Skip to main content

Male Infertility as a Marker of Future Health

  • Chapter
  • First Online:
Emerging Topics in Reproduction

Abstract

There is a growing body of evidence demonstrating that patients with male factor infertility may have overall poorer health status than their fertile counterparts and that infertility may be a marker of future health risks. Men who are diagnosed with infertility appear to have a higher risk of developing depression, anxiety, alcohol abuse, drug abuse, cardiovascular disease, obesity, and diabetes. Risks of specific malignancies such as testicular germ cell tumors, prostate cancer, melanoma, and non-Hodgkin’s lymphoma also appear to be elevated in infertile men. The relationship between male infertility and overall health is complex, and it is likely that multiple factors play a role in the development of subsequent health issues in infertile men. Underlying genetic or epigenetic abnormalities, hormonal imbalances, and environmental factors have been proposed as possible explanations for recognized associations between infertility and specific disease processes. If clear associations between male factor infertility and comorbidities can be identified, appropriate counseling and treatment can be provided to at-risk men.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. ASRM. Diagnostic evaluation of the infertile male: a committee opinion. Fertil Steril. 2015;103(3):18–25.

    Article  Google Scholar 

  2. Petok W. Infertility counseling (or the lack thereof) of the forgotten male partner. Fertil Steril. 2015;104(2):260–6.

    Article  PubMed  Google Scholar 

  3. Eisenberg M. Relationship between semen production and medical comorbidity. Fertil Steril. 2015;103(1):66–71.

    Article  PubMed  Google Scholar 

  4. Anderson R. Childhood cancer risk in the siblings and cousins of men with poor semen quality. J Urol. 2017;197(3 pt 2):898–905.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Anderson R. Cancer risk in first- and second-degree relatives of men with poor semen quality. Fertil Steril. 2016;106(3):731–8.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Schultz N. A multitude of genes expressed solely in meiotic or postmeiotic spermatogenic cells offers a myriad of contraceptive targets. Proc Natl Acad Sci U S A. 2003;100:12201–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Pylyp L. Chromosomal abnormalities in patients with oligospermia and non-obstructive azoospermia. J Assist Reprod Genet. 2013;30:729–32.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Kosar P. Cytogenetic abnormalities detected in patients with non-obstructive azoospermia and severe oligozoospermia. J Assist Reprod Genet. 2010;27:17–21.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Xie C. Multicenter study of genetic abnormalities associated with severe oligospermia and non-obstructive azoospermia. J Int Med Res. 2018;46(1):107–14.

    Article  CAS  PubMed  Google Scholar 

  10. Balkan M. Cytogenetic and Y chromosome microdeletion screening studies in infertile males with oligozoospermia and azoospermia in Southeast Turkey. J Assist Reprod Genet. 2008;25(11–12):559–65.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Zorrilla M. The genetics of infertility: current status of the field. Curr Genet Med Rep. 2013;1(4):247–260.

    Article  Google Scholar 

  12. Aston K. Genetic susceptibility to male infertility: news from genome-wide association studies. Andrology. 2014;2(3):1–7.

    Article  CAS  Google Scholar 

  13. Glazer C. Risk of diabetes according to male factor infertility: a register-based cohort study. Hum Reprod. 2017;32(7):1474–81.

    Article  PubMed  Google Scholar 

  14. Palmer N. Impact of obesity on male fertility, sperm function, and molecular composition. Spermatogenesis. 2012;2(4):253–63.

    Article  PubMed  PubMed Central  Google Scholar 

  15. DuPlessis S. The effect of obesity on sperm disorders and male infertility. Nat Rev Urol. 2010;7:153–62.

    Article  Google Scholar 

  16. Tarin J. Infertility etiologies are genetically and clinically linked with other diseases in single meta-diseases. Reprod Biol Endocrinol. 2015;13:31.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Rajender S. Epigenetics, spermatogenesis and male infertility. Mutat Res. 2011;727(3):62–71.

    Article  CAS  PubMed  Google Scholar 

  18. Stuppia L. Epigenetics and male reproduction: the consequences of paternal lifestyle on fertility, embryo development, and children lifetime health. Clin Epigenetics. 2015;7(120):1–15.

    Google Scholar 

  19. Craig J. Obesity, male infertility, and the sperm epigenome. Fertil Steril. 2017;107(4):848–59.

    Article  PubMed  Google Scholar 

  20. Alegria-Torres J. Epigenetics and lifestyle. Epigenomics. 2011;3:267–77.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Sharma R. Lifestyle factors and reproductive health: taking control of your fertility. Reprod Biol Endocrinol. 2013;11:66.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Feychting M. Paternal occupational exposures and childhood cancer. Environ Health Perspect. 2001;109:193–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Reid A. Parental occupational exposure to exhausts, solvents, glues and paints, and risk of childhood leukemia. Cancer Causes Control. 2011;22:1575–85.

    Article  PubMed  Google Scholar 

  24. Liu R. Paternal smoking and risk of childhood acute lymphoblastic leukemia: systematic review and meta-analysis. J Oncol. 2011;2011:1–16.

