Pyospermia; A Major Cause of Oxidative Stress in Sperms Having Repercussion in The Fertile Potential of Male by Reducing Its Motility and Count

Abstract

Objective:  To determine the frequency of Pathological pyospermia among male partners of infertile couples and to assess the association of Pyospermia with asthenospermia and azoospermia.

Methodology: This study was conducted in a private infertility center in Gujrat. Data collected was from January 2017 to Dec 2020. The semen parameters of 1393 men presenting to the infertility center were collected through interview and reviewing laboratory investigations after informed consent. The relationship of Pyospermia with Asthenospermia and Azoospermia was explored by applying Chi-square test. The P-value of less than 0.05 was considered statistically significant.

Results: The mean age of men were 33.62 ± 6.082 years. Pathological Pyospermia was detected in 78.2 % of men.  17% of men showed Asthenozoospermia with physiological pyospermia. 42.6 percent of men showed Asthenozoopspermia with pathological pyospermia. Regarding total sperm count 214 (15.4%) had oligospermia which is less than 15 million sperm per millileter of semen and 43 (3.1%) had azoospermia which is no sperm in ejaculate. The relationship of Pyospermia with decreased sperm motility and low sperm count was statistically significant.

Conclusion: The frequency of Pyospermia among male partners of 1393 infertile couples was found to be 78.2%. Pyospermia had statistically significant effect on reducing total sperm count and sperm motility causing Oligospermia, Azoospermia and Asthenospermia.