Sperm Motility

精子活动力
  • DOI:
    文章类型: Journal Article
    这篇全面的综述深入探讨了牛物种辅助生殖技术(ART)的演变前景,特别关注精液添加剂在水牛和牛精液冷冻保存中的关键作用。在发展中国家,在还在兴起的地方,这些技术极大地影响了牛的繁殖策略。相比之下,发达地区已将它们作为奶牛水牛和牛育种的主要方法。精液冷冻保存,在提供延长储存和遗传繁殖等优势的同时,也带来了挑战。这些包括由于活性氧(ROS)产生而导致的精子质量下降,精子结构的改变,和温度波动。Further,牛和水牛的冷冻保存效果不同,由于固有的脂质组成敏感性,后者表现出较差的精液活力和生育能力。ROS的产生和影响,尤其是过氧化氢,显著导致精子DNA损伤和功能损伤。为了应对这些挑战,对精液添加剂的研究已经加强,旨在提高精液质量并防止氧化应激引起的损伤。随着领域的发展,该综述强调需要优化的冷冻保存技术和量身定制的抗氧化剂策略,以充分利用ARTs在牛育种计划中的潜力。Doi.org/10.54680/fr24410110112。
    This comprehensive review delves into the evolving landscape of assisted reproductive technologies (ARTs) in bovine species, particularly focusing on the pivotal roles of semen additives in the cryopreservation of buffalo and cattle semen. In developing nations, where ARTs are still emerging, these techniques significantly influence bovine reproductive strategies. In contrast, developed regions have embraced them as primary approaches for dairy buffalo and cattle breeding. Semen cryopreservation, while offering advantages like extended storage and genetic propagation, also presents challenges. These include diminished sperm quality due to reactive oxygen species (ROS) production, alterations in sperm structure, and temperature fluctuations. Further, the effect of cryopreservation differs between cattle and buffaloes, with the latter exhibiting poorer semen viability and fertility due to inherent lipid composition susceptibilities. The generation and implications of ROS, especially hydrogen peroxide, contribute significantly to sperm DNA damage and functional impairments. To counteract these challenges, research has intensified on semen additives, aiming to bolster semen quality and protect against oxidative stress-induced damage. As the field advances, the review emphasizes the need for optimized cryopreservation techniques and tailored antioxidant strategies to harness the full potential of ARTs in bovine breeding programs. Doi.org/10.54680/fr24410110112.
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  • 文章类型: Journal Article
    几个基因与精子发生和生育力调节有关,由于这些基因与男性因素不育症(MFI)有关,目前正在临床实践中进行分析。然而,目前推荐用于临床实践的基因分析仍然很少.在这份手稿中,我们回顾了定性精子缺陷的遗传原因。我们区分了导致精子运动性降低的改变(弱精子症)和导致精子典型形态改变的改变(畸形精子症)。详细来说,精子活力下降的遗传原因可能在与精子线粒体DNA相关的基因改变中发现,线粒体蛋白质,离子传输和通道,和鞭毛蛋白。另一方面,典型精子形态变化的遗传原因与具有强大遗传基础的条件有关,如大精子症,球精子症,和精子综合征.我们试图将批准用于常规临床应用的改变与仍未得到足够临床研究支持的改变区分开来。该研究的最重要方面与正确识别要测试的受试者以及基于清晰的临床数据正确应用基因测试有关。在已经观察到精子运动性降低和精子形态变化的情况下,正确应用可用的遗传测试可以实现明确的诊断,并在临床决策中发挥重要作用。最后,阐明MFI的遗传原因可能,在未来,有助于减少所谓的特发性MFI的比例,这可能确实被定义为MFI的一个亚型,其原因尚未被揭示。
    Several genes are implicated in spermatogenesis and fertility regulation, and these genes are presently being analysed in clinical practice due to their involvement in male factor infertility (MFI). However, there are still few genetic analyses that are currently recommended for use in clinical practice. In this manuscript, we reviewed the genetic causes of qualitative sperm defects. We distinguished between alterations causing reduced sperm motility (asthenozoospermia) and alterations causing changes in the typical morphology of sperm (teratozoospermia). In detail, the genetic causes of reduced sperm motility may be found in the alteration of genes associated with sperm mitochondrial DNA, mitochondrial proteins, ion transport and channels, and flagellar proteins. On the other hand, the genetic causes of changes in typical sperm morphology are related to conditions with a strong genetic basis, such as macrozoospermia, globozoospermia, and acephalic spermatozoa syndrome. We tried to distinguish alterations approved for routine clinical application from those still unsupported by adequate clinical studies. The most important aspect of the study was related to the correct identification of subjects to be tested and the correct application of genetic tests based on clear clinical data. The correct application of available genetic tests in a scenario where reduced sperm motility and changes in sperm morphology have been observed enables the delivery of a defined diagnosis and plays an important role in clinical decision-making. Finally, clarifying the genetic causes of MFI might, in future, contribute to reducing the proportion of so-called idiopathic MFI, which might indeed be defined as a subtype of MFI whose cause has not yet been revealed.
