{"id":"https://openalex.org/W7204522669","doi":"https://doi.org/10.30841/2786-7323.2.2026.369732","title":"Clinical Significance of Combined Impairments in Ejaculate Quality Parameters and Their Impact on Male Fertility","display_name":"Clinical Significance of Combined Impairments in Ejaculate Quality Parameters and Their Impact on Male Fertility","publication_year":2026,"publication_date":"2026-06-29","ids":{"openalex":"https://openalex.org/W7204522669","doi":"https://doi.org/10.30841/2786-7323.2.2026.369732"},"language":"en","primary_location":{"id":"doi:10.30841/2786-7323.2.2026.369732","doi":"https://doi.org/10.30841/2786-7323.2.2026.369732","is_oa":true,"landing_page_url":"https://doi.org/10.30841/2786-7323.2.2026.369732","pdf_url":"https://health-man.com.ua/article/download/369732/354580","source":{"id":"https://openalex.org/S4387998009","display_name":"Health of Man","issn_l":"2786-7315","issn":["2786-7315","2786-7323"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health of Man","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://health-man.com.ua/article/download/369732/354580","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5053968105","display_name":"Oleg Nikitin","orcid":"https://orcid.org/0000-0002-6563-7008","observed_orcids":["https://orcid.org/0000-0002-6563-7008"]},"institutions":[{"id":"https://openalex.org/I84407627","display_name":"Bogomolets National Medical University","ror":"https://ror.org/03edafd86","country_code":"UA","type":"education","lineage":["https://openalex.org/I84407627"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"Oleh Nikitin","raw_affiliation_strings":["Bogomolets National Medical University"],"raw_orcid":"https://orcid.org/0000-0002-6563-7008","affiliations":[{"raw_affiliation_string":"Bogomolets National Medical University","institution_ids":["https://openalex.org/I84407627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045714482","display_name":"J. V. Gontar","orcid":"https://orcid.org/0000-0002-3261-3130","observed_orcids":["https://orcid.org/0000-0002-3261-3130"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yuliia Hontar","raw_affiliation_strings":["\u201cMedical Center IGR\u201d LLC"],"raw_orcid":"https://orcid.org/0000-0002-3261-3130","affiliations":[{"raw_affiliation_string":"\u201cMedical Center IGR\u201d LLC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148564150","display_name":"Olha Parnytska","orcid":"https://orcid.org/0000-0002-9417-2916","observed_orcids":["https://orcid.org/0000-0002-9417-2916"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Olha Parnytska","raw_affiliation_strings":["\u201cMedical Center IGR\u201d LLC"],"raw_orcid":"https://orcid.org/0000-0002-9417-2916","affiliations":[{"raw_affiliation_string":"\u201cMedical Center IGR\u201d LLC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065451547","display_name":"Igor Ilyin","orcid":"https://orcid.org/0000-0003-0074-4619","observed_orcids":["https://orcid.org/0000-0003-0074-4619"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ihor Ilin","raw_affiliation_strings":["\u201cMedical Center IGR\u201d LLC"],"raw_orcid":"https://orcid.org/0000-0003-0074-4619","affiliations":[{"raw_affiliation_string":"\u201cMedical Center IGR\u201d LLC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027712546","display_name":"Yana Lakhno","orcid":"https://orcid.org/0009-0005-6716-9470","observed_orcids":["https://orcid.org/0009-0005-6716-9470"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yana Lakhno","raw_affiliation_strings":["\u201cMedical Center IGR\u201d LLC"],"raw_orcid":"https://orcid.org/0009-0005-6716-9470","affiliations":[{"raw_affiliation_string":"\u201cMedical Center IGR\u201d LLC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080782840","display_name":"Mykola Yasynetskyi","orcid":"https://orcid.org/0000-0002-4426-1769","observed_orcids":["https://orcid.org/0000-0002-4426-1769"]},"institutions":[{"id":"https://openalex.org/I84407627","display_name":"Bogomolets National Medical University","ror":"https://ror.org/03edafd86","country_code":"UA","type":"education","lineage":["https://openalex.org/I84407627"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"Mykola Yasynetskyi","raw_affiliation_strings":["Bogomolets National Medical University"],"raw_orcid":"https://orcid.org/0000-0002-4426-1769","affiliations":[{"raw_affiliation_string":"Bogomolets