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睡眠与男性(不)育:全面概述。

Sleep and male (In)Fertility: A comprehensive overview.

作者信息

Cavalhas-Almeida Catarina, Cristo Maria Inês, Cavadas Cláudia, Ramalho-Santos João, Álvaro Ana Rita, Amaral Sandra

机构信息

CNC-UC - Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal; CIBB - Centre for Innovative Biomedicine and Biotechnology, University of Coimbra, Portugal; Faculty of Pharmacy, University of Coimbra, Coimbra, Portugal.

CNC-UC - Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal; CIBB - Centre for Innovative Biomedicine and Biotechnology, University of Coimbra, Portugal; University of Coimbra, Institute for Interdisciplinary Research, Doctoral Programme in Experimental Biology and Biomedicine (PDBEB), Portugal.

出版信息

Sleep Med Rev. 2025 Jun;81:102080. doi: 10.1016/j.smrv.2025.102080. Epub 2025 Mar 18.

DOI:10.1016/j.smrv.2025.102080
PMID:40153995
Abstract

Infertility affects millions of couples globally, with male factors contributing up to 50 % of cases. Despite the existing Assisted Reproduction Technologies (ART), decreased sperm quality and male infertility persist. Evidence suggests that sleep is crucial for normal reproductive function, and the noticeable increase in infertility rates aligns with the growing prevalence of sleep deprivation, suggesting a connection between both conditions. This literature review explores the possible links between sleep disturbances, with a special emphasis on insomnia, the most prevalent sleep disorder, and male reproductive health. It delves into the latest findings regarding factors such as sperm quality, hormone levels, and overall reproductive function from studies in mammals, both rodents and humans. Through a concise synthesis of these findings, we unveil potential mechanisms and provide crucial insights for clinicians and researchers in the field of reproductive health.

摘要

不孕症影响着全球数百万对夫妇,其中男性因素导致的病例占比高达50%。尽管现已有辅助生殖技术(ART),但精子质量下降和男性不育问题仍然存在。有证据表明,睡眠对正常生殖功能至关重要,而不孕症发病率的显著上升与睡眠剥夺患病率的不断增加相吻合,这表明两者之间存在关联。这篇文献综述探讨了睡眠障碍之间可能存在的联系,特别强调了失眠这一最普遍的睡眠障碍与男性生殖健康之间的关系。它深入研究了关于精子质量、激素水平和整体生殖功能等因素的最新研究结果,这些研究涵盖了啮齿动物和人类等哺乳动物。通过对这些研究结果的简要综合,我们揭示了潜在机制,并为生殖健康领域的临床医生和研究人员提供了重要见解。

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1
Sleep and male (In)Fertility: A comprehensive overview.睡眠与男性(不)育:全面概述。
Sleep Med Rev. 2025 Jun;81:102080. doi: 10.1016/j.smrv.2025.102080. Epub 2025 Mar 18.
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Linking sleep disturbance to idiopathic male infertility.将睡眠障碍与特发性男性不育症联系起来。
Sleep Med Rev. 2018 Dec;42:149-159. doi: 10.1016/j.smrv.2018.07.006. Epub 2018 Aug 3.
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Human fertility and sleep disturbances: A narrative review.人类生育能力与睡眠障碍:一篇叙述性综述。
Sleep Med. 2022 Oct;98:13-25. doi: 10.1016/j.sleep.2022.06.009. Epub 2022 Jun 19.
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Sleep, sleep disturbance, and fertility in women.女性的睡眠、睡眠障碍与生育能力
Sleep Med Rev. 2015 Aug;22:78-87. doi: 10.1016/j.smrv.2014.10.005. Epub 2014 Oct 18.
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Sleep disturbances and female infertility: a systematic review.睡眠障碍与女性不孕症:一项系统综述。
BMC Womens Health. 2024 Dec 20;24(1):643. doi: 10.1186/s12905-024-03508-y.
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Impairment of male reproductive function after sleep deprivation.睡眠剥夺对男性生殖功能的损害。
Fertil Steril. 2015 May;103(5):1355-62.e1. doi: 10.1016/j.fertnstert.2015.02.002. Epub 2015 Mar 4.
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Impact of sleep on female and male reproductive functions: a systematic review.睡眠对女性和男性生殖功能的影响:系统评价。
Fertil Steril. 2021 Mar;115(3):715-731. doi: 10.1016/j.fertnstert.2020.08.1429. Epub 2020 Oct 11.
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Role of stress in male fertility.压力在男性生育能力中的作用。
Arch Invest Med (Mex). 1991 Apr-Jun;22(2):223-8.
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Re: Impairment of Male Reproductive Function after Sleep Deprivation.关于:睡眠剥夺后男性生殖功能受损
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Sleep and female reproduction.睡眠与女性生殖。
Curr Opin Obstet Gynecol. 2019 Aug;31(4):222-227. doi: 10.1097/GCO.0000000000000554.

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