Male Subfertility among Patients with Alcohol and Tobacco Use Disorders versus Nonsubstance Users

Objective: Male subfertility, defined as compromised semen parameters, is a significant global concern, with growing evidence linking alcohol and tobacco use to impaired reproductive health. In this study, we intended to evaluate the impact of substance use on semen quality among patients attending...

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Main Authors: Supriya Suthar, Ashish Aggarwal, Savita Chahal, Arun Kumar Pandey, Hemlata Kamra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Taiwanese Journal of Psychiatry
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Online Access:https://journals.lww.com/10.4103/TPSY.TPSY_19_25
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author Supriya Suthar
Ashish Aggarwal
Savita Chahal
Arun Kumar Pandey
Hemlata Kamra
author_facet Supriya Suthar
Ashish Aggarwal
Savita Chahal
Arun Kumar Pandey
Hemlata Kamra
author_sort Supriya Suthar
collection DOAJ
description Objective: Male subfertility, defined as compromised semen parameters, is a significant global concern, with growing evidence linking alcohol and tobacco use to impaired reproductive health. In this study, we intended to evaluate the impact of substance use on semen quality among patients attending a tertiary care hospital in North India. Methods: A comparative cross-sectional study was done at Kalpana Chawla Government Medical College, Karnal. We recruited 90 male participants aged 18–50 years and divided 30 each into three groups: controls, alcohol users, and tobacco users at the Deaddiction Centre in the Department of Psychiatry. Participants received assessments using a predesigned sociodemographic proforma and semen analysis. Results: Significant differences were observed across semen parameters among the groups. Mean sperm count was highest in the control group (99.5 ± 22.26 million/mL) and significantly reduced in alcohol users (61.4 ± 35.40 million/mL) and tobacco users (64.4 ± 32.67 million/mL) (p < 0.001). Sperm motility and morphology were significantly impaired in substance users, with alcohol users showing the lowest motility and morphology. The severity of substance use was associated with progressive declines in sperm quality. Conclusion: Alcohol and tobacco consumption are strongly linked to decreased sperm count, motility, and morphology, with more severe use leading to worse outcomes. These findings highlight the urgent need for awareness campaigns to guide public health strategies in North India, emphasizing the reproductive risks of substance use, especially for men of reproductive age.
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spelling doaj-art-1132534be65a49edbdfbd606917b24a22025-08-20T02:44:04ZengWolters Kluwer Medknow PublicationsTaiwanese Journal of Psychiatry1028-36842666-20782025-04-013929610110.4103/TPSY.TPSY_19_25Male Subfertility among Patients with Alcohol and Tobacco Use Disorders versus Nonsubstance UsersSupriya SutharAshish AggarwalSavita ChahalArun Kumar PandeyHemlata KamraObjective: Male subfertility, defined as compromised semen parameters, is a significant global concern, with growing evidence linking alcohol and tobacco use to impaired reproductive health. In this study, we intended to evaluate the impact of substance use on semen quality among patients attending a tertiary care hospital in North India. Methods: A comparative cross-sectional study was done at Kalpana Chawla Government Medical College, Karnal. We recruited 90 male participants aged 18–50 years and divided 30 each into three groups: controls, alcohol users, and tobacco users at the Deaddiction Centre in the Department of Psychiatry. Participants received assessments using a predesigned sociodemographic proforma and semen analysis. Results: Significant differences were observed across semen parameters among the groups. Mean sperm count was highest in the control group (99.5 ± 22.26 million/mL) and significantly reduced in alcohol users (61.4 ± 35.40 million/mL) and tobacco users (64.4 ± 32.67 million/mL) (p < 0.001). Sperm motility and morphology were significantly impaired in substance users, with alcohol users showing the lowest motility and morphology. The severity of substance use was associated with progressive declines in sperm quality. Conclusion: Alcohol and tobacco consumption are strongly linked to decreased sperm count, motility, and morphology, with more severe use leading to worse outcomes. These findings highlight the urgent need for awareness campaigns to guide public health strategies in North India, emphasizing the reproductive risks of substance use, especially for men of reproductive age.https://journals.lww.com/10.4103/TPSY.TPSY_19_25northern indiaprevalencesperm countsperm mobility
spellingShingle Supriya Suthar
Ashish Aggarwal
Savita Chahal
Arun Kumar Pandey
Hemlata Kamra
Male Subfertility among Patients with Alcohol and Tobacco Use Disorders versus Nonsubstance Users
Taiwanese Journal of Psychiatry
northern india
prevalence
sperm count
sperm mobility
title Male Subfertility among Patients with Alcohol and Tobacco Use Disorders versus Nonsubstance Users
title_full Male Subfertility among Patients with Alcohol and Tobacco Use Disorders versus Nonsubstance Users
title_fullStr Male Subfertility among Patients with Alcohol and Tobacco Use Disorders versus Nonsubstance Users
title_full_unstemmed Male Subfertility among Patients with Alcohol and Tobacco Use Disorders versus Nonsubstance Users
title_short Male Subfertility among Patients with Alcohol and Tobacco Use Disorders versus Nonsubstance Users
title_sort male subfertility among patients with alcohol and tobacco use disorders versus nonsubstance users
topic northern india
prevalence
sperm count
sperm mobility
url https://journals.lww.com/10.4103/TPSY.TPSY_19_25
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AT savitachahal malesubfertilityamongpatientswithalcoholandtobaccousedisordersversusnonsubstanceusers
AT arunkumarpandey malesubfertilityamongpatientswithalcoholandtobaccousedisordersversusnonsubstanceusers
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