Open AccessTime to improvement in semen parameters after microsurgical varicocelectomy in men with severe oligospermia
Author(s) -
Thomas A. Masterson,
Aubrey Greer,
Ranjith Ramasamy
Publication year - 2018
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.5408
Subject(s) - medicine , semen , semen quality , oligospermia , pregnancy , gynecology , semen analysis , insemination , obstetrics , sperm , infertility , male infertility , andrology , biology , genetics
We aimed to determine the time and predictive factors of semen quality improvement in men with severe oligospermia after microsurgical varicocelectomy.
Methods: Men with total motile sperm count (TMSC) 6 months. We evaluated preoperative factors for successful semen quality upgrading based on assisted reproductive technology (ART) eligibility: in vitro fertilization [IVF] ( 9 million). We compared men with TMSC 6 months postoperatively.
Results: A total of 33 men were included. TMSC improved from 1.5±0.2 to 7.3±1.8 million at 3–6 months (p 6 months (p 6 months. Sixteen (48.5%) men upgraded semen quality into the range of natural pregnancy. Preoperative TMSC from 2–5 million was predictive of upgrading semen quality. Twenty-four couples were contacted by phone; 20 were attempting pregnancy in the postoperative period and five (25%) of them had achieved natural pregnancy.
Conclusions: Men with TMSC 2 million was most predictive of semen quality upgrading.