Semen analysis – An evaluation of 170 cases in rural India

Introduction: Semen Analysis, despite its limitations, remains the single most important test for evaluating male factor of infertility. The methods for evaluation of male infertility typically have been limited to a semen analysis that evaluates sperm count, motility, and morphology. Recently WHO have set lower reference limits for the examination and processing of human semen in 2010. Aims and Objectives To evaluate male factor of infertility with help of WHO laboratory manual for semen analysis. To know the role of addiction in deranged semen analysis among males in rural population. Materials and Methods: The study was conducted in Indian Institute of Medical Sciences and Research, Warudi Tq Badnapur, Dist Jalna from 1st of February 2017 to 1st February 2018. A cross sectional study of 170 cases of semen analysis was carried out in details during period of 1 year. A detailed history of patient was taken, history of addiction was noted and reporting was done as per WHO guidelines. Results: Total 170 cases were studied.17.6% cases had low semen volume. 12.9% cases had prolonged liquefaction time. 35.3% patients had oligozoospermia or azoospermia. Motility was affected in 45.9% cases and viability in 11.7% cases. Morphology was affected in 10.3% cases. 73.4% cases show some kind of addiction. Conclusion: Motility is the commonest factor found deranged in semen analysis in our study. Some forms of morphological defects are common in semen samples and should be noted. Addiction plays important role in deciding fertility of the patient and should be given due importance.