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• W2937652406 endingPage "64" @default.
• W2937652406 startingPage "50" @default.
• W2937652406 abstract "Obesity is considered a worldwide epidemic disease. Many pathological conditions have been associated to obesity but the evidence relating to impaired fertility in males with obesity are contrasting. The aim of this review was to evaluate the interplay between obesity and male fertility, analyzing evidence from in vitro and in vivo studies to clinical trials. Obesity seems to be responsible of secondary hypogonadism. Here, we propose a new classification including central, peripheral and testicular factors that may affect the hypothalamic-pituitary-gonadal axis. Moreover, some studies demonstrated a direct action of obesity on sperm count and sperm characteristics, mediated by impaired Sertoli cells function, increased scrotal temperature, oxidative stress and accumulation of toxic substances and liposoluble endocrine disruptors in fat tissue. Recent studies have explored obesity-related epigenetic effects in sperm cells which may cause diseases in offspring. Moreover, not only in females but also males, obesity has been linked to reduced outcomes of in vitro fertilization, with a reduction of pregnancy rate and an increase of pregnancy loss. Finally, we reviewed the effects of weight modifications through diet or bariatric surgery on obesity-related reproductive dysfunction. In this regard, several studies have demonstrated that weight loss has been associated with a restoration of gonadal hormones levels." @default.
• W2937652406 created "2019-04-25" @default.
• W2937652406 creator A5003544129 @default.
• W2937652406 creator A5025735798 @default.
• W2937652406 creator A5041190841 @default.
• W2937652406 creator A5041243134 @default.
• W2937652406 creator A5047696071 @default.
• W2937652406 date "2019-04-01" @default.
• W2937652406 modified "2023-10-13" @default.
• W2937652406 title "How much does obesity affect the male reproductive function?" @default.
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