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  • 文章类型: Systematic Review
    不孕症是一个普遍的全球性问题,影响到大约15%的性活跃和活跃的夫妇,这导致了大约50%的病例。目前,这种情况仍然很普遍,而且往往得不到充分的治疗。本系统综述旨在评估现有研究,调查益生菌补充剂对男性的影响。对各大数据库进行了全面检索,包括PubMed,科克伦,科学直接,和Scielo,使用相关关键词,如\'益生菌\'或\'乳杆菌\'或\'双歧杆菌\'和\'男性不育\'或\'男性生育能力\'或\'精子质量\'或\'精子活力\'或\'或\'少弱精子症\'及其葡萄牙语等价物。四项随机临床研究符合纳入标准,专注于诊断为特发性男性不育症的男性(少精子症,畸形精子症,和弱精子症)。研究结果表明,益生菌的给药通过对抗活性氧(ROS)表现出有希望的抗氧化性能,因此,保护精子DNA免受与精子质量下降相关的损伤。在所有精子参数中观察到显着改善,运动能力显著增强。因此,益生菌补充剂是诊断为特发性不孕症的男性的潜在治疗替代方案,对精子质量有积极影响。
    Infertility is a widespread global issue that affects approximately 15% of sexually active and active couples, which contributes to about 50% of cases. Currently, the condition remains prevalent and often inadequately treated. This systematic review aims to evaluate existing studies investigating the effects of probiotic supplementation in men. A comprehensive search was conducted across major databases, including PubMed, Cochrane, Science Direct, and Scielo, using relevant keywords such as \'probiotic\' OR \'Lactobacillus\' OR \'Bifidobacterium\' AND \'Male infertility\' OR \'male fertility\' OR \'sperm quality\' OR \'sperm motility\' OR \'oligoasthenoteratozoospermia\' and their Portuguese equivalents. Four randomized clinical studies met the inclusion criteria, focusing on men diagnosed with idiopathic male infertility (oligozoospermia, teratozoospermia, and asthenozoospermia). The findings revealed that probiotic administration exhibited promising antioxidant properties by combating reactive oxygen species (ROS), consequently protecting sperm DNA from damage that correlates with declining sperm quality. Significant improvements were observed across all sperm parameters, with notable enhancement in motility. Consequently, probiotic supplementation emerges as a potential therapeutic alternative for men diagnosed with idiopathic infertility, demonstrating positive effects on sperm quality.
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  • 文章类型: Systematic Review
    背景:在医学领域,观察纳米管的使用越来越普遍,例如,在药物管理方面。然而,由于在动物研究中观察到的对激素水平和精子质量的潜在影响,纳米管引起了对男性生育能力的关注。此外,动物暴露于多壁碳纳米管模型发现激素水平的变化,精子运动性,和精子计数。人类的有限证据表明没有副作用,但还需要进一步的研究。本研究旨在进行系统评价,以评估纳米管对人类精液和生育能力的体外影响。
    方法:我们包括了所有已发表的关于精液或精子或男性生育力和人体纳米管的体外研究。在LILACS进行了搜索,PubMed,和截至2023年5月的SCOPUS。使用QUIN工具评估偏倚风险。
    结果:包括四项使用纳米管对人类精子的研究,纳米管暴露似乎不会影响精子活力;然而,对运动性的一些改变,报告了活性氧的速度和产量。由于出版物数量少,提供的证据有限。
    结论:纳米管似乎对人精子没有不良影响。
    BACKGROUND: In the medical field, it is increasingly common to observe the use of nanotubes, for example, in the administration of drugs. However, nanotubes raise concerns for male fertility due to potential effects on hormone levels and sperm quality observed in animal studies. In addition, animal exposure to multi-walled carbon nanotube models found alterations in hormone levels, sperm motility, and sperm count. Limited evidence in humans suggests no adverse effects, but further research is needed. This study aimed to perform a systematic review to assess the in vitro effects of nanotubes on semen and fertility in humans.