    Article  Google Scholar 

  25. Dubrova Y. Transgenerational mutation by radiation. Nature. 2000;405:37.

    Article  CAS  PubMed  Google Scholar 

  26. Bygren L. Change in paternal grandmothers early food supply influenced cardiovascular mortality of the female grandchildren. BMC Genet. 2014;15:12.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Levine H. Temporal trends in sperm count: a systematic review and meta-regression analysis. Hum Reprod Update. 2017;23(6):646–59.

    Google Scholar 

  28. Karimzadeh M. Psychological disorders among Iranian infertile couples undergoing assisted reproductive technology (ART). Iran J Public Health. 2017;46(3):333–41.

    PubMed  PubMed Central  Google Scholar 

  29. Babore A. Male factor infertility and lack of openness about infertility as risk factors for depressive symptoms in males undergoing assisted reproductive technology treatment in Italy. Fertil Steril. 2017;107(4):1041–7.

    Article  PubMed  Google Scholar 

  30. Wdowiak A. Impact of emotional disorders on semen quality in men treated for infertility. Neuro Endocrinol Lett. 2017;38(1):50–8.

    PubMed  Google Scholar 

  31. Sahin A. Psychologic and sexual dysfunction in primary and secondary infertile male patients. Arch Ital Urol Androl. 2017;89(2):120–4.

    Article  PubMed  Google Scholar 

  32. Kulej-Lyko K. Could gonadal and adrenal androgen deficiencies contribute to the depressive symptoms in men with systolic heart failure? Aging Male. 2016;19(4):221–30.

    Article  CAS  PubMed  Google Scholar 

  33. Omani-Samani R. Evaluation on hope and psychological symptoms in infertile couples undergoing assisted reproduction treatment. Int J Fertil Steril. 2017;11(2):123–9.

    PubMed  PubMed Central  Google Scholar 

  34. Sharma R. Effects of increased paternal age on sperm quality, reproductive outcome and associated epigenetic risks to offspring. Reprod Biol Endocrinol. 2015;13:35.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Catford S. Long-term follow-up of intra-cytoplasmic sperm injection-conceived offspring compared with in vitro fertilization-conceived offspring: a systematic review of health outcomes beyond the neonatal period. Andrology. 2017;5(4):610–21.

    Article  CAS  PubMed  Google Scholar 

  36. Kovac J. Relationship between advanced paternal age and male fertility highlights an impending paradigm shift in reproductive biology. Fertil Steril. 2013;100(1):58–9.

    Article  PubMed  Google Scholar 

  37. Eisenberg M. Increased risk of incident medical conditions in infertile men: analysis of United States claims data. Fertil Steril. 2016;105(3):629–36.

    Article  PubMed  Google Scholar 

  38. Emanuele M. Alcohol and the male reproductive system. Alcohol Res Health. 2001;25:282–7.

    PubMed  CAS  Google Scholar 

  39. Jensen T. Habitual alcohol consumption associated with reduced semen quality and changes in reproductive hormones; a cross-sectional study among 1221 young Danish men. BMJ Open. 2014;4(9):e005462.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Alvarez S. Do some addictions interfere with fertility? Fertil Steril. 2015;103:22–6.

    Article  PubMed  Google Scholar 

  41. Liu R. Seminal plasma zinc level may be associated with the effect of cigarette smoking on sperm parameters. J Int Med Res. 2010;38(3):923.

    Article  PubMed  Google Scholar 

  42. Oyeyipo I. Effects of nicotine on sperm characteristics and fertility profile in adult male rates: a possible role of cessation. J Reprod Infertil. 2011;12(3):201.

    PubMed  PubMed Central  CAS  Google Scholar 

  43. Verze P. The link between cigarette smoking and erectile dysfunction: a systematic review. Eur Urol Focus. 2015;1(1):39–46.

    Article  PubMed  Google Scholar 

  44. Kovac J. The effects of cigarette smoking on male fertility. Postgrad Med. 2015;127(3):338–41.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Park B. Cannabis, cannabinoids and reproduction. Prostaglandins Leukot Essent Fatty Acids. 2004;70:189–97.

    Article  CAS  PubMed  Google Scholar 

  46. Calogero A. Klinefelter syndrome: cardiovascular abnormalities and metabolic disorders. J Endocrinol Investig. 2017;40(7):705–12.

    Article  CAS  Google Scholar 

  47. Simm P. The psychosocial impact of Klinefelter syndrome—a 10 year review. J Ped Endocrinol Metab. 2006;19(4):499–505.

    CAS  Google Scholar 

  48. Fritz M. Clinical gynecologic endocrinology and infertility. 8th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2011.

