Preview

Public Health

Advanced search

The impact of alcohol on the male reproductive system

https://doi.org/10.21045/2782-1676-2021-1-2-62-69

Abstract

Although alcohol has been consumed by humans for centuries, its effect on reproductive function is still not fully understood. Numerous studies have examined the effects of alcohol on ejaculate parameters and male fertility. This article provides an overview of the main preclinical and clinical studies. Studies in experimental animals have shown that ethanol-rich diets cause spermatogenesis abnormalities, a variety of abnormalities involving different parts of the reproductive tract, and a decreased frequency of fertilization in murine oocytes. These effects quickly disappeared with the cessation of alcohol use. Most of the studies examining the effects of alcohol on men have shown a negative effect on ejaculate parameters. An association of hypogonadism and low or elevated gonadotropin levels has been reported, suggesting a combined central and peripheral damaging effect of ethanol. Thus, alcohol consumption has a pronounced negative effect on ejaculate parameters, which can be reversible upon cessation of alcohol consumption.

About the Authors

O. I. Apolikhin
Research Institute of Urology and Interventional Radiology named after N.A. Lopatkin – branch of the Federal State Budgetary Institution “National Medical Research Center of Radiology” of the Ministry of Health of Russia
Russian Federation

 Oleg I. Apolikhin – D.Sc. (Medicine), Professor, Corresponding member of the Russian Academy of Sciences, Director,  chief specialist of the Ministry of Health of Russia on male reproductive health 

Moscow



S. S. Krasnyak
Research Institute of Urology and Interventional Radiology named after N.A. Lopatkin – branch of the Federal State Budgetary Institution “National Medical Research Center of Radiology” of the Ministry of Health of Russia
Russian Federation

 Stepan S. Krasnyak – Department of andrology and human reproduction of N.A. Lopatkin Scientific

Moscow



References

1. Фонд народонаселения Организации объединенных наций (UNFPA). Программа действий. НьюЙорк. URL: https: //www.unfpa.org/sites/default/files/pub-pdf/programme_of_action_Web%20ENGLISH.pdf. (Дата обращения: 27.04.2020).

2. Европейское бюро всемирной организации здравоохранения. Отцовство и аспекты, связанные со здоровьем. [Интернет]. Копенгаген. URL: http: //www.euro.who.int/__data/assets/pdf_file/0017/69011/E91129.pdf. (Дата обращения: 27.04.2020).

3. Soubry A. POHaD: Why we should study future fathers. // Environ Epigenet // – 2018. – № 4. – С: dvy007.

4. Tokhi M. [et al]. Involving men to improve maternal and newborn health: a systematic review of the effectiveness of interventions // PLoS One. – 2018. – № 13. – P. e0191620.

5. Li Y. [et al]. Association between socio-psycho-behavioral factors and male semen quality: systematic review and meta-analyses. // Fertil Steril. – 2011. – Vol. 95. – № 1. – P. 116–23.

6. Ricci E. [et al]. Semen quality and alcohol intake: a systematic review and meta-analysis // Reprod Biomed Online. – 2017. – Vol. 34. – № 1. – P. 38–47.

7. Calogero A.E., Vicari E., La Vignera S. Chronic consumption of alcohol and sperm parameters: our experience and the main evidences. // Andrologia. –2015. – Vol. 47. – № 4. – P. 368–79.

8. Hassan M.A., Killick S.R. Negative lifestyle is associated with a signifcant reduction in fecundity. // Fertil Steril. –2004. – Vol. 81. – № 2. – P. 384–92.

9. Hansen M.L. [et al]. Does last week's alcohol intake affect semen quality or reproductive hormones? A cross-sectional study among healthy young Danish men. // Reprod Toxicol. – 2012 – Vol. 34. – № 3. – P. 457–62.

10. Ramlau-Hansen C.H. [et al]. Maternal alcohol consumption during pregnancy and semen quality in the male offspring: two decades of follow-up. // Hum Reprod. – 2010. – Vol. 25. – № 9. – P. 2340–5.

