ABSTRACT
Resumen Introducción: La presencia de bacterias en semen (bacteriospermia) es una condición patológica asociada con infertilidad y con prevalencia de hasta el 35%. Objetivo: Reportar el caso de un paciente con oligoastenozoospermia manejado en la consulta de infertilidad. Caso: Paciente masculino de 33 años de edad con historia de dificultad para la concepción, antecedente de orquiectomía por torsión testicular a los 16 años, infección por Chlamydia trachomatis a los 20 años. Examen físico normal, ecografía doppler testicular con varicocele izquierdo leve. Espermograma con oligoastenozoospermia y espermocultivo en agar sangre positivo para Streptococcus spp y agar chocolate para Streptococcus spp. Se inició manejo con ampicilina Sulbactam durante 14 días y control a los 3 meses con nuevo espermograma con mejoría marcada de la concentración y la movilidad progresiva espermática. Resultado: La pareja logro un embarazo exitoso con bebe vivo en casa. Conclusión: La colonización bacteriana del semen contribuye a alteraciones de la calidad seminal, por lo tanto, determinar la presencia de bacterias en las parejas infértiles podría ser de utilidad para el mejoramiento de los parámetros seminales y lograr un embarazo exitoso.
Abstract The presence of bacteria in semen -bacteriospermia- is a pathological condition associated with infertility, which presents a prevalence of up to 35%. We describe the successful management during infertility consultation of a patient suffering from oligoasthenozoospermia. A 33-year-old male patient with a history of difficulty conceiving, a history of orchiectomy due to testicular torsion at 16 years of age, and Chlamydia trachomatis infection at 20 years of age. The physical examination showed normal results, and testicular Doppler ultrasonography presented mild left varicocele. The semen analysis reported oligoasthenozoospermia, positive semen culture on blood agar for Streptococcus spp, and positive chocolate agar for Streptococcus spp. The treatment started with ampicillin-sulbactam administration for 14 days and a check-up after three months with a new semen analysis which showed an improved concentration and progressive sperm motility. Finally, the couple achieved a successful pregnancy. Bacterial colonization of semen contributes to seminal quality alterations; therefore, determining bacteria's presence in infertile couples could help improve seminal parameters and achieve a successful pregnancy.
ABSTRACT
Background: Inability to conceive after at least 12 months of unprotected regular intercourse has been recognized as a very serious problem for couples especially those who are at the reproductive age and legally married. Bacterial infection of male genitourinary tract is considered as one of the promoting factors for male infertility. These pathogenic bacteria in the ejaculates can induce a defect in semen parameters, such as sperm count, morphology and motility which are predictors of male fertility potential. The study was conducted to assess the semen quality and the incidence of bacteriospermia in male partners of infertile couples attending fertility clinic at Trust Care Specialist Hospital, Kumasi.Methods: Semen samples of 300 male partners of infertile couples were collected and evaluated by WHO guidelines. The samples were also cultured using standard bacterial culture techniques.Results: Oligozoospermia was the highest semen abnormality identified. This was followed by Teratozoospermia. Other semen abnormalities identified were azoospermia, asthenozoospermia, oligoteratozoospermia, asthenoteratozoospermia, oligoasthenozoospermia, and oligoasthenoteratozoospermia. 67 (22.3%) out of the 300 samples showed significant bacterial growth. Eight different bacteria species were isolated. E. coli, was isolated from 27 of the samples, S. aureus from 13 of the samples, U. urealyticum from 10 of the samples, Chlamydia trachomatis from 9 of the samples, Pseudomonas spp from 5 of the samples Proteus spp, Klesbsiella spp and M. morganii were each isolated from one sample.Conclusions: Although bacteria were isolated in 22.3% of the semen samples, their presence imparted negatively on the semen quality. This suggests that bacterial infection should be one of the investigations to be carried out in the treatment of infertility. Even when count, motility, and morphology look normal other parameters such as infection and sperm DNA should be investigated during the treatment of infertility.
ABSTRACT
Male Urogenital tract infection plays an important role in men infertility. Asymptomtic bacteriospermia has been regarded as of the contributing factor to male infertility. In this study, 87 semen samples of infertile men attending the Human Reproduction Research Programme and Invitrofertilization unit (HRRP/IVF) of University Benin Teaching Hospital were evaluated Bacteriologically using standard Bacterial culture method. Standard semen analysis was performed according to WHO guidelines. Among the total cases, 36 (41.4%) showed at least one pathogen. Staphylococcus aureus (16.1%), Staphylococcus Saprophyticus (9.1%), Escherichia Coli (6.9%) Proteus mirabilis (3.4%) Klebsiella spp (2.3%) Pseudomonas aerouginosa (1.1%) and Proteus vulgaris (2.3%). There was a significant relation between bacteriospermia and the rate of number of total motility and morphologically abnormal sperms (p 0.05). It seems that leukocytopermia is not a good maker to predict bacteriospermia.