ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2020
The effect of ethnicity on semen analysis and hormones in the infertile patient.
Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 15 citations in OpenAlex.
- Microplastics and male reproductive system: A comprehensive review based on cellular and molecular effects.Toxicology reports · 2026Review
- Partner Ethnicity and Assisted Reproductive Technology Outcomes: A Retrospective Cohort Study.Journal of clinical medicine · 2025Article
- Prevalence of erectile dysfunction and associated factors among newly diagnosed ART naïve men living with HIV: a cross sectional study in Mwanza, Northwestern Tanzania.Frontiers in urology · 2025Article
- Racial differences in male fertility parameters in 2,996 men examined for infertility in a single center.Arab journal of urology · 2025Article
- Serum gonadal hormones levels and hypogonadism in ART naïve newly diagnosed HIV infected adult males in Mwanza, Tanzania.BMC endocrine disorders · 2024Article
- Asian Americans and infertility: genetic susceptibilities, sociocultural stigma, and access to care.F&S reports · 2022Article
- Is there a relationship between serum vitamin D and semen parameters? A cross-sectional sample of the Iranian infertile men.Basic and clinical andrology · 2021Article
- Pervasive structural racism in environmental epidemiology.Environmental health : a global access science source · 2021Article
- Regional and ethnic differences in semen quality and reproductive hormones in Russia: A Siberian population-based cohort study of young men.Andrology · 2021Article
- Unjustified assertions regarding race and ethnicity in clinical decision-making (Re: The effect of ethnicity on semen analysis and hormones in the infertile patient, CUAJ, Feb 2020).Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2020Article
- No Evidence of Temporal Decline in Semen Parameters Over 17 Years Among Men Who Underwent Fertility Evaluation from Indian Southern States.American journal of men's healthArticle
- The Association Between Race, Obesity, and Sperm Quality Among Men Attending a University Physician Practice in Washington, DC.American journal of men's healthArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWe aimed to study the association of ethnicity on semen parameters and hormones in patients presenting with infertility.
methodsData from men presenting for infertility assessment were prospectively collected and retrospectively reviewed. Demographic and clinical history was self-reported. Semen analysis included volume, count, motility, morphology, and vitality. The 2010 World Health Organization cutoffs were used. Baseline total testosterone and follicle-stimulating hormone (FSH) levels were recorded. Ethnicity data was classified as Caucasian, African Canadian, Asian, Indo-Canadian, Native Canadian, Hispanic, and Middle Eastern. All patients with complete data were included and statistical analysis was performed.
resultsA total of 9079 patients were reviewed, of which 3956 patients had complete data. Of these, 839 (21.2%) were azoospermic. After adjusting for age, African Canadians (odds ratio [OR] 1.70; 95% confidence interval [CI] 1.28-2.25) and Asians (1.34; 95% CI 1.11-1.62) were more likely to be azoospermic compared to Caucasians. Similarly, African Canadians (OR 1.75; 95% CI 1.33-2.29) were more likely to be oligospermic and Asians (OR 0.82; 95% CI 0.70-0.97) less likely to be oligospermic. Low volume was found in African Canadian (OR 1.42; 95% CI 1.05-1.91), Asians (OR 1.23; 95% CI 1.01-1.51), and Indo-Canadians (OR 1.47; 95% CI 1.01-2.13). Furthermore, Asians (OR 0.73; 95% CI 0.57-0.93) and Hispanics (OR 0.58; 95% CI 034-0.99) were less likely to have asthenospermia. Asians (OR 0.73; 95% CI 0.57-0.94) and Indo-Canadians (OR 0.58; 95% CI 0.35-0.99) were less likely to have teratozospermia. No differences were seen for vitality. No differences were seen for FSH levels, however, Asians (p<0.01) and Indo-Canadians (p<0.01) were more likely to have lower testosterone.
conclusionsOur study illustrates that variations in semen analyses and hormones exist in men with infertility. This may provide insight into the workup and management for infertile men from different ethnicities.
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Registered trials
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