Semen quality impairment is associated with sexual dysfunction according to its severity
By academic.oup.com
Is sexual dysfunction associated with severity of semen quality impairment in men with couple infertility?
SUMMARY ANSWER
In males of infertile couples the prevalence of erectile dysfunction (ED) increases as a function of semen quality impairment severity.
WHAT IS KNOWN ALREADY
Infertile men are at a higher risk for sexual dysfunction, psychopathological and general health disorders. However, it has never been systematically investigated if these problems are associated with severity of semen quality impairment.
STUDY DESIGN, SIZE, DURATION
Cross-sectional analysis of a first-time evaluation of 448 males of infertile couples attending an outpatient clinic from September 2010 to November 2015. In addition, 74 age-matched healthy, fertile men from an ultrasound study on male fertility were studied for comparison.
PARTICIPANTS/MATERIALS, SETTING, METHODS
All subjects underwent a complete physical, biochemical, scrotal and flaccid penile colour-Doppler ultrasound evaluation and semen analysis. Patients had already undergone at least one semen analysis; therefore, the majority were aware of their sperm quality before taking part in the study. Validated tools, such as the International Index of Sexual Function-15 (IIEF-15), Premature Ejaculation Diagnostic Tool (PEDT), Middlesex Hospital Questionnaire (MHQ), National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI), International Prostate Symptom Score and Chronic Disease Score (CDS), were used to evaluate, respectively, sexual dysfunction, premature ejaculation (PE), psychopathological traits, prostatitis-like symptoms, lower urinary tract symptoms and general health status.
MAIN RESULTS AND THE ROLE OF CHANCE
Among men with couple infertility, 96 showed azoospermia (Group #1), 245 at least one sperm abnormality (Group #2) and 107 normozoospermia (Group #3). Fertile men were considered as a control group (Group #4). After adjusting for age, we observed a higher prevalence of ED (IIEF-15-erectile function domain score <26) (18.3% versus 0%; P = 0.006) and PE (PEDT score >8) (12.9% versus 4.1%; P = 0.036) in males of infertile couples compared with fertile men. The ED prevalence increases as a function of semen quality impairment severity (P < 0.0001), even after adjusting for confounders (age, CDS, MHQ and NIH-CPSI total score), despite similar hormonal, glyco-metabolic and penile vascular status. Compared to fertile men, all three groups of males with couple infertility showed a poorer erectile function, associated with an overall psychopathological burden (MHQ total score), particularly with somatized anxiety (MHQ-S).
Azoospermic men showed the worst erectile function and general health: in this group, erectile function was negatively associated not only with psychopathological disturbances (MHQ total and MHQ-S scores; P < 0.0001) but also with a less healthy phenotype (higher CDS; P = 0.015). In addition, azoospermic men reported higher PE prevalence and lower sexual desire and orgasmic function when compared to fertile men (all P < 0.05), all of which were related to psychopathological symptoms.
LIMITATIONS, REASONS FOR CAUTION
The cross-sectional nature of the study represents its main limitation. A possible selection bias concerning the control group of healthy, fertile men recruited into an ultrasound study might have occurred. Finally, causality cannot be inferred in this type of study design and hence there should be some caution in interpreting the results.
WIDER IMPLICATIONS OF THE FINDINGS
Investigation of male sexual function, general health and psychological status in infertile couples, especially if azoospermic, is advisable, in order to improve not only reproductive but also general and sexual health.
Source: https://academic.oup.com/humrep/article-abstract/31/12/2668/2730249/Semen-quality-impairment-is-associated-with-sexual
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Saturday, June 6, 2026
Keppra (levetiracetam): Uses, How It Works, And What To Expect
Keppra is a medication used in the treatment of conditions falling under seizure and epilepsy treatment. Its active pharmaceutical ingredient is levetiracetam, which has been studied in clinical settings and has an established record of use in appropriate patient populations. Understanding what this medication does, how it is taken, and what results are realistic helps patients make informed decisions alongside their healthcare providers. Epilepsy is a neurological disorder characterized by recurrent, unprovoked seizures caused by sudden, abnormal electrical activity in the brain. Seizures vary widely in their manifestation, from brief lapses in consciousness lasting only seconds to full convulsive episodes involving the entire body. The specific seizure type, the region of the brain involved, and the underlying cause of the epilepsy are all important factors in determining the most appropriate treatment approach. The therapeutic action of levetiracetam is tailored to the biological mechanisms underlying the conditions it is used to treat. By targeting specific receptors, enzymes, or pathways, it produces changes that reduce symptoms and in some cases modify the course of disease. Detailed clinical information about Keppra can be found at https://mednewwsstoday.com/seizures/keppra-levetiracetam/, which outlines indications, dosing guidelines, and important safety information. Most patients tolerate Keppra well, though like any medication it can cause side effects in some individuals. Common side effects are typically mild and may resolve once the body adjusts to the medication. Serious adverse effects are less common but should be reported to a healthcare provider promptly. Patients with specific health conditions or those taking multiple medications should review potential interactions before starting Keppra. Resources covering the full range of therapies available for seizure and epilepsy treatment are available at seizure and epilepsy treatment. Comparing medications in terms of their effectiveness, safety, and practical considerations helps patients and caregivers engage in productive conversations with their healthcare team.
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