Male fertility potential alteration in rheumatic diseases: a systematic review

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art_TISEO_Male_fertility_potential_alteration_in_rheumatic_diseases_a_2016.PDF (183.88 KB)
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44
Tipo de produção
article
Data de publicação
2016
Editora
BRAZILIAN SOC UROL
DOI
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SciELO
Scopus
Web of Science
PubMed
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Citação
INTERNATIONAL BRAZ J UROL, v.42, n.1, p.11-21, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: Improved targeted therapies for rheumatic diseases were developed recently resulting in a better prognosis for affected patients. Nowadays, patients are living longer and with improved quality of life, including fertility potential. These patients are affected by impaired reproductive function and the causes are often multifactorial related to particularities of each disease. This review highlights how rheumatic diseases and their management affect testicular function and male fertility. Materials and Methods: A systematic review of literature of all published data after 1970 was conducted. Data was collected about fertility abnormalities in male patients with systemic lupus erythematosus, rheumatoid arthritis, dermatomyositis, ankylosing spondylitis, Behcet disease and gout. Two independent researchers carried out the search in online databases. Results: A total of 19 articles were included addressing the following diseases: 7 systemic lupus erythematosus, 6 Behcet disease, 4 ankylosing spondylitis, 2 rheumatoid arthritis, 2 dermatomyositis and one gout. Systemic lupus erythematosus clearly affects gonadal function impairing spermatogenesis mainly due to antisperm antibodies and cyclophosphamide therapy. Behcet disease, gout and ankylosing spondylitis patients, including those under anti-TNF therapy in the latter disease, do not seem to have reduced fertility whereas in dermatomyositis, the fertility potential is hampered by disease activity and by alkylating agents. Data regarding rheumatoid arthritis is scarce, gonadal dysfunction observed as consequence of disease activity and antisperm antibodies. Conclusions: Reduced fertility potential is not uncommon. Its frequency and severity vary among the different rheumatic diseases. Permanent infertility is rare and often associated with alkylating agent therapy.
Palavras-chave
Rheumatic Diseases, Fertility, Infertility, Male
URI
https://observatorio.fm.usp.br/handle/OPI/14152
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCM
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - FM/MPE
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/ICr
Artigos e Materiais de Revistas Científicas - LIM/17
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