Novel associations between specific sperm morphological defects and leukocytospermia

Fertility and Sterility
Nabil AzizAnthony J Thomas

Abstract

To examine the relationship between leukocyte concentrations in semen and sperm morphology in a group of infertile men and healthy fertile donors. A prospective clinical study. Male infertility clinic at a tertiary care teaching hospital and a reproductive medicine unit at a Women's Hospital in the United Kingdom. Fifty-six infertile men and 13 healthy fertile sperm donors (control). Standard semen analysis, seminal leukocyte concentration, and the assessment of sperm morphology and sperm deformity index (SDI), applying Tygerberg's strict criteria. Granulocyte concentrations in semen, percentages of different sperm morphological abnormalities, and SDI scores. Leukocyte concentrations were statistically significantly and negatively correlated with the proportion of sperm with damaged acrosomes, cytoplasmic droplet, tail defects, and SDI scores with normal and borderline morphology. The percentage sperm motility was significantly and negatively correlated with leukocytic concentration in semen. However, the leukocytic concentration was not significantly correlated with sperm concentration. This is the first study to report a significant positive correlation between leukocytospermia and sperm tail defects, acrosomal damage, and hi...Continue Reading

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