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Association Between Antibiotic Exposure and the Risk of Male Infertility: A Case-Control Study
Friday E Okonofua1,2, Lorretta Favour C Ntoimo2,3, Titus A M Msagati4
1Department of Obstetrics and Gynaecology, University of Benin Teaching Hospital, University of Benin, Benin City 300213, Nigeria.
Antibiotic exposure in Nigeria is linked to male infertility. Specific antibiotics like ampicillin and chloramphenicol negatively impacted sperm quality, while tetracycline showed a positive association in infertile men.
Area of Science:
- Reproductive Health
- Pharmacology
- Environmental Health
Background:
- Irregular antibiotic use is prevalent in Nigeria, contributing to antibiotic resistance.
- Antibiotics have been implicated in declining male fertility in animal studies.
Purpose of the Study:
- To investigate the association between antibiotic exposure and sperm quality in Nigerian men.
- To determine if specific antibiotics correlate with infertility-related sperm characteristics.
Main Methods:
- Prospective case-control study involving 136 infertile and 154 fertile men.
- Semen analysis was performed.
- Liquid Chromatography Mass Spectrometry (LC-MS) assayed urinary antibiotic levels.
Main Results:
- Urinary ampicillin was associated with a significant decline in sperm count among infertile men.
- Urinary chloramphenicol showed significant associations with reduced sperm motility and morphology in infertile cases.
- Urinary tetracycline was independently associated with increased sperm motility in infertile men.
Conclusions:
- Urinary ampicillin, chloramphenicol, and tetracycline may be associated with varying sperm characteristics and overall sperm quality in Nigerian men.
- Findings highlight potential environmental factors impacting male reproductive health in the region.
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