Epidemiology and Clinical Profile of Male Infertility at the Fertilization Centre IRIFIV in Casablanca, Morocco, around 295 Cases

Objective: Male infertility is a scourge of the 21st century. Its management remains a real headache. The objective of this study is to describe the general profile of male infertility at the IRIFIV In Vitro Fertilization Center, Casablanca, Morocco. Materials and Methods: This is a retrospective and descriptive study of 295 patient files seen in consultation for conjugal infertility of the couple between 2017 and 2018. The parameters studied were clinical elements and paraclinical explorations. Results: The average age of the patients was 37.5 years. The average duration of evolution of infertility was 5.5 years. Infertility was primary in 70.9% of cases and secondary in 29.1% of cases. Clinically, varicocele was the most common abnormality in 65.9% of patients. The seminogram was disrupted in 72% of cases. The main disturbances were oligozoospermia in 40.20% of cases and asthenozoospermia in 37% of cases. Conclusion: The general profile of infertility is polymorphic. The causes of male infertility noted are multifactorial. Male infertility usually results in a quantitative and/or qualitative abnormality of the sperm. The improvement of the management of infertility must go through new ways of research including genetic and immunological for a good identification of usually hidden causes of infertility.

Seminal Cell-Free DNA Test for the Management of Male Infertility

The use of extracellular or circulating nucleic acids (Cfs), as a diagnostic or prognostic tool in oncology, has been broadly documented. However, their use in gynecology-obstetrics as non-invasive biomarkers in the management of infertility has become a recurring fact. The circulating nucleic acids are constituted by: free DNA which can be long or short DNA strands resulting from the apoptotic or necrotic processes, the free RNA containing: micro-RNAs (miRNAs) which are short single-stranded ribonucleic acids (RNA) that are able to deter the production of protein from a gene, Piwi-interacting RNAs (PiRNAs) that are small RNAs expressed in germ cells or even early embryos and small interfering RNAs (siRNAs) that are small RNAs that can bind specifically to a messenger RNA sequence and prevent gene expression by cleaving that RNA. The presence of circulating nucleic acids in many biological fluids such as: urine, seminal plasma and serum, the fact that they are easy to detect, the variation of their level according to the physiopathological conditions of the body and their implication in many biological processes such as folliculogenesis, steroidogenesis and spermatogenesis make nucleic acids circulating important biomarkers of interest in the management of male infertility. They compose a real complementary help for practitioners of medically assisted procreation. As a result, circulating nucleic acids are a promising avenue in the prevention of implantation failures. In this article, we will seek to affirm further, their importance in the management of male infertility, by highlighting their different uses.