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Updated: Feb 11, 2026

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia
Published on: May 27, 2022
Current concepts of human azoospermia and its causes
Toshinobu Miyamoto1, Akira Tsujimura2, Yasushi Miyagawa2
1Department of Obstetrics and Gynecology Asahikawa Medical College Midorigaokahigashi 2-1-1-1 078-8510 Asahikawa Hokkaido Japan.
Male infertility is a significant issue, often linked to environmental factors and genetic causes. This review explores environmental impacts, Y chromosome genes, and newly identified autosomal genes crucial for human spermatogenesis.
Area of Science:
- Reproductive biology
- Human genetics
- Environmental health
Background:
- Male infertility is a major cause of social concern in developed countries.
- Mouse models have advanced understanding of spermatogenesis, but direct translation to human infertility is challenging.
- Environmental factors, chromosomal abnormalities, and specific gene mutations are known contributors to human male infertility.
Purpose of the Study:
- To review environmental factors implicated in male infertility.
- To describe the role of the Y chromosome and its genes in human spermatogenesis.
- To present novel autosomal genes (SYCP3, MEI1, PARP-2) identified in our research that are critical for human spermatogenesis.
Main Methods:
- Literature review of environmental factors and Y chromosome genes.
- Description of experimental identification of autosomal genes involved in human spermatogenesis.
- Analysis of gene functions related to spermatogenesis.
Main Results:
- Environmental factors are significant contributors to male infertility.
- Specific Y chromosome genes are essential for spermatogenesis.
- The genes SYCP3, MEI1, and PARP-2 have been identified as critical autosomal factors in human spermatogenesis.
Conclusions:
- Understanding environmental and genetic factors is key to addressing male infertility.
- Further research into genes like SYCP3, MEI1, and PARP-2 offers potential therapeutic targets.
- Continued investigation into spermatogenesis mechanisms is vital for future reproductive health strategies.
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