Sperm vitality and necrozoospermia: diagnosis, management, and results of a global survey of clinical practice
Sperm vitality testing is a basic semen examination that has been described in the World Health Organization (WHO) Laboratory Manual for the Examination and Processing of Human Semen from its primary edition, 40 years ago. Several methods can be used to test sperm vitality, such as the eosin-nigrosi...
Published in: | World Journal of Men's Health |
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Format: | Review |
Language: | English |
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Korean Society for Sexual Medicine and Andrology
2022
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Online Access: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85118736952&doi=10.5534%2fwjmh.210149&partnerID=40&md5=776ce144f9bcad4451df84b64415ccd7 |
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2-s2.0-85118736952 Agarwal A.; Sharma R.K.; Gupta S.; Boitrelle F.; Finelli R.; Parekh N.; Durairajanayagam D.; Saleh R.; Arafa M.; Cho C.L.; Farkouh A.; Rambhatla A.; Henkel R.; Vogiatzi P.; Tadros N.; Kavoussi P.; Ko E.; Leisegang K.; Kandil H.; Palani A.; Salvio G.; Mostafa T.; Rajmil O.; Banihani S.A.; Schon S.; Le T.V.; Birowo P.; Çeker G.; Alvarez J.; Molina J.M.C.; Ho C.C.K.; Calogero A.E.; Khalafalla K.; Duran M.B.; Kuroda S.; Colpi G.M.; Zini A.; Anagnostopoulou C.; Pescatori E.; Chung E.; Caroppo E.; Dimitriadis F.; Pinggera G.-M.; Busetto G.M.; Balercia G.; Elbardisi H.; Taniguchi H.; Park H.J.; Rosas I.M.; de la Rosette J.; Ramsay J.; Bowa K.; Simopoulou M.; Rodriguez M.G.; Sabbaghian M.; Martinez M.; Gilani M.A.S.; Al-Marhoon M.S.; Kosgi R.; Cannarella R.; Micic S.; Fukuhara S.; Parekattil S.; Jindal S.; Abdel-Meguid T.A.-A.; Morimoto Y.; Shah R. Sperm vitality and necrozoospermia: diagnosis, management, and results of a global survey of clinical practice 2022 World Journal of Men's Health 40 2 10.5534/wjmh.210149 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85118736952&doi=10.5534%2fwjmh.210149&partnerID=40&md5=776ce144f9bcad4451df84b64415ccd7 Sperm vitality testing is a basic semen examination that has been described in the World Health Organization (WHO) Laboratory Manual for the Examination and Processing of Human Semen from its primary edition, 40 years ago. Several methods can be used to test sperm vitality, such as the eosin-nigrosin (E-N) stain or the hypoosmotic swelling (HOS) test. In the 6th (2021) edition of the WHO Laboratory Manual, sperm vitality assessment is mainly recommended if the total motility is less than 40%. Hence, a motile spermatozoon is considered alive, however, in certain conditions an immotile spermatozoon can also be alive. Therefore, the differentiation between asthenozoospermia (pathological decrease in sperm motility) and necrozoospermia (pathological decrease in sperm vitality) is important in directing further investigation and management of infertile patients. The causes leading to necrozoospermia are diverse and can either be local or general, testicular or extra-testicular. The andrological management of necrozoospermia depends on its etiology. However, there is no standardized treatment available presently and practice varies among clinicians. In this study, we report the results of a global survey to understand current practices regarding the physician order of sperm vitality tests as well as the management practices for necrozoospermia. Laboratory and clinical scenarios are presented to guide the reader in the management of necrozoospermia with the overall objective of establishing a benchmark ranging from the diagnosis of necrozoospermia by sperm vitality testing to its clinical management. Copyright © 2021 Korean Society for Sexual Medicine and Andrology Korean Society for Sexual Medicine and Andrology 22874208 English Review All Open Access; Gold Open Access |
