Prioritizing Ultrasound Scrotum With Venous And Arterial Doppler As Primary Modality In Cases Of Oligoasthenospermia: Original Article

Hina Anwar; Mahad Umer; Syeda Memoona; Sabahat Makhdoom; Maria Ather; Mahnoor Habib Roghani

doi:10.69885/pju.v3i1.93

Authors

Hina Anwar Urologist at SARF hospital Islamabad https://orcid.org/0000-0001-5909-912X
Mahad Umer Radiologist SARF Hospital, Islamabad https://orcid.org/0000-0002-9131-0535
Syeda Memoona Sonologist at SARF Hospital, Islamabad https://orcid.org/0000-0001-8477-6997
Sabahat Makhdoom Gynaecologist at SARF Hospital, Islamabad https://orcid.org/0009-0008-1160-3217
Maria Ather Gynaecologist at SARF Hospital, Islamabad https://orcid.org/0009-0000-3259-2918
Mahnoor Habib Roghani Senior Medical Officer at SARF Hospital, Islamabad https://orcid.org/0009-0004-3584-2854

DOI:

https://doi.org/10.69885/pju.v3i1.93

Keywords:

Oligoasthenospermia, Varicocele, Male Infertility, Sperm Motility, Doppler Ultrasound

Abstract

Background: Oligoasthenospermia, marked by low sperm count and reduced motility, accounts for a significant portion of male infertility cases globally.

Objective: To investigate the prevalence of oligoasthenospermia and its association with varicocele among male patients in Islamabad.

Study Design: A cross-sectional study

Duration and place of study: Study conducted at SARF Hospital from (March–September 2024).

Methods: Study included 60 male patients age 20–32 years with primary and secondary subfertility. The study analyzed sperm concentration, motility, and varicocele, adhering to inclusion/exclusion criteria, with informed consent, ethical approval, and data confidentiality ensured throughout the research. Data was analyzed using SPSS 23.0.

Results: Results revealed that 86.7% of participants had primary subfertility, with a mean sperm concentration of 1.13 million/mL, significantly lower than the 5.917 million/mL observed in secondary subfertility cases. Varicocele was present in 85% of the sample, predominantly left-sided (73.3%), with a significant proportion classified as Grade 3 (61.7%). Correlation analysis indicated a weak, non-significant relationship (r = 0.205) between sperm concentration and varicocele presence, suggesting that while varicocele is common, its impact on sperm quality may vary.

Conclusion: The study underscores the need for comprehensive evaluations of male infertility, integrating advanced imaging techniques like Doppler ultrasound to better understand the anatomical factors influencing spermatogenesis. Enhanced diagnostic approaches could lead to tailored interventions, potentially improving reproductive outcomes for affected individuals. Addressing the identified limitations and research gaps is crucial for advancing male reproductive health and clinical practices.