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The Association Between Male Viral Infections and Infertility: A Systematic Review and Meta-Analysis

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机构: [1]Kunming Univ Sci & Technol, Fac Life Sci & Technol, Kunming, Peoples R China [2]First Peoples Hosp Yunnan Prov, Dept Reprod Gynecol, Kunming, Peoples R China [3]Kunming Univ Sci & Technol, Affiliated Hosp, Dept Reprod Gynecol, Kunming, Peoples R China [4]Kunming Univ Sci & Technol, Affiliated Anning Peoples Hosp 1, Dept Sci & Res, Kunming, Peoples R China [5]Kunming Chenggong Hosp, Yanan Hosp, Dept Urol, Kunming, Peoples R China [6]Kunming Med Univ, Yunnan Prov Key Lab Publ Hlth & Biosafety, Kunming, Peoples R China
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关键词: ART infection infertility pregnancy semen virus

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Infertility affects approximately one-sixth of couples worldwide, with male factors contributing to half of all cases. However, infections, particularly those of reproductive tract, are increasingly recognized as important contributors to male infertility. Therefore, in this meta-analysis, we focused on the impact of various viral infections on male infertility. We searched PubMed, Embase, Web of Science and Cochrane Library on 20 October 2023. And included 135 studies involving 30,298 men of reproductive age. We found that the human papilloma virus (HPV)-infected group had a significantly higher DNA fragmentation index (DFI) than the non-infected group, with a mean difference (MD) of 5.64 (95% CI: 3.74-7.54). Conversely, the HPV-infected group had significantly lower sperm count, concentration, viability and normal morphology. Other viruses that affect semen quality include hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). HBV significantly decreased fertilization rate, with an odds ratio (OR) of 0.86 (95% CI: 0.76-0.99). HPV associated with lower clinical pregnancy rate (OR: 0.31 [95% CI: 0.16-0.62]) and higher miscarriage rate (OR: 5.28 [95% CI: 2.02-13.78]). Additionally, the fertility treatment group had a significantly higher rate of HPV infection (OR: 1.85 [95% CI: 1.10-3.12]) and adeno-associated virus (AAV) infection (OR: 8.49 [95% CI: 2.66-27.10]) than the fertility group. Conclusively, most viral infections affect semen quality, while HBV and HPV may affect assisted reproductive technology (ART) outcomes. HPV and AAV are risk factors for infertility.

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大类 | 2 区 医学
小类 | 2 区 病毒学
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Q1 VIROLOGY
最新[2023]版:
Q1 VIROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Kunming Univ Sci & Technol, Fac Life Sci & Technol, Kunming, Peoples R China [2]First Peoples Hosp Yunnan Prov, Dept Reprod Gynecol, Kunming, Peoples R China [3]Kunming Univ Sci & Technol, Affiliated Hosp, Dept Reprod Gynecol, Kunming, Peoples R China
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通讯机构: [1]Kunming Univ Sci & Technol, Fac Life Sci & Technol, Kunming, Peoples R China [6]Kunming Med Univ, Yunnan Prov Key Lab Publ Hlth & Biosafety, Kunming, Peoples R China
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