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Thyroid, spermatogenesis, and male infertility
Singh Rajender1, Marie Gray Monica, Lee Walter
1Central Drug Research Institute, Lucknow, UP, India.
Abstract:
Since the identification of thyroid hormone receptors on the testes, thyroid has been suggested to have a significant impact on the male reproductive tract, spermatogenesis, and male fertility. Several research articles on the role of thyroid in spermatogenesis or male infertility have been published in the last three decades. We conducted an exhaustive literature search was conducted in order to create an up-to-date review of literature. This review aims to discuss the impact of thyroid on testicular development, spermatogenesis, hypo- or hyper- thyroidism and male infertility, and the management of thyroid related abnormal semen profile. The literature revealed that thyroid significantly impacts testicular development and that abnormal thyroid profile affects semen quality and male fertility by compromising testicular size, sperm motility and ejaculate volume. A clear link exists between thyroid hormones, testicular development and spermatogenesis. Thyroid disease negatively affects spermatogenesis and consequently may cause male infertility. In such cases, infertility is reversible, but more studies need to be conducted, especially in post-pubertal males to cement the current findings.
Insights
Thyroid hormones significantly impact male fertility by affecting testicular development and sperm quality. Thyroid dysfunction can cause reversible male infertility, but further research is needed.
Area of Science:
- Endocrinology
- Reproductive Medicine
- Urology
Background:
- Thyroid hormone receptors are present in the testes, suggesting a role in male reproductive function.
- Numerous studies over the past 30 years have explored the connection between thyroid function and male fertility.
Purpose of the Study:
- To review the existing literature on the impact of thyroid hormones on male reproductive health.
- To discuss the effects of hypothyroidism and hyperthyroidism on spermatogenesis and male infertility.
- To outline management strategies for thyroid-related abnormal semen parameters.
Main Methods:
- An exhaustive literature search was performed to gather relevant research articles.
- The review synthesizes findings on thyroid's influence on testicular development, sperm parameters, and infertility.
Main Results:
- Thyroid hormones play a crucial role in testicular development.
- Abnormal thyroid profiles negatively affect semen quality, including testicular size, sperm motility, and ejaculate volume.
- Thyroid disease is linked to impaired spermatogenesis and can lead to male infertility.
Conclusions:
- A significant association exists between thyroid hormones, testicular development, and spermatogenesis.
- Thyroid dysfunction can cause reversible male infertility.
- Further studies, particularly in post-pubertal males, are required to solidify these findings.
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