Evidence map›Paper›PMID 40443128›Full record

SynthesisAsian journal of andrology2026

Reproductive function and sperm parameters in men with sickle cell disease: a systematic review.

Clarisse Leblanc, Nathalie Sermondade, Ludmilla Ogouma-Aworet, Anna Ly, Diane Rivet-Danon, Guillaume Bachelot, François Lionnet, Aline Santin, Anne-Gaël Cordier, Kamila Kolanska and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis in Asian journal of andrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Clarisse LeblancReproductive Biology Department, CECOS, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.
Nathalie SermondadeReproductive Biology Department, CECOS, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.
Ludmilla Ogouma-AworetReproductive Biology Department, CECOS, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.
Anna LyReproductive Biology Department, CECOS, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.
Diane Rivet-DanonReproductive Biology Department, CECOS, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.
Guillaume BachelotReproductive Biology Department, CECOS, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.
François LionnetDepartment of Internal Medicine, Reference Centre for Major Sickle Cell Syndromes, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.
Aline SantinDepartment of Internal Medicine, Reference Centre for Major Sickle Cell Syndromes, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.
Anne-Gaël CordierDepartment of Obstetrics and Gynaecology and Reproductive Medicine, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.
Kamila KolanskaDepartment of Obstetrics and Gynaecology and Reproductive Medicine, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.
Rachel LévyReproductive Biology Department, CECOS, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.
Isabelle BerthautReproductive Biology Department, CECOS, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.
Charlotte DupontReproductive Biology Department, CECOS, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sickle cell disease (SCD) is one of the most common hereditary diseases in the world. It leads to hemolytic anemia and painful vaso-occlusive crises that can damage target organs at the cardiopulmonary, cerebrovascular, and renal levels. SCD has also significant consequences on reproductive functions and fertility. Moreover, the treatments designed to alleviate and reduce vaso-occlusive crises directly impact male reproductive functions. Nevertheless, literature assessing the impact of SCD and its treatments on male reproductive functions remains limited and lacks robust evidence. A systematic review of the literature following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendation was carried out on the reproductive functions of men with SCD and the reproductive options available to them. Most studies have found that men with SCD frequently exhibit impaired sperm parameters. In addition, hydroxyurea (HU), proposed to relieve and reduce vaso-occlusive crises, is also known to impact male reproductive functions, and the reversibility of these consequences on sperm parameters remains hypothetical. Hematopoietic stem cell transplantation (HSCT) is currently the only curative treatment. However, conditioning treatments are highly gonadotoxic and can permanently alter spermatogenesis. Young men with SCD should therefore be informed about fertility at an early stage, and fertility preservation should be discussed in pubescent men, especially if treatment with HU or HSCT is to be initiated. In prepubertal boys about to undergo HSCT, immature testicular tissue freezing should be discussed, even though this technique is still experimental.

Indexed as

Anemia, Sickle CellInfertility, MaleReproductionSpermatozoaAntisickling AgentsFertility PreservationHematopoietic Stem Cell TransplantationHumansHydroxyureaMaleSpermatogenesisAntisickling AgentsHydroxyureafertility preservationhydroxyureamale reproductive functionssickle cell diseasesperm parameters

Identifiers

PMID40443128
PMCPMC13065316

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.