Evidence map›Paper›PMID 26401870›Full record

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

Decline in semen quality among infertile men in Brazil during the past 10 years.

Edson Borges, Amanda Souza Setti, Daniela Paes de Almeida Ferreira Braga, Rita de Cassia Savio Figueira, Assumpto Iaconelli

Abstract read
In one paragraph

Article 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. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Oxidative Stress and Male Reproductive Health-First Edition.Antioxidants (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Spatiotemporal trends in human semen quality.Nature reviews. Urology · 2022
    Review
  8. Is seminal quality worsening? A 20-year experience in Córdoba, Argentina.Journal of assisted reproduction and genetics · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Are semen parameters worsening? Comparing semen parameters 10 years apart.Nigerian medical journal : journal of the Nigeria Medical Association
    Article
  18. Article
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

5 authors.

Edson BorgesFertility, Centro de Fertilização Assistida, São Paulo, Brasil.
Amanda Souza SettiFertility, Centro de Fertilização Assistida, São Paulo, Brasil.
Daniela Paes de Almeida Ferreira BragaFertility, Centro de Fertilização Assistida, São Paulo, Brasil.
Rita de Cassia Savio FigueiraFertility, Centro de Fertilização Assistida, São Paulo, Brasil.
Assumpto IaconelliFertility, Centro de Fertilização Assistida, São Paulo, Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate whether the semen quality of men undergoing conventional semen analysis is deteriorating over time. MATERIALS AND

methodsWe analyzed and compared the sperm count, motility and morphology of 2300 semen samples provided by males undergoing conventional seminal analysis, from years 2000 to 2002 and 2010 to 2012. The incidences of severe oligozoospermia and azoospermia over time were also compared.

resultsA total of 764 sperm samples were analyzed in 2000-2002 and 1536 in 2010-2012. Over time, the mean sperm concentration/ml decreased significantly from 61.7 million in 2000-2002 to 26.7 million in 2010-2012 (R2 = 11.4%, p < 0.001), the total sperm concentration decreased significantly from 183.0 million to 82.8 million (R2 = 11.3%, p < 0.001), and the percentage of normal forms decreased significantly from 4.6% to 2.7% (R2 = 9.8%, p < 0.001). The incidence of severe oligozoospermia significantly increased from 15.7% to 30.3% (OR: 1.09, p < 0.001) and the incidence of azoospermia increased from 4.9% to 8.5% (OR: 1.06, p = 0.001).

conclusionsThis study demonstrated a significant time-related decline in semen quality of infertile patients. This finding might have implications on fertility and emphasizes the need for further studies addressing subject's life-style in order to find and reduce the causative agents. Future prospective and multicenter studies including representative samples of the general population are needed to confirm whether semen quality is really declining.

Indexed as

Sperm CountAdultAzoospermiaBrazilHumansIncidenceInfertility, MaleMaleMiddle AgedOligospermiaRegression AnalysisRetrospective StudiesSemen AnalysisSperm MotilityTime Factors

Identifiers

PMID26401870
PMCPMC4757006

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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.