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Published on: January 19, 2024
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[Infections and male infertility]
F Saint1, E Huyghe2, C Methorst3
1Service d'urologie-transplantation, CHU Amiens Picardie, Amiens, France; Laboratoire EPROAD EA 4669, université Picardie Jules-Verne, Amiens, France.
Summary
Urogenital infections are a frequent cause of male infertility. Early diagnosis and tailored treatment of these infections can significantly improve male fertility outcomes.
Area of Science:
- Reproductive Medicine
- Urology
- Infectious Diseases
Background:
- The link between urogenital infections and male infertility is a complex and debated topic.
- Infectious causes are among the most common treatable factors contributing to male infertility.
Approach:
- A comprehensive literature review of 189 English-language human studies published before May 2023 was conducted.
- Systematic search strategies including clinical history, physical examination, ultrasound, and bacteriological testing are recommended for diagnosing urogenital infections.
Key Points:
- Urogenital infections, primarily bacterial or viral, can affect the seminal tract, accessory glands, and testicles.
- These infections lead to inflammation, increased oxidative stress, altered spermogram parameters, and increased sperm DNA fragmentation, negatively impacting male fertility.
- Prompt identification and management of infectious agents are crucial for optimizing prognosis.
Conclusions:
- Accurate diagnosis of the infection's extent is essential for urologists.
- Developing patient-tailored therapeutic strategies is key to improving male fertility.
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