    METHODS: We included all published in vitro studies about semen or sperm or male fertility and nanotubes in humans. A search was conducted in LILACS, PubMed, and SCOPUS as of May 2023. The risk of bias was assessed using the QUIN tool.
    RESULTS: Four studies using nanotubes on human sperm were included, nanotubes exposure appears not to affect sperm viability; however, some alterations to motility, velocity and production of reactive oxygen species were reported. Limited evidence is provided because of the small quantity of publications.
    CONCLUSIONS: Nanotubes appear to have no adverse effects on human sperm.
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  • 文章类型: Journal Article
    这篇全面的综述严格审查了蛋白质组学在理解家畜动物精子冷冻损伤机制中的应用。在广泛使用精液冷冻保存进行遗传保护的背景下。尽管它被全球采用,由于冷冻损伤,冷冻保存通常会对精子质量和生育能力产生不利影响。这些伤害主要来自于冰晶的形成,渗透变化,氧化应激,以及冷冻和解冻过程中膜蛋白和脂质的重组,导致过早的类似获能的变化。此外,冷冻保存过程诱导哺乳动物精子蛋白质组重塑。虽然精液冷冻保存技术有了进步,哺乳动物精子冷冻损伤的确切机制仍然难以捉摸。这篇综述提供了对蛋白质组学技术的最新进展如何对这些分子破坏进行详细研究的深入探索。它提供了解冻后蛋白质水平变化的分析及其对精子活力和功能的影响。此外,它讨论了蛋白质组学在改进冷冻保存技术以减轻冷冻损伤和提高家畜繁殖结果中的作用。这项工作综合了当前的知识,突出差距,并为动物生殖科学和生物技术的未来研究提出了方向。
    This comprehensive review critically examines the application of proteomics in understanding sperm cryoinjury mechanisms in livestock animals, in the context of the widespread use of semen cryopreservation for genetic conservation. Despite its global adoption, cryopreservation often detrimentally affects sperm quality and fertility due to cryoinjuries. These injuries primarily arise from ice crystal formation, osmotic shifts, oxidative stress, and the reorganization of membrane proteins and lipids during freezing and thawing, leading to premature capacitation-like changes. Moreover, the cryopreservation process induces proteome remodeling in mammalian sperm. Although there have been technological advances in semen cryopreservation, the precise mechanisms of mammalian sperm cryoinjury remain elusive. This review offers an in-depth exploration of how recent advancements in proteomic technologies have enabled a detailed investigation into these molecular disruptions. It presents an analysis of protein-level alterations post-thaw and their impact on sperm viability and functionality. Additionally, it discusses the role of proteomics in refining cryopreservation techniques to mitigate cryoinjury and enhance reproductive outcomes in livestock. This work synthesizes current knowledge, highlights gaps, and suggests directions for future research in animal reproductive science and biotechnology.
