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2020, Number 3

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RCU 2020; 9 (3)

Infrequent infectious agents affecting seminal parameters and fertility

Pacheco L, Lozano-Hernández R, Velasco J

Language: Spanish
References: 50
Page: 128-142
PDF size: 1185.70 Kb.


ABSTRACT

Introduction: Bacteriological research of semen is fundamental for the detection of microorganisms commonly associated to infertility. Most of seminal infections are frequently asymptomatic and go unnoticed, especially when they worsen the spermatic quality. Other rare infections as parasitic, mycotic and viral also alter the seminal quality.
Objective: To determine the infrequent infectious agents, bacterial and non-bacterial ones, that alter the seminal parameters.
Methods: In the databases Medline, PubMed and Google Scholar were consulted old initial studies published between the years 2004 and 2020. The full text version was obtained through free Access in PubMed, HINARI and other sources.
Development: In the reviewed literature are mentioned some etiological agents associated with oligozoospermia and astenozoospermia as Trichomonas vaginalis, Tripanosoma cruzy and Toxoplasma gondii, while hematospermia was related with Leishmania ssp., Schistosoma haematobium and cytomegalovirus. The dysfunction of the accessory glands and the seminal hyperviscosity were associated to viral infections by cytomegalovirus, herpes simplex, Epstein Barr and parasites as T. vaginalis, Leishmania spp and S. haematobium.
Conclusions: The percentage of idiopathic infertility can be reduced with the study of the infrequent infectious agents and their combination with the seminal parameters based in the pathogenesis of each microorganism. There is a need of studies in large scale to standardize the variables that determine the specific features and reference values which help to optimize the diagnosis, treatment and prevention of this infectious agents in male infertility.


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