Evidence map›Paper›PMID 25254609›Full record

ReviewInternational braz j urol : official journal of the Brazilian Society of Urology

Clinical relevance of routine semen analysis and controversies surrounding the 2010 World Health Organization criteria for semen examination.

Sandro C Esteves

Registry-linked trialOpen access · diamondAbstract readReview
PubMed Publisher
In one paragraph

Review in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03477136 (Correlation of Serum and Semen Vitamin D Level With Semen Parameters in Males), which is not on this map. Cited by 76 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 4 pooled it
16.7field-weighted citation impact, top 1% of its field
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.

NCT03477136 unknown statusnot on this map

Correlation of Serum and Semen Vitamin D Level With Semen Parameters in Males

TypeobservationalSponsorAssiut UniversityRan2018 to 2021Enrolled150ConditionsVitamin D DeficiencyArmsELISA to evaluate serum and seminal vitamin D level
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 4 syntheses or guidelines pooled it, 156 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Trial
  6. Review
  7. Association between sperm parameters and recurrent pregnancy loss in infertile couples: a cross-sectional study.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026
    Article
  8. Comparison of upper, middle, and lower pole pathologic biopsies of the testes in patients with non-obstructive azoospermia.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
    Article
  9. The Effect of Hydroalcoholic Extract ofFood science & nutrition · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Male infertility.Nature reviews. Disease primers · 2023
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Genetic Association of the FunctionalJournal of personalized medicine · 2021
    Article

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Sandro C EstevesANDROFERT, Andrology and Human Reproduction Clinic, Campinas, SP, Brazil.
Centro de Reprodução Humana Prof. Franco Junior · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Semen analysis is the corner stone of infertility evaluation as it provides information on the functional status of the seminiferous tubules, epididymis and accessory sex glands. The methods on how the human semen should be evaluated are provided by the World Health Organization, which periodically releases manuals that include specific protocols and reference standards. In 2010, the WHO published new criteria for human semen characteristics that were markedly lower than those previously reported. In this review initially it is discussed the limitations of semen analysis as a surrogate measure of a man's ability to father a pregnancy. Secondly, it is analyzed methodology issues that could explain why the newly released reference values were different from those earlier reported. Thirdly, it is speculated on the likely effects of the 2010 WHO criteria in the management of male infertility. Due to the several inherent limitations of semen analysis as a surrogate marker of male infertility, physicians should exercise caution when interpreting results. A template for semen analysis reports that incorporates the distribution of the semen characteristics of recent fathers in centiles rather than solely the minimum thresholds could aid clinicians to better understand how a given patient results compare with the reference population. Importantly, a male infertility evaluation must go far beyond a simple semen analysis, as it has to be complemented with a proper physical examination, a comprehensive history taking, and relevant endocrine, genetic, and other investigations.

Indexed as

Guidelines as TopicHumansInfertility, MaleMaleReference StandardsReference ValuesSemen AnalysisTime FactorsWorld Health Organization

Identifiers

PMID25254609
OpenAlexW2171144108

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.