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Impact of chronic viral diseases on semen parameters
F Lorusso1, M Palmisano, M Chironna
1Department of Gynaecology, Obstetrics and Neonatology, University of Bari, Bari, Italy. milalorusso@yahoo.it
Insights
Hepatitis B (HBV) and Hepatitis C (HCV) infections significantly impair male semen quality, reducing sperm concentration, motility, viability, and morphology. Human immunodeficiency virus (HIV) effects are less clear and warrant further study.
Area of Science:
- Reproductive Biology
- Virology
- Infectious Diseases
Background:
- Viral infections like HIV, HCV, and HBV can impact various physiological functions.
- Semen parameters are crucial indicators of male reproductive health.
- The specific effects of HIV, HCV, and HBV on semen quality require detailed investigation.
Purpose of the Study:
- To evaluate the impact of human immunodeficiency virus (HIV), hepatitis C virus (HCV), and hepatitis B virus (HBV) infection on semen parameters.
- To compare semen quality in patients with single or co-infections against a healthy control group.
Main Methods:
- Semen samples were collected from patients with HCV, HIV, HBV, and co-infections (HCV-HIV), and from healthy seronegative controls.
- Semen analysis included sperm concentration, motility (a+b), viability, and normal morphology.
- Detection tests for HIV, HCV, and HBV were performed on seminal samples.
Main Results:
- Significantly decreased sperm concentration, motility, and viability were observed in HCV- and HBV-seropositive males compared to controls.
- Reduced sperm morphology was noted in HCV- and HBV-seropositive individuals.
- Sperm concentration after washing was significantly lower in all infected groups compared to controls.
Conclusions:
- HBV and HCV infections are associated with significantly impaired sperm quality.
- The observed sperm quality in HIV- and HCV-HIV-seropositive men requires further investigation.
- Larger studies are needed to confirm these findings and explore the underlying mechanisms.
Abstract:
The aim of this study was to assess the effect of human immunodeficiency virus (HIV), hepatitis C (HCV) and B (HBV) virus infection on semen parameters. Semen samples were obtained from 27 HCV, 34 HIV, 30 HBV and 41 HCV-HIV-seropositive patients and compared with those of a control population of healthy seronegative subjects. Tests for detection of HIV, HCV and HBV were performed on seminal samples. The sperm concentration was significantly decreased in HCV- and HBV-seropositive males compared to that of controls (P < 0.001). The mean sperm motility (a + b) was significantly decreased in HCV- and HBV-seropositive (P < 0.001) and in HCV-HIV-seropositive subjects (P < 0.05) compared to that of controls. The sperm viability was significantly lower in HCV- and HBV-seropositive men than in controls (P < 0.001). The normal morphology was significantly reduced in HCV-seropositive and HBV-seropositive men (P < 0.05) with respect to that of controls (P < 0.05). The sperm concentration after sperm wash was significantly higher in controls than in HCV-, HIV-, HBV- and HIV-HCV-seropositive men (P < 0.001). We can conclude that HBV- and HCV-infected men have a significantly impaired sperm quality compared with that of controls. The reason for the better sperm quality in our series of HIV- and HCV-HIV-infected men is still under debate. Further investigations in a larger case series are warranted.
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