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Colonisation of the male reproductive tract in asymptomatic infertile men: Effects on semen quality

Andrologia Sep 02, 2020

Veiga E, Treviño M, Romay AB, et al. - Researchers investigated the presence/detection of microorganisms in the male reproductive tract (PMMRT) in asymptomatic patients undergoing infertility treatment. In addition, they determined their effects on semen quality. Among 205 enrolled men (mean age, 35.9 years), no patient met the prostatitis criteria by the modified Meares–Stamey 4‐sample test, 33 (16.1%) were positive for rt‐PCR in the first‐voided urine for any of the Mycoplasma (Ureaplasma urealyticum/parvumMycoplasma hominis/genitalium) and C. trachomatis was detected in two cases (1%), and three for rt‐PCR in semen for HPV high‐risk genotypes non‐16/18 (1.5%). Based on observations, they conclude that PMMRT, specially Mycoplasmas, in asymptomatic infertility men, affects semen quality. They do not support using the National Institutes of Health Chronic Prostatitis Sympton Index questionnaire in initial screening to subsequently evaluate the presence of prostatitis/PMMRT.

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