TLDR COVID-19 might affect male fertility, but more research is needed to understand the full impact.
This review evaluates the potential effects of SARS-CoV-2 and COVID-19 on male reproductive health, including concerns about sexual transmission and impacts on reproductive hormones and semen quality. It notes that while there is limited evidence, some studies have investigated the presence of the virus in semen, with one study detecting it in 6 out of 38 samples. Another study reported negative effects on sperm parameters, but had limitations such as small sample size and no pre-infection semen analysis. Conversely, a different study with 23 men found no impact on sperm quality. The review underscores the need for further research to clarify the short- and long-term effects of COVID-19 on male fertility and provides recommendations for fertility care during the pandemic. It concludes that while the risk of transmission through seminal fluid seems low, more comprehensive research is necessary to fully understand the implications for male reproductive health.
9 citations
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September 2020 in “Journal of Drugs in Dermatology” Men had worse COVID-19 outcomes than women in New York City.
71 citations
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April 2020 in “Journal of Cosmetic Dermatology” Genetic differences may affect COVID-19 deaths; anti-androgens could be potential treatment.
198 citations
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April 2020 in “Journal of Endocrinological Investigation” The virus was not found in the semen and urine of a man who tested positive for COVID-19.
134 citations
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April 2020 in “Journal of Cosmetic Dermatology” Male pattern hair loss could hint at androgens affecting COVID-19 severity.
20 citations
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March 2022 in “Journal of clinical medicine” Nearly half of the studied men with long COVID had low testosterone, including younger men.
December 2024 in “Frontiers in Neurology” Testosterone with finasteride improved muscle and bone health in men with spinal cord injury.
April 2023 in “American Journal of Transplantation” Hormone replacement therapy may lower the risk of severe COVID-19 outcomes in non-immunosuppressed people and male organ transplant recipients.
2 citations
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August 2022 in “Animals” Essential oils may improve dogs' health and melatonin can help with their sleep and anxiety, but both should be used carefully.
January 2023 in “Sibirskij medicinskij vestnik” Women with PCOS are more vulnerable to severe COVID-19 and related health issues.