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Perceived stress and semen quality

Background Psychological stress is prevalent among reproductive‐aged men. Assessment of semen quality for epidemiological studies is challenging as data collection is expensive and cumbersome, and studies evaluating the effect of perceived stress on semen quality are inconsistent. Objective To exami...

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Published in:Andrology (Oxford) 2023-01, Vol.11 (1), p.45-53
Main Authors: Lund, Katrine H., Laursen, Anne Sofie D., Grønborg, Therese K., Toft, Gunnar, Jacobsen, Bjarke H., Wang, Tanran R., Wesselink, Amelia K., Hatch, Elizabeth E., Sommer, Greg J., Eisenberg, Michael L., Rothman, Kenneth J., Sørensen, Henrik T., Wise, Lauren A., Mikkelsen, Ellen M.
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container_end_page 53
container_issue 1
container_start_page 45
container_title Andrology (Oxford)
container_volume 11
creator Lund, Katrine H.
Laursen, Anne Sofie D.
Grønborg, Therese K.
Toft, Gunnar
Jacobsen, Bjarke H.
Wang, Tanran R.
Wesselink, Amelia K.
Hatch, Elizabeth E.
Sommer, Greg J.
Eisenberg, Michael L.
Rothman, Kenneth J.
Sørensen, Henrik T.
Wise, Lauren A.
Mikkelsen, Ellen M.
description Background Psychological stress is prevalent among reproductive‐aged men. Assessment of semen quality for epidemiological studies is challenging as data collection is expensive and cumbersome, and studies evaluating the effect of perceived stress on semen quality are inconsistent. Objective To examine the association between perceived stress and semen quality. Material and methods We analyzed baseline data on 644 men (1,159 semen samples) from two prospective preconception cohort studies during 2015–2021: 592 in Pregnancy Study Online (PRESTO) and 52 in SnartForaeldre.dk (SF). At study entry, men aged ≥21 years (PRESTO) and ≥18 years (SF) trying to conceive without fertility treatment completed a questionnaire on reproductive and medical history, socio‐demographics, lifestyle, and the 10‐item version of the Perceived Stress Scale (PSS; interquartile range [IQR] of scores: 0–40). After enrollment (median weeks: 2.1, IQR: 1.3–3.7), men were invited to perform in‐home semen testing, twice with 7–10 days between tests, using the Trak Male Fertility Testing System. Semen quality was characterized by semen volume, sperm concentration, and total sperm count. We fit generalized estimating equation linear regression models to estimate the percent difference in mean log‐transformed semen parameters by four PSS groups (
doi_str_mv 10.1111/andr.13301
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Assessment of semen quality for epidemiological studies is challenging as data collection is expensive and cumbersome, and studies evaluating the effect of perceived stress on semen quality are inconsistent. Objective To examine the association between perceived stress and semen quality. Material and methods We analyzed baseline data on 644 men (1,159 semen samples) from two prospective preconception cohort studies during 2015–2021: 592 in Pregnancy Study Online (PRESTO) and 52 in SnartForaeldre.dk (SF). At study entry, men aged ≥21 years (PRESTO) and ≥18 years (SF) trying to conceive without fertility treatment completed a questionnaire on reproductive and medical history, socio‐demographics, lifestyle, and the 10‐item version of the Perceived Stress Scale (PSS; interquartile range [IQR] of scores: 0–40). After enrollment (median weeks: 2.1, IQR: 1.3–3.7), men were invited to perform in‐home semen testing, twice with 7–10 days between tests, using the Trak Male Fertility Testing System. Semen quality was characterized by semen volume, sperm concentration, and total sperm count. We fit generalized estimating equation linear regression models to estimate the percent difference in mean