不育的男性有更高的患病和早期死亡风险吗?
Ettore Caroppo1, Michael L Eisenberg2
1ASL Bari, Andrology Outpatients Clinic, Conversano (BA), Italy.
Human reproduction (Oxford, England)
|November 14, 2025
概括
男性不孕症与慢性疾病,癌症和早期死亡率的风险增加有关. 在不孕症治疗期间的例行健康检查可以帮助早期发现和预防长期健康的预防性护理.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 男人的健康 男人的健康
- 免疫学 免疫学 免疫学
背景情况:
- 男性不孕症越来越被认为是更广泛的健康问题的潜在指标.
- 不孕不育的男性面临更高的慢性疾病风险,包括各种癌症和心血管疾病.
- 代谢异常和自身免疫性疾病在不孕症男性中也更为普遍.
研究的目的:
- 审查将男性不孕症与增加的发病率和死亡率联系在一起的证据.
- 探索潜在的机制,专注于免疫系统的改变和表观遗传因素.
- 倡导将全面的健康检查纳入男性不孕症评估中.
主要方法:
- 现有科学文献的小型综述.
- 对调查男性不孕不育与各种健康结果之间的关系的研究进行分析.
- 讨论提出的病因假设,包括荷尔蒙,生活方式,遗传,免疫和表观遗传因素.
主要成果:
- 不孕不育的男性患丸,乳腺和前列腺癌,缺血性心脏病,高血压和高脂血症的风险明显更高.
- 在精子生成功能障碍的严重程度和2型糖尿病风险之间存在剂量依赖的关系.
- 男性不孕症与26%的早期死亡风险增加有关,特别是在阿佐精子症的情况下.
结论:
- 男性不孕症是潜在的系统性健康问题的关键指标.
- 将健康查整合到男性不孕症工作中,可以促进早期疾病检测和预防策略.
- 生殖健康评估为男性的长期健康干预提供了重要机会.
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