11. Aboulmaouahib S. [et al]. Impact of alcohol and cigarette smoking consumption in male fertility potential: Looks at lipid peroxidation, enzymatic antioxidant activities and sperm DNA damage. // Andrologia. –2018. – Vol. 50. – № 3. – Р. e12926.

12. Gaur D.S., Talekar M.S., Pathak V.P. Alcohol intake and cigarette smoking: impact of two major lifestyle factors on male fertility. // Indian J Pathol Microbiol. – 2010. – № 53. – P. 35–40.

13. Borges E. Jr. [et al]. Paternal lifestyle factors in relation to semen quality and in vitro reproductive outcomes. // Andrologia. – 2018. – № 50. – P. e13090.

14. Alati R. [et al]. Effect of prenatal alcohol exposure on childhood academic outcomes: contrasting maternal and paternal associations in the ALSPAC study. // PLoS One. – 2013. – № 8. – P. e74844.

15. Karalexi M.A. [et al]. Parental alcohol consumption and risk of leukemia in the offspring: a systematic review and meta-analysis. // Eur J Cancer Prev. – 2017. – № 26. – P. 433–441.

16. Управление служб по борьбе со злоупотреблением психоактивными веществами и психическому здоровью. Ключевые показатели психического здоровья и употребления психоактивных веществ в США: результаты Национального исследования употребления наркотиков и здоровья 2018 г. [Интернет]. Роквилл, Мэриленд: Центр статистики и качества поведенческого здоровья, Управление наркологической и психиатрической помощи; 2019. URL: https: //www.samhsa.gov/data

17. La Vignera S. [et al]. Does alcohol have any effect on male reproductive function? A review of literature. // Asian J Androl. – 2013. – Vol. 15. – № 2. – P. 221–5.

18. Thiel D.H. [et al]. Ethanol, a Leydig cell toxin: evidence obtained in vivo and in vitro. // Van Pharmacol Biochem Behav. – 1983. – Vol.18, Suppl 1. – P. 317–23.

19. Muthusami K.R., Chinnaswamy P. Effect of chronic alcoholism on male fertility hormones and semen quality. // Fertil Steril. – 2005. – Vol. 84. – № 4. – P. 919–24.

20. Jana K. [et al]. Ethanol induces mouse spermatogenic cell apoptosis in vivo through over-expression of Fas/Fas-L, p53, and caspase-3 along with cytochrome c translocation and glutathione depletion. // Mol Reprod Dev. –2010. – Vol. 77. – № 9. – P. 820–33.

21. Gordon G.G. [et al]. The effect of alcohol ingestion on hepatic aromatase activity and plasma steroid hormones in the rat. // Metabolism. – 1979. – Vol. 28. – № 1. – P. 20–4.

22. Burra P. [et al]. Severity of alcoholic liver disease and markers of thyroid and steroid status. // Postgrad Med J. – 1992. – Vol. 68. – № 804. – P. 804–10.

23. Ida Y. [et al]. Effects of acute and repeated alcohol ingestion on hypothalamic-pituitary-gonadal and hypothalamic-pituitary-adrenal functioning in normal males. // Drug Alcohol Depend. – 1992. – Vol. 31. – № 1. – P. 57–64.

24. Emanuele M.A., Emanuele N.V. Alcohol's effects on male reproduction. // Alcohol Health Res World. – 1998. – Vol. 22. – № 3. – P. 195–201.

25. Gianoulakis C. Characterization of the effects of acute ethanol administration on the release of beta-endorphin peptides by the rat hypothalamus. // Eur J Pharmacol. – 1990. – Vol. 180. – № 1. – P. 21–9.

26. Muthusami K.R., Chinnaswamy P. Effect of chronic alcoholism on male fertility hormones and semen quality. // Fertil Steril. – 2005. – № 84. – P. 919–24. DOI:10.1016/j.fertnstert.2005.04.025

27. Sengupta S.N. [et al]. Pituitary gonadal functioning in male alcoholics in an Indian psychiatric hospital. // Alcohol. – 1991. – № 26. – P. 47–51.

