-stained
slides, under a phase contrast microscope. Sperm motility was assessed at two-time intervals,
group A, 60 minutes after ejaculation and group B, 120 minutes after ejaculation, while sperm
concentration and sperm morphology were assessed at one time interval. Results:Semen analysis
showed an average volume of ejaculate3.45 ± 1.5 ml, sperm concentration in 1 milliliter62.4
± 39.2 x10(6) /ml, while total sperm concentration was 211.2 ± 173.2 x10(6). In group A, values
for progressive spermatozoa were 48.6 ± 18.1 x10(6) /ml and in group B, values for progressive
spermatozoa were 47.9 ± 17.3 x10(6) /ml. There was no statistically significant difference between
the two time intervals (group A and group B) when interpreting sperm motility, p>0.005.
Analysis of morphology of spermatozoa showed a mean value of 6.9% for morphologically normal
spermatozoa. Conclusion: The quality of ejaculate in young men in North Macedonia is in the
range of reference values according to WHO, and also our results are similar to those from
Germany, Turkey, Bulgaria, Faroe Islands.
Subjects

sperm motility

sperm concentration

sperm morphology

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