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Downward Trend in Male Reproductive Health and Fertility in Eastern Iran Publisher Pubmed



Pakmanesh H1 ; Nazarirobati N1 ; Dabiri S2 ; Mirshekari TR3 ; Momeni H4 ; Jadidi S4 ; Rouientan H4 ; Hanafi Bojd H4 ; Torabinavid P5 ; Narouie B4, 6
Authors
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Authors Affiliations
  1. 1. Department of Urology, Kerman University of Medical Sciences, Kerman, Iran
  2. 2. Department of Pathology, Kerman University of Medical Sciences, Kerman, Iran
  3. 3. Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
  4. 4. Department of Urology, Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Pediatric Urology and Regenerative Medicine Research Center, Gene, Cell and Tissue Research Institute, Children’s Medical Center, Tehran University of Medical Science, Tehran, Iran
  6. 6. Department of Urology, Zahedan University of Medical Sciences, Zahedan, Iran

Source: Urologia Journal Published:2024


Abstract

This study aimed to assess the ten-year trend in semen quality among couples referred to the Infertility Center in Kerman between 2008 and 2017. The study included 2952 semen samples from men 18 to 60 years old referred to the infertility center as infertile couples living in Kerman province, Iran, whether they had normal or abnormal semen analysis. A total of 2952 sperm samples were included. Statistically significant changes were observed in semen parameters. Particularly, significant changes were observed for volume (−0.08 mL/year), sperm concentration (−2.34 (mio/mL)/year), total sperm count (−13.17 (mio/ejaculate)/year), progressive motility (−2.62%/year), non-progressive motility (−0.59%/year), immotile sperm (2.49%/year), and normal morphology (−0.134%/year). In bivariate analysis, the prevalence of oligozoospermia in this study showed a statistically significant association with age (OR = 1.019; 95% CI = 1.007−1.032; p = 0.003). Likewise, there was a statistically significant association with the year (OR = 1.087; 95% CI = 1.050−1.125; p = 0.000). Semen quality parameters showed a downtrend during the last 10 years in this study, emphasizing the importance of male reproductive health monitoring and warning public health coordinators to pay more attention to this important issue. © The Author(s) 2024.
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