log‐transformed semen parameters by four PSS groups (&lt;10, 10–14, 15–19, ≥20), adjusting for potential confounders. Results The median PSS score and IQR was 15 (10–19), and 136 men (21.1%) had a PSS score ≥20. Comparing men with PSS scores ≥20 with &lt;10, the adjusted percent difference was −2.7 (95% CI: −9.8; 5.0) for semen volume, 6.8 (95% CI: ‐10.9; 28.1) for sperm concentration, and 4.3 (95% CI: −13.8; 26.2) for total sperm count. Conclusion Our findings indicate that perceived stress is not materially associated with semen volume, sperm concentration, or total sperm count.</description><identifier>ISSN: 2047-2919</identifier><identifier>EISSN: 2047-2927</identifier><identifier>DOI: 10.1111/andr.13301</identifier><identifier>PMID: 36151857</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Andrology and Humanities ; Cross-sectional studies ; cross‐sectional study ; Female ; Fertility ; Humans ; in‐home semen testing ; Male ; male fertility ; perceived stress ; preconception ; Pregnancy ; Prospective Studies ; Semen ; Semen Analysis ; semen quality ; Sperm ; Sperm Count ; Sperm Motility ; Spermatozoa ; Stress, Psychological</subject><ispartof>Andrology (Oxford), 2023-01, Vol.11 (1), p.45-53</ispartof><rights>2022 The Authors. published by Wiley Periodicals LLC on behalf of American Society of Andrology and European Academy of Andrology.</rights><rights>2022 The Authors. Andrology published by Wiley Periodicals LLC on behalf of American Society of Andrology and European Academy of Andrology.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3381-c8d549d695344d974f44308457befacdffcd0f10cdac27d2d4b6b9158d9997983</cites><orcidid>0000-0003-2138-3752 ; 0000-0003-0158-7950</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36151857$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lund, Katrine H.</creatorcontrib><creatorcontrib>Laursen, Anne Sofie D.</creatorcontrib><creatorcontrib>Grønborg, Therese K.</creatorcontrib><creatorcontrib>Toft, Gunnar</creatorcontrib><creatorcontrib>Jacobsen, Bjarke H.</creatorcontrib><creatorcontrib>Wang, Tanran R.</creatorcontrib><creatorcontrib>Wesselink, Amelia K.</creatorcontrib><creatorcontrib>Hatch, Elizabeth E.</creatorcontrib><creatorcontrib>Sommer, Greg J.</creatorcontrib><creatorcontrib>Eisenberg, Michael L.</creatorcontrib><creatorcontrib>Rothman, Kenneth J.</creatorcontrib><creatorcontrib>Sørensen, Henrik T.</creatorcontrib><creatorcontrib>Wise, Lauren A.</creatorcontrib><creatorcontrib>Mikkelsen, Ellen M.</creatorcontrib><title>Perceived stress and semen quality</title><title>Andrology (Oxford)</title><addtitle>Andrology</addtitle><description>Background Psychological stress is prevalent among reproductive‐aged men. Assessment of semen quality for epidemiological studies is challenging as data collection is expensive and cumbersome, and studies evaluating the effect of perceived stress on semen quality are inconsistent. Objective To examine the association between perceived stress and semen quality. Material and methods We analyzed baseline data on 644 men (1,159 semen samples) from two prospective preconception cohort studies during 2015–2021: 592 in Pregnancy Study Online (PRESTO) and 52 in SnartForaeldre.dk (SF). At study entry, men aged ≥21 years (PRESTO) and ≥18 years (SF) trying to conceive without fertility treatment completed a questionnaire on reproductive and medical history, socio‐demographics, lifestyle, and the 10‐item version of the Perceived Stress Scale (PSS; interquartile range [IQR] of scores: 0–40). After enrollment (median weeks: 2.1, IQR: 1.3–3.7), men were invited to perform in‐home semen testing, twice with 7–10 days between tests, using the Trak Male Fertility Testing System. Semen quality was characterized by semen volume, sperm concentration, and total sperm count. We fit generalized estimating equation linear regression models