Investigation the Relationship between Spermatogenesis and the Levels of Some Hormones in a Sample of Infertile Iraqi Males with Azoospermia and Oligospermia
The objective of this study was to assess the levels of antiMullerian hormone (AMH), Follicle stimulating hormone (FSH), testosteron, luteinizing hormone (LH), and estradiol (E2) as markers of spermatogenesis between fertile and infertile males. This study was conducted at (AlRamadi Teaching Hospital for maternity and children) and included 136 males partners of infertile couples. Samples were classified according to the WHO criteria of semen analysis into three groups; Azoospermia, Oligospermia, and normal(control). Assay levels of these hormones were made in the serum and the semen of each sample. The results showed that the level of AMH in serum samples was non-significantly decreased (P>0.05) in both Azoospermia and Oligospermia groups compared to control (6.74±3.21 ng/ml and 6.01±0.25 ng/ml vs. 12.81±7.69 ng/ml). While FSH and LH levels, there were non-significantly(P > 0.05) increased in both azoospermia and Oligospermia compared to control (FSH: 12.11±8.14 mIU/ml and 7.22±6.06 mIU/mlvs.3.14±1.27 mIU/ml; LH: 10.04±7.23 mIU/ml and 7.62±3.30 mIU/ml vs.5.57±2.03mIU/ml).In addition, there were non- significant differences (P> 0.05) of testosterone hormone level among the studied groups. Such, there was a non-significant decreased level of E2 (P> 0.05) in both Azoospermia and Oligospermiagroups compared to control (170.49±37.57 ng/ml and 137.20±53.92 ng/ml vs. 194.91±41.66 ng/ml).İn contrast to semen samples, the results of AMH showed a significant (P< 0.05) decreased level in both Azoospermia and Oligospermia compared to control (8.24±4.17 ng/ml and 8.85±4.79 ng/ml vs. 13.33±0.77 ng/ml). FSH level was non-significant (P> 0.05) increased in Azoospermia and Oligospermia compared to control (3.97±1.91 mIU/ml and 4.09±2.50 mIU/ml vs. 2.47±1.29 mIU/ml). Such, there were non-significant (P> 0.05) increased levels of LH and testosterone hormones in both Azoospermia and control compared to Oligospermia (9.35±6.02 mIU/ml and 5.99±4.43 mIU/ml vs. 4.06±2.82 mIU/ml), and significant (P< 0.05) increased level of E2 in both Azoospermia and Oligospermia compared to control (241.36±35.32 ng/ml and 220.86±48.96 ng/ml vs. 170.71±73.52 ng/ml).The study concluded that the AMH, FSH and E2 hormones levels in serum and semen samples may have been associated with the sperm production and may be a good marker for spermatogenesis, as well as Sertoli cell development. In addition, the age played a critical role in the level of the studied hormones.