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Association between seminal and serum iron parameters and male infertility: a systematic review and meta-analysis.

Created on 21 Aug 2026

Authors

Yannan Jiao, Yanlun Song, Jin Zhang, Yi Wei, Junli Wang

Published in

The aging male : the official journal of the International Society for the Study of the Aging Male. Volume 29. Issue 1. Pages 2719882. Dec 31, 2026. Epub Aug 20, 2026.

Abstract

Iron is an essential trace element for normal spermatogenesis, yet excessive iron accumulation may impair male fertility. Preliminary studies imply a link between elevated iron levels and male infertility, but evidence remains limited without systematic quantitative synthesis. This metaanalysis assessed the association between iron concentrations and male infertility.
We systematically searched PubMed, CBM, CNKI and Cochrane Library. RevMan, Stata and R were used for data analysis. Randomeffects models pooled effect sizes, with forest and funnel plots generated to evaluate seminal and serum iron levels in male infertility.
After screening studies published up to April 2025, a total of ten eligible articles involving 985 participants were finally included in this meta-analysis. Pooled results revealed that seminal and serum iron concentrations were notably higher in infertile males compared with fertile controls. Specifically, infertile men presented higher seminal iron levels (SMD = 0.44, 95% CI: 0.12-0.76, P < 0.05), as well as elevated serum iron levels (SMD = 3.77, 95% CI: 1.68-5.87, P < 0.05). The present results suggest that increased seminal and serum iron concentrations may be potentially correlated with male infertility risk.

PMID:
42623487
Bibliographic data and abstract were imported from PubMed on 21 Aug 2026.

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