    Google Scholar 

  49. Katib A. Mechanisms linking obesity to male infertility. Cent Eur J Urol. 2015;68:79–85.

    Article  CAS  Google Scholar 

  50. Sallmen M. Reduced fertility among overweight and obese men. Epidemiology. 2006;17:520–3.

    Article  PubMed  Google Scholar 

  51. Nguyen R. Men's body mass index and infertility. Hum Reprod. 2007;22:2488–93.

    Article  PubMed  Google Scholar 

  52. Ramlau-Hansen C. Subfecundity in overweight and obese couples. Hum Reprod. 2007;22:1634–7.

    Article  CAS  PubMed  Google Scholar 

  53. Eisenberg M. The relationship between male BMI and waist circumference on semen quality: data from the LIFE study. Hum Reprod. 2015;30(2):493–4.

    Article  PubMed  Google Scholar 

  54. Haring R. Prediction of metabolic syndrome by low serum testosterone levels in men: results from the study of health in Pomerania. Diabetes. 2009;58(9):2027–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  55. Liu C. Lower SHBG level is associated with higher leptin and lower adiponectin levels as well as metabolic syndrome, independent of testosterone. Sci Rep. 2017;7(1):2727.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Kawano J. The role of adiponectin in obesity, diabetes, and cardiovascular disease. J Cardiometab Syndr. 2009;4(1):44–9.

    Article  PubMed  Google Scholar 

  57. Scarpace P. Elevated leptin: consequence or cause of obesity. Front Biosci. 2007;1(12):3531–44.

    Article  Google Scholar 

  58. Kupelian V. Low sex hormone-binding globulin, total testosterone, and symptomatic androgen deficiency are associated with development of the metabolic syndrome in nonobese men. J Clin Endocrinol Metab. 2006;91(3):843–50.

    Article  CAS  PubMed  Google Scholar 

  59. Eisenberg M. Semen quality, infertility, and mortality in the USA. Hum Reprod. 2014;29(7):1567–74.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Dinulovic D. Diabetes mellitus/male infertility. Arch Androl. 1990;25:277–93.

    Article  CAS  PubMed  Google Scholar 

  61. Gaunay G. Reproductive sequelae of diabetes in male patients. Endocrinol Metab Clin N Am. 2013;42:899–914.

    Article  Google Scholar 

  62. Mokdad A. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA. 2003;289:76–9.

    Article  PubMed  Google Scholar 

  63. Eisenberg M. Diabetes, medical comorbidities and couple fecundity. Hum Reprod. 2016;31:2369–76.

    Article  PubMed  PubMed Central  Google Scholar 

  64. Krajewska-Kulak E. Thyroid function in male infertility. Front Endocrinol. 2013;4:174.

    Article  Google Scholar 

  65. Patel N. Thyroid dysfunction and male reproductive physiology. Semin Reprod Med. 2016;34(6):356–60.

    Article  CAS  PubMed  Google Scholar 

  66. Rojdmark S. Hypothalamic-pituitary-testicular axis in patients with hyperthyroidism. Horm Res. 1988;29(5–6):185–90.

    PubMed  CAS  Google Scholar 

  67. Rogers M. Male infertility and risk of cancer. Semin Reprod Med. 2017;35(3):298–303.

    Article  PubMed  Google Scholar 

  68. Raman J. Increased incidence of testicular cancer in men presenting with infertility and abnormal semen analysis. J Urol. 2005;174(5):1819–22.

    Article  PubMed  Google Scholar 

  69. Jacobsen R. Risk of testicular cancer in men with abnormal semen characteristics: cohort study. BMJ. 2000;321(7264):789–92.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  70. Walsh T. Increased risk of testicular germ cell cancer among infertile men. Arch Intern Med. 2009;169(4):351–6.

    Article  PubMed  PubMed Central  Google Scholar 

  71. Hanson H. Subfertility increases risk of testicular cancer: evidence from population-based semen samples. Fertil Steril. 2016;105(2):322–8.

    Article  PubMed  Google Scholar 

  72. Jorgensen K. Fatherhood status and prostate cancer risk. Cancer. 2008;112(4):919–23.

    Article  PubMed  Google Scholar 

  73. Wiren S. Fatherhood status and risk of prostate cancer: nationwide, population-based case-control study. Int J Cancer. 2013;133(4):937–43.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  74. Walsh T. Increased risk of high-grade prostate cancer among infertile men. Cancer. 2010;116(9):2140–7.

    PubMed  PubMed Central  Google Scholar 

  75. Eisenberg M. Increased risk of cancer in infertile men: analysis of U.S. claims data. J Urol. 2015;193(5):1596–601.

    Article  PubMed  Google Scholar 

  76. Walsh T. Male reproductive health and prostate cancer risk. Curr Opin Urol. 2011;21(6):506–13.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to James M. Hotaling MD, MS, FECSM .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Hanson, B.M., Hotaling, J.M. (2018). Male Infertility as a Marker of Future Health. In: Carrell, D., Racowsky, C., Schlegel, P., DeCherney, A. (eds) Emerging Topics in Reproduction. Springer, Cham. https://doi.org/10.1007/978-3-319-90823-6_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-90823-6_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-90822-9

  • Online ISBN: 978-3-319-90823-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics