Mycoplasma
Conditions
Brief summary
Genital ureaplasmas (Ureaplasma urealyticum and Ureaplasma parvum) and genital mycoplasmas (Mycoplasma hominis and Mycoplasma genitalium) are natural inhabitants of the male urethra contaminating the semen during ejaculation. However, these microorganisms, especially Ureaplasma urealyticum (Uu) and Mycoplasma hominis (Mh), are potentially pathogenic species playing an etiologic role in both genital infections and male infertility. Despite there are many consentaneous opinions about its relationship with infertility, its correlation with sperm regular parameters is still controversially. Sperm DNA damage can negatively influence fertilization rate, embryo cleavage rate, implantation rate, pregnancy and live birth rate, and is a novel indicator for intrauterine insemination (IUI) pregnancy rate and IVF or ICSI pregnancy loss rate. Until now, there were fewer clinical researches about the relationship among Uu and/or Mh infection, sperm DNA damage, and the IUI pregnancy rate. Thus, the investigators conduct this prospective study to investigate the relationship among them.
Interventions
intrauterine insemination
Sponsors
Study design
Eligibility
Inclusion criteria
* Male with primary sterility with or without mycoplasma infection
Exclusion criteria
1. Combination with chlamydial infection 2. History of using hormone or cytotoxic drugs. 3. Having some other surgical diseases, such as genital tract infection or varicocele 4. Having some congenital diseases, such as Klinefelter and Y chromosome deficiency 5. Having some endocrine diseases, such as Kallmann, abnormality in pituitary gland, hyperthyroidism, hypercorticoidism, and so on 6. Patients' spouse had some diseases that could not carry out spontaneous pregnancy, such as tubal obstruction or ovulatory failure.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pregnancy rate | up to 3 monthes after IUI |
Secondary
| Measure | Time frame |
|---|---|
| sperm DNA fragmentation index (DFI) | one month before IUI |