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  • 文章类型: Meta-Analysis
    背景:一些研究表明,乙型肝炎病毒(HBV)感染与精液质量呈负相关,但是结论不一致。我们研究的目的是系统地评估HBV感染与精液参数之间的关联。
    方法:我们在电子数据库中搜索了1980年1月至2023年8月发表的研究。分析中包括11项研究。主要结果是精液体积,精子浓度,精子形态学,精子运动性和精子进行性运动性。我们还对中国和其他国家进行了分组分析。
    结果:与HBV阴性男性的精液质量相比,HBV感染与精液体积呈负相关(MD:-0.20mL,95CI:-0.32至-0.09,P=0.0004),精子浓度(MD:-4.46×106/mL,95CI:-7.09至-1.84,P=0.0009),精子形态(MD:-2.49%,95CI:-4.35至-0.64,P=0.008),精子活力(MD:-6.85%,95CI:-11.53至-2.18,P=0.004),和精子进行性运动性(MD:-6.63%,95CI:-10.24至-3.02,P=0.0003)。然而,HBV感染与精子总数无明显相关性(MD:-31.50×106,95CI:-74.11至11.10,P=0.15)。HBV与精液质量之间的关联在亚组之间不一致。
    结论:HBV感染与精子浓度呈负相关,运动性,形态学,和精液量。然而,HBV与精子总数之间的关联尚不清楚。这项荟萃分析表明,我们应该注意HBV对精子质量的不利影响,一些研究报告了相关机制。但是由于某些精液参数研究之间的显着异质性,在引入临床管理建议之前,还需要进一步的大型和精心设计的研究。
    BACKGROUND: Some studies have suggested that hepatitis B virus (HBV) infection had a negative association with semen quality, but the conclusions have been inconsistent. The purpose of our study was to systematically assess the association between HBV infection and semen parameters.
    METHODS: We searched electronic databases for studies published from January 1980 to August 2023. Eleven studies were included in the analysis. Primary outcomes were semen volume, sperm concentration, sperm morphology, sperm motility and sperm progressive motility. We also conducted a subgroup analysis between China and other countries.
    RESULTS: Compared with the semen quality of HBV-negative men, HBV infection had a negative association with semen volume (MD: -0.20 mL, 95%CI: -0.32 to - 0.09, P = 0.0004), sperm concentration (MD: -4.46 × 106/mL, 95%CI: -7.09 to - 1.84, P = 0.0009), sperm morphology (MD: -2.49%, 95%CI: -4.35 to - 0.64, P = 0.008), sperm motility (MD: -6.85%, 95%CI: -11.53 to - 2.18, P = 0.004), and sperm progressive motility (MD: -6.63%, 95%CI: -10.24 to - 3.02, P = 0.0003). However, HBV infection had no significant association with total sperm count (MD: -31.50 × 106, 95%CI: -74.11 to 11.10, P = 0.15). The association between HBV and semen quality were inconsistent between the subgroups.
    CONCLUSIONS: HBV infection had a negative association with sperm concentration, motility, morphology, and semen volume. However, The association between HBV and total sperm count remain unclear. This metaanalysis suggests that we should pay attention to the adverse effect of HBV on sperm quality, and several studies have reported the relevant mechanisms. But due to the significant heterogeneity among studies on some semen parameters, further large and well-designed researches are needed before introducing clinical management recommendations.
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  • 文章类型: Journal Article
    不孕症是现代健康问题。肥胖是与慢性疾病相关的另一个不断扩大的健康问题,其中也包括不孕症。这篇综述将集中于通过药物治疗减肥对生殖激素特征的生育能力的影响,排卵率,怀孕的时间,植入率,怀孕率,正常胚胎发育,和活产率。我们包括已经用于减肥的药物,比如奥利司他和二甲双胍,和新兴的医疗方法,例如胰高血糖素样肽-1受体激动剂(GLP-1RA)。不建议在计划怀孕期间使用它们,在这种情况下,他们应该停止。本文献综述的主要结果如下:药物治疗后适度的体重减轻和治疗持续时间是生育改善的重要因素。医学诱导的体重减轻提供显着结果的繁殖力结果是女性生殖激素谱,月经周期,排卵和受孕率,和怀孕率。关于男性生殖系统,在医学诱导的体重减轻后,以显著变化为特征的生育结果如下:男性生殖激素谱,精子运动性,运动和形态,生殖器官的重量,和性功能。较新的有希望的GLP-1RA显示了对生育率改善的期望,因为它们已经证明了对提高排卵率和调节月经周期的令人鼓舞的效果。然而,需要更多的人类研究来证实这一点。未来的研究应旨在提供有关医学减肥疗法是否通过减肥或可能对生殖系统直接作用间接影响生育能力的答案。
    Infertility is a modern health problem. Obesity is another expanding health issue associated with chronic diseases among which infertility is also included. This review will focus on the effects of weight loss by medical therapy on fertility regarding reproductive hormonal profile, ovulation rates, time to pregnancy, implantation rates, pregnancy rates, normal embryo development, and live birth rates. We comprised medicine already used for weight loss, such as orlistat and metformin, and emerging medical treatments, such as Glucagon-Like Peptide-1 receptor agonists (GLP-1 RA). Their use is not recommended during a planned pregnancy, and they should be discontinued in such cases. The main outcomes of this literature review are the following: modest weight loss after medication and the duration of the treatment are important factors for fertility improvement. The fecundity outcomes upon which medical-induced weight loss provides significant results are the female reproductive hormonal profile, menstrual cyclicity, ovulation and conception rates, and pregnancy rates. Regarding the male reproductive system, the fertility outcomes that feature significant alterations after medically induced weight loss are as follows: the male reproductive hormonal profile, sperm motility, movement and morphology, weight of reproductive organs, and sexual function. The newer promising GLP-1 RAs show expectations regarding fertility improvement, as they have evidenced encouraging effects on improving ovulation rates and regulating the menstrual cycle. However, more human studies are needed to confirm this. Future research should aim to provide answers about whether medical weight loss therapies affect fertility indirectly through weight loss or by a possible direct action on the reproductive system.
