• 제목/요약/키워드: Sperm count

검색결과 105건 처리시간 0.022초

남성 불임증 환자에 대한 Clomiphene의 효과 (Clomiphene Citrate on Male Infertility)

  • 이강현;이희영
    • Clinical and Experimental Reproductive Medicine
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    • 제8권2호
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    • pp.45-55
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    • 1981
  • Clomiphene citrate. antiestrogen, was given to 39 infertile males whose spermatogenesis were disturbed and the efficacy of the drug was evaluated at the Department of Urology in 1980. (Table 1). Patients were divided into 3 clinical observation groups such as group I composed of 19 cases of idiopathic azoospermia, group II consisted of 15 cases of oligospermia following the vasovasostomy, and group III comprised 5 cases of testicular azoospermia. (Table 2). Clinical characteristics of these patients were as follows: Age of the patients ranged from 26 to 43 years old with mean of 34, and that of their wives ranged from 24 to 41 years old with mean of 31. Duration of marital life ranged from 1 to 21 years with mean of 5 years. Sizes of testis ranged from 6 to 25 ml with mean of 16 ml. Coital frequency ranged from 0.5 to 6 per week with mean of 2.4 per week. Levels of plasma FSH ranged from 3.15 to 23.06 lU/1 with mean of 8.15 lU/1, those of LH ranged from 2.98 to 19.89 lU/1 with mean of 8.18 lU/1 and those of testosterone ranged from 3.09 to 9.97 ng/ml with mean of 6.48 ng/ml. (Table 3). Clomiphene citrate was given in dosage of 50 mg per day (in d.) orally to 31 patients for 3 to 9 months and in dosage of 100 mg per day (b.i.d.) orally to 8 patients for 3 to 9 months. (Table 8). Semen samples were analysed monthly on each patient by routine analysis techniques. For the assessment of the efficacy of Clomiphene citrate on faulty spermatogenesis following empirical criteria were used: For semen quality: Improvement (I) represents that semen parameter increased more than 25% from basal level after the treatment, Unchange (U) expresses that semen parameter increased less than 25% of basal level or not changed after the treatment and Deterioration (D) means that semen parameter decreased from basal level after the treatment. For fertility unit (total counts ${\times}$ motility ${\times}$ morphology ${\div}10^6$): Improvement (I) represents that fertility unit increased more than 10 units after the treatment, Unchange (U) expresses that fertility unit increased less than 10 units or not changed after the treatment, and Deterioration (D) means that fertility unit decreased after the treatment. (Table 4). Results obtained from the Clomiphene therapy were as follows: Changes of spermiograme before and after the Oomiphene therapy shown in the Table 5. Sperm counts increased from 23 to 31 ${\times}10^6$/ml in group I, from 17 to 29 ${\times}10^6$/ml in group II. Other parameters of spermiogramme were not changed significantly after the treatment. Fertility units increased from 14 to 18 units after the treatment in group I, and from 16 to 18 units after the treatment in group II. Effectiveness of Clomiphene citrate on spermatogenesis was summarised in the Tables 6 and 7. After the treatment, sperm count increased in 11 patients, motility increased in 6 patients, morphology increased in 4 patients and fertility units increased in 9 patients. No sperm could be produced by Clomiphene citrate in group III of testicular azoospermia. Dosage of 50 mg of Clomiphene citrate per day for 3 to 6 months was proved to be the most effective in the present series. (Table 8). Pregnancy occurred in 2 patients after the treatment. No particular side effects were noted by the treatment. Pharmacologic compounds used for male infertility were shown in the Table 9. Reported results of Clomiphene citrate were shown in the Table 10.

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정계정맥류 환자에서 수술 전 정액지표가 수술 결과에 미치는 영향 (The Effect of the Preoperative Semen Parameters for a Patient with Varicolcele on its Operative Results)

