Skip to main content

Advertisement

Log in

The Seminal Microbiome and Male Factor Infertility

  • Male Sexual Dysfunction and Disorder (N Thirumavalavan, Section Editor)
  • Published:
Current Sexual Health Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Focusing on studies published within the last decade, we review the literature on the seminal microbiome and male factor infertility. We highlight potential mechanisms by which microbes may impact fertility and underscore key limitations and clinical implications of these studies.

Recent Findings

The seminal microbiome encompasses a metabolically and phylogenetically diverse group of microorganisms. Lactobacillus was consistently associated with normal semen analysis parameters and fertility; Anaerococcus was negatively associated with semen quality. These microbes may participate in a complex cross-talk with the host immune system, thereby modulating local and perhaps systemic inflammatory responses, impacting semen quality.

Summary

Research investigating the intersection between the seminal microbiome and male fertility is still in its infancy. Recent investigations have been exclusively cross-sectional, correlational studies, limiting the clinical applicability of published research. Prospective studies with more sophisticated methodologies are necessary.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Osadchiy V, Martin CR, Mayer EA. The gut-brain axis and the microbiome: mechanisms and clinical implications. Clin Gastroenterol Hepatol. 2019;17(2):322–32.

    Article  CAS  Google Scholar 

  2. Golombos DM, Ayangbesan A, O'Malley P, Lewicki P, Barlow L, Barbieri CE, et al. The role of gut microbiome in the pathogenesis of prostate cancer: a prospective, Pilot Study. Urology. 2018;111:122–8.

    Article  Google Scholar 

  3. Sirota I, Zarek SM, Segars JH. Potential influence of the microbiome on infertility and assisted reproductive technology. Semin Reprod Med. 2014;32(1):35–42.

    Article  Google Scholar 

  4. Gimenes F, Souza RP, Bento JC, Teixeira JJ, Maria-Engler SS, Bonini MG, et al. Male infertility: a public health issue caused by sexually transmitted pathogens. Nat Rev Urol. 2014;11(12):672–87.

    Article  Google Scholar 

  5. Jungwirth A, Giwercman A, Tournaye H, Diemer T, Kopa Z, Dohle G, et al. European Association of Urology guidelines on male infertility: the 2012 update. Eur Urol. 2012;62(2):324–32.

    Article  Google Scholar 

  6. Owen DH, Katz DF. A review of the physical and chemical properties of human semen and the formulation of a semen simulant. J Androl. 2005;26(4):459–69.

    Article  CAS  Google Scholar 

  7. Mandar R. Microbiota of male genital tract: impact on the health of man and his partner. Pharmacol Res. 2013;69(1):32–41.

    Article  Google Scholar 

  8. •• Hou D, Zhou X, Zhong X, Settles ML, Herring J, Wang L, et al. Microbiota of the seminal fluid from healthy and infertile men. Fertil Steril. 2013;100(5):1261–9 This study is among the earliest to apply next-generation sequencing methodology to analyze the semen microbiome, demonstrating an association between Anaerococcus and negative sperm quality.

    Article  Google Scholar 

  9. Kiessling AA, Desmarais BM, Yin HZ, Loverde J, Eyre RC. Detection and identification of bacterial DNA in semen. Fertil Steril. 2008;90(5):1744–56.

    Article  CAS  Google Scholar 

  10. Swidsinski A, Dorffel Y, Loening-Baucke V, Mendling W, Verstraelen H, Dieterle S, et al. Desquamated epithelial cells covered with a polymicrobial biofilm typical for bacterial vaginosis are present in randomly selected cryopreserved donor semen. FEMS Immunol Med Microbiol. 2010;59(3):399–404.

    Article  CAS  Google Scholar 

  11. Weng SL, Chiu CM, Lin FM, Huang WC, Liang C, Yang T, et al. Bacterial communities in semen from men of infertile couples: metagenomic sequencing reveals relationships of seminal microbiota to semen quality. PLoS One. 2014;9(10):e110152.

    Article  CAS  Google Scholar 

  12. Baud D, Pattaroni C, Vulliemoz N, Castella V, Marsland BJ, Stojanov M. Sperm microbiota and its impact on semen parameters. Front Microbiol. 2019;10:234.