author |
Agarwal A.; Sharma R.K.; Gupta S.; Boitrelle F.; Finelli R.; Parekh N.; Durairajanayagam D.; Saleh R.; Arafa M.; Cho C.L.; Farkouh A.; Rambhatla A.; Henkel R.; Vogiatzi P.; Tadros N.; Kavoussi P.; Ko E.; Leisegang K.; Kandil H.; Palani A.; Salvio G.; Mostafa T.; Rajmil O.; Banihani S.A.; Schon S.; Le T.V.; Birowo P.; Çeker G.; Alvarez J.; Molina J.M.C.; Ho C.C.K.; Calogero A.E.; Khalafalla K.; Duran M.B.; Kuroda S.; Colpi G.M.; Zini A.; Anagnostopoulou C.; Pescatori E.; Chung E.; Caroppo E.; Dimitriadis F.; Pinggera G.-M.; Busetto G.M.; Balercia G.; Elbardisi H.; Taniguchi H.; Park H.J.; Rosas I.M.; de la Rosette J.; Ramsay J.; Bowa K.; Simopoulou M.; Rodriguez M.G.; Sabbaghian M.; Martinez M.; Gilani M.A.S.; Al-Marhoon M.S.; Kosgi R.; Cannarella R.; Micic S.; Fukuhara S.; Parekattil S.; Jindal S.; Abdel-Meguid T.A.-A.; Morimoto Y.; Shah R. |
spellingShingle |
Agarwal A.; Sharma R.K.; Gupta S.; Boitrelle F.; Finelli R.; Parekh N.; Durairajanayagam D.; Saleh R.; Arafa M.; Cho C.L.; Farkouh A.; Rambhatla A.; Henkel R.; Vogiatzi P.; Tadros N.; Kavoussi P.; Ko E.; Leisegang K.; Kandil H.; Palani A.; Salvio G.; Mostafa T.; Rajmil O.; Banihani S.A.; Schon S.; Le T.V.; Birowo P.; Çeker G.; Alvarez J.; Molina J.M.C.; Ho C.C.K.; Calogero A.E.; Khalafalla K.; Duran M.B.; Kuroda S.; Colpi G.M.; Zini A.; Anagnostopoulou C.; Pescatori E.; Chung E.; Caroppo E.; Dimitriadis F.; Pinggera G.-M.; Busetto G.M.; Balercia G.; Elbardisi H.; Taniguchi H.; Park H.J.; Rosas I.M.; de la Rosette J.; Ramsay J.; Bowa K.; Simopoulou M.; Rodriguez M.G.; Sabbaghian M.; Martinez M.; Gilani M.A.S.; Al-Marhoon M.S.; Kosgi R.; Cannarella R.; Micic S.; Fukuhara S.; Parekattil S.; Jindal S.; Abdel-Meguid T.A.-A.; Morimoto Y.; Shah R. Sperm vitality and necrozoospermia: diagnosis, management, and results of a global survey of clinical practice |
author_facet |
Agarwal A.; Sharma R.K.; Gupta S.; Boitrelle F.; Finelli R.; Parekh N.; Durairajanayagam D.; Saleh R.; Arafa M.; Cho C.L.; Farkouh A.; Rambhatla A.; Henkel R.; Vogiatzi P.; Tadros N.; Kavoussi P.; Ko E.; Leisegang K.; Kandil H.; Palani A.; Salvio G.; Mostafa T.; Rajmil O.; Banihani S.A.; Schon S.; Le T.V.; Birowo P.; Çeker G.; Alvarez J.; Molina J.M.C.; Ho C.C.K.; Calogero A.E.; Khalafalla K.; Duran M.B.; Kuroda S.; Colpi G.M.; Zini A.; Anagnostopoulou C.; Pescatori E.; Chung E.; Caroppo E.; Dimitriadis F.; Pinggera G.-M.; Busetto G.M.; Balercia G.; Elbardisi H.; Taniguchi H.; Park H.J.; Rosas I.M.; de la Rosette J.; Ramsay J.; Bowa K.; Simopoulou M.; Rodriguez M.G.; Sabbaghian M.; Martinez M.; Gilani M.A.S.; Al-Marhoon M.S.; Kosgi R.; Cannarella R.; Micic S.; Fukuhara S.; Parekattil S.; Jindal S.; Abdel-Meguid T.A.-A.; Morimoto Y.; Shah R. |
author_sort |