  • 김경태;김태홍;주영민;최진호;이중식;서주태
    • Clinical and Experimental Reproductive Medicine
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    • 제35권4호
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    • pp.303-308
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    • 2008
  • 목 적: 정계정맥류는 수술적 치료가 가능한 남성불임의 가장 흔한 원인 질환이다. 하지만 모든 정계정맥류 환자에서 수술 후 같은 치료 효과를 보이는 것은 아니다. 이에 저자들은 정계정맥류 수술 전 정액인자 결과가 수술 후 정액인자 결과 및 임신성공률에 미치는 영향을 알아보고자 하였다. 연구방법: 2001년 1월부터 2006년 12월까지 불임을 주소로 본원 비뇨기과를 방문하여 정계정맥류 진단 후 서혜부 접근법을 통한 미세수술적 정계정맥류절제술을 시행 받은 총 278명의 환자를 대상으로 하였다. 수술 전 총 활동성 정자수 (Total motile sperm count; TMSC)를 기준으로 (이하 단위: ${\times}10^6$) 20 이상을 group A, 5 이상 20 미만을 group B, 5 미만을 group C로 분류하였다. 수술 후 3개월 이상 경과한 후에 다시 정액검사를 시행하여 각 group별 TMSC 호전률을 비교하였다. 또한 수술 후 1년 이상 경과한 환자 중 전화설문이 가능했던 총 119명의 환자를 대상으로 자연임신 여부를 조사하였다. 결 과: 전체 환자의 수술 전 평균 TMSC는 25.75 수술 후 평균 TMSC는 80.24로 평균 54.49 (211.6%) 증가하였다. 각 group별 절대 증가치 (상대적 증가율)를 보면 group A는 67.90 (131.2%), group B는 62.20 (482.5%), group C는 26.33 (1841.2%)으로 모든 group에서 통계학적 유의한 증가를 보였다 (모두 p<0.001). 수술 전 정액인자가 가장 좋지 않았던 group C의 경우 다른 group에 비하여 절대 증가치는 통계학적으로 유의하게 낮았으나 (p=0.002) 상대적 증가율은 유의하게 높았다 (p<0.001). 자연임신성공률은 group A에서 48.0%, group B에서 34.2%, group C에서 26.4%로 나타났으나 각 group별 자연임신성공률에 통계학적 의미 있는 차이는 없었다 (p= 0.119). 결 론: 정계정맥류 환자에서 수술 전 정액인자가 매우 좋지 않을 경우 수술 후 정액인자의 절대 증가치는 상대적으로 낮다. 하지만 수술전과 비교한 상대적 증가율은 높으며 수술 후 자연임신성공률도 수술 전 정액인자가 상대적으로 좋았던 경우와 비교하여 유의한 차이가 없었다. 따라서 정계정맥류 수술 전 정액인자가 매우 좋지 않을 경우라도 정계정맥류절제술이 불임해결을 위한 일차 치료로 선택될 수 있다.

닭의 인공수정에 있어서 적정주입간격에 관한 연구 (A Study on Optimum Interval between Inseminations in Artificial Insemination)

  • 이재근;송해범;이상호
    • 한국가축번식학회지
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    • 제5권1호
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    • pp.36-42
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    • 1981
  • This experiment was carried out to determine the optimum interval between inseminations in artifical insemination of hens. Two hundred and forty hens of Hisex commercial stock at 25 weeks of age and 20 cocks of the Rhode Island Red at 40 weeks of age were used for the experiment, and a total of 6,784 eggs were obtained. The intervals between inseminations compared in this study were: 3 days (T1), 5 days (T2), and 7 days(T3). Mixed raw semen was inseminated and the semen does was 0.03ml per insemination per hen. The inseminations were conducted at 15:00 at each time. The total number of insemination performed was 9 for the T1, 6 for the T2 and 5 for the T3, and eggs were collected over a period of 31 days, 32 days and 35 dyas, respectively. The average egg production of the hens during the experiment was 85.9% and the average temperature during the experiment was around 30$^{\circ}C$. The average sperm count was 3.69 billion per ml. The results obtained in this experiment can be summarized as follows: The fertility over the entire experimental period bythe treatment was 91.7% for the T1, 84.4% for the T2, and 75.2% for the T3. The difference between T1 and T3 in fertility was significant at 5% level. The average fertility on the second, third and fourth day after the insemination in the T2 and T3 was maintained at a relatively high level, but it tended to decline rapidly from the fifth day after the insemination. The average fertility for one week after the last insemination was 88.8% for the T1, 88.8% for the T2 and 78.6% for the T3, and none of the differences among the treatments were statistically significant. On the basis of the results from this study, it is recommended to adjust the insemination intervals within the range from the 3 to 5 days in order to maintain a highest level of fertility in the hens at an early stage of egg production as in the case of the hens used in this experiment. An insemination interval of 3 days is recommended, especially at an initial stage of insemination. For the hens with a low fertility, shortening, of the insemination interval to 3 or 2 days is desirable.

