World J Mens Health.  2023 Jul;41(3):482-488. 10.5534/wjmh.220199.

Male Fertility and Physical Exercise

Affiliations
  • 1Division of Experimental Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Università Vita-Salute San Raffaele, Milano, Italy
  • 2Department of Urology, School of Medicine, Stanford University, Stanford, CA, USA

Abstract

According to existing studies, sedentary behavior contributes to male infertility. Both preclinical and clinical studies have investigated the association between physical exercise, semen quality, and pregnancy rates with heterogeneous results. The current review sought to examine the relationship between physical activity (PA) and male infertility, semen characteristics, and pregnancy rates. Pre-clinical studies demonstrated mixed benefits from exercise, with diet being an important consideration. Some forms of PA showed an improvement in pregnancy rates, while others did not consistently improve semen quality. Data also suggests that more intense exercise and certain types of exercise may impair male fertility. Given the limited number of randomized trials, future research is required to examine the relationship between specific forms of exercise and semen parameters along with reproductive outcomes.

Keyword

Andrology; Exercise; Infertility; Men’s health; Sports
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