COVID-19 and male fertility: short- and long-term impacts of asymptomatic vs. symptomatic infection on male reproductive potential

Autor: Ahmad Majzoub, Kareim Khalafalla, Mohamed Arafa, Walid El Ansari, Arun Nair, Ahmad Al Bishawi, Mulham Saleh, Mohamed Khair Ella, Haitham ElBardisi, Muhammad Abu Khattab, Khalid AlRumaihi
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Frontiers in Reproductive Health, Vol 6 (2024)
Druh dokumentu: article
ISSN: 2673-3153
DOI: 10.3389/frph.2024.1403143
Popis: BackgroundStudies exploring the effect of COVID-19 on male reproductive system suggest a detrimental association, however with conflicting results. The aim of this study was to assess the association between COVID-19 infection and male reproductive potential including hormone profiles and semen parameters.MethodsThis prospective cohort study included 48 patients with confirmed COVID-19 infection. Patients were subdivided into an asymptomatic group (n = 30) and a group with COVID-19 symptoms (n = 18). Serum hormone levels including testosterone, LH, FSH and estradiol were collected during active infection (baseline, time 0), and at 3 and 6 months following COVID-19 infection. Semen samples (basic semen analysis and oxidation reduction potential) were examined at 3 and 6 months following infection. Student and paired-t tests were used to compare continuous variables between the study groups and across the studied time intervals, respectively. Multivariate binary logistic regression analysis was performed to explore predictors for COVID-19 symptoms during active infection.ResultsPatients with COVID-19 symptoms were significantly older (p = 0.02) and had significantly lower serum testosterone levels (p = 0.01) and significantly higher LH: testosterone ratio (p = 0.01) than asymptomatic patients. Multivariate analysis revealed older age (OR = 1.18, p = 0.03) and lower serum testosterone level (OR = 0.8, p = 0.03) as independent predictors of symptomatic COVID-19 infection. Significant increase in testosterone (p
Databáze: Directory of Open Access Journals