HIV-infection and modern antiretroviral therapy impair sperm quality
- PMID: 21448708
- DOI: 10.1007/s00404-011-1898-6
HIV-infection and modern antiretroviral therapy impair sperm quality
Abstract
Purpose: Serodiscordant couples with a human immunodeficiency virus type 1 (HIV-1)-infected man request assisted reproductive technology (ART) in order to achieve safe conception. Most of these men are on highly active antiretroviral therapy (HAART). HIV-1 infection and the antiretroviral drugs are blamed for semen alterations. The aim of our study was to investigate the semen parameters in HIV-1-infected patients with and without HAART and to compare their sperm characteristics with those of healthy men.
Materials and methods: A prospective study of 226 men attended the university fertility center of Mannheim between May 1996 and July 2003. The patients were divided into three groups: HIV-infected men taking antiretroviral therapy, HIV-infected patients who did not take antiretroviral therapy until now and a control group with 93 men consulting our fertility center together with their wives because of tubal sterility. Semen samples were examined with regard to ejaculate volume, sperm concentration, motility, and morphology.
Results: The study showed significant differences between the ejaculate of HIV-infected and non-infected men. The HIV-infected men as a whole group and the subgroup of men with HAART had a lower ejaculate volume, less slow progressive and more abnormally shaped spermatozoa compared with the control group. The HIV-infected men without an antiretroviral therapy had a significant lower ejaculate volume compared with the control group; the other parameters were not altered significantly. Differences between the subgroups with and without HAART were not significant.
Conclusion: The spermiogram in HIV-1-infected men in comparison to a control group of healthy men is negatively altered. Especially in men with HAART, ejaculate volume as well as sperm morphology and motility changed significantly.
Similar articles
-
Decreased semen volume and spermatozoa motility in HIV-1-infected patients under antiretroviral treatment.J Androl. 2007 May-Jun;28(3):444-52. doi: 10.2164/jandrol.106.001529. Epub 2007 Jan 10. J Androl. 2007. PMID: 17215546
-
Impaired sperm motility in HIV-infected men: an unexpected adverse effect of efavirenz?Hum Reprod. 2015 Aug;30(8):1797-806. doi: 10.1093/humrep/dev141. Epub 2015 Jun 16. Hum Reprod. 2015. PMID: 26085581
-
Antiretroviral therapy effects on genetic and morphologic end points in lymphocytes and sperm of men with human immunodeficiency virus infection.J Infect Dis. 2001 Jul 15;184(2):127-35. doi: 10.1086/322002. Epub 2001 Jun 25. J Infect Dis. 2001. PMID: 11424008
-
Study of the impact of HIV genotypic drug resistance testing on therapy efficacy.Verh K Acad Geneeskd Belg. 2001;63(5):447-73. Verh K Acad Geneeskd Belg. 2001. PMID: 11813503 Review.
-
Reproduction and fertility in human immunodeficiency virus type-1 infection.Hum Reprod Update. 2007 Mar-Apr;13(2):197-206. doi: 10.1093/humupd/dml052. Epub 2006 Nov 11. Hum Reprod Update. 2007. PMID: 17099206 Review.
Cited by
-
An Assessment of Men Semen Alterations in SARS-CoV-2: Is Fever the Principal Concern?Reprod Sci. 2023 Jan;30(1):72-80. doi: 10.1007/s43032-022-00889-z. Epub 2022 Feb 22. Reprod Sci. 2023. PMID: 35194760 Free PMC article. Review.
-
Oxidative Stress, Testicular Inflammatory Pathways, and Male Reproduction.Int J Mol Sci. 2021 Sep 17;22(18):10043. doi: 10.3390/ijms221810043. Int J Mol Sci. 2021. PMID: 34576205 Free PMC article. Review.
-
Long-Term Administration of Abacavir and Etravirine Impairs Semen Quality and Alters Redox System and Bone Metabolism in Growing Male Wistar Rats.Oxid Med Cell Longev. 2021 Jul 29;2021:5596090. doi: 10.1155/2021/5596090. eCollection 2021. Oxid Med Cell Longev. 2021. PMID: 34373766 Free PMC article.
-
HIV and Sexual Dysfunction in Men.J Clin Med. 2021 Mar 5;10(5):1088. doi: 10.3390/jcm10051088. J Clin Med. 2021. PMID: 33807833 Free PMC article. Review.
-
Male Factors: the Role of Sperm in Preimplantation Embryo Quality.Reprod Sci. 2021 Jul;28(7):1788-1811. doi: 10.1007/s43032-020-00334-z. Epub 2020 Nov 2. Reprod Sci. 2021. PMID: 33140326 Review.
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical