Center of Reproductive Medicine, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou 350001, China.
Asian J Androl. 2022 Jan-Feb;24(1):73-77. doi: 10.4103/aja202165.
This study analyzed the effects of male age and abstinence time on semen quality and explored the best abstinence time for Chinese males among different age groups. Semen parameters, including sperm kinetics, morphology, and DNA fragmentation index (DFI), were reviewed from 2952 men. Samples were divided into six age groups (≤25 years, 26-30 years, 31-35 years, 36-40 years, 41-45 years, and >45 years) and were divided into six groups according to different abstinence time (2 days, 3 days, 4 days, 5 days, 6 days, and 7 days). The differences in semen quality between the groups were compared, and the effect of age and abstinence time on semen quality was analyzed. Significant differences were observed in semen volume, progressive motility (PR), and DFI among the age groups (all P < 0.05), and no significant differences were observed in sperm morphological parameters (all P > 0.05). There were significant differences in semen volume, PR, and DFI among different abstinence time groups (all P < 0.05) and no significant differences in sperm morphological parameters (all P > 0.05). Pearson analysis showed that male age and abstinence time were both significantly correlated with sperm kinetics and DFI (both P < 0.05), while no significant correlation was found with sperm morphological parameters (all P > 0.05). The box plots and histograms of men's age, abstinence time, and semen quality show that most semen quality parameters differ significantly between the 2 days and 7 days abstinence groups and other groups at different ages. Except for the sperm morphology parameters, sperm kinetic parameters and sperm DFI are linearly related to male age and abstinence time.
本研究分析了男性年龄和禁欲时间对精液质量的影响,并探讨了不同年龄组中国男性的最佳禁欲时间。对 2952 名男性的精液参数(包括精子动力学、形态和 DNA 碎片指数[DFI])进行了回顾性分析。样本分为六个年龄组(≤25 岁、26-30 岁、31-35 岁、36-40 岁、41-45 岁和>45 岁),并根据不同的禁欲时间(2 天、3 天、4 天、5 天、6 天和 7 天)分为六组。比较了各组精液质量的差异,并分析了年龄和禁欲时间对精液质量的影响。年龄组之间精液量、前向运动精子(PR)和 DFI 差异有统计学意义(均 P<0.05),精子形态学参数差异无统计学意义(均 P>0.05)。不同禁欲时间组之间精液量、PR 和 DFI 差异有统计学意义(均 P<0.05),精子形态学参数差异无统计学意义(均 P>0.05)。Pearson 分析显示,男性年龄和禁欲时间与精子动力学和 DFI 均呈显著相关(均 P<0.05),与精子形态学参数无显著相关(均 P>0.05)。男性年龄、禁欲时间和精液质量的箱线图和直方图显示,大多数精液质量参数在不同年龄的 2 天和 7 天禁欲组与其他组之间存在显著差异。除精子形态参数外,精子动力学参数和精子 DFI 与男性年龄和禁欲时间呈线性相关。