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Impact of the SARS-CoV-2 virus on male reproductive health.
Nassau, Daniel E; Best, Jordan C; Kresch, Eliyahu; Gonzalez, Daniel C; Khodamoradi, Kajal; Ramasamy, Ranjith.
  • Nassau DE; Department of Urology, University of Miami, Miami, Florida, USA.
  • Best JC; Department of Urology, University of Miami, Miami, Florida, USA.
  • Kresch E; Department of Urology, University of Miami, Miami, Florida, USA.
  • Gonzalez DC; Department of Urology, University of Miami, Miami, Florida, USA.
  • Khodamoradi K; Department of Urology, University of Miami, Miami, Florida, USA.
  • Ramasamy R; Department of Urology, University of Miami, Miami, Florida, USA.
BJU Int ; 129(2): 143-150, 2022 02.
Article in English | MEDLINE | ID: covidwho-1360469
ABSTRACT
The coronavirus 2019 (COVID-19) pandemic caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to more than 160 million infections and 3.5 million deaths globally. Men are disproportionately affected by COVID-19, having more severe disease with higher mortality rates than women. Androgens have been implicated as the underlying cause for more severe disease, as the androgen receptor has been noted to upregulate the cell surface receptors that mediate viral cell entry and infection. Unfortunately, despite testosterone's potential role in COVID-19 prognosis, androgen deprivation therapy is neither protective nor a treatment for COVID-19. Interestingly, the male reproductive organs have been found to be vulnerable in moderate to severe illness, leading to reports of erectile dysfunction and orchitis. COVID-19 viral particles have been identified in penile and testis tissue, both in live patients who recovered from COVID-19 and post mortem in men who succumbed to the disease. Although sexual transmission remains unlikely in recovered men, moderate to severe COVID-19 infection can lead to germ cell and Leydig cell depletion, leading to decreased spermatogenesis and male hypogonadism. The objective of this review is to describe the impact of SARS-CoV-2 on male reproductive health. There are still many unanswered questions as to the specific underlying mechanisms by which COVID-19 impacts male reproductive organs and the long-term sequelae of SARS-CoV-2 on male reproductive health.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Men's Health / Reproductive Health / SARS-CoV-2 / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Humans / Male / Middle aged Language: English Journal: BJU Int Journal subject: Urology Year: 2022 Document Type: Article Affiliation country: Bju.15573

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Men's Health / Reproductive Health / SARS-CoV-2 / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Humans / Male / Middle aged Language: English Journal: BJU Int Journal subject: Urology Year: 2022 Document Type: Article Affiliation country: Bju.15573