Department of Urology, Brigham and Women's Hospital.
Member of the Faculty, Harvard Medical School, Associate Surgeon, Brigham and Women's Hospital Department of Urology, Boston, Massachusetts, USA.
Curr Opin Urol. 2024 Sep 1;34(5):366-370. doi: 10.1097/MOU.0000000000001201. Epub 2024 Jun 26.
Semen quality is on the decline. While the etiology is unknown, recent literature suggests there may be a relationship between climate change, environmental toxins and male fertility. This review relays new information regarding associations between our environment and male infertility.
Several recent studies have documented a negative association between heat stress and spermatogenesis, which suggests that climate change may be a factor in declining in sperm counts. The influence of particle pollution on spermatogenesis has also been recently investigated, with studies demonstrating a negative association. Another possible factor are microplastics, which have been posited to reduce sperm production. Recent animal studies have shown that microplastic exposure alters both adult sperm production and prenatal male genital development. The relationship between endocrine disrupting chemicals and male fertility remains an area of active study, with recent animal and human studies suggesting an association between these chemicals and male fertility.
The etiology of the decline in male fertility over the past decades is yet unknown. However, changes in our environment as seen with climate change and exposure to pollutants and endocrine disrupting chemicals are proposed mechanisms for this decline. Further studies are needed to investigate this association further.
精液质量正在下降。虽然其病因尚不清楚,但最近的文献表明,气候变化、环境毒素与男性生育力之间可能存在关联。本文综述了有关环境与男性不育之间关联的最新信息。
几项最近的研究记录了热应激与精子发生之间的负相关,这表明气候变化可能是精子数量下降的一个因素。最近也研究了颗粒污染对精子发生的影响,研究表明两者之间呈负相关。另一个可能的因素是微塑料,其被认为会减少精子的产生。最近的动物研究表明,微塑料暴露会改变成年雄性的精子生成和产前男性生殖器发育。内分泌干扰化学物质与男性生育力之间的关系仍然是一个活跃的研究领域,最近的动物和人类研究表明这些化学物质与男性生育力之间存在关联。
过去几十年来男性生育力下降的病因尚不清楚。然而,气候变化和接触污染物和内分泌干扰化学物质等环境变化被认为是这种下降的机制。需要进一步的研究来进一步探讨这种关联。