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Updated: Nov 30, 2025

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Published on: April 21, 2022
Pollutants and sperm quality: a systematic review and meta-analysis
Damiano Pizzol1, Carlo Foresta2, Andrea Garolla2
1Italian Agency for Development Cooperation, 33 Street, Amarat, Khartoum, Sudan. damianopizzol8@gmail.com.
Environmental and occupational pollution negatively impacts male reproductive health, affecting sperm count, motility, and DNA integrity. Further research is crucial to understand pollutant effects on human and planetary health.
Area of Science:
- Reproductive Biology
- Environmental Health
- Toxicology
Background:
- Male fertility and semen quality have notably declined in recent decades.
- Environmental and occupational pollution are suspected contributors to adverse reproductive outcomes, but their specific impact on male semen quality remains unclear.
Purpose of the Study:
- To systematically review and meta-analyze existing evidence on the effects of tobacco smoke, environmental, and occupational pollution on human sperm quality.
Main Methods:
- A systematic review and meta-analysis were conducted.
- Included data from 22 studies investigating various pollutants and their effects on semen parameters.
Main Results:
- Environmental and occupational pollutants were found to significantly affect sperm count, volume, concentration, motility, vitality, and sperm DNA/chromatin integrity.
- All reviewed articles reported significant alterations in at least one semen quality parameter associated with at least one pollutant.
Conclusions:
- Pollutants demonstrably impact male reproductive health, affecting multiple aspects of sperm quality.
- Given sperm quality's role as a general health indicator and pollutants' impact on climate change, a comprehensive understanding of their effects on human, animal, and planetary health is strongly recommended.
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