Human Reproduction, Vol 12, 987-993, Copyright © 1997 by Oxford University Press
W Ombelet, E Bosmans, M Janssen, A Cox, J Vlasselaer, W Gyselaers, H Vandeput, J Gielen, H Pollet, M Maes, O Steeno and T Kruger
This prospectively designed study was conducted to compare a fertile and a
subfertile population so as to define normal values for different semen
parameters. Semen analyses were performed according to the World Health
Organization (WHO) guidelines, except for sperm morphology (strict
criteria). In the fertile population (n = 144), all patients had recently
achieved pregnancy, within 12 months of unprotected coitus. As subfertile
controls we examined semen samples from 143 consecutive men attending our
infertility clinic during the same study period. Couples with tubal factor
infertility and/or ovulatory disorders were excluded from our study. Using
receiver operating characteristic (ROC) curve analysis we determined the
diagnostic potential and cut-off values for single and combined sperm
parameters. Sperm morphology scored best, with a value of 78% (area under
the ROC curve). Summary statistics showed a shift towards abnormality for
most semen parameters in the subfertile population. Using the 10th
percentile of the fertile population as the cut-off value, the following
results were obtained: 14.3 x 10(6)/ml for sperm concentration, 28% for
progressive motility and 5% for sperm morphology. Using ROC analysis,
cut-off values were 34 x 10(6)/ml, 45% and 10% respectively. Cut-off values
for normality were different from those described in the WHO guidelines.
Routine bacterial and non- bacterial cultures turned out to be of little
prognostic value.
ARTICLES
Semen parameters in a fertile versus subfertile population: a need for change in the interpretation of semen testing
Genk Institute for Fertility Technology, ZOL Ziekenhuis, Campus St Jan, Belgium.
![]()
CiteULike
Connotea
Del.icio.us What's this?
This article has been cited by other articles:
![]() |
T. G. Cooper, E. Noonan, S. von Eckardstein, J. Auger, H.W. G. Baker, H. M. Behre, T. B. Haugen, T. Kruger, C. Wang, M. T. Mbizvo, et al. World Health Organization reference values for human semen characteristics Hum. Reprod. Update, November 24, 2009; (2009) dmp048v1. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. Ombelet, I. Cooke, S. Dyer, G. Serour, and P. Devroey Infertility and the provision of infertility medical services in developing countries Hum. Reprod. Update, November 1, 2008; 14(6): 605 - 621. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. Cavallini, A. Crippa, M. C. Magli, N. Cavallini, A. P. Ferraretti, and L. Gianaroli A Study to Sustain the Hypothesis of the Multiple Genesis of Oligoasthenoteratospermia in Human Idiopathic Infertile Males Biol Reprod, October 1, 2008; 79(4): 667 - 673. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. C. Boxmeer, M. Smit, R. F. Weber, J. Lindemans, J. C. Romijn, M. J. Eijkemans, N. S. Macklon, and R. P. Steegers-Theunissen Seminal Plasma Cobalamin Significantly Correlates With Sperm Concentration in Men Undergoing IVF or ICSI Procedures J Androl, July 1, 2007; 28(4): 521 - 527. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. A. Arap, F. C. Vicentini, M. Cocuzza, J. Hallak, K. Athayde, A. M. Lucon, S. Arap, and M. Srougi Late Hormonal Levels, Semen Parameters, and Presence of Antisperm Antibodies in Patients Treated for Testicular Torsion J Androl, July 1, 2007; 28(4): 528 - 532. [Abstract] [Full Text] [PDF] |
||||
![]() |
I.M. Agbaje, D.A. Rogers, C.M. McVicar, N. McClure, A.B. Atkinson, C. Mallidis, and S.E.M. Lewis Insulin dependant diabetes mellitus: implications for male reproductive function Hum. Reprod., July 1, 2007; 22(7): 1871 - 1877. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. N. Yatsenko, A. Roy, R. Chen, L. Ma, L. J. Murthy, W. Yan, D. J. Lamb, and M. M. Matzuk Non-invasive genetic diagnosis of male infertility using spermatozoal RNA: KLHL10mutations in oligozoospermic patients impair homodimerization Hum. Mol. Genet., December 1, 2006; 15(23): 3411 - 3419. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Sergerie, G. Laforest, L. Bujan, F. Bissonnette, and G. Bleau Sperm DNA fragmentation: threshold value in male fertility Hum. Reprod., December 1, 2005; 20(12): 3446 - 3451. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. W. van der Steeg, P. Steures, P. G.A. Hompes, M. J.C. Eijkemans, F. van der Veen, and B. W.J. Mol Investigation of the infertile couple: a basic fertility work-up performed within 12 months of trying to conceive generates costs and complications for no particular benefit Hum. Reprod., October 1, 2005; 20(10): 2672 - 2674. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. L. Marmar and S. Benoff The safety of ultrasonically guided testis aspiration biopsies and efficacy of use to predict varicocelectomy outcome Hum. Reprod., August 1, 2005; 20(8): 2279 - 2288. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. P. Ly, P. Y. Liu, and D. J. Handelsman Rates of suppression and recovery of human sperm output in testosterone-based hormonal contraceptive regimens Hum. Reprod., June 1, 2005; 20(6): 1733 - 1740. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. C. Hunault, J. S.E. Laven, I. A.J. van Rooij, M. J.C. Eijkemans, E. R. te Velde, and J. D. F. Habbema Prospective validation of two models predicting pregnancy leading to live birth among untreated subfertile couples Hum. Reprod., June 1, 2005; 20(6): 1636 - 1641. [Abstract] [Full Text] [PDF] |
||||
![]() |
K.K. Ng, R. Donat, L. Chan, A. Lalak, I. Di Pierro, and D.J. Handelsman Sperm output of older men Hum. Reprod., August 1, 2004; 19(8): 1811 - 1815. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Alvarez, J.A. Castilla, L. Martinez, J.P. Ramirez, F. Vergara, and J.J. Gaforio Biological variation of seminal parameters in healthy subjects Hum. Reprod., October 1, 2003; 18(10): 2082 - 2088. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. Ombelet, M. Grieten, Ph. D. Neubourg, G. Verswijvel, L. Buekenhout, P. Hinoul, and E. de Jonge Undescended ovary and unicornuate uterus: Simplified diagnosis by the use of clomiphene citrate ovarian stimulation and magnetic resonance imaging (MRI) Hum. Reprod., April 1, 2003; 18(4): 858 - 862. [Abstract] [Full Text] [PDF] |
||||