    Article  Google Scholar 

  13. • Monteiro C, Marques PI, Cavadas B, Damiao I, Almeida V, Barros N, et al. Characterization of microbiota in male infertility cases uncovers differences in seminal hyperviscosity and oligoasthenoteratozoospermia possibly correlated with increased prevalence of infectious bacteria. Am J Reprod Immunol. 2018;79(6):e12838 This study pooled a large number of semen samples based on semen analysis findings and then analyzing the pooled samples, demonstrating a more cost-effective but equally efficacious method to perform next-generation sequencing-based analysis of the semen microbiome.

    Article  CAS  Google Scholar 

  14. •• Alfano M, Ferrarese R, Locatelli I, Ventimiglia E, Ippolito S, Gallina P, et al. Testicular microbiome in azoospermic men-first evidence of the impact of an altered microenvironment. Hum Reprod. 2018;33(7):1212–7 This study demonstrates that the testicular microbiome is alterted in men with azoospermia.

    Article  CAS  Google Scholar 

  15. • Liu CM, Osborne BJ, Hungate BA, Shahabi K, Huibner S, Lester R, et al. The semen microbiome and its relationship with local immunology and viral load in HIV infection. PLoS Pathog. 2014;10(7):e1004262 This study explores the relationship between the seminal microbiome and the immune system within the context of an HIV-infected patient population.

    Article  CAS  Google Scholar 

  16. Le Chatelier E, Nielsen T, Qin J, Prifti E, Hildebrand F, Falony G, et al. Richness of human gut microbiome correlates with metabolic markers. Nature. 2013;500(7464):541–6.

    Article  CAS  Google Scholar 

  17. Havrylyuk A, Chopyak V, Boyko Y, Kril I, Kurpisz M. Cytokines in the blood and semen of infertile patients. Cent Eur J Immunol. 2015;40(3):337–44.

    Article  CAS  Google Scholar 

  18. Dong TG, Dong S, Catalano C, Moore R, Liang X, Mekalanos JJ. Generation of reactive oxygen species by lethal attacks from competing microbes. Proc Natl Acad Sci U S A. 2015;112(7):2181–6.

    Article  CAS  Google Scholar 

  19. Sanocka D, Kurpisz M. Reactive oxygen species and sperm cells. Reprod Biol Endocrinol. 2004;2:12.

    Article  Google Scholar 

  20. Kobatake E, Nakagawa H, Seki T, Miyazaki T. Protective effects and functional mechanisms of Lactobacillus gasseri SBT2055 against oxidative stress. PLoS One. 2017;12(5):e0177106.

    Article  CAS  Google Scholar 

  21. Nakagawa H, Shiozaki T, Kobatake E, Hosoya T, Moriya T, Sakai F, et al. Effects and mechanisms of prolongevity induced by Lactobacillus gasseri SBT2055 in Caenorhabditis elegans. Aging Cell. 2016;15(2):227–36.

    Article  CAS  Google Scholar 

  22. Zhou J, Chen L, Li J, Li H, Hong Z, Xie M, et al. The semen pH affects sperm motility and capacitation. PLoS One. 2015;10(7):e0132974.

    Article  CAS  Google Scholar 

  23. Wolters-Everhardt E, Dony JM, Peters WH, De Pont JJ. Buffering substances of human semen. Fertil Steril. 1987;48(1):159–61.

    Article  CAS  Google Scholar 

Download references

Funding

SVE is supported by a Research Scholar Award from the Urology Care Foundation and the American Urological Association. EAM is supported by grants from the National Institutes of Health including DK048351 and DK082370. These organizations played no role in the collection, analysis, and interpretation of data, in the writing of the manuscript, and in the decision to submit the manuscript for publication.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sriram V. Eleswarapu.

Ethics declarations

Competing Interests

SVE is a consultant for Metuchen Pharmaceuticals. JNM is a consultant for Antares Pharma, Boston Scientific, and Endo Pharmaceuticals. VO and EAM declare no competing interests.

Human and Animal Rights

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Male Sexual Dysfunction and Disorder

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Osadchiy, V., Mills, J.N., Mayer, E.A. et al. The Seminal Microbiome and Male Factor Infertility. Curr Sex Health Rep 12, 202–207 (2020). https://doi.org/10.1007/s11930-020-00273-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11930-020-00273-5

Keywords

Navigation