gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Evaluation of semen quality among men from the southeastern Poland in 2003?2013


Author(s): Agnieszka Leszcz1 (ABCDEF), Marzena Rzeszowska1 (BE), Lechosław Putowski1,2 (E),Joanna Tkaczuk-Włach1,2 (DE), Grzegorz Polak1,3 (ADE)

Introduction. The problem of infertility in Poland affectsabout 1.5 million pairs. It is estimated that the male factoris responsible for 40–60% of reproductive disorders. Overrecent years, there has been a decline in sperm quality. Thisphenomenon may be the result of external factors, such asstress, poor testicular thermoregulation, exposure to heavymetals and xenoestrogens, alcohol consumption, smoking anddrug use.Aim. Analysis of sperm parameters of patients Ab ovo in theFamily Health Center in Lublin in 2003–2013.Material and methods. The study included 4,235 men dia-gnosed for infertility in the years 2003–2013. Semen parame-ters were evaluated according to the guidelines of the WorldHealth Organization.Results. The analysis showed a statistically significant decre-asing trend for concentration and normal sperm morpholo-gy. The average concentration of sperm in the age group 18–29 years decreased from 42.31 million per ml in 2003 to 23.80million per ml in 2013. In the age group 30–40 years, theaverage concentration decreased from 47.05 million per mlin 2003 to 24.17 million per ml in 2013. The average percen-tage of valid forms of sperm decreased annually by 2.2665%and 2.3505% for age groups 18–29 years and 30–40 years,respectively.Conclusions. Our results are consistent with the generallyobserved global trend for a decline in sperm quality.