Evidence that chronic hypoxia causes reversible impairment on male fertility

Aim: To evaluate the effect of chronic hypoxia on human spermatogenic parameters and their recovery time. Methods: Seminological parameters of six male healthy mountain trekkers were evaluated in normoxia at sea level. After 26 days exposure to altitude (ranging from 2 000 m to 5 600 m, Karakorum Ex...

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Vydáno v:Asian journal of andrology Ročník 10; číslo 4; s. 602 - 606
Hlavní autoři: Verratti, Vittore, Berardinelli, Francesco, Di Giulio, Camillo, Bosco, Gerardo, Cacchio, Marisa, Pellicciotta, Mario, Nicolai, Michele, Martinotti, Stefano, Tenaglia, Raffaele
Médium: Journal Article
Jazyk:angličtina
Vydáno: Oxford, UK Blackwell Publishing Ltd 01.07.2008
Medknow Publications & Media Pvt. Ltd
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ISSN:1008-682X, 1745-7262
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Shrnutí:Aim: To evaluate the effect of chronic hypoxia on human spermatogenic parameters and their recovery time. Methods: Seminological parameters of six male healthy mountain trekkers were evaluated in normoxia at sea level. After 26 days exposure to altitude (ranging from 2 000 m to 5 600 m, Karakorum Expedition) the same parameters were again evaluated after returning to sea level. These parameters were once again evaluated after 1 month and then again after 6 months. Results: Sperm count was found to be lower immediately after returning to sea level (P = 0.0004) and again after a month (P = 0.0008). Normal levels were reached after 6 months. Spermatic motility (%) shows no reduction immediately after returning to sea level (P = 0.0583), whereas after 1 month this reduction was significant (P = 0.0066). After 6 months there was a recovery to pre-hypoxic exposure values. Abnormal or immature spermatozoa (%) increased immediately after returning to sea level (P = 0.0067) and then again after 1 month (P = 0.0004). After 6 months there was a complete recovery to initial values. The total number of motile sperm in the ejaculate was found to be lower immediately after returning to sea level (P = 0.0024) and then again after 1 month (P = 0.0021). After 6 months there was a recovery to pre-hypoxic exposure values. Conclusion: Chronic hypoxia induces a state of oligospermia and the normalization of such seminological parameters at the restoration of previous normoxic conditions after 6 months indicate the influence of oxygen supply in physiological mechanisms of spermatogenesis and male fertility.
Bibliografie:hypoxia
high altitude
R697
31-1795/R
seminological parameters
male fertility
male fertility; hypoxia; seminological parameters; high altitude
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SourceType-Scholarly Journals-1
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ISSN:1008-682X
1745-7262
DOI:10.1111/j.1745-7262.2008.00346.x