精子生成和性生活的客观非侵人性标记物

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Bibliographic Details
Published in亚洲男性学杂志:英文版 Vol. 14; no. 3; pp. 476 - 480
Main Author ThRee Sivananthan Franz Bathur Mark Jimenez Ann Conway Amanda Idan David Handelsman
Format Journal Article
LanguageEnglish
Published 2012
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Objective studies of men's reproductive function are hindered by their reliance on: (i) self-reporting to quantify sexual activity and (ii) masturbation to quantify sperm output rendering both types of estimate vulnerable to unverifiable subjective factors. We therefore examined whether detection of spermatozoa and measurement of prostate-specific antigen (PSA) in urine could provide objective semiquantitative estimates of sperm output and recent ejaculation, respectively, using widely available laboratory techniques. Of 11 healthy volunteers who provided urine samples before and at intervals for 5 days after ejaculation, sperm was present in 2111 men before, and in all 11111 samples immediately after ejaculation, but by the second and subsequent void, spermatozoa were present in -10%. PSA was detectable at high levels in all urine samples, peaking at the first post-ejaculatory sample but returning to baseline levels by the second post-ejaculatory void. We conclude that urinary spermatozoa and PSA are objective biomarkers for sperm production and sexual activity, but only for a short-time window until the first post-ejaculatory urine void. Hence, for a single urine specimen, the presence of spermatozoa and PSA are valid biomarkers, reflecting sperm production and recent ejaculation only until the next micturition, so their measurement should be restricted to the first morning urine void.
ejaculation; PSA; sexual activity; sperm output; spermatozoa; urine
ISSN:1008-682X
1745-7262