Evidence map›Paper›PMID 24239161›Full record

Observational studyFertility and sterility2014

Semen quality and time to pregnancy: the Longitudinal Investigation of Fertility and the Environment Study.

Germaine M Buck Louis, Rajeshwari Sundaram, Enrique F Schisterman, Anne Sweeney, Courtney D Lynch, Sungduk Kim, José M Maisog, Robert Gore-Langton, Michael L Eisenberg, Zhen Chen

Abstract readObservational Study
In one paragraph

Observational study in Fertility and sterility, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Meta-correlation of Sperm Morphology and DNA Fragmentation Index.Reproductive sciences (Thousand Oaks, Calif.) · 2025
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  19. Male infertility.Nature reviews. Disease primers · 2023
    Review
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42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Germaine M Buck LouisDivision of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, Maryland. Electronic address: louisg@mail.nih.gov.
Rajeshwari SundaramDivision of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, Maryland.
Enrique F SchistermanDivision of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, Maryland.
Anne SweeneySchool of Rural Public Health, Texas A&M Health Science Center, College Station, Texas.
Courtney D LynchDepartment of Obstetrics and Gynecology, College of Medicine, Ohio State University, Columbus, Ohio.
Sungduk KimDivision of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, Maryland.
José M MaisogDivision of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, Maryland.
Robert Gore-LangtonThe EMMES Corporation, Rockville, Maryland.
Michael L EisenbergDepartment of Urology, Stanford University, Palo Alto, California.
Zhen ChenDivision of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, Maryland.

Funding

Longitudinal Investigation of Fertility and the EnvironmentZIAHD008770 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI SUNDARAM, RAJESHWARI · 2009 to 2025
$2.2M
DETERMINANTS OF MALE AND FEMALE FECUNDITY AND FERTILITY RESEARCH SITES-275033356N01HD033356 · NICHD · RESEARCH TRIANGLE INSTITUTE · 2004 to 2005
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DETERMINANTS OF MALE AND FEMALE FECUNDITY AND FERTILITY DATA COORDINAT-275033358N01HD033358 · NICHD · THE EMMES CORPORATION · 2004 to 2005
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Intramural NIH HHS ZIA HD008770NICHD NIH HHS N01-HD-3-3355NICHD NIH HHS N01-HD-3-3356NICHD NIH HHS N0H-HD-3-3358
6 · The paper itself

Abstract

objectiveTo assess semen parameters and couple fecundity as measured by time to pregnancy (TTP).

designObservational prospective cohort with longitudinal measurement of TTP.

settingSixteen Michigan/Texas counties. PATIENT(S): A total of 501 couples discontinuing contraception were followed for 1 year while trying to conceive; 473 men (94%) provided one semen sample, and 80% provided two samples. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Using prospectively measured TTP, fecundability odds ratios (FORs) and 95% confidence intervals (CIs) were estimated for 36 individual semen quality parameters accounting for repeated semen samples, time off contraception, abstinence, enrollment site, and couples' ages, body mass indices, and serum cotinine concentrations. RESULT(S): In adjusted models, semen quality parameters were associated with significantly shorter TTP as measured by FORs >1: percent motility, strict and traditional morphology, sperm head width, elongation factor, and acrosome area. Significantly longer TTPs or FORs <1 were observed for morphologic categories amorphous and round sperm heads and neck/midpiece abnormalities. No semen quality parameters achieved significance when simultaneously modeling all other significant semen parameters and covariates, except for percent coiled tail when adjusting for sperm concentration (FOR 0.99; 95% CI 0.99-1.00). Male age was consistently associated with reduced couple fecundity (FOR 0.96; 95% CI 0.93-0.99), reflecting a longer TTP across all combined models. Female but not male body mass index also conferred a longer TTP (FOR 0.98; 95% CI 0.96-0.99). CONCLUSION(S): Several semen measures were significantly associated with TTP when modeled individually but not jointly and in the context of relevant couple-based covariates.

Indexed as

EnvironmentAdultCohort StudiesFemaleFertilityHumansLongitudinal StudiesMalePregnancyProspective StudiesSemen AnalysisTime-to-PregnancyEpidemiologyfecunditysemenspermtime to pregnancy

Identifiers

PMID24239161
PMCPMC3946620

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.