Anogenital distance is associated with semen quality but not reproductive hormones in 1106 young men from the general population

Autor: Anne Kirstine Bang, Tina Kold Jensen, Niels Jørgensen, Jaime Mendiola, Shanna H. Swan, Lærke Priskorn, Anders Juul, N E Skakkebaek, Marianna Krause, Loa Nordkap
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Percentile
Cross-sectional study
Denmark
Physiology
Anal Canal
0302 clinical medicine
Medicine
media_common
education.field_of_study
030219 obstetrics & reproductive medicine
medicine.diagnostic_test
Anthropometry
Estradiol
Sperm Count
Rehabilitation
Anogenital distance
Obstetrics and Gynecology
Scrotum
Sperm Motility
Original Article
Luteinizing hormone
Adult
endocrine system
AGDAS
Urology
media_common.quotation_subject
Population
MEDLINE
AGDAP
Fertility
Semen analysis
reproductive hormones
Young Adult
03 medical and health sciences
Semen quality
semen quality
Semen
media_common.cataloged_instance
Humans
anogenital distance
European union
education
business.industry
urogenital system
Reproductive hormones
Odds ratio
Luteinizing Hormone
Semen Analysis
Cross-Sectional Studies
Reproductive Medicine
Self Report
Follicle Stimulating Hormone
business
Penis
Demography
Zdroj: Priskorn, L, Bang, A K, Nordkap, L, Krause, M, Mendiola, J, Jensen, T K, Juul, A, Skakkebaek, N E, Swan, S H & Jørgensen, N 2019, ' Anogenital distance is associated with semen quality but not reproductive hormones in 1106 young men from the general population ', Human reproduction (Oxford, England), vol. 34, no. 1, pp. 12-24 . https://doi.org/10.1093/humrep/dey326
Popis: STUDY QUESTION: Is anogenital distance (AGD) associated with semen quality and reproductive hormones in men from the general population? SUMMARY ANSWER: Short AGD measured from the anus to the base of scrotum (AGD(AS)) was associated with reduced sperm counts and morphology but not with sperm motility or reproductive hormones. WHAT IS KNOWN ALREADY: AGD is longer in males than in females. In rodents, AGD is a well-established and sensitive marker of disruption during the masculinization programming window in utero and it has been suggested to be so in humans as well. Therefore, the average AGD would be expected to be shorter in men with poor semen quality, which some studies have confirmed while others have not. STUDY DESIGN, SIZE, DURATION: This cross-sectional population-based study was of 1106 men included between 2012 and 2016. PARTICIPANTS/MATERIALS, SETTING, METHODS: Men from the general Danish population (median age 19 years), unselected with regard to fertility status and semen quality, delivered a semen sample, had a blood sample drawn, which was analyzed for concentrations of reproductive hormones, and answered a comprehensive questionnaire. They also had a physical examination performed including determination of AGD measured as the distance between anus and scrotum (AGD(AS)) and penis (AGD(AP)). Odds ratios (OR) and 95% CI were estimated for a man having abnormal semen parameters according to the World Health Organization’s reference values or a low/high concentration of reproductive hormones (defined as the lowest or highest 10%) depending on AGD. AGD was categorized in four strata: ≤10th percentile, 10th−30th percentile, 30th−50th percentile and >50th percentile. MAIN RESULTS AND THE ROLE OF CHANCE: Men with the 10% shortest AGD(AS) had a more than doubled risk (OR: 2.19, 95% CI: 1.40–3.42) of being in the subfertile range for either sperm concentration (
Databáze: OpenAIRE