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  • 文章类型: Meta-Analysis
    背景:本研究旨在比较双臂双缝合纵向肠套叠显微外科血管附睾造口术(LIVE)和单臂双缝合LIVE技术在附睾梗阻性无精子症(EOA)患者中的疗效。评估的主要结果是通畅率,通畅时间,精液质量和自然妊娠率。
    方法:从包括PubMed、EMBASE,和WebofScience。加权数据使用随机效应模型进行分析,并报告了加权平均差异。
    结果:共纳入来自24项研究的1574例EOA患者。总体通畅率约为68%(95%置信区间[CI]:63-72%),通畅时间约为4.63个月(95%CI:4.15-5.12)。精子浓度达到2690万/ml,精子活力为23.74%。自然妊娠率为38%(95%CI:31-46%)。比较通畅率时,通畅性的不同定义似乎没有任何有意义的影响。通畅率没有显着差异,通畅时间,双臂和单臂活体技术之间的精液质量和自然妊娠率。
    结论:当不容易获得高质量的双针缝线时,单臂LIVE是一种潜在的替代手术选择。
    BACKGROUND: This study aimed to compare the outcomes of double-armed two-suture longitudinal intussusception microsurgical vasoepididymostomy (LIVE) and single-armed two-suture LIVE techniques in patients with epididymal obstructive azoospermia (EOA). The main outcomes assessed were patency rates, patency time, semen quality and natural pregnancy rates.
    METHODS: Data from patients with EOA who underwent two-suture LIVE were obtained from databases including PubMed, EMBASE, and Web of Science. Weighted data were analyzed using a random-effects model, and weighted mean differences were reported.
    RESULTS: A total of 1574 patients with EOA from 24 studies were included. The overall patency rate was approximately 68% (95% confidence interval [CI]: 63-72%), with a patency time of approximately 4.63 months (95% CI: 4.15-5.12). The sperm concentration reached 26.90 million/ml and the sperm motility was 23.74%. The natural pregnancy rate was 38% (95% CI: 31-46%). The different definitions of patency do not seem to have any meaningful impact when comparing patency rates. There was no significant difference in patency rates, patency time, semen quality and natural pregnancy rates between the double-armed and single-armed LIVE techniques.
    CONCLUSIONS: The single-armed LIVE is a potential alternative surgical option when high quality double-needle sutures are not easily accessible.
