Published-Ahead-of-Print November 1, 2006, DOI:10.2164/jandrol.106.000729
Journal of Andrology, Vol. 28, No. 2, March/April 2007
Copyright © American Society of Andrology
DOI: 10.2164/jandrol.106.000729
Trends in Semen Parameters in the Northeast of Scotland
SREEBALA SRIPADA*,
SOFIA FONSECA
,
AMANDA LEE
,
KIRSTEN HARRILD
,
DIMITRIOS GIANNARIS
,
EILEEN MATHERS* AND
SILADITYA BHATTACHARYA*
From the * Aberdeen Fertility Centre, Aberdeen
Maternity Hospital, Aberdeen, Scotland; the
Department of Public Health and the
Department of General Practice and Primary
Care, University of Aberdeen, Scotland; and the
Department of Obstetrics & Gynaecology,
University of Athens, Greece.
|
Correspondence to: Dr Sreebala Sripada, Assisted Reproduction Unit, Aberdeen
Maternity Hospital, Foresterhill, Aberdeen AB25 2ZD, United Kingdom (e-mail:
ogy302{at}abdn.ac.uk). |
The data on trends in semen quality are conflicting and sensitive to
geographical variations. Although previous British surveys on semen quality
indicate a decline, the northeast of Scotland has never been included in these
surveys. This is an area with low out migration rates where andrology services
for a population of 500 000 are centralized within a single laboratory, thus
providing a unique opportunity to study population-based trends in semen
quality over time. We investigated trends in semen parameters between
19942005, in a cohort of 4832 men attending for routine semen analysis
at the Aberdeen Fertility Centre who had a sperm density of greater than 20
million per mL. The main outcome measures were trends in sperm density, sperm
motility and motile density in the first semen sample. Linear regression and
time series analysis were used to examine trends over time in the semen
parameters. The mean and standard deviation (SD) age of all men (n = 5204) in
the study was 34 (6) years. The median (inter quartile range) for sperm
density and motile density for the study population were 61 (4091)
million/mL and 99 (47181) millon. The mean (SD) sperm motility was 49
(19)%. Among 4832 men (with sperm count >20 million per mL), data adjusted
for age and period of abstinence showed a decreasing trend for sperm density
over time, R2 = 0.45 (P = .017). There was no such trend
in sperm motility and motile density. However, this trend has to be
interpreted with caution due to fluctuations in semen parameters, population
bias and the retrospective nature of the analysis.
Key words: Fertility, infertility, sperm
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Copyright © 2007 by The American Society of Andrology.