Semen quality in sub-fertile range for a significant proportion of young men from the general German Population: a co-ordinated, controlled study of 791 men from Hamburg and Leipzig
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Semen quality in sub-fertile range for a significant proportion of young men from the general German Population: a co-ordinated, controlled study of 791 men from Hamburg and Leipzig. / Paasch, Uwe; Salzbrunn, Andrea; Glander, Hans Juergen; Plambeck, Kai; Salzbrunn, Harald; Grunewald, Sonja; Stucke, Julia; Vierula, Matti; Skakkebaek, Niels E; Jørgensen, Niels.
In: INT J ANDROL, Vol. 31, No. 2, 04.2008, p. 93-102.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Semen quality in sub-fertile range for a significant proportion of young men from the general German Population: a co-ordinated, controlled study of 791 men from Hamburg and Leipzig
AU - Paasch, Uwe
AU - Salzbrunn, Andrea
AU - Glander, Hans Juergen
AU - Plambeck, Kai
AU - Salzbrunn, Harald
AU - Grunewald, Sonja
AU - Stucke, Julia
AU - Vierula, Matti
AU - Skakkebaek, Niels E
AU - Jørgensen, Niels
PY - 2008/4
Y1 - 2008/4
N2 - Population studies have shown that a high proportion of Nordic men may have so poor semen quality that they can be classified as sub-fertile according to international standards. A question is whether the Nordic data are specific for the Nordic countries or they should be seen as an expression of a general trend in Europe. We therefore carried out a prospective study of semen quality of young men raised in the former East Germany (Leipzig) and West Germany (Hamburg). To enable inter-regional comparisons, we utilized a common European research protocol previously used in studies in the Nordic-Baltic region. Three hundred and thirty-four young men representative of the general population from Hamburg, and 457 from Leipzig delivered semen samples, underwent physical examinations and provided information on life-style and reproductive health parameters. The study period in Hamburg was February 2003--July 2004, and in Leipzig July 2003--April 2005. No significant differences were observed in sperm concentration (median 46, 42, and 44 million/mL for men from Hamburg, Leipzig and the combined Hamburg-Leipzig group respectively) or total sperm count (154,141 and 149 million), whereas the differences for morphologically normal spermatozoa (9.4 and 8.4%) and motile spermatozoa (67 and 81%) were significantly different. Previously published studies have shown reduced fertility with decreasing sperm concentrations below 40-55 millions/mL and normal sperm morphology below 9-19%. Thus, a large fraction of young German men seem to have impaired semen quality that may reduce their natural fertility. However, it remains to be investigated to what extent poor semen quality contributes to the low German fertility rates.
AB - Population studies have shown that a high proportion of Nordic men may have so poor semen quality that they can be classified as sub-fertile according to international standards. A question is whether the Nordic data are specific for the Nordic countries or they should be seen as an expression of a general trend in Europe. We therefore carried out a prospective study of semen quality of young men raised in the former East Germany (Leipzig) and West Germany (Hamburg). To enable inter-regional comparisons, we utilized a common European research protocol previously used in studies in the Nordic-Baltic region. Three hundred and thirty-four young men representative of the general population from Hamburg, and 457 from Leipzig delivered semen samples, underwent physical examinations and provided information on life-style and reproductive health parameters. The study period in Hamburg was February 2003--July 2004, and in Leipzig July 2003--April 2005. No significant differences were observed in sperm concentration (median 46, 42, and 44 million/mL for men from Hamburg, Leipzig and the combined Hamburg-Leipzig group respectively) or total sperm count (154,141 and 149 million), whereas the differences for morphologically normal spermatozoa (9.4 and 8.4%) and motile spermatozoa (67 and 81%) were significantly different. Previously published studies have shown reduced fertility with decreasing sperm concentrations below 40-55 millions/mL and normal sperm morphology below 9-19%. Thus, a large fraction of young German men seem to have impaired semen quality that may reduce their natural fertility. However, it remains to be investigated to what extent poor semen quality contributes to the low German fertility rates.
KW - Fertility
KW - Fluorescent Antibody Technique
KW - Follicle Stimulating Hormone
KW - Germany
KW - Humans
KW - Luteinizing Hormone
KW - Male
KW - Semen
KW - Sex Hormone-Binding Globulin
KW - Surveys and Questionnaires
KW - Testosterone
KW - Controlled Clinical Trial
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1111/j.1365-2605.2007.00860.x
DO - 10.1111/j.1365-2605.2007.00860.x
M3 - SCORING: Journal article
C2 - 18315714
VL - 31
SP - 93
EP - 102
IS - 2
ER -