The effect of red blood cell disorders on male fertility and reproductive health.
Nat Rev Urol
; 21(5): 303-316, 2024 05.
Article
em En
| MEDLINE
| ID: mdl-38172196
ABSTRACT
Male infertility is defined as a failure to conceive after 12 months of unprotected intercourse owing to suspected male reproductive factors. Non-malignant red blood cell disorders are systemic conditions that have been associated with male infertility with varying severity and strength of evidence. Hereditary haemoglobinopathies and bone marrow failure syndromes have been associated with hypothalamic-pituitary-gonadal axis dysfunction, hypogonadism, and abnormal sperm parameters. Bone marrow transplantation is a potential cure for these conditions, but exposes patients to potentially gonadotoxic chemotherapy and/or radiation that could further impair fertility. Iron imbalance might also reduce male fertility. Thus, disorders of hereditary iron overload can cause iron deposition in tissues that might result in hypogonadism and impaired spermatogenesis, whereas severe iron deficiency can propagate anaemias that decrease gonadotropin release and sperm counts. Reproductive urologists should be included in the comprehensive care of patients with red blood cell disorders, especially when gonadotoxic treatments are being considered, to ensure fertility concerns are appropriately evaluated and managed.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transtornos da Insuficiência da Medula Óssea
/
Hemoglobinopatias
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Infertilidade Masculina
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article