The advent of modern treatments together with the improvement of the surgical techniques has significantly increased 5-year survival rates of young patients with cancer. Although the deleterious effects of chemotherapy and radiation are well documented, controversies exist about the effect of cancer itself on semen parameters before treatment. We collected data on 236 patients representative of different types of cancers reoffered at our institution for sperm cryopreservation with the aim to correlate the pre-freeze semen parameters with type of cancer, disease stage and with semen quality of 102 fertile and healthy men. The median baseline semen parameters of all our patients with cancer are placed above the 5th percentile of the World Health Organization reference value, but the type of cancer may impact the sperm parameters. In testicular tumours and in Hodgkin lymphoma, we show a semen concentration statistically lower than in the fertile population, while in patients with other cancers, there is no difference with the healthy men. We found no correlation between semen quality and disease stage. Eighty-six per cent of our patients do not have children at the time of semen cryopreservation, and the only established clinical option for preserving fertility of these men is cryopreservation of spermatozoa.
Purpose
While SARS-CoV-2 infection appears not to be clinically evident in the testes, indirect inflammatory effects and fever may impair testicular function. To date, few long-term data of semen parameters impairment after recovery and comprehensive andrological evaluation of recovered patients has been published. The purpose of this study was to investigate whether SARS-CoV-2 infection affect male reproductive health.
Methods
Eighty patients were recruited three months after COVID-19 recovery. They performed physical examination, testicular ultrasound, semen analysis, sperm DNA integrity evaluation (TUNEL), anti-sperm antibodies (ASA) testing, sex hormone profile evaluation (Total testosterone, LH, FSH). In addition, all patients were administered International Index of Erectile Function questionnaire (IIEF-15). Sperm parameters were compared with two age-matched healthy pre-COVID-19 control groups of normozoospermic (CTR1) and primary infertile (CTR2) subjects.
Results
Median values of semen parameters from recovered SARS-CoV-2 subjects were within WHO 2010 fifth percentile. Mean percentage of sperm DNA fragmentation (%SDF) was 14.1 ± 7.0%. Gelatin Agglutination Test (GAT) was positive in 3.9% of blood serum samples, but no positive semen plasma sample was found. Only five subjects (6.2%) had total testosterone levels below the laboratory reference range. Mean bilateral testicular volume was 31.5 ± 9.6 ml. Erectile dysfunction was detected in 30% of subjects.
Conclusion
Our data remark that COVID-19 does not seem to cause direct damage to the testicular function, while indirect damage appears to be transient. It is possible to counsel infertile couples to postpone the research of parenthood or ART procedures around three months after recovery from the infection.
1. The Mediterranean sperm whale sub-population is classified as endangered by the IUCN. The conservation\ud
management of this species demands further knowledge of its habitat use.\ud
2. In this study, a generalized additive model was used to evaluate the spatial distribution of sperm whales in the\ud
Pelagos Sanctuary.\ud
3. The results suggested a preference for areas characterized by a particular sea floor topography. The estimated\ud
encounter probabilities were highest above bathymetric features such as the Imperia and Genoa canyons and the\ud
seamounts of the Ligurian Sea, highlighting differences in the habitat preference of sperm whales
1. Photo-identification is an important, non-invasive tool that can be used to obtain data about cetacean population dynamics that are essential for proper environmental management. A standardized protocol is crucial for obtaining optimal results, particularly for long-lived and highly migratory species such as sperm whales (Physeter macrocephalus) but also to study resident populations.2. Photo-identification of individuals using natural marks has been widely used to study sperm whales in the Mediterranean Sea. However, the prevalence of the marks used for identification is unknown. Thus, the goal of this study was to identify which mark types are most useful for identifying individual sperm whales.3. A photo-identification catalogue of sperm whales from the north-western Mediterranean Sea was produced and examined to determine the most frequent mark types present on whales in the study area. Mark types and their distribution were described, prevalence and the size of each mark type were calculated, variability in visibility was investigated, and gain and loss rates were analysed. 4. Analysis of natural pigmentation may characterize sperm whale flanks in this study area as the best and most convenient element on which matching technique can be based. Indeed, this technique led to the identification of 97% of photographed individuals.
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