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S Jager

Publications and source records attributed to S Jager.

At least 19 recordsLinked to original sources
PubMed1992

The significance of antisperm antibodies for sperm-cervical mucus interaction.

An overview is presented of the effects of antisperm antibodies on the sperm-cervical mucus interaction. Antisperm IgA on spermatozoa or in cervical mucus can severely inhibit sperm penetration of cervical mucus and migration through it. Disturbance of the sperm-cervical mucus interaction is the only firmly established effect of these antisperm antibodies and leads to reduced fertility, as shown by a poor or negative result of the post-coital test. The presence of antisperm IgA in the male or female partner can be investigated more specifically with the sperm-cervical mucus contact test and can be confirmed by the sperm agglutination test on bromelinliquefied cervical mucus, by the mixed antiglobulin reaction test or by the immunobead test for IgA.

Autoantibodies↗
PubMed1991

Further details on sequelae at the cervical and tubal level of Chlamydia trachomatis infection in infertile women.

OBJECTIVE: Relationships were studied between correlates of sexually transmitted diseases and chlamydial antibodies versus cervical mucus abnormalities and tubal abnormalities. An estimate was also attempted of the baseline prevalence of endogenous tubal abnormalities. DESIGN: Prospective, descriptive. SETTING: The outpatient department of the Fertility Unit of the Department of Obstetrics and Gynaecology of the Groningen University Hospital. PATIENTS: Females (n = 184) of infertile couples consecutively visiting the department for evaluation and treatment. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Sexually transmitted disease correlates, cervical chlamydial infection, cervical and serum chlamydial antibodies, cervical mucus qualities according to World Health Organization criteria, tubal abnormalities. RESULTS: Of the 175 cervical mucus samples studied, subnormal quality was because of imperfect timing of collection of 22 of the 23 subnormal samples. Tubal abnormalities correlated with more than five lifetime sexual partners (P less than 0.035), as well as with serum immunoglobulin G antibodies (P less than 0.05), which could be because of interaction between both risk factors. CONCLUSIONS: No correlation was found between subnormal cervical mucus and chlamydial infection. Approximately two thirds of the tubal abnormalities seem unrelated to exogenous factors, although further study seems warranted.

Adult↗
PubMed1990

Studies on the decondensation of human, mouse, and bull sperm nuclei by heparin and other polyanions.

We report heparin-induced decondensation of human, mouse, and bull sperm nuclei. Decondensation did not occur if the spermatozoa were intact but only if the membranes were severely damaged by freezing and thawing or by treatment with a detergent. If a disulphide bond reducing agent (thiol) was absent, decondensation of human sperm nuclei was usually a relatively slow process, with large interindividual variation. Mouse and bull sperm nuclei did not decondense in the absence of a thiol. With a thiol relatively low concentrations of heparin induced a rapid decondensation of the sperm nuclei of all three species. The decondensation activity was not specific for heparin; other polyanions were also active, with heparin being the most effective compound. It is supposed that heparin and other polyanions induce sperm nuclear decondensation because they deplete protamines from the chromatin. Thus the negatively charged phosphate groups of the DNA are no longer opposed by positively charged protamines. Consequently the mutual repulsion of unopposed phosphate groups causes the DNA molecules to stretch, which results in an increase of the sperm nuclear volume. Since heparin and other polyanions induce decondensation under physiological pH and temperature, polyanions might also be active in the oocyte.

Acrosome↗
PubMed1990

Is serology of any use when searching for correlations between Chlamydia trachomatis infection and male infertility?

Evidence on Chlamydia trachomatis causing male infertility is conflicting. We therefore collected data on epidemiological and clinical correlates of chlamydial infection and male fertility in 184 males visiting our Fertility Unit. Antibodies against Chlamydia trachomatis in serum and semen were also determined. Significant correlations were demonstrated between current chlamydial urethral infection and semen immunoglobulin (Ig) A, serum IgA and serum IgG. These parameters, however, were neither related to a history of sexually transmitted disease nor to lifetime number of sexual partners. Why, in the male, serology does not correlate with chlamydial infection in a more remote past is explained. Our data support, on epidemiological as well as serological grounds, the conclusion that chlamydial infection probably does not contribute significantly to male infertility.

Chlamydia Infections↗
PubMed1990

The significance of the zona-free hamster oocyte test for the evaluation of male fertility.

Results of the zona-free hamster oocyte test were compared with pregnancy rates after coitus and after artificial insemination with donor semen (AID) in 322 primary infertile couples. Artificial donor insemination was offered if in the test the percentage of hamster oocytes with at least one decondensed sperm head (oocyte-sperm interaction rate) was less than 20. If the rate was less than 5, the pregnancy rate after coitus was significantly lower than in the group with a rate of greater than or equal to 5 to less than 20. In the former group, the pregnancy rate by AID was significantly higher than the pregnancy rate by coitus. We conclude that the zona-free hamster oocyte test is useful to predict the chance to achieve pregnancy in couples with unexplained infertility and to determine whether AID can increase this chance.

