Consanguinity and family clustering of male factor infertility in Lebanon

To investigate the influence of consanguineous marriage on male factor infertility in Lebanon, where rates of consanguineous marriage remain high (29.6% among Muslims, 16.5% among Christians). Clinic-based, case-control study, using reproductive history, risk factor interview, and laboratory-based s...

Full description

Saved in:
Bibliographic Details
Published in:Fertility and sterility Vol. 91; no. 4; p. 1104
Main Authors: Inhorn, Marcia C, Kobeissi, Loulou, Nassar, Zaher, Lakkis, Da'ad, Fakih, Michael H
Format: Journal Article
Language:English
Published: United States 01.04.2009
Subjects:
ISSN:1556-5653, 1556-5653
Online Access:Get more information
Tags: Add Tag
No Tags, Be the first to tag this record!
Abstract To investigate the influence of consanguineous marriage on male factor infertility in Lebanon, where rates of consanguineous marriage remain high (29.6% among Muslims, 16.5% among Christians). Clinic-based, case-control study, using reproductive history, risk factor interview, and laboratory-based semen analysis. Two IVF clinics in Beirut, Lebanon, during an 8-month period (January-August 2003). One hundred twenty infertile male patients and 100 fertile male controls, distinguished by semen analysis and reproductive history. None. Standard clinical semen analysis. The rates of consanguineous marriage were relatively high among the study sample. Patients (46%) were more likely than controls (37%) to report first-degree (parental) and second-degree (grandparental) consanguinity. The study demonstrated a clear pattern of family clustering of male factor infertility, with patients significantly more likely than controls to report infertility among close male relatives (odds ratio = 2.58). Men with azoospermia and severe oligospermia showed high rates of both consanguinity (50%) and family clustering (41%). Consanguineous marriage is a socially supported institution throughout the Muslim world, yet its relationship to infertility is poorly understood. This study demonstrated a significant association between consanguinity and family clustering of male factor infertility cases, suggesting a strong genetic component.
AbstractList To investigate the influence of consanguineous marriage on male factor infertility in Lebanon, where rates of consanguineous marriage remain high (29.6% among Muslims, 16.5% among Christians). Clinic-based, case-control study, using reproductive history, risk factor interview, and laboratory-based semen analysis. Two IVF clinics in Beirut, Lebanon, during an 8-month period (January-August 2003). One hundred twenty infertile male patients and 100 fertile male controls, distinguished by semen analysis and reproductive history. None. Standard clinical semen analysis. The rates of consanguineous marriage were relatively high among the study sample. Patients (46%) were more likely than controls (37%) to report first-degree (parental) and second-degree (grandparental) consanguinity. The study demonstrated a clear pattern of family clustering of male factor infertility, with patients significantly more likely than controls to report infertility among close male relatives (odds ratio = 2.58). Men with azoospermia and severe oligospermia showed high rates of both consanguinity (50%) and family clustering (41%). Consanguineous marriage is a socially supported institution throughout the Muslim world, yet its relationship to infertility is poorly understood. This study demonstrated a significant association between consanguinity and family clustering of male factor infertility cases, suggesting a strong genetic component.
To investigate the influence of consanguineous marriage on male factor infertility in Lebanon, where rates of consanguineous marriage remain high (29.6% among Muslims, 16.5% among Christians).OBJECTIVETo investigate the influence of consanguineous marriage on male factor infertility in Lebanon, where rates of consanguineous marriage remain high (29.6% among Muslims, 16.5% among Christians).Clinic-based, case-control study, using reproductive history, risk factor interview, and laboratory-based semen analysis.DESIGNClinic-based, case-control study, using reproductive history, risk factor interview, and laboratory-based semen analysis.Two IVF clinics in Beirut, Lebanon, during an 8-month period (January-August 2003).SETTINGTwo IVF clinics in Beirut, Lebanon, during an 8-month period (January-August 2003).One hundred twenty infertile male patients and 100 fertile male controls, distinguished by semen analysis and reproductive history.PATIENT(S)One hundred twenty infertile male patients and 100 fertile male controls, distinguished by semen analysis and reproductive history.None.INTERVENTION(S)None.Standard clinical semen analysis.MAIN OUTCOME MEASURE(S)Standard clinical semen analysis.The rates of consanguineous marriage were relatively high among the study sample. Patients (46%) were more likely than controls (37%) to report first-degree (parental) and second-degree (grandparental) consanguinity. The study demonstrated a clear pattern of family clustering of male factor infertility, with patients significantly more likely than controls to report infertility among close male relatives (odds ratio = 2.58). Men with azoospermia and severe oligospermia showed high rates of both consanguinity (50%) and family clustering (41%).RESULT(S)The rates of consanguineous marriage were relatively high among the study sample. Patients (46%) were more likely than controls (37%) to report first-degree (parental) and second-degree (grandparental) consanguinity. The study demonstrated a clear pattern of family clustering of male factor infertility, with patients significantly more likely than controls to report infertility among close male relatives (odds ratio = 2.58). Men with azoospermia and severe oligospermia showed high rates of both consanguinity (50%) and family clustering (41%).Consanguineous marriage is a socially supported institution throughout the Muslim world, yet its relationship to infertility is poorly understood. This study demonstrated a significant association between consanguinity and family clustering of male factor infertility cases, suggesting a strong genetic component.CONCLUSION(S)Consanguineous marriage is a socially supported institution throughout the Muslim world, yet its relationship to infertility is poorly understood. This study demonstrated a significant association between consanguinity and family clustering of male factor infertility cases, suggesting a strong genetic component.
