Madab Ibrahim Qasim, Hamid Nibbras Ibrahim, Nima Montadhar Hameed, Manea Hashim, Madab Shireen Qasim, Naser Israa Habeeb
Medical City Complex, Baghdad, Iraq.
College of Medicine, University of Warith Al-Anbiyaa, Karbala, Iraq.
J Med Access. 2025 Sep 1;9:27550834251366837. doi: 10.1177/27550834251366837. eCollection 2025 Jan-Dec.
To investigate the effects of the Coronavirus disease 2019 (COVID-19) virus on seminal fluid analysis (SFA) parameters in patients who have had the infection.
COVID-19 is caused by severe acute respiratory syndrome coronavirus 2 and has had a significant global impact. Recent studies suggest a potential relationship between COVID-19 and male reproductive health, particularly in its effects on semen quality.
A prospective cohort study was conducted, and the trial had 50 participants outset (6 participants were lost to follow-up later, and the final analysis involved 44 participants). The study was conducted at the Baghdad Medical City Complex, and it lasted from August 2020 to August 2022. Patients who had received any COVID-19 vaccination were excluded.
In the present study, 44 male participants were included in this study, their mean age is 31.8 ± 5.1 years ranging from 22 to 42 years, their mean body mass index is 24.7 ± 3.4 kg/m, and about 77.3% were smokers. All SFA parameters were significantly reduced from baseline to 3-month visits, while from 3 to 6 months, there was a significant increase in all SFA parameters.
COVID-19 infection has a negative effect on SFA parameters during the first 3 months of post-viral infection. Parameters of SFA recovered to levels comparable to baseline SFA between 3 and 6 months after viral infection.
探讨2019冠状病毒病（COVID-19）病毒对感染该病毒患者精液分析（SFA）参数的影响。
COVID-19由严重急性呼吸综合征冠状病毒2引起，已对全球产生重大影响。最近的研究表明，COVID-19与男性生殖健康之间可能存在关联，尤其是对精液质量的影响。
进行了一项前瞻性队列研究，试验开始时有50名参与者（后来有6名参与者失访，最终分析涉及44名参与者）。该研究在巴格达医学城综合设施进行，从2020年8月持续到2022年8月。排除了接受过任何COVID-19疫苗接种的患者。
在本研究中，纳入了44名男性参与者，他们的平均年龄为31.8±5.1岁，年龄范围为22至42岁，平均体重指数为24.7±3.4kg/m²，约77.3%为吸烟者。从基线到3个月随访时，所有SFA参数均显著降低，而从3个月到6个月，所有SFA参数均显著增加。
COVID-19感染在病毒感染后的前3个月对SFA参数有负面影响。病毒感染后3至6个月，SFA参数恢复到与基线SFA相当的水平。
