TENDENCIES OF SPERMOGRAM PARAMETERS IN MEN, BEFORE AND AFTER COVID-19

Аннотация

The spermogram parameters of patients who underwent COVID-19 infection differed significantly from those of patients who did not undergo COVID-19 infection. Their ejaculate volume was 2 times reduced, the total number of spermatozoa was 3.6 times lower. Correspondingly, the sperm concentration is also reduced almost 2-fold. An increase in the pH of the spermatic fluid was detected. The percentage of pathological forms of spermatozoa was 2 times more. When comparing with the data of 20 years ago, it was confirmed that there were reliable changes: a significant decrease in the number of spermatozoa (5 times in those who had COVID-19 and 2.6 times in those who did not have COVID-19), the number of active and immobile spermatozoa (decreased by 1.8 times and increased by 1.6 times, respectively, in those who had COVID-19). Conclusions. Male COVID-19 survivors with elevated serum SARS-CoV-2 IgG levels are characterized by significant quantitative and qualitative changes in fertility. Consequently, COVID-19 coronavirus infection affects male reproductive function and thus may contribute to exacerbate the decline in male fertility that has already occurred in recent decades. These findings point to a possible decline in fertility in this region