Author Fakih, Michael H
Kobeissi, Loulou
Lakkis, Da'ad
Nassar, Zaher
Inhorn, Marcia C
Author_xml – sequence: 1
  givenname: Marcia C
  surname: Inhorn
  fullname: Inhorn, Marcia C
  email: minhorn@umich.edu
  organization: Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan 48109-2029, USA. minhorn@umich.edu
– sequence: 2
  givenname: Loulou
  surname: Kobeissi
  fullname: Kobeissi, Loulou
– sequence: 3
  givenname: Zaher
  surname: Nassar
  fullname: Nassar, Zaher
– sequence: 4
  givenname: Da'ad
  surname: Lakkis
  fullname: Lakkis, Da'ad
– sequence: 5
  givenname: Michael H
  surname: Fakih
  fullname: Fakih, Michael H
BackLink https://www.ncbi.nlm.nih.gov/pubmed/18367181$$D View this record in MEDLINE/PubMed
BookMark eNpNT8lqwzAQFSWladL-QtGpN7saa7OPJXQJBHrJ3cjSKCjYcmrZh_x9HZpCL_MG5m2zIovYRySEAsuBgXo55h6HMaZxnnnBWJkzyGe4Ifcgpcqkknzxb1-SVUpHxpgCXdyRJZRcaSjhnmw3fUwmHqYQw3imJjrqTRfaM7XtdPEP8UB7TzvT4nyxYz_QEC_pob0IQqQ7bMzc74HcetMmfLzimuzf3_abz2z39bHdvO4yK5UYM-cU-ooXaFWDjeZGV8xBaZAh9xZcoVF7DyAahbwUFTBflZI7IbxzwhZr8vxrexr67wnTWHchWWxbE7GfUq00K0GKaiY-XYlT06GrT0PozHCu_34vfgDwMWJN
CitedBy_id crossref_primary_10_1007_s10815_019_01411_2
crossref_primary_10_1016_j_ejogrb_2018_10_042
crossref_primary_10_1038_s41598_023_36014_6
crossref_primary_10_1177_1097184X12468098
crossref_primary_10_1016_j_rbmo_2016_09_003
crossref_primary_10_1186_1742_4755_6_17
crossref_primary_10_1017_S0021932018000275
crossref_primary_10_1080_13648470_2014_976542
crossref_primary_10_1016_j_urology_2025_01_066
crossref_primary_10_1017_S0021932012000843
crossref_primary_10_1080_13557858_2013_848844
crossref_primary_10_1089_gtmb_2010_0248
crossref_primary_10_3389_fgene_2019_00039
crossref_primary_10_1002_uro2_21
crossref_primary_10_1016_j_xfre_2020_07_002
crossref_primary_10_1111_andr_13728
crossref_primary_10_1016_j_ajhg_2011_01_018
crossref_primary_10_1186_s12982_024_00132_x
crossref_primary_10_1007_s10815_024_03044_6
crossref_primary_10_1007_s10815_017_1071_7
crossref_primary_10_1038_s41572_018_0058_8
crossref_primary_10_1007_s10815_017_0904_8
ContentType Journal Article
DBID CGR
CUY
CVF
ECM
EIF
NPM
7X8
DOI 10.1016/j.fertnstert.2008.01.008
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList MEDLINE
MEDLINE - Academic
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: 7X8
  name: MEDLINE - Academic
  url: https://search.proquest.com/medline
  sourceTypes: Aggregation Database
DeliveryMethod no_fulltext_linktorsrc
Discipline Medicine
Religion
EISSN 1556-5653
ExternalDocumentID 18367181
Genre Research Support, U.S. Gov't, Non-P.H.S
Journal Article
GeographicLocations Lebanon
GeographicLocations_xml – name: Lebanon
GroupedDBID ---
--K
-~X
.1-
.55
.FO
.GJ
0R~
1B1
1P~
1~5
29H
34R
3O-
4.4
457
4G.
53G
5GY
5RE
5VS
7-5
71M
85S
AAEDT
AAEDW
AAFWJ
AALRI
AAQFI
AAQXK
AAXUO
AAYWO
ABCQX
ABFRF
ABJNI
ABLJU
ABMAC
ABWVN
ACGFO
ACIUM
ACRPL
ACVFH
ADBBV
ADCNI
ADMUD
ADNMO
ADVLN
AEFWE
AENEX
AEUPX
AEVXI
AFCTW
AFFNX
AFJKZ
AFPUW
AFRHN
AFTJW
AGCQF
AGQPQ
AI.