National Medical University","institution_ids":["https://openalex.org/I84407627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012871651","display_name":"Mykola Kvach","orcid":"https://orcid.org/0000-0002-3019-1544","observed_orcids":["https://orcid.org/0000-0002-3019-1544"]},"institutions":[{"id":"https://openalex.org/I84407627","display_name":"Bogomolets National Medical University","ror":"https://ror.org/03edafd86","country_code":"UA","type":"education","lineage":["https://openalex.org/I84407627"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"Mykola Kvach","raw_affiliation_strings":["Bogomolets National Medical University"],"raw_orcid":"https://orcid.org/0000-0002-3019-1544","affiliations":[{"raw_affiliation_string":"Bogomolets National Medical University","institution_ids":["https://openalex.org/I84407627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106642016","display_name":"Petro Dezhniuk","orcid":"https://orcid.org/0009-0005-0706-3375","observed_orcids":["https://orcid.org/0009-0005-0706-3375"]},"institutions":[{"id":"https://openalex.org/I84407627","display_name":"Bogomolets National Medical University","ror":"https://ror.org/03edafd86","country_code":"UA","type":"education","lineage":["https://openalex.org/I84407627"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"Petro Dezhniuk","raw_affiliation_strings":["Bogomolets National Medical University"],"raw_orcid":"https://orcid.org/0009-0005-0706-3375","affiliations":[{"raw_affiliation_string":"Bogomolets National Medical University","institution_ids":["https://openalex.org/I84407627"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016049303","display_name":"\u0412\u0430\u0434\u0438\u043c \u041a\u043e\u0437\u043b\u043e\u0432","orcid":"https://orcid.org/0000-0002-5454-4797","observed_orcids":["https://orcid.org/0000-0002-5454-4797"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vadym Kozlov","raw_affiliation_strings":["Medical Center \u00abHarmony of Health\u00bb"],"raw_orcid":"https://orcid.org/0000-0002-5454-4797","affiliations":[{"raw_affiliation_string":"Medical Center \u00abHarmony of Health\u00bb","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":"2","first_page":"34","last_page":"41"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10116","display_name":"Sperm and Testicular Function","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10116","display_name":"Sperm and Testicular Function","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11156","display_name":"Reproductive Health and Technologies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13242","display_name":"Male Reproductive Health Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/male-infertility","display_name":"male infertility","score":1.0},{"id":"https://openalex.org/keywords/sperm-quality","display_name":"semen quality","score":0.7620000243186951},{"id":"https://openalex.org/keywords/sperm-dna-fragmentation","display_name":"sperm DNA fragmentation","score":0.9100000262260437},{"id":"https://openalex.org/keywords/oxidative-stress","display_name":"oxidative stress","score":0.9789999723434448},{"id":"https://openalex.org/keywords/antisperm-antibodies","display_name":"antisperm antibodies","score":0.9990000128746033},{"id":"https://openalex.org/keywords/sperm-motility","display_name":"sperm motility","score":0.984000027179718},{"id":"https://openalex.org/keywords/assisted-reproductive-technology","display_name":"assisted reproduction","score":0.6399999856948853},{"id":"https://openalex.org/keywords/normozoospermia","display_name":"normozoospermia","score":0.722000002861023}],"concepts":[{"id":"https://openalex.org/C2777688143","wikidata":"https://www.wikidata.org/wiki/Q179399","display_name":"Infertility","level":3,"score":0.6589000225067139},{"id":"https://openalex.org/C2778093475","wikidata":"https://www.wikidata.org/wiki/Q9715","display_name":"Semen","level":2,"score":0.6532999873161316},{"id":"https://openalex.org/C2781087480","wikidata":"https://www.wikidata.org/wiki/Q17145","display_name":"Sperm","level":2,"score":0.5929999947547913},{"id":"https://openalex.org/C518429986","wikidata":"https://www.wikidata.org/wiki/Q964401","display_name":"Fertility","level":3,"score":0.5841000080108643},{"id":"https://openalex.org/C2778080409","wikidata":"https://www.wikidata.org/wiki/Q2916689","display_name":"Semen