to estimate the percent difference in mean log‐transformed semen parameters by four PSS groups (&lt;10, 10–14, 15–19, ≥20), adjusting for potential confounders. Results The median PSS score and IQR was 15 (10–19), and 136 men (21.1%) had a PSS score ≥20. Comparing men with PSS scores ≥20 with &lt;10, the adjusted percent difference was −2.7 (95% CI: −9.8; 5.0) for semen volume, 6.8 (95% CI: ‐10.9; 28.1) for sperm concentration, and 4.3 (95% CI: −13.8; 26.2) for total sperm count. Conclusion Our findings indicate that perceived stress is not materially associated with semen volume, sperm concentration, or total sperm count.</description><subject>Adult</subject><subject>Andrology and Humanities</subject><subject>Cross-sectional studies</subject><subject>cross‐sectional study</subject><subject>Female</subject><subject>Fertility</subject><subject>Humans</subject><subject>in‐home semen testing</subject><subject>Male</subject><subject>male fertility</subject><subject>perceived stress</subject><subject>preconception</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Semen</subject><subject>Semen Analysis</subject><subject>semen quality</subject><subject>Sperm</subject><subject>Sperm Count</subject><subject>Sperm Motility</subject><subject>Spermatozoa</subject><subject>Stress, Psychological</subject><issn>2047-2919</issn><issn>2047-2927</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp9kF1LwzAUhoMobszd-AOk6I0Inflqk1zJmJ8gKqLXIU1S7ejaLWkn-_dmdg71wkMgB87DwzkvAIcIjlCoc1UZN0KEQLQD-hhSFmOB2e62R6IHht5PYSi-fngf9EiKEsQT1gfHT9ZpWyytiXzjrPdREEbezmwVLVpVFs3qAOzlqvR2uPkH4PX66mVyG98_3txNxvexJoSjWHOTUGFSkRBKjWA0p5RAThOW2Vxpk-fawBxBbZTGzGBDszQTKOFGCMEEJwNw0XnnbTazRtuqcaqUc1fMlFvJWhXy96Qq3uVbvZQIQoEpY8FwujG4etFa38hZ4bUtS1XZuvUSM8RSTkIyAT35g07r1lXhvkAllCKCUxKos47Srvbe2Xy7DYJyHb9cxy-_4g_w0c_9t-h32AFAHfBRlHb1j0qOHy6fO-knMziOMQ</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Lund, Katrine H.</creator><creator>Laursen, Anne Sofie D.</creator><creator>Grønborg, Therese K.</creator><creator>Toft, Gunnar</creator><creator>Jacobsen, Bjarke H.</creator><creator>Wang, Tanran R.</creator><creator>Wesselink, Amelia K.</creator><creator>Hatch, Elizabeth E.</creator><creator>Sommer, Greg J.</creator><creator>Eisenberg, Michael L.</creator><creator>Rothman, Kenneth J.</creator><creator>Sørensen, Henrik T.</creator><creator>Wise, Lauren A.</creator><creator>Mikkelsen, Ellen M.</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2138-3752</orcidid><orcidid>https://orcid.org/0000-0003-0158-7950</orcidid></search><sort><creationdate>202301</creationdate><title>Perceived stress and semen quality</title><author>Lund, Katrine H. ; Laursen, Anne Sofie D. ; Grønborg, Therese K. ; Toft, Gunnar ; Jacobsen, Bjarke H. ; Wang, Tanran R. ; Wesselink, Amelia K. ; Hatch, Elizabeth E. ; Sommer, Greg J. ; Eisenberg, Michael L. ; Rothman, Kenneth J. ; Sørensen, Henrik T. ; Wise, Lauren A. ; Mikkelsen, Ellen M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3381-c8d549d695344d974f44308457befacdffcd0f10cdac27d2d4b6b9158d9997983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Andrology and Humanities</topic><topic>Cross-sectional studies</topic><topic>cross‐sectional study</topic><topic>Female</topic><topic>Fertility</topic><topic>Humans</topic><topic>in‐home semen testing</topic><topic>Male</topic><topic>male fertility</topic><topic>perceived stress</topic><topic>preconception</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Semen</topic><topic>Semen Analysis</topic><topic>semen quality</topic><topic>Sperm</topic><topic>Sperm Count</topic><topic>Sperm Motility</topic><topic>Spermatozoa</topic><topic>Stress, Psychological</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lund, Katrine H.</creatorcontrib><creatorcontrib>Laursen, Anne Sofie D.</creatorcontrib><creatorcontrib>Grønborg, Therese K.