Evidence map›Paper›PMID 33389378›Full record

ReviewJournal of assisted reproduction and genetics2021

Lack of trusted diagnostic tools for undetermined male infertility.

Swati Pandruvada, Rachel Royfman, Tariq A Shah, Puneet Sindhwani, James M Dupree, Samantha Schon, Tomer Avidor-Reiss

Open access · greenAbstract readReview
In one paragraph

Review in Journal of assisted reproduction and genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% 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.

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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. A Compound Heterozygous Missense Variant in TheInternational journal of fertility & sterility · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Insights Into the Expectations of Infertile Men Regarding Multidisciplinary Reproductive Health Services.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Renaissance in sperm cytoplasmic contribution to infertility.Journal of assisted reproduction and genetics · 2024
    Article
  20. 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

7 authors at 2 institutions in 1 country.

Swati PandruvadaDepartment of Biological Sciences, College of Medicine and Life Sciences, University of Toledo, Toledo, OH, 43607, USA.ORCID https://orcid.org/0000-0003-2474-105X
Rachel RoyfmanDepartment of Biological Sciences, College of Medicine and Life Sciences, University of Toledo, Toledo, OH, 43607, USA.ORCID https://orcid.org/0000-0003-0246-387X
Tariq A ShahDepartment of Urology, College of Medicine and Life Sciences, University of Toledo, Toledo, OH, 43607, USA.ORCID https://orcid.org/0000-0003-0461-5806
Puneet SindhwaniDepartment of Urology, College of Medicine and Life Sciences, University of Toledo, Toledo, OH, 43607, USA.ORCID https://orcid.org/0000-0002-9420-2978
James M DupreeDepartment of Urology and Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, 48019, USA.ORCID https://orcid.org/0000-0002-4290-9648
Samantha SchonDivision of Reproductive Endocrinology & Infertility, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, 48109, USA.ORCID https://orcid.org/0000-0001-5524-3649
Tomer Avidor-ReissDepartment of Biological Sciences, College of Medicine and Life Sciences, University of Toledo, Toledo, OH, 43607, USA. Tomer.AvidorReiss@utoledo.edu.ORCID https://orcid.org/0000-0003-0918-526X
University of Toledo · USUniversity of Michigan · US

Funding

Molecular Marker for Centriole Remodeling in Human ReproductionR03HD098314 · NICHD · UNIVERSITY OF TOLEDO · PI AVIDOR-REISS, TOMER · 2019 to 2020
$150k
NICHD NIH HHS R03 HD098314
6 · The paper itself

Abstract

Semen analysis is the cornerstone of evaluating male infertility, but it is imperfect and insufficient to diagnose male infertility. As a result, about 20% of infertile males have undetermined infertility, a term encompassing male infertility with an unknown underlying cause. Undetermined male infertility includes two categories: (i) idiopathic male infertility-infertile males with abnormal semen analyses with an unknown cause for that abnormality and (ii) unexplained male infertility-males with "normal" semen analyses who are unable to impregnate due to unknown causes. The treatment of males with undetermined infertility is limited due to a lack of understanding the frequency of general sperm defects (e.g., number, motility, shape, viability). Furthermore, there is a lack of trusted, quantitative, and predictive diagnostic tests that look inside the sperm to quantify defects such as DNA damage, RNA abnormalities, centriole dysfunction, or reactive oxygen species to discover the underlying cause. To better treat undetermined male infertility, further research is needed on the frequency of sperm defects and reliable diagnostic tools that assess intracellular sperm components must be developed. The purpose of this review is to uniquely create a paradigm of thought regarding categories of male infertility based on intracellular and extracellular features of semen and sperm, explore the prevalence of the various categories of male factor infertility, call attention to the lack of standardization and universal application of advanced sperm testing techniques beyond semen analysis, and clarify the limitations of standard semen analysis. We also call attention to the variability in definitions and consider the benefits towards undetermined male infertility if these gaps in research are filled.

Indexed as

CentriolesDNA DamageHumansInfertility, MaleMaleSemen AnalysisSpermatozoaSperm CountSperm MotilityAndrologyMale infertilityPrevalenceSemen analysisSperm analysisUnexplained infertility

Identifiers

PMID33389378
PMCPMC7884538
OpenAlexW3119653295

What OpenQuestion holds

Textmetadata
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.