Suriyeli Mültecilerde Savaş Koşulları ve Sosyal Stresin Semen Parametreleri Üzerindeki Etkisi

Abstract

Amaç: Bu çalışma, Türkiye’ye göç sonrası maruz kalan Suriyelilerde savaş kaynaklı stresin sperm parametreleri üzerine etkilerini değerlendirmeyi amaçlamaktadır. Gereç ve Yöntem: İnfertilite nedeniyle spermiogram yapılan Suriyeli göçmen hastalar çalışmaya dahil edildi. Hastalar göçün başladığı ve stresin yoğun olarak hissedildiği dönem ile göçmenlerin yerleşip daha az stres yaşadıkları dönemlere göre iki gruba ayrıldı. Kruger Strict kriterlerine göre cinsel perhiz süresi, yaş, ejakülat hacmi, sperm konsantrasyonu, toplam hareketlilik, ilerleyici hareketlilik ve morfoloji değerlendirildi. Sonuçlar: Grup 1’de 300, Grup 2’de ise 902 hasta vardı. Mülteci hastaların medeni durumu ile yıllar arasında istatistiksel olarak anlamlı bir ilişki vardı. Ejakülat hacmi, konsantrasyonu, morfolojisi ve cinsel perhiz parametreleri açısından gruplar arasında istatistiksel olarak anlamlı fark yoktu. Grup 2’deki hastaların total motilite değerleri grup 1’deki hastalara göre istatistiksel olarak anlamlı derecede yüksekti. Grup 2’deki hastaların ilerleyici motilite değerleri grup 1’deki hastalara göre istatistiksel olarak anlamlı derecede yüksekti. Sonuç: Savaşın ve savaş sonrası göçün yarattığı ağır psikososyal stres, hem sperm hareketliliğini hem de ilerleyen hareketliliğini etkiliyor.

Keywords

• Stres
• İnfertilite
• Sperm konsantrasyonu
• Sperm hareketliliği
• Sperm morfolojisi

The Effect of War Conditions and Social Stress on Semen Parameters in Syrian Refugees

Abstract

Objective: This study aims to evaluate the effects of stress due to war in Syrians exposed to after migration to Turkey on sperm parameters. Material and Method: Syrian migrant patients who underwent spermiogram due to infertility were included in the study. The patients were divided into two groups according to the period when the migration started and the stress was felt intensely, and the period when the immigrants had settled down and had less stress. Sexual abstinence duration, age, ejaculate volume, sperm concentration, total motility, progressive motility, morphology according to Kruger Strict criteria, were evaluated. Results: There were 300 patients in group 1 and 902 patients in group 2. There was a statistically significant relationship between the marital status of the refugee patients and the years. There was no statistically significant difference between the groups in terms of ejaculate volume, concentration, morphology and sexual abstinence parameters. The total motility values of the patients in group 2 were statistically significantly higher than the patients in group 1. The progressive motility values of the patients in group 2 were statistically significantly higher than the patients in group 1. Conclusion: The heavy psychosocial stress created by the war and post-war migration affects both sperm motility and progressive motility.

Keywords

• Stress
• infertility
• sperm concentration
• sperm motility
• sperm morphology

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