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KMID : 1033620170440040207
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Clinical and Experimental Reproductive Medicine
2017 Volume.44 No. 4 p.207 ~ p.213
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Effects of infections with five sexually transmitted pathogens on sperm quality
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Kim Sung-Jae
Paik Doo-Jin
Lee Joong-Shik
Lee Hyo-Serk
Seo Ju-Tae
Jeong Mi-Seon
Lee Jae-Ho
Park Dong-Wook
Han Sang-Chul
Lee Yoo-Kyung
Lee Ki-Heon
Lee In-Ho
So Kyeong-A
Kim Seon-Ah
Kim Ju-Ree
Kim Tae-Jin
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Abstract
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Objective: This study investigated the prevalence of infections with human papillomavirus, Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma hominis, and Mycoplasma genitalium in the semen of Korean infertile couples and their associations with sperm quality.
Methods: Semen specimens were collected from 400 men who underwent a fertility evaluation. Infection with above five pathogens was assessed in each specimen. Sperm quality was compared in the pathogen-infected group and the non-infected group.
Results: The infection rates of human papillomavirus, C. trachomatis, U. urealyticum, M. hominis, and M. genitalium in the study subjects were 1.57%, 0.79%, 16.80%, 4.46%, and 1.31%, respectively. The rate of morphological normality in the U. urealyticum-infected group was significantly lower than in those not infected with U. urealyticum. In a subgroup analysis of normozoospermic samples, the semen volume and the total sperm count in the pathogen-infected group were significantly lower than in the non-infected group.
Conclusion: Our results suggest that infection with U. urealyticum alone and any of the five sexually transmitted infections are likely to affect sperm morphology and semen volume, respectively.
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KEYWORD
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Chlamydia trachomatis, Human papillomavirus, Mycoplasma genitalium, Mycoplasma hominis, Semen analysis, Sexually transmitted disease, Ureaplasma urealyticum
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