</creatorcontrib><creatorcontrib>Toft, Gunnar</creatorcontrib><creatorcontrib>Jacobsen, Bjarke H.</creatorcontrib><creatorcontrib>Wang, Tanran R.</creatorcontrib><creatorcontrib>Wesselink, Amelia K.</creatorcontrib><creatorcontrib>Hatch, Elizabeth E.</creatorcontrib><creatorcontrib>Sommer, Greg J.</creatorcontrib><creatorcontrib>Eisenberg, Michael L.</creatorcontrib><creatorcontrib>Rothman, Kenneth J.</creatorcontrib><creatorcontrib>Sørensen, Henrik T.</creatorcontrib><creatorcontrib>Wise, Lauren A.</creatorcontrib><creatorcontrib>Mikkelsen, Ellen M.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Andrology (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lund, Katrine H.</au><au>Laursen, Anne Sofie D.</au><au>Grønborg, Therese K.</au><au>Toft, Gunnar</au><au>Jacobsen, Bjarke H.</au><au>Wang, Tanran R.</au><au>Wesselink, Amelia K.</au><au>Hatch, Elizabeth E.</au><au>Sommer, Greg J.</au><au>Eisenberg, Michael L.</au><au>Rothman, Kenneth J.</au><au>Sørensen, Henrik T.</au><au>Wise, Lauren A.</au><au>Mikkelsen, Ellen M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perceived stress and semen quality</atitle><jtitle>Andrology (Oxford)</jtitle><addtitle>Andrology</addtitle><date>2023-01</date><risdate>2023</risdate><volume>11</volume><issue>1</issue><spage>45</spage><epage>53</epage><pages>45-53</pages><issn>2047-2919</issn><eissn>2047-2927</eissn><abstract>Background Psychological stress is prevalent among reproductive‐aged men. Assessment of semen quality for epidemiological studies is challenging as data collection is expensive and cumbersome, and studies evaluating the effect of perceived stress on semen quality are inconsistent. Objective To examine the association between perceived stress and semen quality. Material and methods We analyzed baseline data on 644 men (1,159 semen samples) from two prospective preconception cohort studies during 2015–2021: 592 in Pregnancy Study Online (PRESTO) and 52 in SnartForaeldre.dk (SF). At study entry, men aged ≥21 years (PRESTO) and ≥18 years (SF) trying to conceive without fertility treatment completed a questionnaire on reproductive and medical history, socio‐demographics, lifestyle, and the 10‐item version of the Perceived Stress Scale (PSS; interquartile range [IQR] of scores: 0–40). After enrollment (median weeks: 2.1, IQR: 1.3–3.7), men were invited to perform in‐home semen testing, twice with 7–10 days between tests, using the Trak Male Fertility Testing System. Semen quality was characterized by semen volume, sperm concentration, and total sperm count. We fit generalized estimating equation linear regression models to estimate the percent difference in mean log‐transformed semen parameters by four PSS groups (&lt;10, 10–14, 15–19, ≥20), adjusting for potential confounders. Results The median PSS score and IQR was 15 (10–19), and 136 men (21.1%) had a PSS score ≥20. Comparing men with PSS scores ≥20 with &lt;10, the adjusted percent difference was −2.7 (95% CI: −9.8; 5.0) for semen volume, 6.8 (95% CI: ‐10.9; 28.1) for sperm concentration, and 4.3 (95% CI: −13.8; 26.2) for total sperm count. Conclusion Our findings indicate that perceived stress is not materially associated with semen volume, sperm concentration, or total sperm count.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36151857</pmid><doi>10.1111/andr.13301</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-2138-3752</orcidid><orcidid>https://orcid.org/0000-0003-0158-7950</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Andrology and Humanities
Cross-sectional studies
cross‐sectional study
Female
Fertility
Humans
in‐home semen testing
Male
male fertility
perceived stress
preconception
Pregnancy
Prospective Studies
Semen
Semen Analysis
semen quality
Sperm
Sperm Count
Sperm Motility
Spermatozoa
Stress, Psychological
title Perceived stress and semen quality
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