Effect of semen on patients who have recovered from covid19
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Covid-19 And Male Fertility
The novel coronavirus disease (COVID-19) pandemic is emerging as a global health threat and shows a higher risk for men than women. Thus far, the studies on andrological consequences of COVID-19 are limited.
Originally thought to mainly affect the respiratory system, researchers now know that the symptoms of Covid-19 are numerous and varied, with the virus affecting several different parts of the body. Now a new report has added possible detrimental effects on male fertility to the already-long list.
Effect Of Semen On Patients Who Have Covid-19
Though Covid-19 is a respiratory disease that primarily affects the lungs, it can also temporarily affect the process of spermatogenesis— formation of sperms leading to low sperm count — among patients. It takes two-three months to regain normal count, post-Covid-19 recovery, said doctors.
“Covid-19 causes fever which affects the spermatogenesis in a patient. We have observed that post-infection, the sperm count among the recovered patients decreases, but it is temporary. Thus, we always advise couples who want to conceive through IVF treatment to delay their procedure,” said Dr Richa Jagtap, clinical director, consultant reproductive medicine, Nova IVF Fertility, Mumbai. “It can be said that Covid-19 affects fertility, but it is just temporary.”
In a 2020 cohort study, it was found that SARS-CoV-2 can be present in the semen of patients with COVID-19
Effect Of Semen On Patients Who Have Recovered From Covid-19
According to this study, ‘SARS-CoV-2 can be present in the semen of patients with COVID-19, and SARS-CoV-2 may still be detected in the semen of recovering patients. Owing to the imperfect blood-tests/deferens/epididymis barriers, SARS-CoV-2 might be seeded to the male reproductive tract, especially in the presence of systemic local inflammation. Even if the virus cannot replicate in the male reproductive system, it may persist, possibly resulting from the privileged immunity of testes. So far, researchers have found 27 viruses associated with viremia in human semen. But the presence of viruses in semen may be more common than currently understood, and traditional non–sexually transmitted viruses should not be assumed to be totally absent in genital secretions’
However further studies are required with respect to the detailed information about virus shedding, survival time, and concentration in semen’ They said
The study researchers, from the University of Florence in Italy, analyzed semen samples from 43 men ages 30 to 65 about one month after they had recovered from COVID-19. They found that 25% of the men had low sperm count, and nearly 20% had azoospermia, or the total absence of sperm in semen. That’s much higher than the prevalence of azoospermia in the general population worldwide, which is around 1%, according to Johns Hopkins School of Medicine.
Moreover, participants with serious COVID-19 infections — those who were hospitalized or admitted to the intensive care unit (ICU) — were more likely to have azoospermia after their infection, compared with those who faced less serious infections, according to the study, published Feb. 1 in the journal Human Reproduction.
However, the researchers stress their study doesn’t prove that SARS-CoV-2, the virus that causes COVID-19, harms sperm. The researchers don’t know what the men’s sperm counts were before their infections, so the authors can’t say for sure if the counts declined post-infection; but all of the men with azoospermia had previously fathered children, which means they had at least some viable sperm in the past, the report said. In addition, it’s possible that some of the medications given to treat COVID-19, such as antivirals, antibiotics and corticosteroids, could affect sperm counts.
Being sick in general may have an effect on semen. “The sicker you are, the more effect it can have,” said Dr. Ajay Nangia, professor and vice chair of urology at the University of Kansas Medical Center, who was not involved in the study.
Nangia added that these men need to be followed for a minimum of 90 days after illness to see if the effect is long-lasting, because sperm takes several months to fully mature. “You would have to repeat the study on these people at the 90-day mark,” to know if the effect is prolonged, he said.
Related Article: Covid mRNA Vaccine- Does It Affect Sperm Quality?
Covid-19 And Erectile Dysfunction
“Covid-19 causes depression and anxiety among patients which can also be a contributing factor in decreasing their sperm counts. It also impacts their sexual desires, arousal and eagerness for intercourse. But the patient is critically ill and suffered severe damage to the lungs, he recovers within two-three months,” said Dr Prakash Kothari is founder, professor, head of the department of sexual medicine at KEM Hospital, Parel.
Erectile Dysfunction can be both a short-term and a long-term complication of COVID-19,
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Effect Of Semen On Patients Who Have Recovered From Covid-19