Evaluation of the impact of marijuana use on semen quality: a prospective analysis

Autor: Marah C. Hehemann, Omer A. Raheem, Saneal Rajanahally, Sarah Holt, Tony Chen, Judy N. Fustok, Kelly Song, Heather Rylander, Emma Chow, Kevin A. Ostrowski, Charles H. Muller, Thomas J. Walsh
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Therapeutic Advances in Urology, Vol 13 (2021)
Druh dokumentu: article
ISSN: 1756-2880
17562872
DOI: 10.1177/17562872211032484
Popis: Aims: To assess if marijuana consumption – prevalent among men of reproductive age and becoming widespread due to decriminalization – is associated with changes in semen parameters. Marijuana’s active metabolite, tetrahydrocannabinol, can alter signaling pathways within spermatozoa, affecting spermatogenesis and fertility. Methods: We prospectively evaluated semen analyses (SA) from men presenting for infertility evaluation at one institution from July 2017 to April 2018. Participants completed a reproductive health questionnaire including items regarding marijuana consumption. SA was performed in accordance with World Health Organization (WHO) 5th Edition criteria. SA parameters included volume (ml), concentration (million/ml), motility (%), progressive motility (%), and Tygerberg strict morphology (%). Results: A total of 409 patients completed the questionnaire; 174 (43%) men reported marijuana use (ever-users). Current and past users comprised 71 (17%) and 103 (25%), respectively. Compared with never-users, current and past users had a significantly higher likelihood of abnormal sperm strict morphology (33.1% versus 50.7% and 53.4%, respectively; p
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