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THE EFFECTS OF CORONAVIRUS ON MALE REPRODUCTIVE SYSTEM: HERE ARE THOSE CLAIMS
Does COVID-19 cause infertility in men? Stating that the negative effects of COVID-19 on vital organs are known, many studies have been conducted around the world regarding whether it has an effect on reproduction, Turkey Medicals member and hospital department center Obstetrician Gynecologist Associate Doctor evaluated the claims related to the effects of COVID-19 infection on the male reproductive system.
One of the targets of coronavirus in the body is the ACE2 molecule. Studies show that the ACE2 property of the cells found in the testes in men is very high. Under normal conditions, there is a layer between the blood and the testicle that acts as a barrier, particular, to microbes and drugs.
This layer protects us from many negative situations. But a number of viruses (for example, ZIKA, hepatitis viruses, HIV) are able to cross this barrier. As a result, a number of viral diseases, including the SARS-COV2 microbe, can be traced to the testicles.
Therefore, there are studies showing that this virus selects the testicle as the target tissue and causes some destruction and causes negative effects on the genito-urinary system.
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YOUNG MEN ARE MORE LIKELY TO BE AFFECTED
It turned out that the ACE2 property is observed in male testicles at different ages, in different quantities. it is observed that the ACE2 property decreases in testicles over the age of 60, while this property is higher in men over the age of 30.
For this reason, the testicles of young patients are more likely to be affected by this disease than men of advanced age. This virus is able to trigger testicular inflammation, especially called orchitis.
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SEXUAL DESIRE CAN ALSO AFFECT LIBIDO
Not only does sperm production take place in the testicle; testosterone, the male hormone, is also produced in this organ.
Studies show that testosterone production is significantly reduced in those who contract the virus compared to those who don’t. In studies, it was found that there was a decrease in some male hormones, which we call the testosterone/LH ratio, which indicates the sensitivity of testicular cells, in COVID-19 patients.
This situation shows us that it can also negatively affect sexual desire and libido in a man. It is conceivable that it may cause sexual dysfunction in the following periods and with it. In fact, since this viral disease is accompanied by widespread coagulation, it can also cause blockage conditions called thrombosis in the testicular vessels.
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EFFECTS ON THE POSSIBILITY OF PREGNANCY
The data we have raises doubts that the virus can be sexually transmitted by being excreted in semen in a small number of men carrying Covid-19. However, especially in studies conducted with a PCR test, the virus was not significantly detected in semen samples in people who were actively ill or had recovered from the disease.
However, it is still recommended to take measures in this direction when performing IVF in Antalya. In the scientific studies conducted, it has been established that the SARS-COV2 microbe is involved in spermatozoa characteristics in men (number-movement, etc.) it has been noted that it can lead to adverse situations, in particular, it can cause genetic damage.
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DO SARS-COV2 VACCINES ADVERSELY AFFECT SPERM CHARACTERISTICS?
It is not possible to make this interpretation by looking at the available scientific data we have. According to a fairly recent study, sperm characteristics have not changed after vaccination. However, time is needed for long-term effects.
As a result, there remains a suspicion that COVID-19 infection may impair reproductive functions. But we do not yet know to what extent this will lead to infertility. This disease still remains a significant danger to the world.
More detailed and extensive studies will appear in the following periods. For today, in terms of male reproductive health, protecting against disease and contacting medical institutions when signs of disease occur is one of the most important measures to be taken.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
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