Published in:
01-09-2010 | Gonadal Physiology and Disease
Seminal plasma homocysteine, folate and cobalamin in men with obstructive and non-obstructive azoospermia
Authors:
Igor Crha, Michaela Kralikova, Jitka Melounova, Pavel Ventruba, Jana Zakova, Rastislav Beharka, Richard Husicka, Michal Pohanka, Martin Huser
Published in:
Journal of Assisted Reproduction and Genetics
|
Issue 9-10/2010
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Abstract
Purpose
The aim of this study was to analyze homocysteine, folate and cobalamin in men with normozoospermia, obstructive and non-obstructive azoospermia.
Methods
Analysis of plasma and seminal plasma homocysteine, folate and cobalamin in 72 azoospermic and 62 normozoospermic men. Evaluation of the azoospermic patient included testicular biopsy, endocrine, urological and ultrasound examination.
Results
Homocysteine (1.2 μmol/l) and cobalamin (322.05 pmol/l) concentrations (median values) in seminal plasma were significantly lower (p < 0.001) in men with azoospermia than in men with normozoospermia (2.5 μmol/l and 579.0 pmol/l). Folate and cobalamin concentrations were significantly higher in obstructive than in non-obstructive azoospermia. Significant correlations were determined between testis volume and seminal plasma homocysteine in azoospermic men.
Conclusion
Lower concentrations of homocysteine and cobalamin (but not folate) were found in azoospermic seminal plasma than normozoospermic. Folate and cobalamin were higher in seminal plasma from obstructive azoospermia than in non-obstructive azoospermia patients.