Cited by 184Sperm and Testicular FunctionReproductive Health and TechnologiesHypothalamic control of reproductive hormones

Obesity: modern man's fertility nemesis

Open access
Cabler, Stephanie, Agarwal, Ashok, Flint, Margot, Du Plessis, Stefan S.·2010·Asian Journal of Andrology

Abstract

The obesity pandemic has grown to concerning proportions in recent years, not only in the Western World, but in developing countries as well. The corresponding decrease in male fertility and fecundity may be explained in parallel to obesity, and obesity should be considered as an etiology of male fertility. Studies show that obesity contributes to infertility by reducing semen quality, changing sperm proteomes, contributing to erectile dysfunction, and inducing other physical problems related to obesity. Mechanisms for explaining the effect of obesity on male infertility include abnormal reproductive hormone levels, an increased release of adipose-derived hormones and adipokines associated with obesity, and other physical problems including sleep apnea and increased scrotal temperatures. Recently, genetic factors and markers for an obesity-related infertility have been discovered and may explain the difference between fertile obese and infertile obese men. Treatments are available for not only infertility related to obesity, but also as a treatment for the other comorbidities arising from obesity. Natural weight loss, as well as bariatric surgery are options for obese patients and have shown promising results in restoring fertility and normal hormonal profiles. Therapeutic interventions including aromatase inhibitors, exogenous testosterone replacement therapy and maintenance and regulation of adipose-derived hormones, particularly leptin, may also be able to restore fertility in obese males. Because of the relative unawareness and lack of research in this area, controlled studies should be undertaken and more focus should be given to obesity as an etiolgy of male infertility.

Integrity signals

Registry

Crossref · 10.1038/aja.2010.38

Cites

65 of 65 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • As testosterone treatment impairs spermatogenesis, it is contraindicated in obese men seeking to have children who are already at increased risk of impaired fertility.

    “As testosterone treatment impairs spermatogenesis, it is contraindicated in obese men seeking to have children who are already at increased risk of impaired fertility.114”

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Cabler, S., Agarwal, A., Flint, M., & Du Plessis, S. S.
Affiliations
  • Cleveland Clinic (US)
  • Stellenbosch University (ZA)
Venue
Asian Journal of Andrology
Published
2010-06-07
Volume
12
Issue
4
Pages
480-489
ISSN
  • 1008-682X (ISSN-L)
  • 1745-7262
OpenAlex
W2124388193
Cited by
184
References
65
Citations by year
2026: 3 · 2025: 6 · 2024: 7 · 2023: 10 · 2022: 8 · 2021: 8 · 2020: 13 · 2019: 11 · 2018: 19 · 2017: 15 · 2016: 9 · 2015: 18 · 2014: 16 · 2013: 17 · 2012: 16
FWCI
1.81
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Asian Journal of Andrology (publishedVersion, cc-by-nc-sa)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
  • Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
  • Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
Keywords
obesity, male infertility, male fertility, semen quality, sperm proteome, erectile dysfunction, adipokines, reproductive hormones, sleep apnea, scrotal temperature, bariatric surgery, weight loss, aromatase inhibitors, testosterone replacement therapy, leptin
MeSH terms
Fertility, Humans, Erectile Dysfunction, Infertility, Male, Life Style, Male, Obesity, Gonadal Steroid Hormones, Body Mass Index, Aromatase Inhibitors, Adipokines, Semen Analysis, Waist Circumference

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review