Animals↗
PubMed1990

Sperm nuclear stability and male infertility.

Human sperm nuclei show an exceptional variability; compared with sperm nuclei of other Eutherian mammalian species. The variable stability is caused by a variable content of chromatin stabilizing disulphide bridges, which in turn is determined by differences in composition of basic proteins: protamine types and subtypes, histones, and intermediate forms. An abnormal state of the chromatin can be related to an abnormal DNA configuration or an abnormal DNA content: diploid instead of haploid. Abnormality of the nuclear chromatin is probably one of the causes of morphological aberrations of the sperm head. A relationship between abnormal chromatin and male infertility has been reported repeatedly. Recently available evidence suggests that living spermatozoa with abnormal chromatin, leading to abnormal morphology, have a strongly reduced capacity to fertilize an oocyte. In addition, if these spermatozoa fertilize oocytes, the embryonal development will most probably be abnormal.

Animals↗
PubMed1988

Sperm-cervical mucus interaction, in particular in the presence of antispermatozoal antibodies.

Disturbances of the interaction between spermatozoa and cervical mucus can cause subfertility or infertility. The diagnosis of such a disturbed interaction is possible with simple laboratory tests. Oligomucorrhoea and dysmucorrhoea are the most frequent causes of a disturbed sperm--cervical mucus interaction. Antispermatozoal IgA plays a quantitatively limited, but qualitatively important role. Sophisticated time-consuming laboratory investigations have mostly only additional value for the diagnosis.

Antibodies↗
PubMed1987

A simplified method for freezing and storage of human semen.

The use of 10-cm-long plastic tuberculin syringes for freezing and storage of human semen is introduced. This new method reduces the number of prefreezing and postthawing manipulations to a minimum. Postthawing motility, penetration of spermatozoa into cervical mucus, and results of the hamster ovum test were similar for spermatozoa stored-frozen in tuberculin syringes and for spermatozoa stored-frozen in french straws. The results of the postinsemination test performed in six women were slightly better with fresh semen than with semen stored-frozen in tuberculin syringes. Donor insemination with fresh semen resulted in eight pregnancies per 24 insemination cycles; with semen stored-frozen in tuberculin syringes five pregnancies were achieved in 22 insemination cycles.

Female↗
PubMed1987

A fertile man with a high sperm agglutination titer in the seminal plasma: a case report.

A fertile man had sperm-agglutinating activity in his serum (titers 1:16-1:128) and in his seminal plasma (titers 1:128-1:2048). The antibodies in the seminal plasma could be absorbed with anti-IgA antiserum but not with anti-IgG antiserum. A fresh ejaculate showed strong auto-agglutination of the spermatozoa. With mixed antiglobulin reaction tests (MART) and/or immunobead tests (IBT), IgA and IgG were detected on almost all motile spermatozoa; the erythrocytes, in the MART, and the latex spheres, in the IBT, adhered mainly to the tip of the tail. After mixing the fresh semen with cervical mucus, only 40% of the spermatozoa were locally shaking. The spermatozoa showed excellent penetration of cervical mucus in vitro. This case shows that IgA coating of the tails of the spermatozoa does not necessarily lead to adherence of these spermatozoa to the micelles of the cervical mucus and that the sperm cervical mucus contact test has a better predictive value than the sperm agglutination titer in the seminal plasma.

Adult↗
PubMed1987

Sexual function after bilateral retroperitoneal lymph node dissection for nonseminomatous testicular cancer.

This study concerns the sexual functions of 101 patients who had undergone bilateral retroperitoneal lymph node dissection for stage I or II nonseminomatous testicular cancer between 1969 and 1982. All patients were without evidence of disease after at least 4 years of follow-up. Antegrade ejaculation was present in 12 patients, while 89 patients experienced "dry ejaculation." Urine collected after intercourse or masturbation from 75 patients with dry ejaculation showed retrograde ejaculation in 55 and lack of ejaculatory emission into the urethra in 20 patients. Regarding other sexual functions, 17 patients had a diminished sexual desire (especially those patients who had received radiotherapy), 12 experienced difficulty reaching organism, and 6 complained of erectile dysfunction. The incidence of a contralateral hydrocele developing after retroperitoneal lymph node dissection seems to correlate with ligation of the contralateral spermatic vessels and their lymphatics. A review of the literature is presented comparing the types of dissection with the incidence of sexual disorders after retroperitoneal lymph node dissection. Since preserving normal ejaculation and fertility is important, a modified or unilateral retroperitoneal lymph node dissection, when required, is advocated. In patients, with stage I disease the therapy may be limited to an orchiectomy without lymph node dissection. In patients with retroperitoneal lymph node metastases combination chemotherapy with cisplatin and tumor excision gives good results. Patients with true retrograde ejaculation can be treated with alpha-sympathomimetic drugs such as imipramine HCl, and thus be offered the chance of fatherhood by coitus.

