Male Infertility Update: Current Knowledge on Etiology, Comorbidities, Diagnosis and Treatment: Clinical Topics

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Reproductive Medicine & Andrology".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 1745

Special Issue Editors


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Guest Editor
Andrology, Female Endocrinology and Gender Incongruence Unit, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy
Interests: andrology; male genital tract ultrasound; male infertility; sexual dysfunction; erectile dysfunction; premature ejaculation
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Guest Editor
Endocrinology Unit, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy
Interests: testosterone; hormonal analysis; reproductive biology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Infertility affects up to 12% of all men and represents a growing health problem. To date, its etiology is known in half of cases, while in the other half, it is still obscure. The known causes of infertility can be related to congenital or acquired conditions acting at a pre-testicular, testicular or post-testicular level. Genetic abnormalities account for ~15% of all causes, while epigenetic modifications, oxidative stress, immunological mechanisms and advanced paternal age are increasingly studied as possible co-factors. Systemic diseases, environmental and lifestyle factors and some medications can affect male reproductive health. On the other hand, infertility is nowadays considered as a proxy of general male health, and can lead to psychological and sexual dysfunctions. The recent advances in the understanding of male infertility include efforts in the fields of genetics, sperm biology and male genital tract ultrasound. Conventional and unconventional semen parameters as well as hormonal, metabolic and microbial parameters are used to understand and categorize male infertility etiology and as decisional reference points to define a therapeutic strategy for the infertile man. Medical and surgical therapy can help in specific conditions to improve semen quality, promoting the chances of a natural or medically assisted pregnancy. Personalized medicine and preventive strategies in male infertility are advocated, as well as the evaluation and management of both male and female partners in infertile couples.

You may choose our Joint Special Issue in Cells.

Prof. Dr. Francesco Lotti
Prof. Dr. Mario Maggi
Guest Editors

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Keywords

  • male infertility
  • diagnosis
  • treatment
  • etiology
  • pre-testicular/testicular/post-testicular causes
  • genetic causes
  • seminal parameters
  • hormonal parameters
  • ultrasound
  • general health
  • azoospermia

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Published Papers (1 paper)

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Research

11 pages, 564 KiB  
Article
Impaired Semen Quality in Patients with Chronic Prostatitis
by Jens Rosellen, Florian Dittmar, Arne Hauptmann, Thorsten Diemer, Hans-Christian Schuppe, Undraga Schagdarsurengin, Moritz Fritzenwanker, Florian Wagenlehner and Adrian Pilatz
J. Clin. Med. 2024, 13(10), 2884; https://doi.org/10.3390/jcm13102884 - 14 May 2024
Viewed by 1503
Abstract
Background/Objectives: Chronic prostatitis/chronic pelvic pain syndrome CP/CPPS is a rather common condition and in recent years many studies have shown contradictory results regarding its impact on semen quality. This prospective cohort study set out to investigate how CP/CPPS affected the parameters of semen [...] Read more.
Background/Objectives: Chronic prostatitis/chronic pelvic pain syndrome CP/CPPS is a rather common condition and in recent years many studies have shown contradictory results regarding its impact on semen quality. This prospective cohort study set out to investigate how CP/CPPS affected the parameters of semen in a prospective cohort of patients compared with the WHO 2021 reference group. Methods: From 2013 to 2022, a total of 1071 patients with suspicion of CP/CPPS received a comprehensive andrological examination. Complete semen analysis was carried out in compliance with WHO 2010 guidelines, comparing every study population semen variable to the WHO 2021 reference group (n~3500). Results: All evaluated semen parameters had median values that fell within a normal range. Nonetheless, approximately 25% of patients had values for each semen variable that were lower than the WHO reference group’s fifth percentile. In particular, bacteriospermia was associated with a negative impact on semen volume. Conclusions: This is the largest study that compares all standard semen parameters in patients suffering from CP/CPPS to WHO 2021 reference values. It provides evidence of an impairment of conventional semen parameters. Full article
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