Abstract
Numerous studies have attempted to assess the effects of smoking on male reproductive physiology, including sperm parameters, male reproductive anatomy, as well as the male hormonal axes. Yet the results have been equivocal and contradictory. Our objective was to compile the current literature regarding how cigarette smoke exposure can contribute to male infertility. Environmental factors make it difficult to unravel the effects of smoking versus other lifestyle elements. However, with the increased efforts to limit smoke exposure, it is important to parse out potential reversible effects of smoking on the human body. It is well established that toxins in cigarette smoke produce radical oxygen species that cause oxidative damage to nearly every organ system. This increased stress has cascading effects stemming from an impaired hormonal axis, down to causing immotile spermatocytes. Disrupting the normal hormonal axis responsible for reproductive signaling; impairing correct, healthy spermatogenesis; and causing direct damage to mature sperm products are but a few of the etiologies of how smoking can contribute to male infertility.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Stillman RJ, Rosenberg MJ, Sachs BP. Smoking and reproduction. Fertil Steril. 1986;46(4):545–66.
Dikshit RK, Buch JG, Mansuri SM. Effect of tobacco consumption on semen quality of a population of hypofertile males. Fertil Steril. 1987;48(2):334–6.
Klaiber EL, et al. Interrelationships of cigarette smoking, testicular varicoceles, and seminal fluid indexes. Fertil Steril. 1987;47(3):481–6.
Osser S, Beckman-Ramirez A, Liedholm P. Semen quality of smoking and non-smoking men in infertile couples in a Swedish population. Acta Obstet Gynecol Scand. 1992;71(3):215–8.
Dunphy BC, Barratt CL, von Tongelen BP, Cooke ID. Male cigarette smoking and fecundity in couples attending an infertility clinic. Andrologia. 1991;23(3):223–5.
Pacifici R, et al. Nicotine, cotinine, and trans-3-hydroxycotinine levels in seminal plasma of smokers: effects on sperm parameters. Ther Drug Monit. 1993;15(5):358–63.
Sofikitis N, et al. Effects of smoking on testicular function, semen quality and sperm fertilizing capacity. J Urol. 1995;154(3):1030–4.
Vine MF, et al. Cigarette smoking and semen quality. Fertil Steril. 1996;65(4):835–42.
Chia SE, Tay SK, Lim ST. What constitutes a normal seminal analysis? Semen parameters of 243 fertile men. Hum Reprod. 1998;13(12):3394–8.
Horak S, Polanska J, Widlak P. Bulky DNA adducts in human sperm: relationship with fertility, semen quality, smoking, and environmental factors. Mutat Res. 2003;537(1):53–65.
Künzle R, Mueller MD, Hänggi W, Birkhäuser MH, Drescher H, Bersinger NA. Semen quality of male smokers and nonsmokers in infertile couples. Fertil Steril. 2003;79(2):287–91.
Pasqualotto FF, Sobreiro BP, Hallak J, Pasqualotto EB, Lucon AM. Cigarette smoking is related to a decrease in semen volume in a population of fertile men. BJU Int. 2006;97(2):324–6.
Colagar AH, Jorsaraee GA, Marzony ET. Cigarette smoking and the risk of male infertility. Pak J Biol Sci. 2007;10(21):3870–4.
Tremellen K. Oxidative stress and male infertility--a clinical perspective. Hum Reprod Update. 2008;14(3):243–58.
Calogero A, et al. Cigarette smoke extract immobilizes human spermatozoa and induces sperm apoptosis. Reprod Biomed Online. 2009;19(4):564–71.
Oyeyipo IP, et al. Effects of nicotine on sperm characteristics and fertility profile in adult male rats: a possible role of cessation. J Reprod Infertil. 2011;12(3):201–7.
Taha EA, et al. Effect of smoking on sperm vitality, DNA integrity, seminal oxidative stress, zinc in fertile men. Urology. 2012;80(4):822–5.
Sharma R, et al. Lifestyle factors and reproductive health: taking control of your fertility. Reprod Biol Endocrinol. 2013;11:66.
Zhang ZH, Zhu HB, Li LL, Yu Y, Zhang HG, Liu RZ. Decline of semen quality and increase of leukocytes with cigarette smoking in infertile men. Iran J Reprod Med. 2013;11(7):589–96.
Kumar S, et al. Environmental & lifestyle factors in deterioration of male reproductive health. Indian J Med Res. 2014;140(Suppl):S29–35.
Dai J, et al. Nicotine elevates sperm motility and induces Pfn1 promoter hypomethylation in mouse testis. Andrology. 2015;3(5):967–78.
Harlev A, et al. Smoking and male infertility: an evidence-based review. World J Mens Health. 2015;33(3):143–60.
Cui X, et al. Potential effect of smoking on semen quality through DNA damage and the downregulation of Chk1 in sperm. Mol Med Rep. 2016;14(1):753–61.
Esakky P, Moley KH. Paternal smoking and germ cell death: a mechanistic link to the effects of cigarette smoke on spermatogenesis and possible long-term sequelae in offspring. Mol Cell Endocrinol. 2016;435:85–93.
Jenkins TG, et al. Decreased fecundity and sperm DNA methylation patterns. Fertil Steril. 2016;105(1):51–7.
Sharma R, et al. Cigarette smoking and semen quality: a new meta-analysis examining the effect of the 2010 World Health Organization laboratory methods for the examination of human semen. Eur Urol. 2016;70(4):635–45.
