Frequency of Bacteriospermia and Its Relationship with Semen Quality
Overview
This study reports a 46.5% prevalence of bacteriospermia among males seeking fertility treatment in Kumasi, Ghana. No significant association was found between bacteriospermia and semen parameters, although hypospermia was linked to lower odds of bacteriospermia.
Background
Male infertility is a significant public health issue, with male factors contributing to 20%-30% of infertility cases globally. Bacteriospermia, defined as the presence of bacteria in semen, has been associated with impaired sperm quality, but its impact on semen parameters remains inconsistent across studies. Understanding the prevalence and implications of bacteriospermia is crucial for improving fertility diagnostics and treatment.
Data Highlights
Parameter
Findings
Prevalence of Bacteriospermia
46.5%
Most Common Bacteria
Escherichia coli (41.9%)
Abnormal Semen Parameters
47.6%
Hypospermia Odds of Bacteriospermia
aOR = 0.558; p = 0.047
Key Findings
The prevalence of bacteriospermia among participants was 46.5%.
Escherichia coli was the most frequently isolated organism (41.9%).
Abnormal semen parameters were observed in 47.6% of participants, predominantly teratozoospermia.
No significant association was found between bacteriospermia and semen parameters (p > 0.05).
Hypospermia was associated with significantly lower odds of bacteriospermia (aOR = 0.558; p = 0.047).
Clinical Implications
Routine screening for bacteriospermia in males seeking fertility treatment may be warranted, given its high prevalence. Clinicians should consider the potential impact of hypospermia on bacteriospermia when evaluating male infertility.
Conclusion
The study highlights a significant prevalence of bacteriospermia in males seeking fertility treatment, with no clear association to semen quality parameters.
by Evans Anokye Kumi, Victor Boachie Owusu, Ebenezer Kojo Addae, Peter Nyarko Coffie, Eric Darko, Rex Kwadwo Mawuli Djokoto, Kweku Bedu-Addo, John Asiedu Larbi
