Center for Reproductive and Fetal Medicine

SARS-COV-2 IS RECOGNIZED IN MEN'S SPERM WITH COVID-19

SARS-COV-2 IS RECOGNIZED IN MEN'S SPERM WITH COVID-19

The Severe Acute Respiratory Syndrome (SARS-CoV-2) is present in the semen of some patients with COVID-19, including recovering patients, according to a study published online on the JAMA Network Open.

 

Diangeng Li, PhD, from the Chinese People's Liberation Army General Hospital in Beijing, and his colleagues examined all male patients with confirmed COVID-19 between January 26 and February 16, 2020, at Shangqiu Municipal Hospital. Thirty-eight registered patients were asked to give a sperm sample for testing SARS-CoV-2.

 

Of the 38 participants, 23 had succeeded clinical recovery and 15 were at acute stage of infection. The researchers found that 6 patients (15.8%) had positive results for SARS-CoV-2, including 4 who were in the acute stage of infection and 2 who recovered (26.7 and 8.7%, respectively). Patients with negative and positive test results did not differ in age, the history of urogenital diseases,the days of hospitalization or days after clinical recovery.

 

THE spermatogenesis still occurs in men with testicular cancer

 

THE spermatogenesis occurs in most men with testicular cancer, often away from tumors, according to a study published online at BJU International.

 

Jemma A. Moody, of King's College London, and her colleagues looked back 103 testicular stem cell tumors (TGCTs) in men who underwent radical orchidectomy (between 2011 and 2015) in order to estimate its frequency and prognostic factors spermatogenesis.

 

The researchers found that spermatogenesis was present in the patients' 70%. THE spermatogenesis was widespread in the 63% of these patients and focal in the 38%. His type volume, the stage, the presence micro-determination and tumor markers did not predict spermatogenesis. Spermatogenesis was 82% less likely in men with a percentage of possession testicular volume> 50% in their testes versus those with a testicular volume holding rate <50%.

 

"These findings can help predict and guide of successful sperm retrieval surgery in testes with TGCT", Write the researchers. "The finding of the focal point spermatogenesis in a third of patients will support a mmicrosurgical approach to sperm retrieval at the time of orchiectomy to maximize success. ”

 

 

 

* The content on this blog is not intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of qualified health care providers with questions you may have about medical conditions.

Center for Reproductive and Fetal Medicine

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Dr. Alexandros Traianos

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REPRODUCTIVE MEDICINE

FREQUENT QUESTIONS

The association of IVF drugs with cancer risk is a major concern for women enrolled in these programs. But the plethora of bibliographic reports collected from credible scientific studies and published in reputable medical journals worldwide are reassuring and do not confirm this concern.

Of course not. In about a third of cases, infertility is due to the woman (female factor), while in a third of cases, it is due to the man (male factor). The remaining one-third is due to both (both men and women) or even to unknown factors.

The quantity and quality of a man's sperm can be affected by his health and lifestyle. Some factors that can reduce the quantity and / or quality of sperm are:

  • the alcohol
  • drugs
  • environmental toxins, including pesticides and lead
  • smoking
  • health problems
  • medicines
  • radiotherapy and chemotherapy
  • the age

Success rates vary at each IVF Center. Very important factors are also the age of the woman, the levels of her hormones and of course the sperm of the husband. Rates generally range from 45% or slightly higher for women up to 35 years old.

Infertility is defined as the failure to conceive after one year (or 6 months, if it is a woman over 35) with normal, regular sexual intercourse. In other words, when a year passes without the woman becoming pregnant, the couple should consult their doctor to determine the cause of the pregnancy and then treat it. We must all, however, be aware and not forget that the age factor is the most critical for female fertility and that the individualized approach of each couple is the "golden key" that solves the problem.

The number of treatment cycles a woman can undergo is not specified. It is certain that in our country there are high level obstetricians-gynecologists and organized infertility treatment centers, which offer impeccable medical services at this level. If there are correct indications (eg ovaries that respond to stimulation therapy, good quality endometrium, etc.) the success rate -especially with the use of newer techniques and biotechnological drugs, which show increased bioactivity compared to conventional drugs from urine- totals approximately 65%-70% after 4 cycles of treatment.

At the Center for Reproductive Medicine of Dr. Traianos we offer egg / sperm cryopreservation services for those who have a personal or medical reason and need this service. We use the most modern vitrification technique in the freezing of sperm and eggs.

The collection of eggs takes 10-15 minutes, it is not painful, it is done under intoxication and after the end of the process you return to your activities.

In general, experts agree that the fact that a couple has already had a child can be considered proof that there is no infertility problem in the first place. It is like a small test that has been done and proves that they "made it" at least once. On the other hand, however, we must be aware that things may have changed in the meantime and a problem may have arisen (e.g. the man may have suffered some inflammation, which affects the quality of his sperm or something has intervened that affects female fertility: an inflammation, a gynecological surgery, an abortion, etc.).

In any case, if a reasonable period of time (one year) passes and a couple is unable to achieve pregnancy, then they should, with the help of their doctor, investigate whether there has been a problem causing infertility.