28. Heinz A. [et al]. Hypothalamic-pituitary-gonadal axis, prolactin, and cortisol in alcoholics during withdrawal and after three weeks of abstinence: comparison with healthy control subjects. // Psychiatry Res. – 1995. – № 56. – P. 81–95. DOI:10.1016/0165–1781(94)02580-C.

29. Lindholm J. [et al]. Pituitary-testicular function in patients with chronic alcoholism. // Eur J Clin Invest. – 1978. – № 8. – P. 269–72. DOI: 10.1111/j.1365–2362.1978.tb00840.x

30. Van Thiel D.H. [et al]. Effects of ethanol on endocrine cells: testicular effects. // Ann N Y Acad Sci. – 1987. – № 492. – P. 287–302. DOI:10.1111/j.1749–6632.1987.tb48682.x.

31. Gümüş B. [et al]. Effect of long-term alcohol abuse on male sexual function and serum gonadal hormone levels. // Int Urol Nephrol. – 1998. – № 30. – DOI:755–9.10.1007/BF02564864

32. Pajarinen J.T, Karhunen P.J. [et al]. Spermatogenic arrest and 'Sertoli cell-only' syndrome – common alcohol-induced disorders of the human testis. // Int J Androl. – 1994. – Vol. 17. – № 6. – P. 292–9.

33. Anderson R.A., Jr., Willis B. R., Oswald C. Spontaneous recovery from ethanol-induced male infertility. // Alcohol. – 1985. – № 2. – P. 479–484. DOI: 10.1016/0741–8329 (85) 90119-3.

34. Vicari E. [et al]. A case of reversible azoospermia following withdrawal from alcohol consumption. // J Endocrinol Investig. – 2002. – № 25. – P. 473–476. DOI:10.1007/BF03344041.

35. Sermondade N. [et al]. Progressive alcohol-induced sperm alterations leading to spermatogenic arrest, which was reversed after alcohol withdrawal. // Reprod. Biomed. Online. – 2010. – № 20. – P. 324–327. DOI: 10.1016/j.rbmo.2009.12.003.

36. Guthauser B. [et al]. Chronic excessive alcohol consumption and male fertility: A case report on reversible azoospermia and a literature review. // Alcohol. – 2014. – № 49. – P. 42–44. DOI: 10.1093/alcalc/agt133.

37. Jensen TK. [et al]. Alcohol and male reproductive health: a cross-sectional study of 8344 healthy men from Europe and the USA. // Hum Reprod. – 2014. – Vol. 29. – № 8. – P. 1801–9.

38. Jensen T.K. [et al]. Habitual alcohol consumption associated with reduced semen quality and changes in reproductive hormones; a cross-sectional study among 1221 young Danish men. // BMJ Open. – 2014. – № 4. – № 9. – P. e005462.

39. Boeri L. Heavy cigarette smoking and alcohol consumption are associated with impaired sperm parameters in primary infertile men. // Asian J Androl. – 2019. – Vol. 21. – № 5. – P. 478–485.

40. Ricci E. [et al]. Alcohol intake and semen variables: cross-sectional analysis of a prospective cohort study of men referring to an Italian Fertility Clinic. // Andrology. – 2018. – Vol. 6. – № 5. – P. 690–696.

41. Savolainen V.T. [et al]. Glutathione-S-transferase GST M1 "null" genotype and the risk of alcoholic liver disease. // Alcohol Clin Exp Res. – 1996. – Vol. 20. – № 8. – P. 1340–5.

42. Pajarinen J. [et al]. Glutathione S-transferase-M1 'null' genotype and alcohol-induced disorders of human spermatogenesis. // Int J Androl. – 1996. – Vol. 19. – № 3. – P. 155–63.

43. Condorelli R.A. [et al]. Chronic consumption of alcohol and sperm parameters: our experience and the main evidences. // Andrologia. – 2015. –Vol. 47. – № 4. –P. 368–79.


Review

For citations:


Apolikhin O.I., Krasnyak S.S. The impact of alcohol on the male reproductive system. Public Health. 2021;1(2):62-69. (In Russ.) https://doi.org/10.21045/2782-1676-2021-1-2-62-69

Views: 496


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2782-1676 (Print)
ISSN 2949-1274 (Online)