quality","level":3,"score":0.5825999975204468},{"id":"https://openalex.org/C63363279","wikidata":"https://www.wikidata.org/wiki/Q5133848","display_name":"Clinical significance","level":2,"score":0.5795000195503235},{"id":"https://openalex.org/C2776151105","wikidata":"https://www.wikidata.org/wiki/Q898814","display_name":"Oxidative stress","level":2,"score":0.5703999996185303},{"id":"https://openalex.org/C16685009","wikidata":"https://www.wikidata.org/wiki/Q335057","display_name":"Andrology","level":1,"score":0.5673999786376953},{"id":"https://openalex.org/C2777338322","wikidata":"https://www.wikidata.org/wiki/Q280156","display_name":"Male infertility","level":4,"score":0.5397999882698059},{"id":"https://openalex.org/C2777589648","wikidata":"https://www.wikidata.org/wiki/Q1501844","display_name":"Semen analysis","level":4,"score":0.5332000255584717},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5152000188827515},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5149000287055969},{"id":"https://openalex.org/C43759708","wikidata":"https://www.wikidata.org/wiki/Q3749256","display_name":"DNA fragmentation","level":4,"score":0.492900013923645},{"id":"https://openalex.org/C42407357","wikidata":"https://www.wikidata.org/wiki/Q521","display_name":"Physiology","level":1,"score":0.459199994802475},{"id":"https://openalex.org/C3020630785","wikidata":"https://www.wikidata.org/wiki/Q2916689","display_name":"Sperm quality","level":3,"score":0.42579999566078186},{"id":"https://openalex.org/C2777632594","wikidata":"https://www.wikidata.org/wiki/Q27116486","display_name":"Sperm motility","level":3,"score":0.42239999771118164},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.4050999879837036},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.39089998602867126},{"id":"https://openalex.org/C50965678","wikidata":"https://www.wikidata.org/wiki/Q2724302","display_name":"Abnormality","level":2,"score":0.3328999876976013},{"id":"https://openalex.org/C2778580812","wikidata":"https://www.wikidata.org/wiki/Q686627","display_name":"Unexplained infertility","level":4,"score":0.3179999887943268},{"id":"https://openalex.org/C2991958373","wikidata":"https://www.wikidata.org/wiki/Q964401","display_name":"Male fertility","level":4,"score":0.30160000920295715},{"id":"https://openalex.org/C65409693","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Statistical significance","level":2,"score":0.29010000824928284},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.2750000059604645}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.30841/2786-7323.2.2026.369732","doi":"https://doi.org/10.30841/2786-7323.2.2026.369732","is_oa":true,"landing_page_url":"https://doi.org/10.30841/2786-7323.2.2026.369732","pdf_url":"https://health-man.com.ua/article/download/369732/354580","source":{"id":"https://openalex.org/S4387998009","display_name":"Health of Man","issn_l":"2786-7315","issn":["2786-7315","2786-7323"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health of Man","raw_type":"journal-article"},{"id":"pmh:oai:ojs.journals.uran.ua:article/369732","doi":null,"is_oa":true,"landing_page_url":"https://health-man.com.ua/article/view/369732","pdf_url":null,"source":{"id":"https://openalex.org/S4377196123","display_name":"Scientific periodicals of Ukraine","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2786-7323","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.30841/2786-7323.2.2026.369732","doi":"https://doi.org/10.30841/2786-7323.2.2026.369732","is_oa":true,"landing_page_url":"https://doi.org/10.30841/2786-7323.2.2026.369732","pdf_url":"https://health-man.com.ua/article/download/369732/354580","source":{"id":"https://openalex.org/S4387998009","display_name":"Health of Man","issn_l":"2786-7315","issn":["2786-7315","2786-7323"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health of Man","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204522669.pdf","grobid_xml":"https://content.openalex.org/works/W7204522669.