Abstract:
This study was conducted in Elddamer, Atbra and Barbar hospitals in the River
Nile State, during the period from Decemper 2009 to May 2010. This study aimed
at detecting the cytomorphological changes of infertile couples using cytological
techniques.
٢00 samples were collected randomly from couples, distributed as follow, 70
cervical smears from infertile wives and 30 cervical smears from fertile wives as
control, their age ranged from 18 to 45 years, 70 seminal smears from infertile
husbands and 30 seminal smears from fertile husbands as control their age ranged
from 18 to 66 years. The smears were prepared, fixed and stained using
Papanicolaou technique then examined under the light microscope. The cytological
assessment of the study group revealed the following findings. Normal cervical
smear were found in 4(5.7%) samples, 28(40%) had bacterial infection, 9(12.9%)
had monilia infection, 16(22.9%) had inflammatory cells, 6(8.6%) showed atypical
cells, 5(7.1%) had human papilloma virus, 2(2.9%) had herpes simplex virus. In
husbands semen smears; normal semen smear found in 27(38.6%), 22(31.4%) had
bacterial infection, 21(30%) had inflammatory cells, 36(51.4%) had abnormal
sperm morphology and 34(48.6%) had normal sperm morphology with significant
relation between infertility and cytological changes (P.value = 0.000).
In this study no significant relation between cytological changes and type of
infertility, duration of infertility and contraceptive usage was found (P.value >
0.05).
In this study asignificant relation between ages of infertile husbands and the
cytological changes was found (P.value < 0.05).
As acnclclusion of this study, the cytological changes in infertile couples were
associated with infertility, and no relation between these changes and the type and
the duration of infertility and contraceptive usage.
