慢性盆腔疼痛综合征对精液质量的影响

Impact of chronic pelvic pain syndrome on semen quality

目的 探讨慢性盆腔疼痛综合症对精液质量的影响。方法 分析 2 5例慢性盆腔疼痛综合症患者及 2 5例年龄匹配的正常男性的精液常规及分析资料 ,将这些资料进行对比 ,观察他们之间的区别。同时 ,分析慢性盆腔疼痛综合症患者精液参数与症状持续时间的关系。结果 慢性盆腔疼痛综合症组和正常对照组之间在射精量、精子活力及果糖浓度之间差别显著 ;其他参数差别不显著。慢性盆腔疼痛综合症组有 2例无精子 ,对照组没有发现无精子患者。前列腺痛持续时间与精液参数无关。结论 慢性盆腔疼痛综合症患者精子活力及果糖浓度较对照组显著下降 ,此结论支持慢性盆腔综合症是器质性病变 ,而不是心理性病因所致。

Objective To explore the impact of chronic pelvic pain syndrome (CPPS) on semen quality. Methods The sperm parameters, including sperm density, motility, and morphology, of 25 CPPS patients were analyzed retrospectively and compared with those of the normal age-matched controls. The relationship between the semen parameters with the duration of symptoms was analyzed. Results The CPPS group and the control group differed significantly in terms of ejaculated volume, motility, and fructose concentration. The left parameters did not differ significantly. Azoospermia was present in 2 patients of the CPPS group, but not in the controls. The duration of symptoms was not associated with the sperm parameters. Conclusion CPPS patients have reduced motility and fructose concentration, which supports that CPPS is resulted from somatic etiology rather than psychological etiology.