PERBANDINGAN HASIL ANALISIS SPERMA DARI PROSES COITUS INTERRUPTUS DAN MASTURBASI PADA KASUS INFERTILITAS

COMPARISON OF SPERM ANALYSIS FROM COITUS INTERRUPTUS AND MASTURBATION IN INFERTILITY CASE

  • Edy Priyanto Divisi Fertilitas dan Endokrinologi Reproduksi, Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Universitas Jenderal Soedirman
  • Fitranto Arjadi Departemen Anatomi, Fakultas Kedokteran, Universitas Jenderal Soedirman
  • Norina Agatri Laboratorium Penunjang Infertilitas RSIA Bunda Arif Purwokerto

Abstract

Pasangan infertil semakin banyak ditemukan di Indonesia, 40% penyebab infertilitas terkait dengan faktor suami. Analisis sperma merupakan metode untuk mengetahui penyebab infertilitas. Metode masturbasi lebih direkomendasikan dibandingkan coitus interruptus. Kekurangan pada metode masturbasi adalah adanya beban psikologis dan latar belakang agama. Tujuan penelitian adalah membandingkan hasil analisis sperma dari hasil coitus interruptus dan masturbasi pada kasus infertilitas. Jenis penelitian adalah observasional analitik. Sampel penelitian berjumlah 97 laki-laki infertil yang melakukan pemeriksaan di RSIA Bunda Arif pada bulan Januari 2017 – Juni 2018. Teknik sampling menggunakan total sampling. Analisis sperma menggunakan klasifikasi dari WHO tahun 2010. Analisis statistik yang digunakan adalah uji t tidak berpasangan. Hasil penelitian menunjukkan perbedaan bermakna konsentrasi sperma (p=0,043) pada kelompok masturbasi 46,5 ± 7,2 dan kelompok coitus interruptus 18,7 ± 5,3. Hasil yang tidak bermakna pada motilitas (p=0,632) dan morfologi (p=0,722). Kesimpulan penelitian adalah analisis sperma dengan proses masturbasi lebih baik konsentrasinya dibandingkan dengan proses coitus interruptus pada kasus infertilitas.


 


Infertile couples are increasingly found in Indonesia and the 40% of many causes are related to husband factors consequently sperm analysis is needed to predict infertility. A method of masturbation is more recommended than coitus interruptus. The deficiency of masturbation method lies on psychological and religious burden. This research aims at comparing the sperm analysis resulted from coitus interuptus and masturbation in infertility cases. It belongs to observational analityc reserach. The subjects of the research were 97 infertile male patients who underwent examination in RSIA Bunda Arif in January 2017-June 2018 and total sampling method was applied. The sperm analysis utilized WHO classification in 2010 and independent t-test was used in statistics analysis. The results of this study showed the sperm comparison and research results (p = 0.043) in masturbation groups is 46.5 ± 7.2 and the coitus interruptus group is 18.7 ± 5.3 and the result is not suitable for motility (p = 0.632) and morphology (p = 0.722) in spite of the fact that it showed better in the masturbation group. The study concludes that the sperm concentration in sperm analysis in the masturbation process is better and more recommended than that of coitus interruptus.

References

Bahyah, M.K., Murad, A.M.O.G., Roszaman, R., Ghazali, I., Roszaman, R., Nuraziana, A.W., et al. 2010. The outcome of the seminal fluid parameters collected via coitus interruptus versus masturbation. Med J Malyasia 65(1): 23-26.

Dehghani, V.A., Khalili, M.A., Zamani, N., Fakhri, D.F. 2004. Comparison between semen parameters of ejaculates collected via masturbation versus coitus interruptus. Iranian J of Reprod Med 2(1): 9-11.

Durairajanayagam, D. 2018. Lifestyle causes of male infertility. Arab J of Uro 16: 10–20.

Elzanaty, S. & Malm, J. 2008. Comparison of semen parameters in samples collected by masturbation at a clinic and at home. Fertil and Steril 89(6): 1718-22.

Gerris, J. 1999. Methods of semen collection not based on masturbation or surgical
sperm retrieval. Hum Reprod Update 5(3): 211-215.

Harlev, A., Agarwal, A., Gunes, S.O., Shetty,A., du Plessis, S.S. 2015. Smoking and male infertility: an evidence based review. World J Mens Health 33(3): 143-160.

Harris, I.D., Fronczak, C., Roth, L., Meacham, R.B., 2011. Fertility and the aging male. Rev Urol 13(4): 184–190.

Hinting, A. 2009. Penatalaksanaan pasangan infertil. Cermin Dunia Kedokteran 170(36): 4

Kidd, S.A., Eskenazi, B., Wyrobek, A.J. 2000. Effects of male age on semen quality and fertility: a review of the literature. Modern Trends 75(2): 237-247.

Ramlau-Hansen, C.H., Thulstrup, A.M., Aggerholm, A.S., Jensen, M.S., Toft, G., Bonde, J.P. 2007. Is smoking a risk factor for decreased semen quality? A cross-sectional analysis. Hum Reprod 22(1): 188-1.

Sofikitis, N.V., & Miyagawa, I. 1993. Endocrinological, biophysical and biochemical parameters of semen collected via masturbation versus sexual intercourse. J Androl 14: 366-373.

Taylor, P.J., & Martin, R.H. 1981. Semen analysis in the investigation of infertility. Canadian Fam Phys 27: 113-116.

Tietze, C. 1957. Reproductive span and the rate of conception among Hutterite women. Fertil Steril 8: 89–97.

World Health Organization. 2010. WHO laboratory manual for the examination of human semen and semen-cervical mucus interaction. Cambridge. Cambridge University press: 4-5.

Zavos, P.N.Z., Zarmakoupis, C.N., Correa, J.R., Zavos, P.M. 1999. Multiple ejaculate collection via the use of a semen collection device at intercourse versus masturbation. Middle East Fertil Soc Journ 4(3): 228-232.
Published
2019-12-27
How to Cite
PRIYANTO, Edy; ARJADI, Fitranto; AGATRI, Norina. PERBANDINGAN HASIL ANALISIS SPERMA DARI PROSES COITUS INTERRUPTUS DAN MASTURBASI PADA KASUS INFERTILITAS. Mandala Of Health : A Scientific Journal, [S.l.], v. 12, n. 2, p. 151-158, dec. 2019. ISSN 2615-6954. Available at: <http://jos.unsoed.ac.id/index.php/mandala/article/view/1601>. Date accessed: 01 dec. 2020. doi: https://doi.org/10.20884/1.mandala health.2019.12.2.1601.