Patterns of Seminal Fluid Analysis In A Tertiary Centre In Sarawak

Introduction: Routine seminal fluid analysis is a prominent and globally used laboratory investigation for the evaluation of male infertility. However, limited studies have been conducted to identify the pattern of seminal fluid parameters, especially in Malaysia. This study aimed to study the seminal fluid analysis (total seminal fluid volume, total sperm count, sperm motility and viability) pattern and determine the association of age, cigarette smoking and body mass index (BMI) with the seminal fluid analysis. Materials and methods: This retrospective study was conducted in an infertility centre in UNIMAS [Ethical Approval: UNIMAS/TNC(PI)/09-65/01(26)] for a year (1 October 2021 – 30 September 2022). A total of 127 patients’ data were included in this study. The patients' data were recorded using a predesigned form and analysed using IBM SPSS version 28.0. Results: The mean age of the subjects was 35.26±5.61 years old. Overall, non-smokers were found to have lower seminal fluid volume and reduced sperm motility compared to non-smokers. A statistically significant correlation between age and the total sperm count (p=0.028) and between BMI and sperm viability (p=0.037) was observed in this study. However, no statistically significant correlations were observed between BMI and seminal fluid volume, total sperm count and total sperm motility. Similarly, no statistically significant correlation was noted between smoking and the seminal fluid analysis. Discussion/Conclusion: Our findings suggest a significant association between age and total sperm count, BMI and sperm viability, which in turn may affect the fertility status