Genitourinary infections and male infertility: impact, diagnosis and treatment

摘要

Several experimental and clinical studies have tried to explain the role of genitourinary tract infections on the reproductive function of semen, including recent studies that tried to reveal the negative impact of infections on mobility, in particular, and possibly on the morphological parameters of human spermatozoa. In this review, we attempt to explain the different viewpoints and theories of the various types of genitourinary infections (epididymitis, orchitis, MAGI, prostatitis and urethritis) with a direct impact on normal reproductive values of human semen via the bacteria themselves and via the inflammatory processes. Infections may also be the source of autoantibodies directed against spermatozoa.