Adult↗
PubMed1987

Immunological aspects of male infertility.

Some immunological aspects of male infertility are discussed, including the mechanism of induction of auto-antibodies to sperm-specific antigens. Tests to determine antispermatozoal antibodies in serum are discussed. Since there is no direct relation with infertility, more attention is focused on the presence of antispermatozoal antibodies in semen. These antibodies affect male fertility by reducing the capacity of the spermatozoa to penetrate cervical mucus. This penetration inhibition is caused by autoagglutination of the spermatozoa in the ejaculate and by the shaking phenomenon. The sperm-cervical mucus contact test, based on the shaking phenomenon is described. The use of the Mixed Antiglobulin Reaction tests, to detect IgG and IgA antibodies on spermatozoa is discussed. Finally, the effect of antispermatozoal antibodies on the fertilization process is reviewed.

Antigens↗
PubMed1986

The tumor marker CA 125 is a common constituent of normal cervical mucus.

The presence of the tumor marker CA 125 was studied in the cervices of healthy women. Immunohistochemical staining of normal cervical tissue demonstrated the presence of CA 125 in the tall columnar cells of the endocervical epithelium but not in the ectocervical squamous epithelium. We measured very high levels of CA 125 in liquefied cervical mucus from women with regular menstrual cycles. At midcycle, levels ranged from 14,200 to 153,000 U/ml (n = 13) in cervical mucus, while normal levels less than 35 U/ml were found in the corresponding serum samples. Levels of CA 125 in cervical mucus are comparable to the high levels found in cyst fluids from ovarian tumors (median 24,600 U/ml, n = 25). When secretion of cervical mucus was stimulated by ethinyl estradiol, equally high levels were found (7900 to 138,000 U/ml, n = 10). We conclude that the tumor marker CA 125 is synthesized and secreted by normal endocervical cells. Apparently an effective barrier exists between the endocervical mucosa and the circulation.

Antigens, Neoplasm↗
PubMed1984

Comparison of two supravital stains in examination of human semen and in tests for cytotoxic antibodies to human spermatozoa.

Supravital staining of human spermatozoa using trypan blue was compared with eosin Y staining. The dyes were applied for determination of the percentage of "dead" spermatozoa in semen samples and for determination of complement-dependent antisperm antibody activity in serum. Supravital staining percentages with trypan blue were significantly lower than with eosin Y.

Antibodies↗
PubMed1984

Factors related to semen improvement and fertility after varicocele operation.

Factors related to semen improvements and fertility after high ligation of the left internal spermatic vein were investigated in 97 men from infertile couples. Changes in some semen characteristics after operation suggest a relationship between varicocele size and semen improvements and an inverse relationship between preoperative semen values and semen improvements. An inverse relationship seemed to exist between varicocele grades and deterioration of semen values. Fertility after operation was related to age and to semen improvements. Preoperative semen characteristics had no prognostic value for postoperative fertility.

Adult↗
PubMed1984

Are sperm immobilizing antibodies in cervical mucus an explanation for a poor postcoital test?

Previous authors reported high incidences of complement dependent sperm immobilizing antibodies in cervical mucus (CM) and found a correlation with poor postcoital tests. In all those investigations the CM samples were tested after dilution with a salt solution. In the present study we investigated 50 CM samples from infertile couples who had during the routine fertility investigation poor postcoital tests. All CM samples were tested after dilution with an equal volume of normal human serum; only one sample was found positive. On the other hand, if the CM samples were diluted with an equal volume of a buffered salt solution, many positive results were obtained. With some guinea pig serum batches, however, all tests with buffer-diluted CM samples were negative, despite good reaction of the positive control serum. We concluded that the positive results with buffer-diluted CM samples were due to a factor in the animal serum used as complement preparation and that complement-dependent sperm immobilizing antibodies in CM are an unlikely cause of a poor postcoital test.

Antibodies↗
PubMed1984

Triple staining of human sperm: technical aspects.

The triple-stain technique according to Talbot and Chacon was adapted for use in routine semen analysis. This staining technique allows evaluation of spermatozoal morphology and determination of the percentage of dead and "live" spermatozoa and of the percentages of spermatozoa with and without intact acrosome. Optimal results were obtained if centrifugation prior to fixation was avoided, the semen was diluted before fixation, and the spermatozoa were fixed in suspension. This modification of the triple-stain technique produces preparations with low background and excellent visibility of all spermatozoal structures. Use of Trypan Blue leads to underestimation of the percentage of dead spermatozoa, but use of other supravital stains was even less satisfactory. Round cells could not be evaluated in the triple-stain technique.

Acrosome↗