Journal
HUMAN REPRODUCTION
Volume 15, Issue 12, Pages 2554-2558Publisher
OXFORD UNIV PRESS
DOI: 10.1093/humrep/15.12.2554
Keywords
Doppler; infertility; nitric oxide; spermatozoa; ultrasonography
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The objective of the present study was prospectively to evaluate the role of nitric oxide (NO) in modulating intratesticular blood how and sperm function. A total of 56 males, undergoing assisted reproduction, mere divided into three groups according to semen analysis: (i) normozoospermic (n = 16); (ii) oligozoospermic (n = 21); and (iii) azoospermic (n = 19), All the subjects were submitted to hormone analysis [luteinizing hormone, follicle stimulating hormone (FSH). growth. hormone, testosterone, androstenedione, insulin], and to ultrasonographic (testicular volume) and Doppler (transmediastinal artery) evaluations. Plasma and seminal plasma nitrite/nitrate concentrations, and plasma insulin-like growth factor-I were assayed, All 56 patients completed the study. In normozoospermic patients, significantly greater testicular volume, lower transmediastinal resistances, and higher seminal plasma nitrite/nitrate concentrations were observed in comparison with both oligo- and azoospermic subjects, Testicular volume was inversely correlated with plasma FSH (r = -0.589; P = 0.005) and pulsatility index of transmediastinal artery (r = -0.402; P = 0.049). Furthermore, the seminal plasma nitrite/nitrate concentrations were inversely correlated with pulsatility index of transmediastinal artery (r = -0.511; P = 0.015), It was concluded that NO is involved in vascular modulation of testicular vessels and ultimately in sperm output.
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