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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Veröffentlicht in:Asian journal of andrology 2008-07, Vol.10 (4), p.602-606
Hauptverfasser: Verratti, Vittore, Berardinelli, Francesco, Di Giulio, Camillo, Bosco, Gerardo, Cacchio, Marisa, Pellicciotta, Mario, Nicolai, Michele, Martinotti, Stefano, Tenaglia, Raffaele
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container_end_page 606
container_issue 4
container_start_page 602
container_title Asian journal of andrology
container_volume 10
creator Verratti, Vittore
Berardinelli, Francesco
Di Giulio, Camillo
Bosco, Gerardo
Cacchio, Marisa
Pellicciotta, Mario
Nicolai, Michele
Martinotti, Stefano
Tenaglia, Raffaele
description 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.
doi_str_mv 10.1111/j.1745-7262.2008.00346.x
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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.</description><identifier>ISSN: 1008-682X</identifier><identifier>EISSN: 1745-7262</identifier><identifier>DOI: 10.1111/j.1745-7262.2008.00346.x</identifier><identifier>PMID: 18097511</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adaptation, Physiological - physiology ; Adult ; Aged ; Altitude ; high altitude ; Humans ; hypoxia ; Hypoxia - complications ; Infertility, Male - etiology ; Infertility, Male - pathology ; Infertility, Male - physiopathology ; Male ; male fertility ; Middle Aged ; Mountaineering ; Oligospermia - etiology ; Oligospermia - pathology ; Oligospermia - physiopathology ; seminological parameters ; Sperm Count ; Sperm Motility - physiology ; Spermatogenesis - physiology ; 可逆损伤 ; 生殖力</subject><ispartof>Asian journal of andrology, 2008-07, Vol.10 (4), p.602-606</ispartof><rights>2008, Asian Journal of Andrology, SIMM and SJTU. 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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. 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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. 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subjects Adaptation, Physiological - physiology
Adult
Aged
Altitude
high altitude
Humans
hypoxia
Hypoxia - complications
Infertility, Male - etiology
Infertility, Male - pathology
Infertility, Male - physiopathology
Male
male fertility
Middle Aged
Mountaineering
Oligospermia - etiology
Oligospermia - pathology
Oligospermia - physiopathology
seminological parameters
Sperm Count
Sperm Motility - physiology
Spermatogenesis - physiology
可逆损伤
生殖力
title Evidence that chronic hypoxia causes reversible impairment on male fertility
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