Male Reproduction: From Pathophysiology to Clinical Assessment

Abstract

AbstractMale infertility may depend by pre-testicular (for example, hypothalamic or pituitary diseases), testicular, and post-testicular (for example, obstructive pathologies of seminal ducts) causes. However, a large proportion (30–60%) of infertile males does not receive a clear diagnosis. In these cases, generally reported as idiopathic infertility, there is a strong suspicion of genetic factors yet to be discovered. Furthermore, male fertility may be influenced by a host of lifestyle risk factors such as environment, nutrition, exposure to infections, and smoking. Therefore, lifestyle and environment risk factors may have a role in many cases of idiopathic male infertility.In this chapter, we focus our attention on these risk factors, discussing three paradigmatic situations of interference between environment/lifestyle and male fertility, thus providing the pathophysiological basis of their detrimental impact on male fertility: exposure to environmental endocrine disruptors, such as perfluoro-alkyl substances (PFAS); exposure to viruses, such as HPV; effect of nutritional status and obesity.