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  • 文章类型: Systematic Review
    开发副作用少、对疾病有较高疗效的治疗剂,比如癌症,代谢紊乱,神经系统疾病,感染,心血管疾病,和呼吸道疾病,是必需的。最近的研究集中在确定药物分子的新来源以开发针对这些疾病的疗法。在潜在新疗法的来源中,动物毒液衍生的分子引起了极大的兴趣。已分离出各种动物毒液来源的蛋白质和肽,已识别,合成,并测试以开发药物。毒液衍生的肽具有几种生物医学特性,如促凋亡,细胞迁移,和癌细胞模型中的自噬调节活性;一氧化氮诱导血管舒张和调节血管紧张素II;通过控制钙和钾通道修饰胰岛素反应;调节疼痛受体活性;调节免疫细胞活性;改变运动神经元活性;降解或抑制β-淀粉样斑块形成;抗菌,抗真菌药,抗病毒,和抗原生动物活性;精子运动性增加和勃起功能增强;眼内压降低;抗凝,纤维蛋白溶解,和抗血栓形成活性等。本文系统综述了最新研究报告的合成动物毒液衍生肽的这些生物医学特性和潜在的生物医学应用。此外,讨论了该研究领域的局限性和机会领域,以便可以根据所提供的数据开展新的研究。
    Development of therapeutic agents that have fewer adverse effects and have higher efficacy for diseases, such as cancer, metabolic disorders, neurological diseases, infections, cardiovascular diseases, and respiratory diseases, are required. Recent studies have focused on identifying novel sources for pharmaceutical molecules to develop therapies against these diseases. Among the sources for potentially new therapies, animal venom-derived molecules have generated much interest. Various animal venom-derived proteins and peptides have been isolated, identified, synthesized, and tested to develop drugs. Venom-derived peptides have several biomedical properties, such as proapoptotic, cell migration, and autophagy regulation activities in cancer cell models; induction of vasodilation by nitric oxide and regulation of angiotensin II; modification of insulin response by controlling calcium and potassium channels; regulation of pain receptor activity; modulation of immune cell activity; alteration of motor neuron activity; degradation or inhibition of β-amyloid plaque formation; antibacterial, antifungal, antiviral, and antiprotozoal activities; increase in sperm motility and potentiation of erectile function; reduction of intraocular pressure; anticoagulation, fibrinolytic, and antithrombotic activities; etc. This systematic review compiles these biomedical properties and potential biomedical applications of synthesized animal venom-derived peptides reported in the latest research. In addition, the limitations and areas of opportunity in this research field are discussed so that new studies can be developed based on the data presented.
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  • 文章类型: Systematic Review
    阴道润滑剂通常用于帮助性快感和/或帮助对抗阴道干燥和性交困难。几项研究报告了它们对精子功能的影响,然而,没有公布的指南来帮助医疗保健专业人员和夫妇选择一种“精子安全”的阴道润滑剂。为了解决这个问题,我们使用PubMed和Scopus进行了文献检索,以鉴定和评估报道润滑剂对精子功能影响的手稿.我们没有按出版年份限制文献检索,我们只包括研究阴道润滑剂对人类精子影响的手稿。使用Björndahl等人评估合格研究的质量。,(2016)精液分析检查表,因为大多数研究报告了基本精液分析的结果。共有24篇文章有资格进行分析,其中包括35种阴道润滑剂(可在柜台购买),其中2研究了阴道润滑剂对体内精子功能的影响,22在体外进行。KY果冻,对PreSeed和Astroglide的研究最多,大多数手稿都集中在它们对精子活力的影响上。关于大多数润滑剂的数据缺乏,加上研究之间的方法学差异以及关于妊娠结局的有限/无报告,这意味着在发布基于证据的指南之前需要付出更大的努力。
    Vaginal lubricants are commonly used to aid sexual pleasure and/or to help combat vaginal dryness and dyspareunia. Several studies have reported their impact on sperm function, however there are no published guidelines to help healthcare professionals and couples select a vaginal lubricant that is \'sperm-safe\'. To address this, we conducted a literature search using both PubMed and Scopus to identify and appraise manuscripts that reported the impact of lubricants on sperm function. We did not restrict the literature search by year of publication, and we only included manuscripts that looked at the impact of vaginal lubricants on human sperm. The quality of the eligible studies was assessed using the Björndahl et al., (2016) checklist for semen analysis, as most of the studies reported the findings of a basic semen analysis. A total of 24 articles were eligible for analysis with a total of 35 vaginal lubricants (that were available to buy over the counter) being included, 2 of which studied the effect of vaginal lubricants on sperm function in vivo, and 22 being conducted in vitro. KY Jelly, PreSeed and Astroglide were most studied, with most manuscripts focussing on their impact on sperm motility. A paucity of data on most lubricants combined with methodological variations between studies and limited/no reporting on pregnancy outcomes means greater efforts are required before an evidence-based guideline can be published.
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