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应用人精子金黄地鼠卵穿透试验及精子乳酸脱氢酶—C~4测定评价低剂量棉酚抗生育作用的可逆性

FERTILITY RECOVERY FOLLOWING LOW-DOSE GOSSYPOL CONTRACEPTION DETERMINED BY HUMAN SPERM-HAMSTER EGG PENETRATION TEST AND SPERM LDH-C4 MEASUREMENT

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【作者】 王蔼为刘国振李宝寅章静波卢清显袁菊

【Author】 WANG Ai-Wei, LIU Guo-Zhen, LI Bao-Yin Peking Union Medical Coledge Hospital ZHANG Jing-Bo, LU Qing-Xian, YUAN Ju Fundamental Medicine Research Institute

【机构】 北京协和医院北京协和医院基础医学研究所

【摘要】 适当减少棉酚服药量不仅可缓解毒副反应,抗生育可逆性也得以改善。6名服药者停药一年精子计数、活动率及穿卵率全部恢复正常水平。精子LDH-C4与对照未见明显差异。

【Abstract】 Recent clinical study showed that side effects of gossypol as a male contraceptive could be avoided by lowering the dosage to sixty percent of the dose used in previous studies,In order to evaluate the reversibility of antifertility effect of the low-dose gossypol, we conducted a one-year follow-up study in 6 participants who had taken low dose gossypol for 1 or 1.5 years. Six months after discontinuation, spermatogenesis in all the participants showed obvious recovery, with one case resulted in pregnancy.One year after discontinuation, the sperm count, sperm motility and sperm-egg penetration rates of all the 6 men recovered to within the normal range. In addition, sperm LDH-C4 was determined by histochemical method which revealed no significant difference between gossypol users and controls.

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