Al Khaled Y, et al. Cigarette smoking induces only marginal changes in sperm DNA methylation levels of patients undergoing intracytoplasmic sperm injection treatment. Andrologia. 2018;50(1):e12818.
Harris KK, Zopey M, Friedman TC. Metabolic effects of smoking cessation. Nat Rev Endocrinol. 2016;12(5):299–308.
Ng M, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980–2012. JAMA. 2014;311(2):183–92.
Xu X, et al. Annual healthcare spending attributable to cigarette smoking: an update. Am J Prev Med. 2015;48(3):326–33.
Holford TR, et al. Tobacco control and the reduction in smoking-related premature deaths in the United States, 1964–2012. JAMA. 2014;311(2):164–71.
Rudolph LM, et al. Peripheral and central mechanisms involved in the hormonal control of male and female reproduction. J Neuroendocrinol. 2016;28(7). https://doi.org/10.1111/jne.12405.
Brean A. In process citation. Tidsskr Nor Laegeforen. 2016;136(8):691.
Chu DS, Shakes DC. Spermatogenesis. Adv Exp Med Biol. 2013;757:171–203.
Griswold MD. Spermatogenesis: the commitment to meiosis. Physiol Rev. 2016;96(1):1–17.
Dean RC, Lue TF. Physiology of penile erection and pathophysiology of erectile dysfunction. Urol Clin North Am. 2005;32(4):379–95, v.
Brugh VM 3rd, Matschke HM, Lipshultz LI. Male factor infertility. Endocrinol Metab Clin N Am. 2003;32(3):689–707.
Hirsh A. Male subfertility. BMJ. 2003;327(7416):669–72.
Kupis L, Dobronski PA, Radziszewski P. Varicocele as a source of male infertility – current treatment techniques. Cent Eur J Urol. 2015;68(3):365–70.
Jarow JP. Effects of varicocele on male fertility. Hum Reprod Update. 2001;7(1):59–64.
Agarwal A, et al. Effect of varicocele on semen characteristics according to the new 2010 World Health Organization criteria: a systematic review and meta-analysis. Asian J Androl. 2016;18(2):163–70.
Mohamad Al-Ali B, Eredics K. Synergistic effects of cigarette smoking and varicocele on semen parameters in 715 patients. Wien Klin Wochenschr. 2017;129(13–14):482–6.
Lanfranco F, et al. Klinefelter’s syndrome. Lancet. 2004;364(9430):273–83.
Stocco DM. StAR protein and the regulation of steroid hormone biosynthesis. Annu Rev Physiol. 2001;63:193–213.
Restrepo B, Cardona-Maya W. Antisperm antibodies and fertility association. Actas Urol Esp. 2013;37(9):571–8.
The health consequences of smoking: a report of the surgeon general. Atlanta; 2004.
Reubi D. Modernisation, smoking and chronic disease: of temporality and spatiality in global health. Health Place. 2016;39:188–95.
Oliva A, Spira A, Multigner L. Contribution of environmental factors to the risk of male infertility. Hum Reprod. 2001;16(8):1768–76.
Thompson J, Bannigan J. Cadmium: toxic effects on the reproductive system and the embryo. Reprod Toxicol. 2008;25(3):304–15.
Isik B, Ceylan A, Isik R. Oxidative stress in smokers and non-smokers. Inhal Toxicol. 2007;19(9):767–9.
Fraczek M, Kurpisz M. Inflammatory mediators exert toxic effects of oxidative stress on human spermatozoa. J Androl. 2007;28(2):325–33.
Polyzos A, et al. Differential sensitivity of male germ cells to mainstream and sidestream tobacco smoke in the mouse. Toxicol Appl Pharmacol. 2009;237(3):298–305.
Pirkle JL, et al. Trends in the exposure of nonsmokers in the U.S. population to secondhand smoke: 1988-2002. Environ Health Perspect. 2006;114(6):853–8.
Callahan-Lyon P. Electronic cigarettes: human health effects. Tob Control. 2014;23(Suppl 2):ii36–40.
Caponnetto P, et al. The emerging phenomenon of electronic cigarettes. Expert Rev Respir Med. 2012;6(1):63–74.
Engel S, Schreiner T, Petzoldt R. Lipid peroxidation in human spermatozoa and maintenance of progressive sperm motility. Andrologia. 1999;31(1):17–22.
Vine MF, et al. Cigarette smoking and sperm density: a meta-analysis. Fertil Steril. 1994;61(1):35–43.
Santi D, et al. Impairment of sperm DNA methylation in male infertility: a meta-analytic study. Andrology. 2017;5(4):695–703.
Ji G, et al. Common variants in mismatch repair genes associated with increased risk of sperm DNA damage and male infertility. BMC Med. 2012;10:49.
Sivam SP, Krause JE. Compensatory activation of substance P biosynthesis by L-dihydroxyphenylalanine in striatonigral neurons of neonatal dopaminergic denervated rats. J Pharmacol Exp Ther. 1990;254(2):433–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Meyer, J., Harlev, A. (2020). Smoking Effects on Male Fertility. In: Parekattil, S., Esteves, S., Agarwal, A. (eds) Male Infertility. Springer, Cham. https://doi.org/10.1007/978-3-030-32300-4_40
Download citation
DOI: https://doi.org/10.1007/978-3-030-32300-4_40
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-32299-1
Online ISBN: 978-3-030-32300-4
eBook Packages: MedicineMedicine (R0)