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PL
Introduction. Man is the only being that has created an artificial environment, or civilization. The development of civilization entails changes in the environment. The rapid growth of the impact of human economic activity has led to such changes that are able to threaten not only other living creatures but also themselves. Increasing environmental pollution are well-known factors negative influencing on human environment. Is now a global problem. Anthropogenic pollution contribute to the unfavorable demographic changes and grooving number of health problems of the population. Unfavourable demographic changes manifest themselves as not only increment in the number of deaths and malformations (defects in the reproductive organs), but also as decrement in the fertility rates being the consequence of increasing the growing problem of couples infertility. There is observed the increasing role of male factor in the couple infertility problem. In some developed countries its participation rate reaches 50%.Objective. The aim of the study is to assess the impact of environmental pollution on human development and reproductive function of male gonads.Material and methods. The study was carried out using the method of data analysis published in the works and scientific reports.Current state of knowledge. The paper presents information on identified environmental pollution with proven adverse effects on the development of the gonads and the their reproductive function. There are also known possible negative impacts of environmental pollution on carcinogenesis in male gonads.Wider awareness of the negative impact of environmental pollution and attempts put emphasis on primary prevention can give better long-term effects than increasing spending on the therapies of developmental disorders as well as gonadal dysfunctions symptoms including fertility problems.Conclusions.Among the environmental pollutants there are many chemicals adversely affecting the organogenesis as well as reproductive function of testicles.Many of these contaminants are pesticides or chemicals currently approved for use in agriculture and industry, including the food and cosmetics industry.Those chemicals, adversely affecting organogenesis and testicular generative function, are present in air, water and foods, packaged foods and everyday objects - including clothes (ingredients sponges), perfumes, creams and detergents.The increase in environmental pollution coincides with the deterioration of sperm quality and reduction in male infertility in highly civilized countries.Striving for continuous reduction of the environmental seems to be necessary to stop the growing problem of couples infertility.
EN
Over the last 40 years, the quality of male semen, including the sperm count, has decreased. There are numerous reasons for this phenomenon, including occupational and environmental exposure to heavy metals such as cadmium, lead, mercury and arsenic. Food contaminated with mycotoxins and pesticides, the influence of industrial chemicals, cigarette smoking and endocrine factors are also of great significance. This paper discusses the problem based on the literature of the last few years on the role of physiologically occurring metals in semen and the effect that heavy metals have on decreasing male fertility.
PL
Na przestrzeni ostatnich 40 lat spadła jakość nasienia męskiego, w tym m.in. liczba plemników. U podstaw tego zjawiska leży wiele przyczyn, wśród których wymienia się ekspozycję zawodową i środowiskową na metale ciężkie, m.in. na kadm, ołów, rtęć i arsen. Duże znaczenie ma również zanieczyszczona mykotoksynami i pestycydami żywność, wpływ chemikaliów przemysłowych, palenie papierosów i czynniki endokrynologiczne. Niniejsza praca stanowi omówienie problemu na podstawie piśmiennictwa z ostatnich kilku lat na temat roli metali fizjologicznie występujących w nasieniu oraz wpływu metali ciężkich na obniżenie płodności męskiej.
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Scrotal imaging

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EN
Pathological lesions within the scrotum are relatively rare in imaging except for ultrasonography. The diseases presented in the paper are usually found in men at the age of 15–45, i.e. men of reproductive age, and therefore they are worth attention. Scrotal ultrasound in infertile individuals should be conducted on a routine basis owing to the fact that pathological scrotal lesions are frequently detected in this population. Malignant testicular cancers are the most common neoplasms in men at the age of 20–40. Ultrasound imaging is the method of choice characterized by the sensitivity of nearly 100% in the differentiation between intratesticular and extratesticular lesions. In the case of doubtful lesions that are not classified for intra-operative verifi cation, nuclear magnetic resonance is applied. Computed tomography, however, is performed to monitor the progression of a neoplastic disease, in pelvic trauma with scrotal injury as well as in rare cases of scrotal hernias involving the ureters or a fragment of the urinary bladder.
PL
Patologiczne zmiany w obrębie worka mosznowego są stosunkowo rzadko spotykane w badaniach obrazowych, z wyjątkiem ultrasonografii. Prezentowane choroby dotyczą najczęściej grupy mężczyzn w przedziale wiekowym 15–45 lat, czyli w wieku rozrodczym, dlatego zasługują na szczególną uwagę. U niepłodnych mężczyzn badanie ultrasonograficzne moszny powinno być wykonywane rutynowo, ponieważ w tej populacji częstość wykrywania zmian patologicznych w mosznie jest bardzo wysoka. Nowotwory złośliwe jąder należą do najczęstszych nowotworów występujących u mężczyzn w wieku 20–40 lat. Metodą diagnostyczną z wyboru jest badanie ultrasonograficzne, którego czułość w różnicowaniu zmian wewnątrzjądrowych i zewnątrzjądrowych wynosi prawie 100%. W diagnostyce niejednoznacznych zmian, niekwalifikujących się do weryfikacji operacyjnej, stosowany jest magnetyczny rezonans jądrowy. Tomografię komputerową natomiast wykorzystuje się w monitorowaniu zaawansowania choroby nowotworowej, w stanach pourazowych miednicy z udziałem urazu moszny oraz w rzadkich przypadkach przepuklin mosznowych zawierających moczowody lub fragment pęcherza moczowego.
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