Agarwal A.; Sharma R.K.; Gupta S.; Boitrelle F.; Finelli R.; Parekh N.; Durairajanayagam D.; Saleh R.; Arafa M.; Cho C.L.; Farkouh A.; Rambhatla A.; Henkel R.; Vogiatzi P.; Tadros N.; Kavoussi P.; Ko E.; Leisegang K.; Kandil H.; Palani A.; Salvio G.; Mostafa T.; Rajmil O.; Banihani S.A.; Schon S.; Le T.V.; Birowo P.; Çeker G.; Alvarez J.; Molina J.M.C.; Ho C.C.K.; Calogero A.E.; Khalafalla K.; Duran M.B.; Kuroda S.; Colpi G.M.; Zini A.; Anagnostopoulou C.; Pescatori E.; Chung E.; Caroppo E.; Dimitriadis F.; Pinggera G.-M.; Busetto G.M.; Balercia G.; Elbardisi H.; Taniguchi H.; Park H.J.; Rosas I.M.; de la Rosette J.; Ramsay J.; Bowa K.; Simopoulou M.; Rodriguez M.G.; Sabbaghian M.; Martinez M.; Gilani M.A.S.; Al-Marhoon M.S.; Kosgi R.; Cannarella R.; Micic S.; Fukuhara S.; Parekattil S.; Jindal S.; Abdel-Meguid T.A.-A.; Morimoto Y.; Shah R. |
title |
Sperm vitality and necrozoospermia: diagnosis, management, and results of a global survey of clinical practice |
title_short |
Sperm vitality and necrozoospermia: diagnosis, management, and results of a global survey of clinical practice |
title_full |
Sperm vitality and necrozoospermia: diagnosis, management, and results of a global survey of clinical practice |
title_fullStr |
Sperm vitality and necrozoospermia: diagnosis, management, and results of a global survey of clinical practice |
title_full_unstemmed |
Sperm vitality and necrozoospermia: diagnosis, management, and results of a global survey of clinical practice |
title_sort |
Sperm vitality and necrozoospermia: diagnosis, management, and results of a global survey of clinical practice |
publishDate |
2022 |
container_title |
World Journal of Men's Health |
container_volume |
40 |
container_issue |
2 |
doi_str_mv |
10.5534/wjmh.210149 |
url |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85118736952&doi=10.5534%2fwjmh.210149&partnerID=40&md5=776ce144f9bcad4451df84b64415ccd7 |
description |
Sperm vitality testing is a basic semen examination that has been described in the World Health Organization (WHO) Laboratory Manual for the Examination and Processing of Human Semen from its primary edition, 40 years ago. Several methods can be used to test sperm vitality, such as the eosin-nigrosin (E-N) stain or the hypoosmotic swelling (HOS) test. In the 6th (2021) edition of the WHO Laboratory Manual, sperm vitality assessment is mainly recommended if the total motility is less than 40%. Hence, a motile spermatozoon is considered alive, however, in certain conditions an immotile spermatozoon can also be alive. Therefore, the differentiation between asthenozoospermia (pathological decrease in sperm motility) and necrozoospermia (pathological decrease in sperm vitality) is important in directing further investigation and management of infertile patients. The causes leading to necrozoospermia are diverse and can either be local or general, testicular or extra-testicular. The andrological management of necrozoospermia depends on its etiology. However, there is no standardized treatment available presently and practice varies among clinicians. In this study, we report the results of a global survey to understand current practices regarding the physician order of sperm vitality tests as well as the management practices for necrozoospermia. Laboratory and clinical scenarios are presented to guide the reader in the management of necrozoospermia with the overall objective of establishing a benchmark ranging from the diagnosis of necrozoospermia by sperm vitality testing to its clinical management. Copyright © 2021 Korean Society for Sexual Medicine and Andrology |
publisher |
Korean Society for Sexual Medicine and Andrology |
issn |
22874208 |
language |
English |
format |
Review |
accesstype |
All Open Access; Gold Open Access |
record_format |
scopus |
collection |
Scopus |
_version_ |
1812871798732095488 |