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dc.contributor.authorLindaman, Luke A.
dc.contributor.authorPilsner, J. Richard
dc.contributor.authorKroll-Desrosiers, Aimee
dc.contributor.authorHaskell, Sally
dc.contributor.authorBrandt, Cynthia A.
dc.contributor.authorMattocks, Kristin M.
dc.date2022-08-11T08:08:22.000
dc.date.accessioned2022-08-23T15:52:43Z
dc.date.available2022-08-23T15:52:43Z
dc.date.issued2017-05-01
dc.date.submitted2017-12-13
dc.identifier.citationMil Med. 2017 May;182(5):e1775-e1781. doi: 10.7205/MILMED-D-16-00278. <a href="https://doi.org/10.7205/MILMED-D-16-00278">Link to article on publisher's site</a>
dc.identifier.issn0026-4075 (Linking)
dc.identifier.doi10.7205/MILMED-D-16-00278
dc.identifier.pmid29087924
dc.identifier.urihttp://hdl.handle.net/20.500.14038/29201
dc.description.abstractBACKGROUND: There is little research investigating exposures that occurred during war or conflict and the resulting influence on semen quality. We examined the associations between military service and semen quality among U.S. Veterans of Operation Enduring Freedom, Operation Iraqi Freedom, and Operational New Dawn. METHODS: U.S. Veterans (n = 714), who sought fertility treatment and were participants of the Department of Veterans Affairs Women Veterans Cohort Study were included in the current study. Semen quality parameters (semen volume, total sperm count, sperm concentration, and percentage of total motile sperm) measured at fertility clinics in Veterans Affairs Healthcare System were analyzed. FINDINGS: The median values of Veterans were 2.7 mL for semen volume, 55.3 x 10(6) for total sperm count, 22.0 x 10(6)/mL for sperm concentration, and 55% for total motile sperm. No significant differences among Veterans were found between military-specific variables evaluated and sperm quality. In multivariate models, Veterans > /=46 years of age had lower semen volume (beta = -0.10 +/- 0.05; p < 0.05) and lower percent total motile sperm (beta = -18.45 +/- 7.0; p = 0.009) than Veterans 18 to 25 years of age. Black and Hispanic Veterans had lower sperm concentrations as compared to White Veterans (beta = -0.17 +/- 0.07; p = 0.01 and beta = -0.20 +/- 0.06; p < 0.001, respectively). Finally, Veterans diagnosed with post-traumatic stress disorder or major depression had lower total sperm motility (beta = -0.10 +/- 0.03; p = 0.004 and beta = -0.09 +/- 0.04; p < 0.05, respectively). DISCUSSION: Veterans who were older, Hispanic or Black, or diagnosed with post-traumatic stress disorder or major depression were more likely to have lower sperm quality. Longitudinal studies are needed to better characterize the influence of military-specific exposures on semen quality parameters.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=29087924&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.7205/MILMED-D-16-00278
dc.subjectMilitary and Veterans Studies
dc.subjectPsychiatry and Psychology
dc.subjectReproductive and Urinary Physiology
dc.titleSemen Quality Parameters Among U.S. Veterans of Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn
dc.typeJournal Article
dc.source.journaltitleMilitary medicine
dc.source.volume182
dc.source.issue5
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/1427
dc.identifier.contextkey11242878
html.description.abstract<p>BACKGROUND: There is little research investigating exposures that occurred during war or conflict and the resulting influence on semen quality. We examined the associations between military service and semen quality among U.S. Veterans of Operation Enduring Freedom, Operation Iraqi Freedom, and Operational New Dawn.</p> <p>METHODS: U.S. Veterans (n = 714), who sought fertility treatment and were participants of the Department of Veterans Affairs Women Veterans Cohort Study were included in the current study. Semen quality parameters (semen volume, total sperm count, sperm concentration, and percentage of total motile sperm) measured at fertility clinics in Veterans Affairs Healthcare System were analyzed.</p> <p>FINDINGS: The median values of Veterans were 2.7 mL for semen volume, 55.3 x 10(6) for total sperm count, 22.0 x 10(6)/mL for sperm concentration, and 55% for total motile sperm. No significant differences among Veterans were found between military-specific variables evaluated and sperm quality. In multivariate models, Veterans > /=46 years of age had lower semen volume (beta = -0.10 +/- 0.05; p < 0.05) and lower percent total motile sperm (beta = -18.45 +/- 7.0; p = 0.009) than Veterans 18 to 25 years of age. Black and Hispanic Veterans had lower sperm concentrations as compared to White Veterans (beta = -0.17 +/- 0.07; p = 0.01 and beta = -0.20 +/- 0.06; p < 0.001, respectively). Finally, Veterans diagnosed with post-traumatic stress disorder or major depression had lower total sperm motility (beta = -0.10 +/- 0.03; p = 0.004 and beta = -0.09 +/- 0.04; p < 0.05, respectively).</p> <p>DISCUSSION: Veterans who were older, Hispanic or Black, or diagnosed with post-traumatic stress disorder or major depression were more likely to have lower sperm quality. Longitudinal studies are needed to better characterize the influence of military-specific exposures on semen quality parameters.</p>
dc.identifier.submissionpathfaculty_pubs/1427
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pagese1775-e1781


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