Diseases (Basel, Switzerland) · 2026
The Frequency of Semen Abnormalities Among Jordanian Population: A Retrospective Single-Center Study of 1182 Cases.
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Dahadhah Fatina W, Odeh Mohanad, Dahadha Adnan A, Ali Heba A, Alshdaifat Eman Hussein, Freihat Emad, Abu Alarjah Manal Issam, Al Zoubi Mazhar Salim
Аннотация
BACKGROUND/OBJECTIVES: Male infertility is a significant global public health concern, with sperm abnormalities contributing to nearly half of all cases. This retrospective study addressed a critical gap by analyzing 1182 semen records from subfertile Jordanian men at the IVF unit.
METHODS: We quantified the prevalence of specific abnormalities, oligozoospermia, asthenozoospermia, teratozoospermia, and azoospermia, and investigated the interrelationships between sperm count, motility, and morphology.
RESULTS: Oligozoospermia was the most prevalent single abnormality (29%), while normozoospermia was found in 28% of cases. Combined defects were frequent; oligoasthenoteratozoospermia, with low count, poor motility, and abnormal morphology, was identified in 17% of cases, highlighting the multifactorial nature of subfertility. Correlation analysis showed significant interdependencies. A strong positive correlation was found between normal morphology and progressive motility (r = 0.484, p < 0.0001), suggesting structural integrity is closely linked to movement. Sperm count showed moderate positive correlations with normal morphology (r = 0.508, p < 0.0001) and non-progressive motility (r = 0.522, p < 0.0001). Abnormal morphology exhibited the strongest positive correlation with immotile sperm (r = 0.559, p < 0.0001), consistent with asthenoteratozoospermia.
CONCLUSIONS: These findings suggest semen issues in Jordanian men include multiple parameters simultaneously. Comprehensive semen analysis is essential for accurate fertility assessment, as focusing on a single parameter like sperm count may overlook critical factors contributing to infertility.
METHODS: We quantified the prevalence of specific abnormalities, oligozoospermia, asthenozoospermia, teratozoospermia, and azoospermia, and investigated the interrelationships between sperm count, motility, and morphology.
RESULTS: Oligozoospermia was the most prevalent single abnormality (29%), while normozoospermia was found in 28% of cases. Combined defects were frequent; oligoasthenoteratozoospermia, with low count, poor motility, and abnormal morphology, was identified in 17% of cases, highlighting the multifactorial nature of subfertility. Correlation analysis showed significant interdependencies. A strong positive correlation was found between normal morphology and progressive motility (r = 0.484, p < 0.0001), suggesting structural integrity is closely linked to movement. Sperm count showed moderate positive correlations with normal morphology (r = 0.508, p < 0.0001) and non-progressive motility (r = 0.522, p < 0.0001). Abnormal morphology exhibited the strongest positive correlation with immotile sperm (r = 0.559, p < 0.0001), consistent with asthenoteratozoospermia.
CONCLUSIONS: These findings suggest semen issues in Jordanian men include multiple parameters simultaneously. Comprehensive semen analysis is essential for accurate fertility assessment, as focusing on a single parameter like sperm count may overlook critical factors contributing to infertility.