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Endonuclease G is Upregulated and Required in Testicular Germ Cell Apoptosis after Exposure to 60 Hz at 200 μT

  • Park, Sungman;Kim, Min-Woo;Kim, Ji-Hoon;Lee, Yena;Kim, Min Soo;Lee, Yong-Jun;Kim, Young-Jin;Kim, Hee-Sung;Kim, Yoon-Won
    • Journal of electromagnetic engineering and science
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    • 제15권3호
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    • pp.142-150
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    • 2015
  • Several reports supported that continuous exposure to 60 Hz magnetic field (MF) induces testicular germ cell apoptosis in vivo. We recently evaluated duration- and dose-dependent effects of continuous exposure to a 60 Hz MF on the testes in mice. BALB/c male mice were exposed to a 60 Hz MF at $100{\mu}T$ for 24 hours a day for 2, 4, 6, or 8 weeks, and at 2, 20 or $200{\mu}T$ for 24 hours a day for 8 weeks. To induce the apoptosis of testicular germ cell in mice, the minimum dose is $20{\mu}T$ at continuous exposure to a 60 Hz MF for 8 weeks, and the minimum duration is 6 weeks at continuous exposure of $100{\mu}T$. Continuous exposure to a 60 Hz MF might affect duration- and dose-dependent biological processes including apoptotic cell death and spermatogenesis in the male reproductive system of mice. The safety guideline of the International Commission on Non-Ionizing Radiation Protection (ICNIRP) indicates that the permissible maximum magnetic flux density for general public exposure is $200{\mu}T$ at 60 Hz EMF (ICNIRP Guidelines, 2010). In the present study, we aimed to examine the expression of pro- and anti-apoptotic genes regulated by the continuous exposure to 60 Hz at $200{\mu}T$ in Sprague-Dawley rats for 20 weeks. The continuous exposure to 60 Hz at $200{\mu}T$ does not affect the body and testicular weight in rats. However, exposure to 60 Hz MF significantly affects testicular germ cell apoptosis and sperm count. Further, the apoptosis-related gene was scrutinized after exposure to 60 Hz at $200{\mu}T$ for 20 weeks. We found that the message level of endonuclease G (EndoG) was greatly increased following the exposure to 60 Hz at $200{\mu}T$ compared with sham control. These data suggested that 60 Hz magnetic field induced testicular germ cell apoptosis through mitochondrial protein Endo G.

Glycol ethers에 대한 피부 투과 특성 (Characteristics of Percutaneous Absorption of Glycol ethers)

  • 이한섭;최성부;김낙주;근장현;황현석;백정훈;최진호;이호준
    • 한국응용과학기술학회지
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    • 제30권1호
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    • pp.116-126
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    • 2013
  • Glycol ethers는 페인트에 흔히 사용되는 ethylene glycol의 alkyl ethers에 기반을 둔 용제들이다. 이 용제들은 일반적으로 저분자량 에테르와 알코올의 용제 친화적 성질과 더불어 더 높은 비등점을 가지고 있다. Union Carbide Corp.는 "Glycol ethers"를 하나의 미국 상표로 등록했으며, 이는 제약, 자외선차단제, 화장품, 잉크, 염료 및 수성페인트에서 찾아볼 수 있다. 반면 glycol ethers는 그리스 제거제, 세제, 에어로졸 페인트와 접착제에서도 발견된다. 대부분의 glycol ethers는 수용성, 생분해성이며, 아주 적은 수의 glycol ethers만이 유독성이라고 여겨진다. 그러므로 glycol ethers는 환경에 부작용을 낳을 것 같지는 않다. 최근 연구는 glycol ethers에 작업상 노출되는 것이 남성 정자의 저 운동성과 연관이 되어 있다고 제시했지만, 이는 다른 이들에 의해 반박되어지고 있다. 본 연구에서는 3가지 종류의 glycol ethers의 피부침투성에 관해 용제와 세제의 조합을 사용하여 시험관을 통해 연구한다. Methyl glycol ethers, ethyl glycol ethers and butyl glycol ethers의 흡수는 쥐의 피부를 통해 시험관에서 측정되었다. Epidermal membranes는 Franz diffusion cells에 세워졌으며, 그들의 PBS 침투율은 glycol ethers가 epidermal surface에 적용되기 전, 피부의 보전을 위해 처리하였다. 개별 glycol ethers의 흡수율은 최대 흡수 파장(${\lambda}_{max}$)에서 흡광도를 측정하여 결정하였으며, 침투율의 측정은 esters와의 접촉을 이유로 장벽 기능 내 불가역 변화를 정량화하였다. 시험관 실험 결과 glycol ethers의 종류는 methyl glycol ethers > ethyl glycol ethers > butyl glycol ethers의 순에 따라 빠르게 나타났다. 피부침투는 저분자량 피부침투, 친수성과 같은 화학적구조의 차이에서 유익했다. 이는 분배계수와 용해 방법 및 수동확산이 전달이 고려되는 곳에서 속도를 올렸기 때문이다.