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대한생식의학회지   제23권 제3호 2010년

남성에서 Mycoplasma 감염이 정액검사소견에 미치는 영향에 관한 연구

고려대학교 의과대학 산부인과학교실;고려대학교 의과대학 산부인과학교실;고려대학교 의과대학 산부인과학교실;고려대학교 의과대학 산부인과학교실;고려대학교 의과대학 산부인과학교실;고려대학교 의과대학 산부인과학교실;

김선행;김영호;김탁;허준용;박용균;구병삼;,

The Effects of Mycoplasma Infection on Semen Parameters (in Normal Human Semen)

Kim, Sun-Haeng;Kim, Young-Ho;Kim, Tak;Hur, Jun-Yong;Park, Yong-Kyun;Ku, Pyung-Sham;

Department of Obstetrics and Gynecology, College of Medicine, Korea University;Department of Obstetrics and Gynecology, College of Medicine, Korea University;Department of Obstetrics and Gynecology, College of Medicine, Korea University;Department of Obstetrics and Gynecology, College of Medicine, Korea University;Department of Obstetrics and Gynecology, College of Medicine, Korea University;Department of Obstetrics and Gynecology, College of Medicine, Korea University;

Mycoplasmas have long been suspected of contributing to involuntary infertility in couples. However considerable disagreement exits concerning the role of genital mycoplasma infection in human infertility. Several investigators have noted abnormalities in the semen analysis of men with positive mycoplasma cultures, and early epidemiologic studies indicated that Ureaplasma urealyticum was linked to human reproductive failure on the basis of higher frequencies of isolation from infertile versus fertile couples and successful pregnancies in infertile couples after doxycycline therapy. However, subsequent investigators have questioned these findings because there are many studies in which treatment for mycoplasma in the male or female did not demonstrate an improved pregnancy rate, and semen samples from unexplained infertile men containing ureaplasmas have not revealed poorer motility, fewer spermatozoa and more aberrant forms. The objective of this study were to investigate the incidence rate of mycoplasma in semen and to investigate whether the presence of mycoplasma in semen makes significant difference to the semen volume, sperm motility and sperm counts. The results were that the rate of isolation of mycoplasma species was 70.3%. Semen volume is $2.84{\pm}1.01ml$ for culture negative and $3.15{\pm}1.42ml$ for culture positive group. Sperm motility is $46.23{\pm}15.80%$ for culture negative and $50.09{\pm}15.69%$ for culture positive group, and sperm count is $95.47{\pm}47.14({\times}(P)10^6/ml)$ for culture negative and $86.73{\pm}47.59({\times}10^6/ml)$ for culture positive group. In conclusion, we suggest that the presence of mycoplasma in semen makes no significant differences to the sperm parameters.

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