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W2076167794","https://openalex.org/W2767411585","https://openalex.org/W2981798550","https://openalex.org/W2991388624","https://openalex.org/W3042619666","https://openalex.org/W3080483158","https://openalex.org/W3120237524","https://openalex.org/W3187693324","https://openalex.org/W3191547585","https://openalex.org/W4205336731","https://openalex.org/W4205952302","https://openalex.org/W4321004325","https://openalex.org/W4385348025","https://openalex.org/W4388950532","https://openalex.org/W4390546564","https://openalex.org/W4393144131","https://openalex.org/W4393317244","https://openalex.org/W4394019396","https://openalex.org/W4404328502"],"related_works":["https://openalex.org/W7204611381","https://openalex.org/W4388950532","https://openalex.org/W4399157180","https://openalex.org/W1980242349","https://openalex.org/W2515701679","https://openalex.org/W3170739578","https://openalex.org/W2016442929","https://openalex.org/W4295900700","https://openalex.org/W4212847990","https://openalex.org/W2024041554"],"abstract_inverted_index":{"Male":[0],"infertility":[1],"is":[2,274],"a":[3,16,117,125,233,278,283,289],"pressing":[4],"issue":[5],"in":[6,90,111,116,145,155,164,256,264],"reproductive":[7,19,54,280],"medicine.":[8],"Standard":[9],"semen":[10,103],"analysis":[11,76,104,201],"does":[12],"not":[13],"always":[14],"reflect":[15],"man\u2019s":[17,279],"true":[18],"potential.":[20],"Therefore,":[21],"additional":[22],"assessments":[23],"of":[24,41,77,93,113,120,124,136,140,148,158,184,206,209,228,241,258,266,285,294],"deoxyribonucleic":[25],"acid":[26],"(DNA)":[27],"fragmentation,":[28,67,296],"oxidative":[29,68,137,297],"stress":[30,138],"and":[31,45,70,80,180,299,308],"antisperm":[32],"antibodies":[33],"(ASAs)":[34],"are":[35],"carried":[36],"out":[37],"as":[38,172,174],"key":[39,290],"indicators":[40,293],"sperm":[42,84],"quality.":[43],"Materials":[44],"methods.":[46],"39":[47],"patients":[48,165],"were":[49,72,98,109,123,262],"examined":[50],"before":[51],"using":[52],"assisted":[53],"technologies":[55],"(ART).":[56],"A":[57,151],"standard":[58,83,271],"spermogram":[59,272],"was":[60,88,132,143,162,254],"performed":[61],"(World":[62],"Health":[63],"Organization,":[64],"2021),":[65],"DNA":[66,250,295],"stress,":[69,298],"ASAs":[71,261,300],"determined,":[73],"followed":[74],"by":[75],"their":[78],"combinations":[79],"association":[81,176],"with":[82,166,224,238],"counts.":[85],"Results.":[86],"Normozoospermia":[87],"found":[89,99,263],"only":[91,270],"12.8%":[92],"patients,":[94,259],"while":[95,260,282],"the":[96,156,207,219,239],"majority":[97],"to":[100,235,276],"have":[101],"abnormal":[102],"results.":[105],"Sperm":[106],"quality":[107],"abnormalities":[108,168,186,243,287],"detected":[110,255],"77.0%":[112],"those":[114],"examined;":[115],"significant":[118,153],"proportion":[119,157,208],"cases,":[121],"these":[122],"combined":[126,149,242],"nature.":[127],"The":[128],"most":[129],"common":[130],"abnormality":[131],"an":[133,175,181,225],"elevated":[134],"level":[135],"(66.7%":[139],"patients),":[141],"which":[142],"present":[144],"all":[146],"cases":[147],"abnormalities.":[150],"statistically":[152],"reduction":[154],"actively":[159,210],"motile":[160,211],"spermatozoa":[161,212],"observed":[163],"qualitative":[167,215,286],"(p":[169],"=":[170,190,222,245],"0.011),":[171],"well":[173],"between":[177],"reduced":[178],"motility":[179],"increased":[182],"likelihood":[183],"such":[185],"(odds":[187],"ratio":[188],"(OR)":[189],"1.10;":[191],"95%":[192,247],"confidence":[193],"interval":[194],"(CI)":[195],"[1.01\u20131.20]).":[196],"ROC":[197],"(Receiver":[198],"Operating":[199],"Characteristic)":[200],"showed":[202,232],"moderate":[203],"predictive":[204],"ability":[205],"for":[213,311],"detecting":[214],"changes":[216],"(Area":[217],"Under":[218],"Curve":[220],"(AUC)":[221],"0.71)":[223],"optimal":[226],"threshold":[227],"<":[229],"9%.":[230],"Age":[231],"tendency":[234],"be":[236],"associated":[237],"accumulation":[240],"(OR":[244],"1.11;":[246],"CI":[248],"[0.98\u20131.26]).":[249],"fragmentation":[251],"exceeding":[252],"30%":[253],"18.0%":[257],"25.6%":[265],"cases.":[267],"Conclusions.":[268],"Evaluating":[269],"parameters":[273],"insufficient":[275],"determine":[277],"potential,":[281],"combination":[284],"plays":[288],"role.":[291],"Incorporating":[292],"into":[301],"routine":[302],"screening":[303],"can":[304],"increase":[305],"diagnostic":[306],"accuracy":[307],"optimize":[309],"preparation":[310],"ART":[312],"programs.":[313]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2026-08-29T00:00:00"}