AIGII
AITUG
AJUYK
AKBMS
AKRWK
AKYEP
ALMA_UNASSIGNED_HOLDINGS
AMRAJ
APXCP
ASPBG
AVWKF
AZFZN
BELOY
C5W
CGR
CS3
CUY
CVF
DU5
EBS
ECM
EFJIC
EFKBS
EIF
EJD
F5P
FDB
FEDTE
FGOYB
GBLVA
HVGLF
HZ~
IHE
J1W
J5H
K-O
KOM
L7B
M41
MO0
N9A
NPM
NQ-
O9-
OK1
OQ.
P2P
PH~
R2-
RIG
ROL
RPZ
SDP
SEL
SES
SEW
SSZ
UNMZH
UV1
VH1
W2D
X7M
XH2
XJT
XPP
YOC
YZZ
Z5R
ZGI
ZXP
~S-
7X8
ID FETCH-LOGICAL-c564t-dd6ef932ec6beb73a790d18ae0e3fc1d27e7ff114b6e384910f9853d44fdd4c2
IEDL.DBID 7X8
ISICitedReferencesCount 31
ISICitedReferencesURI http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000265132300021&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN 1556-5653
IngestDate Thu Oct 02 17:40:49 EDT 2025
Mon Jul 21 05:59:04 EDT 2025
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 4
Language English
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c564t-dd6ef932ec6beb73a790d18ae0e3fc1d27e7ff114b6e384910f9853d44fdd4c2
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
OpenAccessLink https://dx.doi.org/10.1016/j.fertnstert.2008.01.008
PMID 18367181
PQID 67081549
PQPubID 23479
ParticipantIDs proquest_miscellaneous_67081549
pubmed_primary_18367181
PublicationCentury 2000
PublicationDate 2009-04-01
PublicationDateYYYYMMDD 2009-04-01
PublicationDate_xml – month: 04
  year: 2009
  text: 2009-04-01
  day: 01
PublicationDecade 2000
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle Fertility and sterility
PublicationTitleAlternate Fertil Steril
PublicationYear 2009
SSID ssj0006172
Score 2.1152158
Snippet To investigate the influence of consanguineous marriage on male factor infertility in Lebanon, where rates of consanguineous marriage remain high (29.6% among...
SourceID proquest
pubmed
SourceType Aggregation Database
Index Database
StartPage 1104
SubjectTerms Adult
Case-Control Studies
Cluster Analysis
Consanguinity
Family
Humans
Infertility, Male - epidemiology
Infertility, Male - etiology
Lebanon - epidemiology
Male
Middle Aged
Religion
Socioeconomic Factors
Title Consanguinity and family clustering of male factor infertility in Lebanon
URI https://www.ncbi.nlm.nih.gov/pubmed/18367181
https://www.proquest.com/docview/67081549
Volume 91
WOSCitedRecordID wos000265132300021&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText
inHoldings 1
isFullTextHit
isPrint
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LSwMxEA7Vinjx_ajPHLwGu7vZZBcEEbEotKWHIr2VbDIBQXdrH4L_3pl94Ek8eAl7STYMk_m-zExmGLumSFSQWCMShAshbeBFgjiHRE4ZrWSqTPl87KWvh8NkMklHLXbbvIWhtMrGJpaG2hWWfOQ3SiN44WXmbvYhqGcUxVbrBhprrB0hkaGELj35qRVO2FxWS42VQNoS1Xk8VXaXhzmVaMWxzqcMqNDp7zSzhJvezv82usu2a5rJ7yu92GMtyPfZ5qAOpB-wZ2rUSa7KVzzSX9zkjleuDm7fVrRhRDReeP6O-MGrnjyc8rZwPeLt-M37kJm8yA_ZuPc4fngSdVcFYWMll8I5BR5ZG1iVQaYjo9OuCxIDXYi8DVyoQXuP16RMQZRIpBM-RUx3UnrnpA2P2DouDieMh9qqOIM4gNDIGNLU0RQVuxgS_InrsKtGQlNUWopEmByK1WLayKjDjishT2dVbY0pWhiFcBmc_jn3jG01kZ1ucM7aHo8rXLAN-7l8XcwvS13AcTgafANCyL-a
linkProvider ProQuest
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Consanguinity+and+family+clustering+of+male+factor+infertility+in+Lebanon&rft.jtitle=Fertility+and+sterility&rft.au=Inhorn%2C+Marcia+C&rft.au=Kobeissi%2C+Loulou&rft.au=Nassar%2C+Zaher&rft.au=Lakkis%2C+Da%27ad&rft.date=2009-04-01&rft.eissn=1556-5653&rft.volume=91&rft.issue=4&rft.spage=1104&rft_id=info:doi/10.1016%2Fj.fertnstert.2008.01.008&rft_id=info%3Apmid%2F18367181&rft_id=info%3Apmid%2F18367181&rft.externalDocID=18367181
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1556-5653&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1556-5653&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1556-5653&client=summon