Chronic epididymitis and Grade Ⅲ varicocele and their associations with semen characteristics in men consulting for couple infertility

• 来源期刊: 亚洲男性学杂志（英文版）
• 年，卷（期）: 2018,（4）
• 页码范围: 360-365
• 页数: 6页
• 语种: 英文
• DOI: 10.4103/aja.aja_78_17

摘要

Chronic epididymitis and varicocele are frequently observed genital disorders in men consulting for couple infertility,but their impact on semen characteristics at the time of infertility consultation is still a matter of debate.We investigated 652 male partners of couples who had their first infertility consultation between 1999 and 2015 in Argentina.Men with chronic epididymitis (n =253),Grade Ⅲ varicocele (n =106),and both conditions (n =125) were compared with a control group (n =168) composed of men without these disorders or any other recognized causes of male infertility.We showed that men who presented isolated chronic epididymitis were more likely to have high percentages of low sperm motility and abnormal sperm morphology as well as a high number of white blood cells.Men with isolated Grade Ⅲ varicocele had low sperm production and motility and an increased percentage of abnormal sperm morphology.Finally,men who simultaneously presented chronic epididymitis with Grade Ⅲ varicocele had a low sperm motility and increased percentage of abnormal sperm morphology as well as a high number of white blood cells.Physical examination of the genital organs may identify common disorders,potentially involved as causal factors of patient's infertility.These disorders are associated with specific seminal profiles that should help in identifying the best treatment from the available therapeutic options,effectiveness,safety,and allowing as much as possible natural conception.