Kystaubayev Abzal, Abzalbekov Askhan, Ramazanova Bakyt, Lokshin Vyacheslav, Iskakov Muhammed
Asfendiyarov Kazakh National Medical University, Department of Microbiology, Virology. Almaty, Republic of Kazakhstan.
Kazakh-Russian Medical University, Department of Urology and Andrology. Almaty, Republic of Kazakhstan.
JBRA Assist Reprod. 2024 Dec 3;28(4):604-610. doi: 10.5935/1518-0557.20240048.
The relevance of the study is determined by the deepening understanding of the global consequences of the coronavirus pandemic, which affect not only lung health but also a wide range of other body systems. In light of new data on the long-term effects of coronavirus infection, this study is highly significant. The purpose of this study is to investigate the impact of coronavirus infection on the male reproductive system and assess its potential influence on male fertility to refine the mechanisms of damage and provide recommendations for medical care.
The study utilised a combination of methods, including a meta-analysis of medical organisation databases, analysis of clinical cases, representative sample method, and quantitative survey method. These approaches allowed for a comprehensive and multifaceted view of the problem.
The samples of sperm showed a noticeable decrease in progressive motility, sperm concentration, and volume, especially in patients with moderate and severe symptoms of COVID-19, whereas patients with mild symptoms only experienced a decrease in progressive motility and overall sperm motility. The survey identified symptoms of male reproductive system dysfunction after recovering from COVID-19. Predominant symptoms included decreased libido (15%), impotence (13%), and infections of the genital organs (12%). Most surveyed men lacked sufficient awareness of other aspects of male reproductive health, including infections, genetic defects, chronic diseases, and available medical services.
As a result of the study, it was concluded that coronavirus infection can have a negative impact on the male reproductive system. The practical value of this study lies in improving approaches to medical care for men who have recovered from COVID-19 and creating preventive programmes.
对冠状病毒大流行全球影响的深入理解决定了本研究的相关性，该大流行不仅影响肺部健康，还影响广泛的其他身体系统。鉴于有关冠状病毒感染长期影响的新数据，本研究具有高度重要性。本研究的目的是调查冠状病毒感染对男性生殖系统的影响，并评估其对男性生育能力的潜在影响，以完善损伤机制并提供医疗护理建议。
本研究采用了多种方法相结合，包括对医学组织数据库的荟萃分析、临床病例分析、代表性抽样方法和定量调查方法。这些方法使我们能够全面、多方面地看待该问题。
精子样本显示，尤其是中度和重度新冠肺炎症状患者的精子前向运动能力、精子浓度和体积显著下降，而轻度症状患者仅前向运动能力和总体精子活力下降。调查发现新冠肺炎康复后男性生殖系统功能障碍的症状。主要症状包括性欲减退（15%）、阳痿（13%）和生殖器官感染（12%）。大多数接受调查的男性对男性生殖健康的其他方面，包括感染、基因缺陷、慢性病和可用医疗服务缺乏足够的认识。
研究结果得出结论，冠状病毒感染会对男性生殖系统产生负面影响。本研究的实际价值在于改进对新冠肺炎康复男性的医疗护理方法并制定预防方案。
